BPLB2016-006878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0068
Property Address:
53425 AVENIDA ALVARADO
APN:
774073021
Application Description:
LA QUINTA PALMS REALTY / SEWER HOOOK UP
Property Zoning:
Application Valuation:
$4,200.00
Applicant:
QUALITY MECHANICAL PLUMBING
80533 VIRGINIA AVE
INDIO, CA 92201
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C36 License No.: 923620
e Contractor:
Y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
,city or county that requires a permit to construct, alter, improve, demolish, or repair
any structure, prior to its issuance, also requires the applicant for the permit to file a
signed statement that he or she is licensed pursuant to the provisions of the
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 I, as owner of the property, or my employees with wages as their sole
compensation, will do the work, and the structure is not intended or offered for sale:
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for sale. If, however, the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
he or she did not build or improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec- 7044, Business and Professions Code: The Contractors'
State License Law does not apply to an owner of property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State License Law.).
( ) I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
Owner:
BRUCECATHCART
VOICE. (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
MAY I Antract%r:
E RANIL
C�TYDF �/��RGgQINIA AV
COMMUNIT`I'DEVEL3 DEPAftW
(760)610-3211
Llc. No.: 923620
Date: 5/10/2016
PLUMBING '
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thig work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier:_ Policy Number: _
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date:S �U'l Applicant:491�
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void -if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. . -.7
Date: S -/o -/6 Signature (Applicant or Age
DESCRIPTION.
FINANCIAL INFORMATION
ACCOUNT '
QTY AMOUNT PAID' PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $1.00 $1.00 5/10/16
PAID BY w
METHOD
RECEIPT # CHECK # CLTD BY
QUALITY MECHANICAL PLUMBING
CHECK
R15352 0777 RSE
Total. Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00'. $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
5/10/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
QUALITY MECHANICAL PLUMBING
CHECK
R15352
0777
RSE
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
DESCRIPTION
ACCOUNT .
QTY :
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
5/10/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
QUALITY MECHANICAL PLUMBING
CHECK
R15352
0777
RSE
DESCRIPTION
ACCOUNT
QTY* `
AMOUNT
PAID
PAID•DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/10/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
QUALITY MECHANICAL PLUMBING
CHECK
R15352
0777
RSE
Total Paid for PLUMBING FEES: $24.18 $24.18'
TOTALS:
Description: LA QUINTA PALMS REALTY / SEWER HOOOK UP
CONDITIONS
NAME NPC
Type: PLUMBING Subtype:
Status: ISSUED
Applied: 5/10/2016 RSE
Approved: 5/10/2016 RSE
Parcel No: 774073021 - Site Address: 53425 AVENIDA ALVARADO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 185
Lot: 9
Issued: 5/10/2016 RSE
UNIT 18
80533 VIRGINIA AVE INDIO CA
92201
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,200.00 Occupancy Type:
Construction Type:
Expired: 11/6/2016 RSE
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: SEEWE CONNECTION TO ABANDON SEPTIC. 2013 CALIFORNIA BUILDING CODES.
OWNER
CHRONOLOGY
CONDITIONS
NAME NPC
" ` """"'NAME
CONTACTS
AI��Fi�S CITI STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT.
QUALITY MECHANICAL PLUMBING
80533 VIRGINIA AVE INDIO CA
92201
bthompsongmp@me.c
om
CONTRACTOR
QUALITY MECHANICAL PLUMBING
80533 VIRGINWAVE INDIO CA
92201
bthompsongmp@me.c
om
OWNER
BRUCE CATHCART
44670 VIA CATALINA LA QUINTA CA
92253
FINANCIAL INFORMATION
Printed: Tuesday, May 10, 2016 12:38:37 PM 1 of 2 C
SYSTEMS
Printed: Tuesday, May 10, 2016 12:38:37 PM. 2 of 2
'SYSTEMS
CLTD
DESCRIPTION
ACCOUNT
"QTY.
AMOUNT
PAID,
PAID DATE
RECEIPT #
CHECK #
METHOD.
PAID BY
BY
QUALITY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
5/10/16
R15352
0777
CHECK
MECHANICAL
RSE
PLUMBING
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
QUALITY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
5/10/16
R15352
0777
CHECK
MECHANICAL
RSE
PLUMBING
Total Paid for PERMIT ISSUANCE: $91.85 - $91.85
QUALITY
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
5/10/16
R15352
0777
CHECK
MECHANICAL
'RSE
PLUMBING
QUALITY
BUILDING SEWER PC
101-0000-42600
0
$12.09
$12.09
5/10/16
R15352
0777-
CHECK
MECHANICAL
RSE
PLUMBING
Total Paid for PLUMBING FEES: $24.18 $24.18
1 OTALS: $117.01 $117-03
Printed: Tuesday, May 10, 2016 12:38:37 PM. 2 of 2
'SYSTEMS
Qin #
City of La Q uiil to
Building Sr Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #{
Lb 2�1)1
Project Address:
ALV NO
per's Name: r
A. P. Number:
Address: 5 1 U) I ow et'
Legal Description:
City, ST, Zip: �� u
Contractor: r
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Q
C
Telephone:
Address: �?J3 ``r
Project Description:
City, ST, Zip: 1p
011Fs- .
6et-✓
G
TeleP h0 ne SU
o L N IJ T S I
�P T c,
State Lie. # . �j(�%O.
City Lie.
N PON
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
e one:
Construction ns on T
Type: Occupancy:
to e
S t Lie. #
Repair DemoProJect type one):
Name of Contact Person:
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: j ") . wo
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
'"! Reyiew, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
zTRI
COACHELLA VALLEY WATER DISTRICT
I P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 4113/2016
SUBJECT: SANTA CARMELITA, 53425 AVENIDA ALVARADO, LA QUINTA, LOT 9, LID 687398 "SCC ONLY"
ROBIN CARNEY Project:
LA QUINTA PALMS REALTY Project Date:
51001 EISENHOWER DRIVE
Amount Due:
LA QUINTA, CA 92253 GEO:
Planner:
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
-------------------------------------------------------------------------------------------------------------------------------------
16-7110
4/13/2016
$4,851.00
06-06-12-3
RUBEN MONTIEL
@D @=0==
I L11:/SJJ4+iww
1.00 FF SCC -COLLECTION
$2,415.001 $2,415.00
1.00 FJ SCC -TREATMENT
$2,436.00 $2,436.00
$4,851.00
PAID
—4
t Development Services Department
APR 25 20167
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBJECT: SANTA CARMELITA, 53425 AVENIDA'ALVARADO, LA QUINTA, LOT 9, LID 687398 **SCC ONLY'"
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
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