BPLB2017-012178-495,CALL&TAMPICOo i
LA QUINTA, CALIFORNIA 92253 .
`&t1t arw
DESIGN& DEVELOPMENT DEPARTMENT
BUILDING PERMIT '
Application. Number:
BPLB2017-0121 .v `
Property Address:
52740 AVENIDA-RtVARAf)e
APN:
773314001
Application Description:
GARCIA / ABANDON SEPTIC/CONNECT TO SEWER
Property Zoning:
Application Valuation:
$2,700.00
Applicant:
HUITRON CONSTRUCTION CO
50427 RIGO CT
Zo
�LU
COACHELLA, CA 92236
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: B License No.:1030332
Date: `O ' Contractor:
OWNER -BUILDER DECLARATION
1 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).:
(__) 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.).
(_J 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:
f
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
(760)457-9960
Llc. No.: 1030332
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 the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Section 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: BENCHMARK INSURANCE COMPANY Policy Number: CSTS009834
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 s all fort with
comply with those provisions.
Date: C �`� _ I Applicant: QVJ
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of.this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building .
construction, and hereby authorize representatives of thiscity, to enter upon the
above-mentioned property for inspection purposes.
Date: ��L�Signature (ApplicantorAgent):I k_11ZZ$ ,iq
Date: 8/31/2017
Owner:
ALBERT F GARCIA
52740 AVENIDA VALLEJO
LA QUINTA, CA 92253
ON
Zo
�LU
LU
sC�Fa
Contractor:
ZC"D W
HUITRON CONSTRUCTION CO
50427 RIGO CT
COACHELLA, CA 92236
��
o
-�-�-
U
(760)457-9960
Llc. No.: 1030332
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 the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by
Section 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: BENCHMARK INSURANCE COMPANY Policy Number: CSTS009834
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 s all fort with
comply with those provisions.
Date: C �`� _ I Applicant: QVJ
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 ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or
following issuance of.this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building .
construction, and hereby authorize representatives of thiscity, to enter upon the
above-mentioned property for inspection purposes.
Date: ��L�Signature (ApplicantorAgent):I k_11ZZ$ ,iq
Date: 8/31/2017
Application Number:
=BPLB2017-0121
Owner:
Property Address:
52740 AVENIDA ALVARADO
ALBERT F GARCIA
APN:
773314001
52740 AVENIDA VALLEJO
Application Description:
GARCIA / ABANDON SEPTIC/CONNECT TO SEWER
LA QUINTA, CA 92253
• Property Zoning:
Application Valuation:
$2,700.00
Applicant:
Contractor:
HUITRON CONSTRUCTION
CO
HUITRON CONSTRUCTION CO
5042.7 RIGO CT
SO427•RIGO CT
COACHELLA, CA 92236
COACHELLA, CA 92236
(760)457-9960
Llc. No.: 1030332
Detail:'ABANDON SEPTIC/CONNECTTO SEWER. 2016 CALIFORNIA BUILDING CODES.
FINANCIALINFORMATION
DESCRIPTION ACCOUNT
QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306
0 .$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE .
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION r
-ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-6000-42401
.0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC....
101-0000-42600
0
$17.73
Total Paidfor PLUMBING FEES: $43.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
T LS
OTA $145.33.
J
lug i
z
COACHELLAVALLEY, WATER DISTRICT ' P•0. BOX 1058,. COACHELLA;. CALIFORNIA 92236 (760) 358-2651",
INVOICE Date: 8/31/2017 Y .4t
SUBJECT: -TRACT SANTA CARMELITA, 52740 AVENIDA VALLEJO, LA QUINTA LOT 12, LIC 684626 "SCC ONLY"
ALBERT'F.' GARCIA'.. + Project: .17-8282
52740 AVENIDA VALLEJO Project Date: 8/31/2017
'. Amount Due: $4851.00
'LAQUINTA,.CA 92253 • GEO: 06-06-12-1 .
Planner: SARAI LOPEZ
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK `
1�Y•Yl�a. l►i.E
.. _ __ - :f�-QLD•
,_• •- • .�- !.y_-
_-1 _ • - • -._�� _.
_--_-___---�
1.00 FF
SCC -COLLECTION..
$2,415.00
i $2,415.00
1.00 FJ
SCC -TREATMENT,
+
$2',436.00
$2,436.00
$4,851.00
PAID $/J
.�/
a t.
Development Services Depafim8nt
AUG' 31 2011,
.,
Coachella -Valley Water?District" .
75-515 HoVley Lane I East
'
Palm Desert, CA 92211'
' ' - •
; ,
1
v
TRACT SANTA CARMELITA, 52740 AVENIDA VALLEJO, LA QUINTA, LOT 12, LIC.684626 "SCC ONLY" .
- SUBJECT: •;
COACHELLA.VALLEY WATER. DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760)`398-2651
'Pagel
Bin#
City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sha et.
Permit#
Project Address:7
C�
, a ` t
Owner's Name: r ��
�j
�x � G
A.P. Number
J
Address: Z
`
Legal Description:
City, ST, Zip: G
�H
Contractor:
Q
b
Telephone: ztD
Address:
Project Description:
City, ST, Zip:
Telephone:
M Lip
State Lie. #: O �� �� City Lie #:
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction.Type:
Proj. Type New In
Occupancy:
Alter Repair Demo
State Lic. #:
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:.
�� q. /
1 b
Estimated Value of Prod t:
n
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd.
TRACKING
PERMIT FEES
Plan Sets
Plan Check Submitted
Item
Amount
Structural Calcs
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
2nd Rev, Ready for corrections /
Electrical:
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans,Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact.Person .
A.I.P.P.
Pub: Wks. Apps
Date of permit issue
School Fees
Total Permit Fees