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14-0408 (PLBG)• 1� P.O. BOX 1504 78-495.CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000408 Property Address: 53545 AVENIDA VALLEJO APN: 7747122-015-3 -000000- Application description: PLUMBING Property Zoning`. COVE RESIDENTIAL Application valuation: r 1200 c&tyl 4 4 Qgmz Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License ass: C36 Li nse No.: 910274 Date: -9-1 y Contractor�l J / . OWNER -BUILDER DECLARATION , I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the followingreason(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 forthealleged 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 _ 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.). 1 _ 1 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—) I am exempt under Sec. w , BAP.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: LQPERMIT Owner: MENDEZ JAVIER 53545.AVENIDA'.VALLEJO LA QUINTA, CA 92253 Contractor: l LA QUINTA COVE PLUMING IN P O BOX 1207 !7% �j LA QUINTA, CA 92247 v,P (760) 777-9916 C17-VA.c964 Lic. No.. 910274 1A VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/09/14 ----------------------------------------------— WORKER'SCOMPENSATION 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. _ I 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 i rance carrier and policy number are: Carrier EXEp4PT Policy Number EXEMPT 60�1 certify that, in the performance of the work for which this permit is issued, I shall not employany 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 I s I forthwith comp with those provisions. . Dat �Q Applicant %%%%%%�� 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 Director of Building and Safety 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 c o enter upon the abgya.mentioned property for insp on purposes. Date: Y Signature (Applicant or Agentl: LQPERMIT Application Number 14 -00000408 - Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/06/14 Qty `Unit Charge Per Extension 1.00 11:9200 EA PLBG-BUILDING SEWER 11.92 ----------------------------------------------------------------------------- Special Notes and Comments PLUMBING - SEPTIC ABANDON, SEWER CONNECT. 2013 CALIFORNIA BUILDING CODES. -------------------_----------------------- Other Fees . . . . . . BLDG STDS.ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 11.92 Fee summary Charged Paid Credited Due Permit Fee Total 11.92. .00 .00 11.92 Plan Check Total .0.0 .00 .00 .00 Other Fee Total 103.49 .00 .00 103.49 Grand Total 115.41 .00 .00. 115.41 LQPERMIT Bin # Qty . Of La Qruln to Building &r Safety Division P.O. Box 1504, .78-495. Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 1� (.. Project Address: S�3 ,S" S' dip Owner's Name: 4 V e r •%e , a e Z A. P. Number: Address: (� L n T0. C A Legal Description: City, ST; Zip: �► S Contractor: 'LA 14G C D Telephone: Address: o 13c) A I XO 7 Project Description: S -e L".e P CD /! A City, ST, Zip: / . C i; P/l Structural Calcs. Telephone: 740 -?,7 7- / : •::.:.;,:..,::..;::. _4, .:.;;:•;; .:::::: Reviewed, ready for corrections .State Lic. # : i / 0 a 71/ City Lia. #; Arch., Engr., Designer. Truss Cala. Address: City, ST, Zip: . Telephone: Construction Type: Occupancy: State Lic. #: Project hP New Add'n Alter Repairair Demo Name of Contact Person: JBL r 4 t n }� 1�..... Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: '7 — 7 . ' S 3-.5' Estimated Value of Project: Ot% APPLICANT: DO NOT WRITE BELOW THIS LINE I N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. 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 correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. N.O.A. Approval Plans resubmitted Grading IN IIOUSE:- '"' Review, ready for correct ionsfissue Developer. Impact, Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees COACHELLA VALLEY WATER DISTRICT a/ST�tIG' P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760)- 398-2651 INVOICE Date: 4/9/2014 SUBJECT: SCC ONLY- 53545 AVENIDA VALLEJO, LA QUINA, LID 688350 LIDIA MENDEZ Project: 14-5394 53-545 AVENIDA VALLEJO Project Date: 4/9/2014 Amount Due: .$4,851.00 LA QUINTA, CA 92253 GEO: 06-06-12-4 Planner: SARA LOPEZ TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00 FF SCC -COLLECTION $2,415.00 r $2,415.00 1.00 FJ SCC -TREATMENT $2,436.00 $2 436.00 $4,851.00 PAID $ OL#- y6? �( Development Services Department. APR 0 9 2014 Coachella Valley Water District 75-515 Hovley Lane East Palm Desert, CA 92211 SUBJECT:SCC ONLY- 53545 AVENIDA VALLEJO, LA QUINA, LID 688350 COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236'(760) 398-2651 Pagel