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BPLB2016-006678-495 CALLE TAMPICO LA QUINTA; CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: . Application Valuation: Applicant: S - PLUMBING 53=223 CALLE LINDA COACHELLA, CA 92236 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPLB2016-0066 51899 AVENIDA VILLA 773182018 LOPEZ RESIDENCE / SEWER $1,200.00 V E `A 2 5 2016 CITY OF LA QUINTA 222 T DEVE 2iEIJTDEPARWEW 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.: 861785 ee � —Date: Z / Contractor:, 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).: (� 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/25/201.6 Owner: ALEJANDRO LOPEZ 51899 AVENIDA VILLA LA QUINTA, CA 9.1236 Contractor: S - PLUMBING 53-223 CALLE LINDA COACHELLA, CA 92236 (760)404-8600 Llc. No.: 861785 WORKER'S COMPENSATiiON DECLARATION I hereby affirm under penalty of perjury one ofthe following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700of 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 perfornance of the work for which this permit is issued.' My workers' compensation insurance carrier and policy number are: Carrier: _ Polity Number: _ I certify that in the performance of t -ie 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 tha-., if I should become subject to the workers' compensation provisions of Section 3:00 of the Labor Code, I shall forthwith' comply with those provisions. Date: �`� �{v-,—Applicant: C7 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 ($100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOMEDGEMENT IMPORTANT: Application is hereby made to theiBuilding 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 Cty 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 stat-- 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. �^ Date:=� // �� Signature (Applicanf or Agent): • INFORMATIONFINANCIAL ��NDESCRIPTION9 ` ACCOUNTa 'yQTY �AINIOUNTrPA'IU dPAID DATE BSAS SB1473 FEE 101-0000-20306' 0 $1.00 $1.00 4/25/16 AID'BETHOD " RECEIPT #Y CHECK S - PLUMBING CHECK R15003 3866 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 y ha :DESCRIPTION z: ' ` � �,•. °r ACCOUT N�. PAID met PAID' DW PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/25/16 � PAIDtBY Y q Y � RECEIPT # �Y xCHECK # , CLTD BY S - PLUMBING. CHECK R15003 3866 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 UNT rr r,rt NT PAIDESCRIPTION r„ s , �P�A IDDATE'sAMACCO BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/25/16 PAIDBY ��"�METIIOD�..t:RECEIPT # s CHECK #t4aCLTD BY S - PLUMBING CHECK R15003 3866 MFA x DESCRIPTION,R� h }ACCOUNT;, QTY $AMOUNT ` PAIDr aI PAID"DATE:: BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 4/25/16 ,PAID BYESMETHOD�`5? "RECEIPTf#��� HEC E # CLTD BY S - PLUMBING CHECK R15003 3866 MFA Total Paid for -PLUMBING FEES: $24.18 $24.18 TOTALS:$117.03 $117.03 y i � a i � a i ,t Description: LOPEZ RESIDENCE / SEWER CONNECT Type: PLUMBING Subtype: Status: ISSUED Applied: 4/25/2016 MFA Approved: 4/25/2016 MFA Parcel No: 773182018 Site Address: 51899 AVENIDA VILLA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 119 Lot: 6 Issued: 4/25/2016 MFA NO 12 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,200.00 Occupancy Type: Construction Type: Expired: 10/22/2016 MFA No. Buildings: 0 No. Stories: 0' No. Unites: 0 [Details: SEWER CONNECTION PER 2013 CALIFORNIA BUILDING CODE 5444 �11� APPLICANT S -.PLUMBING 53-223 CALLE LINDA COACHELLA CA 92236 1 (760)219-7306 CONTRACTOR S - PLUMBING 53-223 CALLE LINDA COACHELLA CA 92236 (760)219-7306 OWNER ALEJANDRO LOPEZ 51899 AVE NIDA VILLA LA QUINTA CA 92236 (760)219-7306 Printed: Monday, April 25, 2016 8:23:02 AM 1 of 2 • - .. SYSTEMS 0 ry ix WE;, _V1 11, 11 1 ulml Mr. BY PERMIT ISSUANCE 101-0.000-42404 0 $91.85 $91.85 4/25/16 R1500.3 3866 CHECK S - PLUMBING MFA Total Paid for PERMIT ISSUANCE: $9-1.85 $91.85 BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 4/25/16 R15003 3866 CHECK S - PLUMBING MFA BUILDING SEWER PC 101-0000-41600 0• $12.09 $12.09 4/2.5/16 R15003 3866 CHECK S - PLUMBING MFA Total Paid for PLUMBING FEES: $24.18 $24.18 TOTALS: $117.03 $117.03 . ... .. INSPECTIONS PARENT PROJECTS REVIEWS .............. . . . . .. ... .... ..... ... ........ . ... S NOTES',� REMARKS M A R K AP4 ,",��`,�"',,,RETURNEP,,V �'V�STAt REVIEW TYPE; Oki kEVIEWE -�SENT'DATE DUE�.DATEj,, D ATE 4. BOND INFORMATION .............. Bin # .0ty.Gf La Quinto Building 8i: Safety Division 78-495 Calle Tampico. . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application'and Tracking Sheet Permit # Project Address `ct4 ►J ( (l} 1. Owner's Name: A. P. Number: Address:i & 1' /Q Legal Description: City, ST, Zip: Ila- j ,4j � • Contractor: Se /6 Telephone: 7 OMINIM Address: ;2 Project Description: City, ST, Zip:. �Q&tjj�lo 4p4—." Tele h n P 0 . State Lie. # : City Lie" ' Arch.,•Engr.; Designer: Address: City., ST, Zip: . Telephone: hone :onsrucn TYPe:cc Occupancy: cY Lie. #• 'DemoState Pro'eca tRa air ne • New Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: Aj, LCA D —� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING P=3RMIT FEES Plan Sets Plan Checksubmitted Item Amount Structural Calcs.'. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Bal-.nce Title 24 Calcs. Plans picked up Construction " Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN I -[OUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appy Date of permit issue School Fees, Total Permit Fees 1.00 FF COACHELLA-VALLEY-WATER DISTRICT- ISTRICT- $2,415.00 1.00 FJ P.O. P.O. BOX 1058;COACHELLA, CALIFORNIA 92236` (760) -398=2651 (.,t 1$4,851.00 'INVOICE Date: 2/2/2016 ` 7 r PAID .' $y/ Iz � 4, JJy�,,,��,, . [� 'ACL' . J�, SUBJECT: SANTA CARMELITA, 51899 AVENIDA VILLA, LA QUINTA, LID 682662- SCC •, ONLY ! '• y 4 xy i � .. N ,` a v �� �•�• .' .� Ita+i ,fib 1 -r_ ,�• 1 v .` `• 'FEB •FEB 0 2`2016 I+:' ALEJANDRO G. LOPEZ �,� fi' , Project: 16-6949 _ 51-899 AVENIDA VILLA Project Date: " }' 2/2/20.16 n1 Amount Due:-. $4,851.00 ay , LAQUINTA, CX 92253 'ry;• �' u, '�� GEO: 1 06-06-01-4 # t ' jq�Planner:' - 4 y SARA LOPEZ- . C TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH a REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK „ ----- --. --— - — — - — — ----------- , 1.00 FF SCC -COLLECTION -, $2,415.001 $2,415.00 1.00 FJ SCC -TREATMENT +' ' $2,436.001 $2,43600 (.,t 1$4,851.00 ` 7 r PAID .' $y/ Iz � 4, JJy�,,,��,, . [� 'ACL' . J�, • ' epartment Development Services Department- 'FEB •FEB 0 2`2016 - K F' Coat:hetla Valley Water District' '75-515 Hovley Lane East r.•, `•' Palm Desert, CA 92211 SUBJECT:SANTA CARMELITA, 51899 AVENIDA VILLA, LA QUINTA, LID 682662- SCC ONLY, COACHELLA VALLEY WATER DISTRICT i P 0 `BOX 1058, COACHELLA, CALIFORNIA 92236 (760)x'398-2651 i �� �' r � .. 7 :V. ..� 'S � � 1� t r'