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BPLB2015-013278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4�r 4 4 4" COMMUNITY DEVELOPMENT.DEPARTMENT BUILDING PERMIT 07 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BPLB2015-0132 Owner: Property Address: 53290 AVENIDA NAVARRO WILLIAM HOWARD APN: 774095001 P 0 BOX 10758 Application Description: HOWARD / SEPTIC ABANDONMENT/CONNECT TO SEWER PALM DESERT, CA 92253 Property Zoning: Application Valuation: $1,500.00 a Applicant: rG0 T ^ Contractor: B CONSTRUCTION INC } e 2015 B CONSTRUCTION INC P 0 BOX 10758 P 0 BOX 10758 PALM DESERT, CA 92255 QUINTA PALM DESERT, CA 92255 h1�NT DEPARTMENT•""' (760)275-6698 Llc. No.: 889388 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: A. B License No.: 889388 All 2 f � Date: 1� J 1 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).: (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 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. 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: Date: 11/13/2015 . 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. 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 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: �� Applicant:a l 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 upo the abov7M. ntioned property.for inspection purposes Date`� Signature (Applicant or Agent): I 3 DESCRIPTIONACCOUNT��:� AMOUNT^ PAID PAID DATE * QTY £. x BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/13/15 � - � -. � ': fr � � }. ' :. f c ' �E x "i r fi a ' rla,'<5F �:5r% k� XVrx - '•" `'. . - u t ...' a£�tr ziKi:_§c:`�` ? s"`c"� I ! r;�� 'S _ tF� . S' .i rte, f -��s 7 � �__ .Yd �% �a+ t. �,'� � � •Y<^ oI� � �zff y � �t`3'"`;m;;di2; x �1: k t . . k "FL� J �h,°- T FE .._ .. �. Y^. CHECK # x :xMETFIODRECEIPT# k s. ,'x;.,✓',c1ti`£'.Y.:,i...v.b �YX;k,W,.:;c,....;,.2$.✓..«��.,'kx�ryT":-ru:n�„'h cies}f"`a`,:.�+i.i1q�i�.:��s<.....,, IX. iY.n 'n.Xss A.F$�a�9.',E a. aCLTDBY ;-Y ,x�.�ix.�.dopa._�.�Sx.,,6,,,�4is..rXu......i sd,nx.nmxlf',k5',: BILL HOWARD CHECK R10818 7536 SGU Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 [,.j� ✓ : .a.. !. . P " to l >`xr � � 'SYS xX y 1 Y� `ro' „a . E.t4 '•�it'M....;>Y: S . Y Y4' :;j ..€.t '"`.' f, "?' ,d: " f<twDESCRIPTION n _ACC_OUNT MOM QTY �AMOU:.NT i RAD�PAIO DATA. PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 11/13/15 PAiD BYr �Ea '� METHOD�RECEIPTs#�, K #CLTD BY R �� .E :.,. ., � �CHEC M-- a . BILLHOWARD CHECK R10818 7536 SGU Total Paid'for PERMIT ISSUANCE: $91.85 $91.85 {,'h DESCRIPTIOfV;, f n ems, spa= * ACCOUNT�;?QT F�s �rgFE AMOUNTSi.r, ae r PAID',"'; P D DAT AI E: r E.... BUILDING SEWER 101-0000-42401 01 $12.09 $12.09 11/13/15 PAIf)rBY :¢ a t ;'�.cy-$$. `1, METHOD x� PT,1n�tiY`AN,1- e.a:, !RECEIPT #�-� iii CHECK # CLTD BY= j.. „. «...,<...{'�-fv,5" ext-Yi.6frifux.BA`?,_. ems...?��".i^Y+�sdki.lr,,,.49n �.,..a: ' •"- bY•a:w�xb '&'.."`i.A BILL HOWARD CHECK R10818 7536 SGU YQ7, 4 .;3 t K35 .v^<.�.•. _:'.-?,ia"3; DESCRIPTION ,4eA.`kkF''? w.74 a ACCOUNTS&qTY 4 }z^ AMOUNT %.F ,`x��'...E ;�'E_;<s �x PAID •� PAID f)Al E,,. i . 1,..•, 1, _. - ...'::'.:.,Y:'��,-'n?. r r�::`. kt�:,..sSd;iEcfiy'z� BUILDING SEWER PC 101-0000-42600 0 ' $12.09 $12.169 11/13/15 5 .. ., Ct r - . x„ PAID BY"ate'?METHOD�� .. x ak 'i g-, :C' : iax w p. ,_m.- `RECEIP,T # CHECK # " CLtTD BY aiW'r.a_.�-i...iw+�a..,..:s 3 c..YA.t.. u4.£+k_.=,_v'�. BILL HOWARD CHECK R10818 '7536 SGU Total Paid for PLUMBING FEES:' $24.18 $24.18 • i • Description: HOWARD / SEPTIC ABANDONMENT/CONNECT TO SEWER Type: PLUMBING Subtype: Status: APPROVED Applied: 11/13/2015 SKH Approved: 11/13/2015 SKH Parcel No: 774095001 Site Address: 53290 AVENIDA NAVARRO LA QUINTA,CA 92253. Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 21S Lot: 24 Issued: UNIT 20 Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 $1.00 Details: PLUMBING -ABANDON SEPTIC/ CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES. Printed: Friday, November 13, 2015 11:14:47 AM 1 of 2 cl?WsysTEMs ADDITIONAL FINANCIAL INFORMATION DESCRIPTION ACCOUNTQTY CHRONOLOGY PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS.SB1473 FEE 101-0000-20306 0 $1.00 $1.00 CONDITIONS Total Paid for BUILDING STANDARDS ADMINISTRATION. BSA: $1.00 $1,00 CONTACTS NAME TYPE NAME ADDRESSI• CITY STATE ZIP PHONE FAX EMAIL APPLICANT B CONSTRUCTION INC P O BOX 10758 PALM DESERT CA 92255 CONTRACTOR B CONSTRUCTION INC P 0 BOX 10758 PALM DESERT CA 92255 OWNER WILLIAM HOWARD P 0 BOX 10758 PALM DESERT CA 92253 Printed: Friday, November 13, 2015 11:14:47 AM 1 of 2 cl?WsysTEMs FINANCIAL INFORMATION DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS.SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/13/15 R10818 7536 CHECK BILL HOWARD SGU Total Paid for BUILDING STANDARDS ADMINISTRATION. BSA: $1.00 $1,00 Printed: Friday, November 13, 2015 11:14:47 AM 1 of 2 cl?WsysTEMs DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY TD CBy-- PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 11/13/15 R10818 7536 CHECK BILL HOWARD SGU ' Total Paid for PERMIT ISSUANCE: $91.85 $91.85 BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 11/13/15 R10818 7536 CHECK BILL HOWARD SGU BUILDING SEWER PC 101-0000-42600 0 $12.09 $12.09 11/13/15 R10818 7536 CHECK BILL HOWARD SGU Total Paid for PLUMBING FEES: $24.18 $24.18 TOTALS: $117.03 $117-03 Printed: Friday, November 13, 2015 11:14:47 AM 2 of 2 CREAF SYSTEMS Bin City of La Q coin to Building 8t• Safety Division 78-495 Calle Tampico ` 3 Z La Quinta, CA 92253 (760) 777-7012 Building Permit Application and Tracking Sheet Permit #f L? 5 _ Project Address: S 3 D Owner's Name: A. P. Number: Address: ' , O o S Legal Description: City, ST, Zip- ip: tra t -1 Contractor: Concor: IJ c� r7 O A� n Telephone: Po e. Address: , D g 0'7 <;—B Project Description: City, ST, Zip: 5 t 1C� 1 7i ZS ►+J ^ ►e C.�_ `— /� 1 S 1�p J S� n T oe ele P 6 L) t� S State Lic. # : City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: h one: Telephone: Cos tr ct• 0ccP u an cy: s u ion type: YP #• State Lic.'#: New Repairair Demo ProJecttYP (circle one): o Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person Estimated Value of Project: a -- APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees 122 S , .4 V3ATI# COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 11112/2015 SUBJECT: SANTA CARMELITA, 53290 AVENIDA NAVARRO, LA QUINTA, LOT 24, LID 687908 WILLIAM HOWARD Project: 15-6758 53290 AVENIDA NAVARRO Project Date: 11/10/2015 Amount Due: $4,851.00 LA QUINTA, CA 92253 GEO: 06-06-12-4 Planner: SANDRA VILLALOBOS TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK -_ m _.•. e.•, _ 1.00 FF SCC -COLLECTION $2,415.00 $2,415.00 1.00 FJ SCC -TREATMENT 1 $2,436.00 $2.436.00 $4,851.00 PAI D $ o I/ Development Services Department NOV 1212015 Coachella ValleyWater District 75-515 Hovley Lane East Palm Desert, CA 92211 SUBJECT:SANTA CARMELITA, 53290 AVENIDA NAVARRO, LA QUINTA, LOT 24, LID 687908 COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Page