BPLB2018-00161
78-495 CALLE TAMPICO - .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype: - PLUMBING/
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2018-0016
Property Address:
52270 AVENIDA CARRANZA
APN:
773261001
Application Description:
ROUTT / ABANDON SEPTIC AND SEWER CONNECT
Property Zoning:
Application Valuation:,
$4,200.00
Applicant:
SOUTHWEST PLUMBING INC
P 0 BOX 2006
THOUSAND PALMS, CA 92276
D Q �
FEB 01 2018
CITY OF LA QUINTA
COPAMUNITY CEVELOPMENT DEPARTkiENT
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.: 731805 III 2!Z11Zf& ontrac or: e
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.).
( 11, 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/1/2018
Owner:
SONIA ROUTT
52270 AVENIDA CARRANZA
LA QUINTA, CA 92253
Contractor: .
SOUTHWEST PLUMBING INC
P O'BOX 2006
THOUSAND PALMS, CA 92276
(760)343-2345
Llc. No.: 731805
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.
F. I have and will maintain workers' compensation insurance, es required by
on 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: PACIFIC COMPENSATION INSURANCE COMPANY Policy Number:
WA00276200
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:plicant: C-" r," <
WARNING: FAILURE TO SECURE WORKERS' COMPE SATION 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 orhissioh 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.
Date:v/ Sid gnature (Applicant or Agent)
e
s
Date: 2/1/2018
Application Number: BPLB2018-0016
Owner:
Property-:Addren: 52270 AVENIDA CARRANZA
SONIA ROUTT
APN:. 773261001
52270 AVENIDA CARRANZA
Application Description: ROUTT./ ABANDON SEPTIC AND SEWER CONNECT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,200.00
Applicant:
Contractor:
SOUTHWEST PLUMBING INC
SOUTHWEST PLUMBING INC
P 0 BOX 2006
P 0 BOX 2006
THOUSAND PALMS, CA 92276
THOUSAND PALMS, CA 92276
(760)343-2345
Llc. No.: 731805
Detail: ABANDOWSEPTIC TANK IN FRONT OF DWELLING AND CONNECT TO SEWER.2016
CALIFORNIA BUILDING CODES '
e
s
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY 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
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.01
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.20
Total Paid for PLUMBING FEES:$44.21
DESCRIPTION
ACCOUNT'
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
5021-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:, $5.00
Contractor Name:
PERMIT # Q a
PLAN LOCATION:
Project Address:r� Z Z� _
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #: /-A ��/-1iV�z�-
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Telephone: %J _ '��� n L4
Patio/Porch SF
Applicant Name:
t Fire Sprinklers SF
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $ 912 -co
Contractor Name:
New SFD.Construction:
Address: I Ll lO 0s-er U- or .
Conditioned Space SF
City, St, Zip
Garage SF
Telephone: %J _ '��� n L4
Patio/Porch SF
Email: S� �1.��,,.,��,� 1 /1 %- �y (J �o (
t Fire Sprinklers SF
State Lie: 7 31 Jd City Bus Lie:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:'
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lie: City Bus Lie:
Property Owner's Name:
New Commercial /Tenant Improvements:
Address: J �.� �� ! e YY J
Total Building S.F
City, ST, ZipZZ Ili b JA'Je,
Construction Type: Occupancy:'
Telephone. : �
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal"
Req'd
-Reed
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
r
Landscape Plan
Subcontractor List
r
Grant Deed
F
HOA Approval
i
School Fees
•Burrtec Debris Plan
Planning approval .
Public Works approval
Fire approval
City Business License
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From: billpay <billpay@paymentus.com>
To: desertheat22 <desertheat22@aol.com>
Subject: Payment Confirmation
Date: Mon, Jan 29, 2018 10:29 am
Dear JEFFERY ROUTT,
We are pleased to confirm your Payment with Coachella Valley Water District. Below is the summary of your
payment transaction. Your payment has been received and will be posted to your account. Thank you for your
continued relationship with Coachella Valley Water District.
Confirmation Number: 271412254
Payment Date: Jan 29, 2018 10:29:41 AM
Payment Amount: $4,851.00
Total Amount Charged: $4,851.00
Contact Information
First Name:
Jeffery
Last Name:
Routt
ZIP code:
92253
Daytime Phone Number:
(760) 774-2599
Email Address:
desertheat22@aol.com
Account Information
Payment Type:
Miscellaneous
Account Number:
18-8640
Payment Method:
Credit Card
Payment Method Information
Card Type:
Visa
Card Number:
""***"**'*"1513
Card Holder Name:
JEFFERY ROUTT
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