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BPLB2018-004378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&'it 1 4*44" . - DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Permit Type/Subtype: PLUMBING/ Owner: Application Number: BPLB2018-0043 NOREEN SILVERMAN Property Address: 52570 AVENIDA DIAZ APN: 773282004 92253 Application Description: • SILVERMAN / SEWER CONNECT AND ABANDONEMENT Property Zoning: Application Valuation: Applicant:D Contractor: MAURICE PHILIP PEGORELLI MAURICE PHIL P PEGORELLI P O BOX 5454 MAR 1 9 201$ P O BOX 5454 LA QUINTA, CA 92248 LA QUINTA, CA 92248 CITY OFI QUINTA COMMUNITYDEVELOPMENTDEPAATMENT (714)404-.5514- Llc. No.: 8230153 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under p visions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Professions de, and my License is in full force and effect. License Class: B License No.: 823063 �D L Corit�actor. 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).: (_J 1, 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 Name: Lender's Address: Date: '3/19/2018 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one :)f the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compe ion, as provided for by Section 3700 of the Labor Code, for the performance of the or for which this permit is issued. -have and will maintain workers' compensation insurance, as required by Section -4700 of the Labor Code, for the perfcrmance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: EXEMPT Policy Number:_ _ I certify that in the performance o- 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 becooe subject to the workers' compensation provisions of Section 3700 of the Labor ode, I shall fq6hwith comply with those p ovisioonns. Dal!, Cf I X Applicant: WARNING: FAILURE TO SECURE WORKERS'COMPENSATIONOVERAGE-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 he Building Official for a permit subject to the conditions and restrictions set forth on th is application. 1. Each person upon whose behalf this app ication 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 Citi 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 appl'cation 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 :tate that the above information is correct. I agree to comply with all city and county ordinances and state laws r ting to uilding construction, and hereby authorize represen-atives of this city toe er pon a above mentioned property for in(2spection purposes.. Date. l /�fgn" a`t (Applicant or Agent): r Dater 3/19/2018 Application Number: BPLB2018-0043 Owner: Property Address: 52570 AVENIDA DIAZ NOREEN SILVERMAN APN: 773282004 Application Description: SILVERMAN / SEWER CONNECT AND ABANDONEMENT 92253 Property Zoning: . Application Valuation: Applicant: Contractor: MAURICE PHILIP PEGORELLI MAURICE PHILIP PEGORELLI P 0 BOX 5454 P 0 BOX 5454 LA QUINTA, CA 92248 LA QUINTA, CA 92248 (714)404-5514 ---------------------------------------------------------------------------------------------- Llc. No.: 823063 Detail: CONNECT TO SEWER AND ABANDON SEPTIC TANK PER 2016 CALIFORNIA BUILDING CODES' DESCRIPTION;.,.." ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $18.20 Total Paid for PLUMBING FEES: $44.21 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-000043611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 • ty -New SFD Construction:' Conditioned Space SF _ PERMIT # PLAN LOCATION: Project Address: S�aS�'�v �� Project Description: Pool, Remodel,►dd't, Elect, Plumb, Mech APN #: Patio/Porch SF Email Emai 1: Fire Sprinklers SF State Lic:3 City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Emai 1: State Lic: 'City Bus Lic; Property Owner's Name: New Commercial/ Tenant Improvements: Address:' v l� �� p �� Total Building SF' City, ST, Zip N Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 JK - OFFICE USE ONLY t # Submittal Req'd -Rec'd Plan Sets Structural Cates Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM to) i Landscape Plan Z i Subcontractor List Grant Deed HOA Approval School Fees Buniec Debris Plan Planning approval Public. Works approval Fire approval City Business License DIAZ- t O(MA At. -A QUINTA BUILDINiC ,. YWElY DEPT, APa" . VED FOR CONSTRUCTION DATE 3 /� BY Armando Magallon From: NOREEN SILVERMAN < Sent: Thursday, March 15, 2018 4:26 PM To: Armando Magallon Subject: Fwd:, Sewer connection paid Follow Up Flag: Follow up Flag Status: Flagged Sent from my iPhone Begin forwarded message: From: Ruben Montiel <RMontiel&vwd.org> Date: March 14, 2018 at 8:04:01 AM PDT To: NOREEN SILVERMAN < Cc: Moe Pegorelli < Subject: RE: Sewer connection paid Good morning Noreen,, The Sanitation Capacity Charge (sewer) was paid in full in 2013 for the amount of $1,697.12. it was paid through a 10 year plan that initiated in March of 2003 and paid in full i_ n 2013. Should you have any questions, please don't hesitate to contact me. Thank you, RUBEN MONTIEL Coachella Valley Water District . Development Services Aide 75515 Hovley Lane East, Palm Desert, CA 92211 (760) 398-2661 Ext. 3521 rmontiel(cr�,cvwd.org www.cvwd.org -----Original Message ----- From: NOREEN SILVERMAN [ Sent: Tuesday, March 13, 2018 10:09 PM To: Ruben Montiel <RMontiel@cvwd.org> Cc: Moe Pegorelli < Subject: Sewer connection paid Hello Ruben, I need to request proof of payment that 52-570 Avenida Diaz, La Quinta, 92253 has been paid in 1 full for the sewer connect. Please reply to all so my contractor can print and shcw the city of La .Quinta the required information to move forward and connect to the sewer system. Unfortunately the city lost the document that was on file showing that the Water District declares that I paid it. Thank you for your help, Noreen Silverman 78-495 CALLE TAMPICO COMMUNITY DEVELOPMENT DEPARTMENT LA QUINTA, CALIFORNIA 92253. (760) 777-7125 FAX (760) 777-7011 . February 10, 2016 Noreen Silverman 52570 Avenida Diaz La Quinta, CA. 92253 RE: Sewer Connect Permit Dear Ms. Silverman, Per your request, City of La Quinta Staff has reviewed our Building Division files and have determined. that there is no record of a Sewer Connect Permit being applied for or issued for property address 52570 Avenida Diaz. Please contact me if you have any questions, (760)777-7093. Sincerely, Angelica Zarco Permit Operations Supervisor