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BPLB2017-012678-495 CALLE'TAMPICO . D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA .92253 DESIGN & DEVELOPMENT DEPARTMENT FAX (760) 777-7011 FAX (760) 777-7153 BUILDING PERMIT Date: 9/19/2017 Permit Type/Subtype: PLUMBING/ Owner: Application Number: BPLB2017-0126 RUTH STEVENSON Property Address: 78730 SAGUARO DR 80 KENNETH CT APN: 646312028 t BAYPOINT, CA 9t-565 Application Description: STEVENSON RESIDENCE/PERCON4EPd 9 201% Property Zoning: Application Valuation: $4,500.00 CITY OF LA QUINTA Applicant: DESIGN AND DEVELOPMENT DEPARTMENT . Contractor: TOMMY ROOTER PLUMBING INC TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD ff69 80975 INDIO BLVD #139 INDIO, CA 92201 INDIO, CA 92201 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.: 930133 ' ,,Date: 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 N Lender's Add (760)574-4444 Llc. No.: 930133 WORKER'S COMPENSA-ION 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 370D of the Labor Code, for the performance of the work for which this permit is issued. I have and will maintain workers' ompensation 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: NORGUARD INSURANCE COMPANY Policy Number: TOWC851139 _ I certify that in the performance ofithe work for which this permit is issued, I shall not employ any person in any manner sc 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: 9�`�� �/% Applicant: WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMENAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,070). 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 tie Building Official for a permit subject to the conditions and restrictions set forth on th's application. 1. Each person upon whose behalfthis appl-cation 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 appli:ation 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 s -ate that the above information is correct. I agree to comply with all city and county ord nances 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: g %1 ^/% Signature (Applicana or Agent) Date:9/19/2017 Application Number: BPLB2017-0126 Owner: Property Address: 78730 SAGUARO DR RUTH STEVENSON APN: ' 646312028 80 KENNETH CT Application Description: STEVENSON RESIDENCE / SEWER CONNECT BAYPOINT, CA 9�S65 Property Zoning: Application Valuation: $4,500.00 Applicant: Contractor: TOMMY ROOTER PLUMBING INC TOMMY ROOTEF PLUMBING INC 80975 INDIO BLVD #B9 80975 INDIO BLVD #139 INDIO, CA 92201 INDIO, CA 92201 (760)574-4444 Llc. No.: 930133 Detail: SEWER CONNECT AND ABANDON SEPTIC & DRYWELL. PER 2016 CALIFORNIA BUILDING CODE FINANCIAL O• DESCRIPTION ACCOUNT QTY AMOUNT' BSAS SB1473 FEE 101-0006-20306 0" $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 ' DESCRIPTION ACCOUNT QTY AMOUNT • Credit Card Fee 101-0000-43505 0 $2.62 Total Paid for Credit Card Fee: $2.62" DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 I DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT " BUILDING SEWER PC 101-0000-42600 0 $17:73 " Total Paid for PLUMBING FEES: $43.06 ti DESCRIPTION ACCOUNT • QTY AMOUNT 'TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0' $5.00 i Total Paid for TECHNOLOGY ENHANCEMEMT FEE: $5.00 Bin# City of La Quinta Building & Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Pr�oject:Address:_7e73o y4euo a Cl ` Owner's Nam v 1� S_; /_ 1//fin S-, n A.P. Number tAddiess:�� O —IV Legal Description: Cil ST; Zi oi/9% Contrac= /tor ,� =— Gi►►�/ lz6oi%/Rp ele hone: X2.5 - 69�- oS6 b Address: 1(jo �f 7SL N��� ,,rojSct Description_ Ci_ty,.ST, Zip: e Telephone:` ���y y t' State Lic. #: G 92City" Lic #: �. Arch, Engr., Designer: Address: City, ST, Zip:, Telephone: Construction Type: Occupancy: State Lic. #: Proj. Type NewAdd'n fstoires Alter Repair Demo Name of Contact •, Sgrt: # Units: Telephone of Contact: -�a - ���'� o�,z I Estimated Value of Project: — '% fou o0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check Submitted Item Amount Structural Calcs Reviewed, ready for corrections Plan Check Deposit: Truss Calcs Called Contact Person Plan CLeck Balance: Title 24 Calcs Plans Picked Up ConstrL.ctlon: Flood Plain Plan Plans Resubmitted Mechaeical: Grading Plan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbi ig: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Developer Impact Fee Planning Approval Called Contact Person A.I.P.P' Pub. Wks. Apps Date of permit issue School Fees Total P-rmit Fees COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, .CALIFORNIA 92236 (760) 398.-2651 INVOICE Date: 9118/201.7 SUBJECT: DESERT CLUB MANOR TR 1, 78730 SAGUARO_RD., LA QUINTA, LID 4624.80, -3CC FEE ONLY.' RUTH STEVENSON 'Project: 17-8315 ' 5131 OCEAN VIEW :BLVD. Project Date, 9/18!2017 Amount Due: $4,851.00. LA CANADA FLT, CA 91011 ISM 05-07-31-4 Planner: :SANDRA VILLALOBOS TO;INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE'AND INCLUDE THE PROJECT ONYOUR CHECK 1.00 FF SGC -COLLECTION $2,415.00 .$2,415.00 1.00 FJ SCC=TREATMENT $2,43:3.001 $2,436.00 $4,851.00 PAID $ �15oo C�G Development Services Department SEP 18 2011 Coachella Valle Water District Valley t ct 75-515 Hovley Lane East Palm Desert, CA 92211 SUBJECT: DESERT CLUB MANOR,TR.1, 78730 SAGUARO RD., LA QUINTA, LID 462480, "SCC FEE ONL r, COACHELLA VALLEY WATER DISTRICT .P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (76,0)-398-2651 Pagel