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
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Contrac= /tor ,�
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ele hone:
X2.5 - 69�- oS6 b
Address: 1(jo �f 7SL N���
,,rojSct Description_
Ci_ty,.ST, Zip: e
Telephone:`
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t'
State Lic. #: G 92City" Lic #:
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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
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