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BPLB2017-01394.ha w 78-495 CALLE TAMPICO D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PLUMBING/ Application Number: BPLB2017-0139 Property Address: 77705 CALLE TEMECULA APN: 774284001 Application Description: MORR / ABANDON SEPTIC CONNECT TO SEWER Property Zoning: Application Valuation: $1,600.00 Applicant: HUITRON CONSTRUCTION CO 50427 RIGO CT COACHELLA, CA 92236 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: B License No.: 1030332 j �� ' r7 X11 C� Dra, te: "Z Coni tractor: r ^ OWNER -BUILD RATION ' 1 I hereby affirm under penalty of perjury tha 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).: L—) 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 ) 1, 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/2017 Owner: KATHLEEN MORR 77705 CALLE TEMECULA LA QUINTA, CA 92253 Contractor: HUITRON CONSTRUCTION CO 50427 RIGID CT COACHELLA, CA 92236 (760)457-9960 Llc. No.: 1030332 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 thew rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Secti n 3,700 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5009834 _ I certify that in the performance of the work for which this permit is issued, 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 Cde, I all forthwith comply with those provisions. I I f Date: (o - 7_5 f I Appli icantCrl��Oa WARNING: FAILURE TO SECURE WORK#RS' 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. 1 certify that I have read this application and state that the above' formation is correct. I agree to comply with all city and county ordinances and sta a la s relating to buildi%� construction, and hereby authorize representatives of this c' y t ntery on the e - mentioned property for inspection purposes. nn A UA / Date 40 'ZS ^ 17 -Signature (Applicant -or -Agent) Date: 10%25/2017 Application Number: BPLB2017-0139 Owner: Property Address: 77705 CALLE TEMECULA KATHLEEN MORR APN: 774284001 77705 CALLE IEMECULA Application Description: MORR / ABANDON SEPTIC CONNECT TO SEWER LA QUINTA, CA 92253 ' Property Zoning; Application Valuation: $1,600.00 Applicant: Contractor: HUITRON CONSTRUCTION CO` HUITRON COVSTRUCTION CO 50427 RIGO CT 50427 RIGO CT COACHELLA, CA 92236 COACHELLA, CA 92236 (760)457-9960 --------------------------------------------------------------------------------------------- Uc. No.: 1030332 Detail: ABANDON SEPTIC TANK AND FILL WITH SLURRY OR SAND AND HOOK UP TO CITY SEWER. PER 2016 CALIFORNIA PLUMBING CODE FINANCIAL INFORMATION ;DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRAT^ON BSA: $1.00 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 502-0000743611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT 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# LP--O171o Project Address: •77705 7 0 C / ��1�� 1 J J K j Owner's e: � O f- f A.P. Number Ayddress: C, Legal Description: City, ST, Zip: � V, CA Q Contractor:' kj0>1 -elephoneQ Address.'. �� cL� D ErojectDescripCfon:' S 1 City, ST; Zip: QG� \ O\'3(� i r O P Telehone: Cf- 7 ( � `el , I b State Lic.--#: (o 3 Arch, Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Proj. Type New Ad Occupancy: Alte- Repair Demo State Lic. #: Name of Contact: SgFt: #Stories # Units: Telephone of Contact: Estimat ,Value of Proje t: / W b 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 Check Balance: Title 24 Calcs Plans Picked Up Construction: Flood Plain Plan . Plans Resubmitted Mecharical: Grading?lan 2nd Rev, Ready for corrections / Electrical: Subcontractor List Called Contact Person Plumbing: Grant Deed Plans Picked Up S.M.I. HOA Approval Plans Resubmitted Grading IN-HOUSE 3rd Rev, Ready for corrections / Develo-)er Impact Fee Planning Approval Called Contact, Person A.I.P.P Pub. Wks. Apps Date of permit issue School Fees Total P'_rmit Fees A' E� COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 10/23/2017 SUBJECT: SANTA CARMELITA, 77705 CALLE TEMECULA, LOT 24, LA QUINTA, LID 691416 --SCC FEE ONLY" MORR, KATHLEEN 77705 CALLE TEMECULA LA QUINTA, CA 92253 Project: Project Date: Amount Due: GEO: Planner: TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00IFF LSCC -COLLECTION 1.00 FJ SCC -TREATMENT PAID�- Development Services Department OCT 23 2017 Coachella Valley Water District 75-515 Hovley Lane East Palm Desert, CA 92211 $2,41:.00 $2,43E.00 17-8411 10/23/2017 $4,85.1.00 06-06-13-1 RUBEN MONTIEL $2,415.00 $2,436.00 $4,851.00 RECEIVErtLl OCT 2 5 2617 CITY OF LA COMMUN rY DEVELOPMENT SUBJECT: SANTA CARMELITA, 77705-CALLE TEMECULA, LOT 24, LA QUINTA, LID 691416 "SCC FEE ONL"" COACHELLA VALLEY WATER DISTRICT R.O. BOX 1058,.COACHELLA, CALIFORNIA 92236 (760) 398-2651 Page 1