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BPLB2018-003978-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 VOICE (760) 777-7125 r FAX 1760) 777-7011 DESIGN & DEV NTRR 11 ENT f INSPECTIONS (760) 777-7153 BU PERMIT MAR 12 2018 Permit Type/Subtype: PLUMBING/ 0 n Application IIEL Property Address: 51315 AVENIDAJUAREZ �ESIGNAND 1�'G� DtllNTA 51315 AVENIDA JUAREZ APN: 773042020 DEVELOPMEMTDEq*f T , CA 92253 Application Description: DANIEL RESIDENCE / SEWER CONNECT ��f rM�� Property Zoning: Application Valuation: $3,000.00 Applicant: Contractor: BALLINGER DEVELOPMENTS BALLINGER DEVELOPMENTS P OJ30X 542 P O BOX.542 YUCCA VALLEY, CA 92286 YUCCA VALLEY, CA 92286 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. C42, C53, A License No.: 832990 Date: _Cont+®C:ractor. OWNER -BM -DER 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 ofthe 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 andthe 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 ) I am exempt under Sec. B.&P.C. for this reason 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 Add (760)831-5086 Llc. No.: 832890 Date: 3/12/2018 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. I have and will maintain workers' compensation 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: EXEMPT Policy Number: 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-��ipplf�antr'COMPENSATION WARNING: FAILURE TO SECURE WORKS 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. 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; SioWwe(Applicant orAge I.fi Date: 3/12/2018 Application,blumber_ , BP.l,B2018-0039 Property Address: 51315 AVENIDAJUAREZ APN: 773042020 Application Description. DANIEL RESIDENCE / SEWER CONNECT Property Zoning: Application Valuation: $3,000.00 Applicant: BALLINGER DEVELOPMENTS P 0 BOX 542 YUCCA VALLEY, CA 92286 Detail: SEWER CONNECT. PER 201t CALIFORNIA BUILDING CODE Owner: LESLIE DANIEL 51315 AVENIDAJUAREZ LA QUINTA, CA 92253 Contractor: BALLINGER DEVELOPMENTS P 0 BOX 542 YUCCA VALLEY, CA 92286 (760)831-5086 Llc. No.: 832890 FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY 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 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 CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42415 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 1 4 as N � I�,n of r L Oo �j r �, d r, C �I A PS i - AL At-ba, ,tea' -TANK .5 iF tN � '�- D rU az 3 AWi-Lr c 3--, s 1JrzJ , 0 W//,)4 r TuF\(v-rz • IQ�a ••- - -•— C:a.i\•t ..fthe i-)1'd.SSlt'f ---•- PERMIT # PLAN LOCATION: Project Address: S �, �V� i� 2 Project Description: Pool, Remodel, Add't,/Elect, Plumb, Mech APN #: ?23—Qy - c:00 SL liri Ob Applicant Name: fir}—lC� a Address: • City, ST, Zip: Telephone: Email: -tom Valuation of Project S Contractor Name: �1 w 7 l� . -New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: �,,�j w Patio/Porch SF Email:(��/� (� @ ��QIL I f?a r"t Fire Sprinklers SF State Lie: 3 City Bus Lie: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lie: City Bus Lie - Property Owner's Name: C 1c W I iy (_ New Commercial / Tenant Improvements: Address: , l - 0 E-O's I 0t1 JuAr z , Total Building � SF City, ST, Zip' Construction Type: Occupancy: Telephone:' Email: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000