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BPLB2020-000578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: VICTOR PINSON 79905 FIESTA DRIVE LA QUINTA, CA 92253 Tit�v 4 4.0 Qu&M DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT PLUMBING/ BPLB2020-0005 79905 FIESTA DR 600061002 PINSON / SEPTIC ABANDONMENT AND SEWER CONNECT $2,000.00 VOICE (760) 777-712S FAX (760) 777-7011 INSPECTIONS (760) 777-71S3 Date: 1/22/2020 Owner: FIESTA DR. 92253 TRUST / ADRIAN PINSON 79905 FIESTA DRIVE LA QUINTA, CA 92253 Contractor: D OWNER BUILDER 79905 FIESTA DRIVE JAN 2 2 2020 DO LA QUINTA, CA 92253 CITY OFLAQUINTA Llc. No.::CONV:140528101254127984 DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: _ License No.: 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 jects 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 `jo , e did not build or improve for the purpose of sale.). V(J�1 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 DatesIC 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 Na Lender's Add 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: Ca[� _ Policy Number: _ Y� 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: Z L Applicant: WARNING: FAILURE TO SECURE WORKERS' 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. 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- mentiane grope ty for inspection purposes. Date: Signature (Applicant or Agent): VfL—.'j �Dat@:' 1/22/2020 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: VICTOR PINSON 79905 FIESTA DRIVE LA QUINTA, CA 92253 BPLB2020-0005 79905 FIESTA DR 600061002 PINSON / SEPTIC ABANDONMENT AND SEWER CONNECT $2,000.00 Owner: FIESTA DR. 92253 TRUST / ADRIAN PINSON 79905 FIESTA DRIVE LA QUINTA, CA 92253 Contractor: OWNER BUILDER 79905 FIESTA DRIVE LA QUINTA, CA 92253 Llc. No.::CONV:140528101254127984 Detail: PLUMBING - ABANDON SEPTIC AND CONNECT TO SEWER SYSTEM. INSTALL BACKFLOW PROTECTION VALVE IF NEEDED UPON INSPECTION, PER 2019 CALIFORNIA BUILDING CODES. DESCRIPTION ACCOUNT I CITY I AMOUNT BSAS SB1473 FEE 1101-0000-20306 1 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.97 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 Tiht pF 4Q" P.O. Box 1504 LA QUINTA, CALIFORNIA 92247-1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT PROPERTY OWNER'S PACKAGE (760) 777-7012 FAX (760) 777-7011 Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building a has been s brrtittad in yo name sting yourself as the builder of the property improvements specified at � 1 (J �� e S✓ We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. ,CKNOWLEDGMENT AND VERIFICATION OF INFORMATION Read and initial each statement below to signify you understand or verb this information. 1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder" i ding permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as n Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries,J-V willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers lerstand building permits are not required to be signed by property owners unless they are responsible for the and are not hiring a licensed Contractor to assume this responsibility. 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect If frrwVtential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my 44 Iyi�derstand Contractors are required by law to be licensed and bonded in California and to list their license numbers on i contracts. 5. LAnderstand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value Vrc9fttruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" ate and federal law. 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal emment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment ampen .ation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial ri k, understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential tures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed bcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. rnderstand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any l or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the M&Wf 'fr materials. understand. I may obtain more information regarding my obligations as an "employer" from the Internal Revenue ce, the United States Small Business Administration, the California Department of Benefit Payments, and the California ision o ndustrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1- 3 C B (2752) or www.cslb.ca.gov for more information about licensed contractors. 10. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the 1 y and financially responsible for proposed construction activity at the following address: S FqaTA bel Ves Agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all laws and requirements that govern Owner -Builders as well as employers. Fme 12. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I provided on this form.Licensed contractors are regulated by laws designed to protect the public. If you contract with one who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for i uin permit. : A copy of the property owner's driver's license, form notarization, or other verification acceptabl to agency is requ ed to be presented when the permit is issued to verify the property owner's signature. A f,,-'A A Signature of property owner V _Date: January 22, 2020 Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Remodel Project Location or Address: 79905 Fiesta Drive Name of Authorized Agent: Address of Authorized Agent: Victor Pinson Tel No I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its actor y. 11110epresented A copy of tl wner's driver's license, form notarization, or other verification acceptable to the agency is requii tl whe the permit is issued to verify the property owner's signature. Property Owner's Signature___ y l I1t�� / I I / Date: January 22, 2020 04 — GF.bI the UESf-_RP — PERMIT # ` L-82 0 Z 7� ^ � W — PLAN LOCATION: Project Address: �' —®� �ie� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: a Applicant Name: 1 G�—w ivtS yr Address: ! R — cl j City, ST, Zip: Lct- Telephone: q5 —[ Valuation of Project $ Z SOB r n 6w W eV-6U (LbC- V— Contractor Name:i�� ew SFD Construction: Address: _ n� Conditioned Space SF City, St, Zip a Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lie:r7taQ F�'Z City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: ADCAN PftQ50P4 Property Owner's Name: i G'� rl S ci New Commercial / Tenant Improvements: Address: — 9 d 15, ! P-5 Total Building SF City, ST, Zip 4y e L A- Construction Type: Occupancy: Telephone: & d .— U - CA 92253 760-777-7000 comdev From: Victor Pinson < Sent: Wednesday, January 22, 2020 10:54 AM To: comdev Subject: Fwd: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1, Construction Drawing Attachments: 20498 (S) 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1.pdf EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening attachments, clicking links or responding to requests for information. ---------- Forwarded message --------- From: Sandra Villalobos <SVillalobosPcvwd.org> Date: Mon, Jan 20, 2020, 11:08 AM Subject: RE: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1, Construction Drawing To: Victor Pinson < Hi Victor, Attached is the Construction Drawing you requested. Thank you, Coachella Valley Water District 75515 Hovley Lane East Palm Desert, CA 92211 Ph 760-398-2651, ext. 3532 Fax 760-568-1789 www.cvwd. ora NOTE: These comments/conditions are valid for one yearfrom the date of this letter/email, including any verbal representations. Thereafter, CVWD may review and revise the requirements discussed and/or require updated information. 1 From: Victor Pinson < Sent: Monday, January 20, 2020 11:01 AM To: Sandra Villalobos <SVillalobos@cvwd.org> Subject: Re: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1 Thank you, Do you have a drawing of where the lateral is located? On Mon, Jan 20, 2020, 10:59 AM Sandra Villalobos <SVillalobos@cvwd.org> wrote: Good morning Victor, Attached is a copy of the paid invoice you requested. If you have any questions, please do not hesitate to give me a call. Thank you, Craxdh a. llc""i0I,o& Development Services Technician II Coachella Valley Water District 75515 Hovley Lane East Palm Desert, CA 92211 Ph 760-398-2651, ext. 3532 Fax 760-568-1789 www.cvwd.org From: Victor Pinson< Sent: Monday, January 20, 2020 11:01 AM To: Sandra Villalobos <SVillalobos@cvwd.ore> Subject: Re: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1 Thank you, Do you have a drawing of where the lateral is located? On Mon, Jan 20, 2020, 10:59 AM Sandra Villalobos <SVillalobos@cvwd.org> wrote: Good morning Victor, Attached is a copy of the paid invoice you requested. If you have any questions, please do not hesitate to give me a call. Thank you, cia�edha V..Lla.[o-/sv� Development Services Technician II Coachella Valley Water District 75515 Hovley Lane East Palm Desert, CA 92211 Ph 760-398-2651, ext. 3532 Fax 760-568-1789 www.cvwd.org comdev From: Victor Pinson < Sent: Wednesday, January 22, 2020 10:54 AM To: comdev Subject: Fwd: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1, Construction Drawing Attachments: 20498 (S) 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1.pdf EXTERNAL: This message originated outside of the City of La Quinta. Please use proper judgement and caution when opening attachments, clicking links or responding to requests for information. ---------- Forwarded message --------- From: Sandra Villalobos <SVillalobos@cvwd.org> Date: Mon, Jan 20, 2020, 11:08 AM Subject: RE: 79905 Fiesta Drive, La Quinta, Lid 305264, Geo. 5-7-29-1, Construction Drawing To: Victor Pinson< Hi Victor, Attached is the Construction Drawing you requested. Thank you, Coachella Valley Water District 75515 Hovley Lane East Palm Desert, CA 92211 Ph 760-398-2651, ext. 3532 Fax760-568-1789 www.cvwd.org NOTE: These comments/conditions are valid for one yearfrom the date of this letter/email, including any verbal representations. Thereafter, CVWD may review and revise the requirements discussed and/or require updated information. 1 (Page 1 of lj� Y•---�-ro— .......«. -- T--..-.�._.--�•, ...�....�-,.-.-r....,.,,,�. .. -_ ,a.e�N;ryr,�;,.. -. COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL N ® 184 34 Received From:--__ - - _ --_, - _ _ � Da!■' • Address:. Account No. �� -�-�� L Lo[{sl Traci Service AwrBYS111- G-AL Cade C Motor($)_ $ J Service (s)------'---------- - ------------------ - O Hacklkswig)__ i" House Lateral(s) l !1. _ iF f 11 Detector Check(s) _ C MotorSurrhnrge Sanitation CapacityCharga -~-�� ! �'C - - G W.S.B.FC. C S.I.WS.0 _-- -- - _--- � Temporary Construction Meter__-- -; Turn on Charge__--_- -- -_---_—_-- - _-- ___ _ `7 Uncollected Account -- Name Inspection Fee - Tract - Fee - Ll Plan Check Fees Water Sewer - Tract - _ LJ Bond Payment -A U - Bond Assmt - Customer mwwl nth., w _ TOTAL -__ $ 4 Remarks: � ��PL—L.Ia�lI&H. i X i Copy to: ("heck Money Money � Order Wale( Service]'] 108434 Cashier RECEIVED JAN 2 12020 CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT w F lu1-25-03 11:51 From -WATER DISTRICT/COACHELLA VALLEY +7603983T11 T-802 P.23/23 F-982 'r �GCIYCC Frorn: I 'C,,,� yCrrOACHELLA VALLEY WATER Adrirrass: � � %�1 Lots)-� Sgrvicu Address Meters) G Sorvico(o) ---------------- M 6acktlow(s) Hauae LAretal(s) -S�r] G Detecror Checkts) ❑ . Meter Surcharge SanItation CQPgciiy Charge r ❑ Temporary Construction Meta, 0 Turn an Charge 0 UnColiectedAccount -Names L * 1112pecti on Foo - Traot - Fee - .. * Plan Check Faee Water / Sawa, - Tract - �! Band Payment -- A.D. , Bond ---�—ASsm{ C CWI%omar Dapggjt �C7Eher TRemarks: Cash Ohenka/ Money �-r .. Order—,..-.,....'-—..�........� ,.�.,.,.......__....__.. i] CASH RECEIPT DETAIL N 2 J, . Z=A I GJ1. Cod® TOTAL $ Water servico I C2shier jfj Received 07-25-PO!)8 II:49am From-+T603883711 TO -CM PO SATELLITE Para