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BPLB2021-0123BUILDING PERMIT DESIGN & DEVELOPMENT DEPARTMENT 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type: Plumbing Permit Number: BPLB2021-0123 Property Address: 53600 AVENIDA OBREGON APN: 774115004 Legal Description Property Zoning: Valuation: $5,000.00 PHONE (760) 777-7125 WWW.LAQUINTACA.GOV APPLIED DATE: 09/02/2021 ISSUED DATE: 09/13/2021 CALIFORNIA Owner: ARTHUR COOPER 53600 AVENIDA OBREGON, LA QUINTA, CA 9225: Applicant: Brian Monroe 78315 Desert Fall Way, La Quinta, CA 92253 Contractor: Jose L Miranda / 1002066 33749 WHISPERING PALMS TRIAL, CATHEDRAL CITY, CA 92234 PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE FOLLOWING: LICENSED CONTRACTOR OR OWNER -BUILDER DECLARATION (1 or 2) 1) They are licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and the referenced License is in full force and effect, or; 2) That they are exempt from the Contractors' State License Law for the reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or she is exempt from licensure by a valid exemption. [Section 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 Contractors' State License Law (Chapter (commencing with Section 7000) of Division 3 of the Business and Professions Code] 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).) a) As owner of the property, or my employees with wages as their sole compensation, will do all of or portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, 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 it was not built or improved for the purpose of sale.). b) As owner of the property, will be exclusively contracting with licensed c) Are exempt from licensure under the Contractors' State License Law. As an Owner -Builder, they acknowledge that, except for their personal residence in which they must have resided in for at least one year prior to completion of the improvements covered by this permit, they cannot legally sell a structure built as an owner -builder if it has not been constructed in its entirety by licensed contractors. It is understood that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application was submitted at the following Web site: http://www.leginfo.ca.gov/calaw.html. DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If applicable) A construction lender will be used for completion of the improvements covered by this permit and the name and information of which is on file for public inspection during the regular business hours of the public entity. Failure of the applicant to indicate the construction lender on the application does not relieve that person of the requirement to give the WORKERS' COMPENSATION DECLARATION (1, 2 or 3) 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. 1) Has and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 2) Has 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. 3) Certifies 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. NOTICE TO APPLICANT (1, 2 and 3) 1) Each person upon whose behalf this application was made, each person at whose request and for whose benefit work is being 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 360 days from date of issuance of such permit, or if cessation of work for 180 days will subject permit to cancellation. On or after January 1, 2019, every permit issued shall become invalid unless the work on the site authorized by such permit is commenced within 12 months after its issuance, or if the work authorized on the site by such permit is suspended or abandoned for a period of 12 months after the time the work is commenced. 3) Certified that they read the application and state that the information provided is correct. 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. IMPORTANT: An Application for Permit was made to the Building Official, subject to the conditions and restrictions set forth at the time of application, which is now hereby an Issued Permit. If any part of the information being supplied on this permit is inaccurate or untrue, please contact the City of La Quinta at (760) 777-7125 immediately for correction. Printed: 6/27/25 9:23 am Page 1 of 4 BUILDING PERMIT Permit Type: Plumbing Permit Number: BPLB2021-0123 Property Address: 53600 AVENIDA OBREGON construction lender preliminary notice from that duty. Printed: 6/27/25 9:23 am Page 2 of 4 BUILDING PERMIT Permit Type: Plumbing Permit Number: BPLB2021-0123 Property Address: 53600 AVENIDA OBREGON SEPTIC ABANDON / SEWER CONNECT *** ABANDON SEPTIC AND FILL WITH SLURRY OR SAND AND CONNECT TO SEWER. INSPECTOR TO VERIFY IF BACKFLOW VALVE IS REQUIRED. PER 2019 CALIFORNIA PLUMBING CODE. Construction Details Type Group Sq Ft Value Invoice No. Fee PERM IT-BPLB2021-012: SEWER CONNECTION/SEPTIC ABANDON PC BSAS SB1473 FEE TECHNOLOGY ENHANCEMENT FEE RECORDS MANAGEMENT FEE PERMIT ISSUANCE SEWER CONNECTION/SEPTIC ABANDON Total for Invoice PERM IT-BPLB2021-0123 Fee Amount Amount Paid $18.78 $18.78 $1.00 $1.00 $5.00 $5.00 $10.00 $10.00 $101.97 $101.97 $26.83 $26.83 $163.58 $163.58 Grand Total for Permit $163.58 $163.58 Workflow Step / Action Name Action Type Start Date End Date Inspections v.1 09/02/2021 0:00 ---------------------------------------------------------------------------------------------------------------------------------------- PLUMBING FINAL** v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- SEWER CONNECTION v.1 Inspection ---------------------------------------------------------------------------------------------------------------------------------------- SEPTIC ABANDONMENT v.1 Inspection --------------------------------- - - - - -- UNDERGROUND PLBG v.1 Inspection Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of any material required to allow inspection. It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this code. Printed: 6/27/25 9:23 am Page 3 of 4 BUILDING PERMIT Permit Type: Plumbing Permit Number: BPLB2021-0123 Property Address: 53600 AVENIDA OBREGON A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the iurisdiction shall not be valid. A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by the buildina official. Printed: 6/27/25 9:23 am Page 4 of 4 TEF COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: Sep 2, 2021 Subject: SANTA CARMELITA, 53600 AVENIDA OBREGON, LA QUINTA, LOT 4, LID 688244, "SCC FEE ONLY" ARTHUR COOPER Project: 21-12558 53600 AVENIDA OBREGON Project Date: 08/31/2021 Amount Due: $4,851.00 LA QUINTA, CA 92253 GEO: 06-06-12-3 Planner: DAVID MCGEE TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK ...........................................................................................................................•............................................. _....... Units! CD Fee Type Description Charge Total Amount Amount 1.00 FF SCC-COLLECTION $2,415.00 $2,415.00 1.00 FJ SCC-TREATMENT $2,436.00 $2,436.00 $4,851,00 Paid $ L/I 251r0 C) Development Services Department SEP 0 2 2021 'VA Coachella Valley Water District 75-615 Hove lane East Palm Desert, CA 92211 ec� to8a? Subject: SANTA CARMELITA, 53600 AVENIDA OBREGON, LA QUINTA, LOT 4, LID 688244, "SCC FEE ONLY" COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 33749 Whispering Palms Trail Cathedral City, CA 92234 [P) 760-404-8806 [F) 760-328-7086 CA License C-42 # 1002066 PROPSAL TO: NIDIA PROJECT NAME: 53600 AVENIDA OBREGON, LQ Signed by: CONTRACTORS STATE UCENSE BOARD ram,Contractor's License 1002066 DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. r CSLB complaint disclosure is restricted bylaw (B&P'7124.6) If this entity is Subject to public complaint diSCIOSIPe click on link that will appear below for more information. Click here for a definition of disclosable actions. r 0nly construction related civil judgments reported to CSLB are disclosed (B&P 7071,17). r Arbitrations are not listed unless the contractor fails to comply with the terms. r Due to workload, there may be relevant: information that has not yet been entered into the board's license. clatabase. Data current as of 9/2/2021. 1:28:45 f M BLIsiness Information MIRANDA'S SEPTIC SERVICES 33749 WHISPERING PALMS TRIAL CATHEDRAL CITY, CA 92234 Business Phone Nurnboi:(760) 404-8806 This license is current and active. All information below should be reviewed. C42 - SANITATION SYSTEM Entity SoleOwner'ship Issue Date 03/18/2015 Expire Date 03/31/2023 License Status Classifications Bonding Information Contractor's Bond This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY. Bond Number: 100269044 Bond Amount: $15,000 Effective Date: 01/01/2016 Contractor's Bond History Workers' Compensation This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND Policy Number:9246382 Effective Date: 02/27/2020 Expire Date: 02/27/2022 Workers' Compensation History RECORDING REQUESTED BY: ARTHUR D. COOPER WHEN RECORDED MAIL TO: ARTHUR D. COOPER 53600 Avenida Obregon La Quinta CA, 92253 APN # 774-115--004 SPACE ABOVE THIS I INF IS FOR RECORDERS USE POWER OF ATTORNEY - SPECIFIC I, Arthur D. Cooper hereby appoint Brian Patrick Monroe as my exclusive, true and lawful attorney -in -fact to act in my/our capacity, for me/us and in my/our name, to act in my stead with full authority as managing member, specifically to act in capacity as owner to facilitate sewer connection and septic abandonment through Coachella Valley Water District and the City of La Quinta for and of that certain real property at 53600 Avenida Obregon, La Quinta California 92253 legally described as: See Exhibit "A" attached hereto and made a part hereof. Said attorney -in -fact shall have the power to enter into and execute any contract, agreement, note, conveyance, and any and all other instruments or documents as shall be deemed necessary or convenient to develop, convert or construct upon the above mentioned real property. THIS POWER OF ATTORNEY shall include the power to mortgage, transfer in trust, or otherwise encumber or hypothecate the real property described above to secure payment on any negotiable or non-negotiable Note or performance of any obligation or agreement in connection with the disposition of the above mentioned property, I, also give and grant onto said attorney -in -fact, full power authority to do and perform all and every act and thing whatsoever requisite, necessary, or appropriate to be done in the exercise of the foregoing power in regard to the above mentioned property as fully to all intents and purposes as I/we might or could do if I were present, hereby ratifying and confirming all that my said attorney shall lawfully do or cause to be done by virtue hereof. THIS POWER OF ATTORNEY is effective immediately upon the execution hereby and shall remain in full force and effect until and including November 30, 2021, unless sooner terminated by my giving written notice of such termination to said attorney -in -fact. Ar hur D. Cooper A notary public or other officer completing this certificate verifies only the identity of the individual who signed the document to which this certificate i attached, and not the truthfulness, accuracy, or validity of that document. STATE OF <�( r m t �_ COUNTY OFQ On Al.L k� &-"'1— ) before me, Notary Public, personally appeared who proved to me on the basis of satisfactory evidence to be the personw whose nam ) is/am-subscribed to the within instrument and acknowledged to me that he/ she/ -they -executed the same in his/ hefkheir authorized capacity(ips), and that by his/ her their signature�f on the instrument the personS,s'f, or the entity upon behalf of which the person(,a'j acted, executed the instrument. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal. LEETA A, SLAMA Notary Public - CalifgrniaSignature Seal) Z Riverside County *my Commission a 2344572 Comm. Expires Feb 1, 2025 Spec Power Atty EXHIBIT "A" Real Property in the City of La Quinta, County of Riverside, State of California: Lot 4 in Block 188, Santa Carmelita at Vale La Quinta, Unit No. 19 as shown by map on file in book 19, pages 33 and 34 of maps in the Office of the County Recorder of Said County. 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