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BPLB2015-0043 (PLBG)IIIIIII VIII III VIII IIII 68 IE i �44aw 78-495 CALLE T�MPICOo LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: BPLB2015-0043 49835 ADELITO DR 646250004 WILLIAMS JEANNE -REPLACE SEEPAGE PIT $6,000.00 Applicant: ALMS UNDERGROUND CONSTRUCTION 38703 VISTA DRIVE CATHEDRAL CITY, CA 92234 MAR 12 2015 CITY OF LA QUINTA COMMUNITY 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.::LIC-00007-69� �Date: ):t Mokr, a��5 Contractor:,?�z,,z q OWNER -BUILDER DECLAF614ION 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 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/12/2015 Owner: JEANNE WILLIAMS 49835 SDELITO DRIVE LA QUINTA, CA 92253 Contractor: ALMS UNDERGROUND CONST, INC. 0 OUTSIDE CITY LIMITS LA QUI NTA, CA 92253 (760)324-1910 Llc. No.: :LIC -0000769 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:_ 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. r P��3te:1Z-IV) ar, 2015 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS ON 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• )entioned property for inspection purposes. ate:12Mi,r- 2a) Signature (Applicant or Agent): ... C;OUNTY OF RIVERSIDE DEPARTMENT OF ' ENVIRONMENTAL HEALTH TR/PM No. ASSESSOR'S PARCEL NUMBER', LAND USE APPLICATION IN/o#'t U vV ON# CC LMS# EHS # SECTION A-., OWNER: AG ENT/CONTRACTOR: JJ JP1`n LUt,IidthlS ADDRESS CITY ADDRESS J CITY ADDRESS I 39703 U,sfx r`. �_kedry C �v PHONE EMAIL PHONE EMAIL � ' L/!73� Ll08C� %rSl-t/�CierQ{0 a vna�I CITY JOB PROPERTY ADDR E SS ��7 �l �+ �' li �O � � Ldp , , ; s • r-oL LOT SIZE WATER AGENCYNVELL USE OF PERMIT C SECTION B ` * FINANCIAL RESPONSIBILITY' NOTE: Pertaining to Deposit -Based fee Payments - Fees placed on deposit are intended to pay for System review including aaoroval and installation. The project owner or applicant named in Section B will be subject to billing requests for additional monies should fees deposited to that point be insufficient. At final approval, the project owner or applicant named will receive a final statement and notice of any final fees due or refunds due (as applicable). ROP Fees: For Alternate Systems, renewable operating permit (ROP) fees will be due upon finalization of the project. ROP fees will be issued to the project owner or applicant named in Section B. SEND ALL BILLING MATTERS TO THE CLIENT OR ENTITY LISTED BELOW: RESPONSIBLE CLIENT)/ ENTITY NAME Aq r -0,L4 t`r� ZIP PHONE MAILING ADDRESS CITY/STATE �, f (j Z -Z 3 U � � 7GJ • 3 2. `i • l �/ 11 Applicant'Signature: / Date: Below — For Office Use Only -:SECTION C y CHECK BOX IF REQUIRED If any bcx.Js checked, this application shall be considered rejected until the information is provided and the fees paid. Re,-submit�ta}s, later than 90 dayshi`v++t 3) after date noted below may require repayment of fees. ,ikt ji ❑ Holding Tank Agreements Required . ❑ Floor Plan and/or Plumbing'Cr aj/out Required - i=l 1r! ,O'Certificate of Existing OWTS Required 1 n 4 Q_P . ❑ Special Feasibility Boring Report Required ❑ WQCB Clearance Required ❑ Detailed Contour Plot Plan Req ired (1 to 5 foot intervals) s� r,:; . '.101 ❑ Soils Percolation Report Required -- 7" ?"if` - ,= PRE SITE INSPECTION REMARKS INITIALS & DATES 'l i•.4f IJ1-a�L' f��•�] • SECTION D Soils Percolation/Boring report by Project # Date Type of System: ❑ New .90eplacement ❑ Existing # Fixture units Septic tank Cap. Soil Rate �STf ❑ Pump ❑ Addition '❑ ATU ❑ Connect to Sewer # Bdrms /off DO .� QY• J+'' /OU Sq. Ft.,Bottom Area Total Linear Ft. Sidewall allowance ft Rock/ sq ft running foot. Tested Depth Maximum Trench Depth Install Lines It long ft wide with min. inches rock below drain line, or ❑ Plastic Chambers Leach Lines/beds design for slope Applicable ❑ N/A ❑ Overburden Factor: Pit Diameter / No. Pits 1 Pit below I �(BI). Pit Tot tJa- Max Allowable Depth �D Well Approval Date: CONSTRUCTION / INSTALLATION INITIALS & DATES' Z1 ales( C'_ t) a�f s e L -e-�e I �'i� r X I br S e c b �Yi-- • n% �i�t. r►� .T_' ! t �l� 1 �� IA J vt �f) - - p, s ... , --SECTION.Er - ., • 4:. •. .� ;� ", `''i , :; ':�.' t,;.f .• • �. ".. " This Application i Approved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in Section D above. A building permit is necessary for the construction of the above designed system. No construction is permitted in the required reserved 100% Expansion area. (1) Septic tank must be. 100' minimum From any wells. (2) Leach lines must be 100' minimum from any wells including expansion area. (3) Sewer lines must be 50' minimum from any wells. (4) Seepage pits must be 150' minimu from any wells including expansion areas. EHS Signature: f - // Date: Environmental Resources Management Office Locations Environmental Health - ERM Division Environmental Health - ERM Division Indio Permit Assistance Center Riverside Permit Assistance Center 3880 Lemon Street, Suite 200 47-950 Arabia Street, Suite A 922011 Riverside, CA 92501 Indio, CA RIVERSIDE 951 955-8980 IN DID 760 8 863-763-7 570 ncu.cen,-�o� ao�• .1114 isWHITE —Office File; YELLOW —Applicant PINK— Bldg. Dept.; GOLDENROD— Plans/Records q' . County of Riverside Community Health Agency Department of Environmental Health µ 4080 Lemon Street, 2nd Floor P.O. Box 1206. ,Riverside, CA 92502 (951) 955-8980 1. Certification of Existing Subsurface Sewage Disposal System. Date) of Inspection: )/:Z ,^ l ,r, 2 -JI ���/�a.J �fc1Pi•7J ��, 7—N- �sl.�nla. .lP�'..wC. E!t'�/e�l4n�5 (Property Address) (Owner's Name) (Legal Description and APN) FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL. 2. Show design and location on a scale of 1" = 10' to 1" = 40' of the sewage disposal system and 100% expansion area in relation to attached dwellings, structures, wells, rocks, watercourses, etc. on required plot plan. 3. a. I examined the existing subsurface sewage disposal system at the above location on (date) /2. P a, , 7z,)/ 5 date and determined that the septic tank capacity isai,v,vxl2t� gallons and that there is --sq. ft. of leachline bottom area. There are 3 bedrooms ,in the dwelling. There are fixture units. b. There are leachline(s), each ft. long. c. .There are plastic chamber(s), each � ft. long. d. There are / seepage pit(s), each 4 r--/- in diameter, /9 ft. deep. e. The leach bed is ft. by ft., total sq. ft. of leachbed area. 4. a. Construction of septic tank (please check one of the following): ©concrete ❑ fiberglass ❑ steel ❑ other: b. Internal dimensions of septic (length ft., width depth ft.) c. Condition of tank (please answer yes or no for each question): *If yes, briefly explain andindicate appropriate correction suggested: d. Condition of D -Box (if needed) Level ❑ Yes ❑ No replaced ❑ Yes ❑ No AIA full of septic effluent ❑ Yes ❑ No 5. a. While pumping the tank, did effluent flow back into tank from the absorption system? ❑ Yes ❑ No b. Prior to pumping, was the liquid level in the tank above, the outlet tee? ❑ Yes ❑ No A/c/ led c. Was the area around the lids oxidized? ❑ Yes ❑ No d. Is design of system gravity feed? dYes ❑ No e. Were well(s) observed on this or adjacent property? ❑ Yes Q No If yes, indicate distance of well from: Septic Tank ft. Leachlines / ft. Seepage Pits f. Distance from springs, lakes Septic Tank ft. and natural drainage courses: Leachlines .� I ft. (circle appropriate item) Seepage Pits ft. g. Sewer is within 200 ft. of system and abuts property line. ❑ Yes Q No ADDITIONAL COMMENTS: Set /iagr pi is eoll,nsAIIC7 - I r + J h. How long has dwelling been vacant? (if applicable) months weeks N/A ❑ 6a. ❑ It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. 6b. - It is my opinion that the system is not in good working order and will not function properly without the following repairs: Neeq(s Yl>°„v i J I / I certify under penalty of perjury that the foregoing is true and correct: C-42 State 2-L n Date 1 v Lt q r^ s Prinl`Name J Name of Pumper Company and Receipt Number/Name of Company Holding C-42 License ? 7 L2 3 U) ) r +oma � t` , �`� �' ci" V- J ` ch" �� �, � � -3 76J 32 Address / , Phone Number The Department of Environmental Health has Uiewed and approved this certification: Environmental Health Specialist Date DEH -SAN -184 (Rev 6/04) Distribution: WHITE–Office; PINK–Contractor; YELLOW–Applicant Yes No Inlet Tee present? ❑ ❑ Outlet Tee present? ❑ ❑ Two compartments? ❑ ❑� Tank structure deteriorated?* ❑ O *If yes, briefly explain andindicate appropriate correction suggested: d. Condition of D -Box (if needed) Level ❑ Yes ❑ No replaced ❑ Yes ❑ No AIA full of septic effluent ❑ Yes ❑ No 5. a. While pumping the tank, did effluent flow back into tank from the absorption system? ❑ Yes ❑ No b. Prior to pumping, was the liquid level in the tank above, the outlet tee? ❑ Yes ❑ No A/c/ led c. Was the area around the lids oxidized? ❑ Yes ❑ No d. Is design of system gravity feed? dYes ❑ No e. Were well(s) observed on this or adjacent property? ❑ Yes Q No If yes, indicate distance of well from: Septic Tank ft. Leachlines / ft. Seepage Pits f. Distance from springs, lakes Septic Tank ft. and natural drainage courses: Leachlines .� I ft. (circle appropriate item) Seepage Pits ft. g. Sewer is within 200 ft. of system and abuts property line. ❑ Yes Q No ADDITIONAL COMMENTS: Set /iagr pi is eoll,nsAIIC7 - I r + J h. How long has dwelling been vacant? (if applicable) months weeks N/A ❑ 6a. ❑ It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. 6b. - It is my opinion that the system is not in good working order and will not function properly without the following repairs: Neeq(s Yl>°„v i J I / I certify under penalty of perjury that the foregoing is true and correct: C-42 State 2-L n Date 1 v Lt q r^ s Prinl`Name J Name of Pumper Company and Receipt Number/Name of Company Holding C-42 License ? 7 L2 3 U) ) r +oma � t` , �`� �' ci" V- J ` ch" �� �, � � -3 76J 32 Address / , Phone Number The Department of Environmental Health has Uiewed and approved this certification: Environmental Health Specialist Date DEH -SAN -184 (Rev 6/04) Distribution: WHITE–Office; PINK–Contractor; YELLOW–Applicant County of Riverside Community Health Agency Department of Environmental Health 4080 Lemon Street, 2nd Floor P.O. Box 1206 Riverside, CA 92502 (951) 955-8980 1. Certification of Existing Subsurface Sewage Disposal System. Date of Inspection: (Property Address) (Owner's Name) (Legal Description and APN) FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL. 2. Show design and location on a scale of 1" = 10' to 1" = 40' of the sewage disposal system and 100% expansion area in relation to attached dwellings, structures, wells, rocks, watercourses, etc. on required plot plan. 3. a. I examined the existing subsurface sewage disposal system at the above location on (date) date and determined that the septic tank capacity is . gallons and that there is — sq. ft. of Ieachline bottom area. There are bedrooms in the dwelling. There are fixture units. b. There are leachline(s), each ft. long. c. There are plastic chamber(s), each ft. long. d. There are t seepage pit(s), each in diameter, `' ft. deep. e. The leach bed is ft. by ft., total sq. ft. of leachbed area. 4. a. Construction of septic tank (please check one of the following): concrete ❑ fiberglass ❑ steel ❑ other: b. Internal dimensions of septic (length ft., width depth ft.) c. Condition of tank (please answer yes or no for each question): Yes No Inlet Tee present? ❑ ❑ Outlet Tee present? ❑ ❑ Two compartments? ❑ ❑ Tank structure deteriorated?* ❑ ❑ *If yes, briefly explain and indicate appropriate correction suggested: d. Condition of D -Box (if needed) Level ❑ Yes ❑ No replaced ❑ Yes ❑ No full of septic effluent ❑ Yes ❑ No 5. a. While pumping the tank, did effluent flow back into tank from the absorption system? ❑ Yes ❑ No b. Prior to pumping, was the liquid level in the tank above the outlet tee? ❑ Yes ❑ No C. Was the area around the lids oxidized? ❑ Yes ❑ No d. Is design of system gravity feed? ❑ Yes ❑ No e. Were well(s) observed on this or adjacent property? ❑ Yes ❑ No If yes, indicate distance of well from: Septic Tank ft. Leachlines ft. Seepage Pits ft. f. Distance from springs, lakes Septic Tank ft. and natural drainage courses: Leachlines ft. (circle appropriate item) Seepage Pits ft. g. Sewer is within 200 ft. of system and abuts property line. ❑ Yes 0 No ADDITIONAL COMMENTS: h. How long has dwelling been vacant? (if applicable) months weeks N/A ❑ 6a. ❑ It is my opinion that the system appears to be in good working order and can be expected to function properly with proper maintenance. No repairs are necessary at this time. 6b. ❑ It is my opinion that the system is not in good working order and will not function properly without the following repairs: I certify under penalty of perjury that,the foregoing is true and correct: Signature - C-42 State License Number Expiration Date Print Name Name of Pumper Company and Receipt Number/Name of Company Holding C-42 License Address Phone Number The Department of Environmental Health has reviewed and approved this certification: Environmental Health Specialist Date DEH -SAN -184 (Rev 6/04) Distribution: WHITE—Office; PINK—Contractor; YELLOW—Applicant ryCOUNT-L. OF RIVERSIDE ,EPARTM NT OF ENVIRONMENTAL HEAL" T LAND USE APPLICATION TR/PM Lld S Lot No. ASSESSOR'S PARCEL NUMBER (oLll - a5 J - 00 ON# IN# LMS# EHS # G �s• IS -0 1 E8 _ _ SECTION A OWNER: AGENT/CONTRACTOR: -1r0k.I" 1. Con$�� ADDRESS CITY. ADDRESS ,J CITY 39703 U PHONE �y EMAIL PHONE EMAIL + ` f J •' ,+�. %y� `"'�� L S,•i ' 4+ 1� • ;9 .0 / � �/ L� A,- l (1'ri l � t iJ Li A c7. yN A t I JOB: -PROPERTY ADDRESS CITY t J �.•ft%lJ.�.4c LOT SIZE WATER AGENCYNVELL USE OF PERMIT C V d/I✓� �rti l)� i/ SECTION B / J * FINANCIAL RESPONSIBILITY NOTE: Pertaining.to Deposit -Based fee Payments — Fees placed on deposit are intended to pay for System review including approval and installation. The project owner or applicant named in Section B will be subject to billing requests for additional monies should fees deposited to that point be insufficient. At final approval, the project owner or applicant'named will receive a final statement and notice of any final fees due or refunds due (as applicable). -ROP• Fees: For Alternate Systems, renewable operating, permit (ROP) fees will be due upon finalization of the project. ROP fees will be issued to the project owner or applicant named in Section B. SEND ALL BILLING MATTERS TO THE CLIENT OR ENTITY LISTED BELOW: RESPONSIBLE CLIENT / ENTITY NAME MAILING•ADDRESS CITY/STATE ZIP PHONE / I i Applicant'Signature:fJ/f 7 Date: ! t Below — For Office Use Only SECTION C CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the information is provided and the.feesypaid. Re -submittals later, than 90 day's • +�" =--- ! tj "L, after date noted below may require repayment of fees. * + •, •« ❑ Holding.Tank Agreements Required' 11Floor Plan and/or Plumbing%La`%Lit Required' 111-11 s;t; , Jg'Certificate of Existing OWTS Required (o : ❑ Special Feasibility Boring Report Required ❑ WQCB Clearance Required ❑Detailed Contour Plot Plan Required (1 to 5 foot intervals) ❑ Soils Percolation Report Required PRE SITE INSPECTION REMARKS INITIALS & DATES f1RD C''ARD $4'5 - 4' 5,SECTION SECTION D Soils Percolation/Boring report by Project # Date Type of System: I ❑ •New A Replacement ❑ Existing # Fixture units Septic tank Cap. 1 /a? QO ,�% a'Y. ST'r Soil Rate ❑ Pump] ❑ Addition ElATU El Connect to Sewer # Bdrms Sq. Ft. Bottom Area Total Linear Ft. - Sidewall allowance ft Rock/ sq ft running foot. Tested Depth' ?k Maximum Trench Depth Install Lines ft long ft wide with min. inches rock below drain line, or ❑ Plastic Chambers Leach Lines/bed special design for slope Applicable ❑ N/A ❑ Overburden Factor: Pit Diameter No. Pits Pit below Inlet (BI). Pit Total Deptja- Max Allowable Depth -/b l6 .20 Well Approval Date: CONSTRUCTION / INSTALLATION INITIALS & DATES ile-1 L L (2 ( 0*> -k--.-11.) f114.1 .0 p :14 01 SECTION E This Application i Approved O Denied regarding the design of the OWTS as'indicated on the accompanied plot plan using the requirements set forth -in Section'D above. A building permit is necessary for the construction of the above designed system. No .construction is permitted in.the required reserved 100% Expansion area. (1) Septic tank must be .10.0'. minimum from any wells.. (2) Leach lines must be.100 minimum from any wells including expansion area. (3) .Sewer lines must tie'50' minimum from any wells: "(4)' .Seepage pits must be 150minimum from any Wells including expansion areas. �. EHS Signature:. %/% Date: 4. Environmental'Resources Management Office Locations Environmental Health- ERM Division , Riverside Permit Assistance Center,Indio Environmental Health— ERM Division Permit Assistance -Center 3880 Lemon'Street, Suite•200 _ 47-.. Arabia,Street, Suite A f Riverside; CA 92501 ;= RIVERSIDE 951 9554980 Indio, CA 92201 INDIO 760 8637570 C, J DEH -SAN -122 Rev: 5/14 Distribution: WHITE — Office File; YELLOW —Applicant; PINK — Bldg. Dept.; GOLDENROD — Plans/Records FINANCIAL INFORMATION ZESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SEPTIC SYSTEM 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION, ACCOUNT QTY AMOUNT PAID PAID DATE SEPTIC SYSTEM PC .101-0000-42600 0 $4.83 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY i Total Paid for PLUMBING FEES: $16.92 $0.00 TOTALS:0• 00 Description: WILLIAMS JEANNE -REPLACE SEEPAGE PIT Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 3/12/2015 PJU Approved: Parcel No: 646250004 Site Address: 49835 ADELITO DR LA QUINTA,CA 92253 Subdivision: TR 4275 Block: Lot: 4 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $6,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE SEEPAGE PIT 2013 CALIFORNIA PLUMBING CODES. APPROVED PERAZ & AJ.SEWER NOT AVAILABLE. CHRONOLOGY CONDITIONS Printed: Thursday, March 12, 2015 4:46:26 PM 1 of 2 ��C7E7 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 6Y PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 SEPTIC SYSTEM 101-0000-42401 0 $12.09 $0.00 SEPTIC SYSTEM PC 101-0000-42600 0 $4.83 $0.00 Total Paid for PLUMBING FEES: $16.92 $0.00 TOTALS:i• • 00 PARENT PROJECTS I BOND INFORMATION ATTACHMENTS Printed: Thursday, March 12, 2015 4:46:26 PM 2 of 2 RWSYSTEMS Bin /f f City of La Q Olin to . Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking -Sheet Permit Project Address: Lj/ 3 S // dz I Owner's Name:. J 2e n he A. P. Number: Address: Legal Description: City, ST, Zip: Contractor:9ros �telephone: � �'rrotan� ��rs� �7 — Z y 78 U 3O Address: 3'9 703 s �>" Project Description: lie awe st?e e. City, ST, Zip: c C� , 922 3 . Telephone: c7 6 3 2q, / State Lic. #. City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ......Construction Type: Occupancy: State Lic. #: Repair Demo Name of Contact Person: ( A (in S Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: ee !( 760 , 57$� /5-/0 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 1" Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.T. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- '" Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permIt issue School Fees Total Permit Fees . 4i ALMS UNDERGROUND CONSTRUCTION, INC. 38703 VISTA' DRIVE CATHEDRAL CITY, CA. 92234 Ca. Lic. 482180 760-324-1911 - Office 760-324-9541 - Fax 760 578-1510 - Cell AIms.Unclenground@gmail.com 1 . GGUIdF )IAF��yl �Al f Ex str (SOD �. D� �'l�AI3T�IEI' I�iUV 5�• t. c. ORM APA PV'E.0 �eaiv� DATE: I M v a •:�%�:�1'� a,r. 2015 �� We dig is for you!