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13-0221 (PLBG)54820 Avenida Alvarado IIIIIIIIIIIIIIIIIIIIIIIII 55 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: Tilt" 4 4 444 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 13-00000221 54820 AVENIDA ALVARADO 774-293-004-21 -000000- PLUMBING COVE RESIDENTIAL 2800 I hereby Section License Date: Architect or Engineer: Owner: COX CHRISTOPHER P & SUSAN 54820 AVENIDA ALVARADO LA QUINTA, CA 92253 Contractor: HAMMER PUMPING P.O. BOX 2448 CATHEDRAL CI7 (760)360-7448 Lic. No.: •6101 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 U ENS CONTRACTOR'S DECLARATION ffirrti under penalty of perjury that a nsed un• -r provisions of Chapter 9 (commencing with of Division 3 of the Business =nd Pr• essiorlals •de, and my License is in full.force and effect. C42 C36 Lic- seNo.,_,661018 Contractor: OWNER -BUILDER DE RATION I hereby affirm under penalty • 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 subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( 1 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 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.). .1 ) 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 Name: Lender's Address: LQPERMIT dit ‘4 WORKER'S COMPENSA irm under penalty of perjury one of the following declarat I have and will maintain a certificate of consent to self-insur• •r , orkers' compensation, as provided for by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. 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 NATIONAL UNION Policy N. mber _ I certify that. in the performance o the work or whic this permit is i--ued, I shall not employ any person,in any manner so as to •-come s eject to th workers' come- nsation laws of California, and/agree that, if I should be c: e subj: t to the workers . •e -ation provisions of Section a 3700 of the Labor Cede, all fort • ith comply with those t • is(ons. Date: 3/04/13 N DECLARATION Date:` Applicant: WARNING: FAILURE - RE W• 'KERS' COMPENSATION COVERAGE IS UN FUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO- E HUNDRED THOUSAND DOLLARS 15100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPUCANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. •a 1 . Each person upon whose behalf this application is made, each person at whose request and fon. 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 -05h •ermit, or ce .ation of wo80 days will subject permit to cancellation. I certify that I have read this application, dr sl that the ab • e info ation is correct. to comply with all city and count ordinances and statews relating to building con uction, and hereby auth• representatives of this co lnty o enter uponthe abg6e-mentioned prop rt •r •• pection purposes. Signature (A{lplicant or Ag Application Number Permit Additional desc Permit Fee . . Issue Date . . Expiration Date 13-00000221 PLUMBING SEWER 30.00 8/31/13 Qty Unit Charge Per BASE FEE Plan Check Fee . . .00 Valuation . . . . 2800 Extension 30.00 Special Notes and Comments SEPTIC ABANDON, SEWER CONNECT. 2010 CODES. Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total LQPERMIT 30.00 .00 1.00 31.00 .00 .00 .00 .00 .00 .00 .00 .00 30.00 .00 1.00 31.00 Bin # 'gv1 L City of •La Quinta MAR.oBullding 8r Safety Division •12013 Permit # 3 -Building P. O. Box 1504,78-495 Calle Tampico Cz'Ty 0 i Ia .Quinta, CA 92253 - (760) 777-701 CONAA LA QU- Permit Application• and Tracking Sheen' ©EVE A '" NT e j Project Address511 GSJ Q .. P L Ce Owner's Name:. . C()4L . A. P. Number. • Address: S4 te0 /WE A L/tet -C) 0 Legal Description: City, ST, Zip: ( G. 11.' ' . Contractor. n \,,..\4.,..., 1 " M/N •` Ij t Telephone: 'r,, „,:,ry e' r i- ` Address: L. (l 9I.N() c p Project Description: e E C..., FY :id N'\ r City, ST, Zip ^gyp s V iC! . C tr4L .444 04-1 e . Telephone: A l Q z 4 ( 0 s; l' )A State Lic. # : • City Lie. #; . Arch., Eagr., Designer. . Address: • City, ST, Zip: Telephone: G: y u? r ° 2 r Construction Type: Occupancy: State Lia #: • p....M: 1:7,0'''' M`h s''i^:; A<. <>:: % : -n Project type (circle one): New Add'n Alter Repair Demo ' Name of Contact Person: • Sq. Ft: l'it Stories: # Univ: Telephone # of Contact Person: _ Estimated Value of Project Z 10 p APPLICANT: DO NOT WRITE BELOW THIS UNE Submittal • Req'd • Rec'd . TRACIC NG • PERMIT FEES - Plan Sets Plan Check submitted Item • Amount Structural Calcs. • Reviewed, ready for corrections Plan Check Deposit. Truss Cala. . Called Contact Person Plan Check Ba1a11ee Title 24 Calcs. Plans picked up Construcdon ' Flood plain plan Plans resubmitted . • Mechanical Grading plan 2"Review, ready for correctionsfiasue Electrical Subcoatactor List Called Contact Person Plumbing . Grant Deed Plans picked up S.M.I. ' H.O.A. Approval Plans resubmitted • Grading IN HOUSE:- " Review; ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. . Pub. Wks. Appr ' Date of permit issue School Fees • . Total Permit Fees Feb 26 281389:28:84 CST FROM: F2M/58046309811 1 MSGR 56782612-808-1 PAGE 083 OF 803 COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 2/25/2013 SUBJECT; SCC ONLY • 54820 AVENIDA ALVERADO. L4 QUINTA, LID 581570 SUSAN P BIHL 54820 AVENIDA ALVERADO LA QUINTA, CA 92253 Project; 13-4421 Project Date: 2/25/2013 Amount Duo; ' $4,231.00 GEO: 06-06-13.2 Planner. CAROL PFANNKUCHE 70 INSURE PROPER team', pLEA$I RETURN TH13 PORTION WITH REMITTANOC AND P4CWOC ThE PROJECT ON YOUR CHECK Units Fee Typo Der,Crrrtjon 1.00 SCC -COLLECTION 1.00 SCC -TREATMENT Cita' tic: ArnOunt Tidal Amount $1,838.00 SUBJECT: SCC ONLY- 54820 AVDNIDA ALV1RADO, IA QUINTA, 1(0 6915Vp fc( clk,w 1.366 OCAFORER 23C(P.O. BO1058. COACHELLA, CALIRNI 926760) 398-2651 51.836.00 52,395.00 $4.231.00 Page 1 aPiaaYf/i//)'I ,(1/go&Y/ gni/061Y9 eV 9,5'0'11161i 1 as S.v wdYid :1 aS 0 0y 275 SnwFJMJIy') 7a,s foaryj 2J07/6 6%9 CI N O s'v r) ec,1 Z79�/�y70f1 ?Y¢y/rihyd• 4boFcE --7-tamo7yof( 0D-)n/s 2 2, 6 -LH 9 / ?dam /� 1i_5412 E 9(Y QNb g %.60'' 9//c/a'5 7'7S Q�g-/Lc, • 31 94 11111111111111111011 •