PLBG (06-2593)51930 Avenida Martinez
06-2593
P.O.-_BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002593
Property Address:
51930 AVENIDA MARTINEZ
APN:
773-181-009-16 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3300
Tiht 4 4 a"
Applicant: Architect or Engineer:
ally•
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 a d Professionals Code, and my License is in fufl force and effect.
License Class: C21 C42 Li CRA?TzO No
'0
ate:6 tw 06 ntractor:
OWNER-BUIL
I hereby affirm underpenalty 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 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.).
(_ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/06/06
Owner:
HERRING KATHLEEN ANN
51930 AVENIDA MARTINEZ
LA QUINTA, CA 92253 ED
Contractor: U JUL 0 6 2006
ALMS UNDERGROUND CONST, INC.
38703 VISTA DRIVE CITY OF LA QUINTA
CATHEDRAL CITY, CA 92234 FINANCE DEPT.
(760)324-1911
LiC. No.: 482180
------------------
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 CALIFORNIA INS Policy Number 460093580102
_ 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' comp sat' on provisions of Section
`700 of the Labor Co I shall forth' i _compl ith th Bions.
/G Tul PPlicant:
WARNING: FAILURE TO SECURE WORKERS'MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENH TIES 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 Director of Building and Safety 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 otticers, 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 buil ing construction, and hereby authopresentatives
of this/ W uunty tolenteer upon th above-mentioned propert inspection possess
rize
ateU vVSi ture (Applicant or Agent):
Y '1
Application Number . . . . . 06-00002593
Permit PLUMBING SEWER
Additional desc . .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date 1/02/07
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and Comments
SEPTIC ABANDON; SEWER CONNECT
'
Fee summary Charged Paid
Credited
Due
-------------------------------------
Permit Fee Total 30.00
----------
.00
----------
.00
30.00
Plan Check Total .00
.00
.00
.00
Grand Total 30.00
.00
.00
30.00
LQPERMIT
Received From:
VALLEY WATER DISTRICT CASH RECEIPT DETAIL 115235
,liYi d n nl0
6060 141 Service Ac
i
❑ Meter(s)
❑ Service(s)
❑ Backflow(s)
❑ House Lateral(s)
❑ Detector Check(s)
❑ Meter Surcharge
J Sanitation Capacity Charge
/❑_ W.S.B.F.C.
❑ S.I.W.S.C.
❑ Temporary Construction Meter
❑ Turn on Charae
❑ Uncollected Account - Name
❑ Inspection Fee - Tract -
a
Fee -
❑ Plan Check Fees Water / Sewer -
Tract -
❑ Bond Payment - A.O. - Bond Assmt
❑ Customer Deposit
❑ Other
Tract
r_er e
L ? TOTAL
Remarks: 7(o SIP T L - q-w0k
VCopy to:
Cash L
Check IT (v 71
Money
Order
G
Water
l J Cashier N*
CVWD-438 (1/05)
Kathleen. A. Herring 6.711 ''
51930 Avenida Martinez `
La Quinta, California 92253 9D 8123/3"
`
1 760 564-4308 DATE
I / t -
PAY TO THE // / J r" ` ,: rJr 351 1
ORDER OF !/ 'V $
+11
-
1
ALTURA CREDIT UNION
6403 RIVERSIDE AVENUE
RIVERSID CA 92506.3115 i
909 684
F O IIP r
I. 1: 3 2 2 28 12 3 5111: 8000 196 140011' 6 7 1 1
Bin #
City of La Q ulnta
Building u 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:' 51 .13 0 140,9 ,
Owner's Name: %a+0-e,, 4-e rrC n
A. P. Number:
Address: (9 3.4
Legal Description:
Contractor: AM S ( {, .1— roue
City, ST, Zip: / y
Telephone: 308
Address:3 g i7 3 (/!i
Project Description:
City, ST, Zip: o- h ¢r&L
a
Telephone: -37
State Lic. # : Y R'2- IgD
City Lic. #: 7 61
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: 5
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 3Z
Estimated Value of Project: 3 30o
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIONG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor 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 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
JOB INVOICE
`......`.... . ... `..` ...... "
POST OFFICE BOX 2448
CATHEDRAL CITY, CA 92235-2448
(760) 360-7448 (760)-321=-.7448 s LIC. #661018
Date 171, Y
(
Ordered b y
Bill To
Cust. Order #
Address
✓/
z,D``'
City
,Jl_3r -1_ CJl
M. /CJC._.Jf
Job Name and Location
Helper
Description of Work14
Amnt. Pumped! 00 Gales❑Septic TankSeepage Pit ❑ cesspool ❑Grease Trap El Other
El System is Failing ❑System Passes Inspection El Excessive Sludge E) Roots
Quantity
Description of Work or Material Used
Price
Amount
Pump & Dump Fee per 1000 gal
Locating & Opening Fee(per hour
Septic Inspection
Out of Area Fee
Fuel Surcharge
Snake Line ❑ Roof
Video PieInspection Camera 1st hour
Additional hours
High Pressure Water Jet
Additional Hours
Labor perhour
A service charge of $20 will be due on all returned checks Total
18% per year will be charged on past due accounts over 30 days
Paid By Next Service Due
Check # ❑ MasterCard/ Visa ❑ Billing On
Card # Exp. Date
Signature Date Completed
T,,dy 4 Cv 9&r0
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
July 19, 1991
To Whom It May Concern:
The structure located at 51-930 Avenida Martinez will be located in
a "X" flood zone per the revised F.I.R.M. (panels 060709 0005A)
for La Quinta. This change will be effective August 19, 1991. The
property is currently designated as zone AO (depth two (2) feet).
If you have any questions, feel free to contact me.
Sincerely,
BUILDING AND SAFETY
Tom Hartung
Director of Building and Safety
TH/es
LTRTH30
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253