BPLB2015-001152065 Avenida Martinez
BPLB2015-0011
78-495 CALLE TAMPICO
T 4
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/22/2015
Application Number:
BPLB2015-0011
Owner:
Property Address:
52065•AVENIDA MARTINEZ
RAMIRO JIMENEZ
APN:
773231014
52065 AVE MARTINEZ
o
Application Description:
ABANDON SEPTIC AND CONNECT TO SEWER
LA QUINTA, CA 92253
z
Property Zoning:
3 0
r
Application Valuation:
$4,000.00
A
p
LID
Applicant:
Contractor:
m O
L
A E A PLUMBING INC '
A E A PLUMBING INC
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P O BOX 4870
P O BOX 4870
D n
crri
CAVE CREEK, AZ 85327
CAVE CREEK, AZ 85327
(480)219-6276
Llc. No.: 676024
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 and Professions Code,
and my License is in full force and effect.
License Class: C36 License No.: 676024
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 subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 1, 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.).
(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
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 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 wgrk for which this permit is issued.
t1t - 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 b me subject to the
workers' compensation provisions of Section 3700 abo Code, I shall forthwith
comply with those rovisions.
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 relatin to building
construction, and hereby authorize representatives of this city to enter o the above-
mentioned pVopey for inspection purposes.
Date: ' Signature (Applicant or Agent):
SFINANCIAL INFORMATION
-DESCRIPTION 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 for BUILDING 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 forPERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION
ACCOUNT -: '
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION.ACCOUNT
_
QTY,
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK # '
CLTD BY
Total Paid forPLUMBING FEES: $24.18 $0.00
TOTALS:0•
Description: ABANDON SEPTIC AND CONNECT TO SEWER
ADDITIONAL
Type: PLUMBING Subtype:
Status: UNDER REVIEW
Applied: 1/22/2015 SKH
Approved:
Parcel No: 773231014 Site Address: 52065 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 96
Lot: 3
Issued:
UNIT 11
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $4,000.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CONTACTS
Details: ABANDON SEPTIC AND CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, January 22, 2015 9:15:40 AM 1 of 2
SYSTEMS
ADDITIONAL
CHRONOLOGY
'CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
A E A PLUMBING INC
P 0 BOX 4870
CAVE CREEK
AZ
85327
CONTRACTOR
A E A PLUMBING INC
P 0 BOX 4870
CAVE CREEK
AZ
85327
OWNER
RAMIRO JIMENEZ
52065 AVE MARTINEZ
LA QUINTA
CA
92253
Printed: Thursday, January 22, 2015 9:15:40 AM 1 of 2
SYSTEMS
4
Permit Details PERMIT NUMBER
City of La Quinta BPLB2015=0011
DESCRIPTION
- ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.00
• 0i
I. PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, January 22, 2015 9:15:40 AM 2 of 2
WSYSTElriS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
PLUMBING FINAL"
I. PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, January 22, 2015 9:15:40 AM 2 of 2
WSYSTElriS
Bin 1f *.
City of La Quinta.
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico ..
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Pte' cot
Project Address: ()U5
Owner's Name: t S
A. P. Number:
Address: 4' — 0(99
Legal Description:
City, ST, Zip:
Contractor: actor• V
1 .1 .,,•
telephone: ne: o D2- C9
Address: Jg
Project Description:
City, ST, Zip:Al—
3,S 3 3
Telephone: o)
_ uTI (U
State Lic. # : NILP0224City
Lie. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:ne
•n
antY
strocti nTYPe: Occupancy:
State Lic. #•
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
(C,
f -
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
1 ?j - (, /Z
Estimated Value of Project: 0,9)
APPLICANT: DO NOT WRITE BELOW THIS LINE
11
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 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 ROUSE:-
'`" Review, ready for correctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 12/16/2014
SUBJECT: SCC ONLY- 52-065 AVENIDA MARTINEZ, LA QUINTA, LID 68334
RAMIRO JIMENEZ Project:
52-065 AVENIDA MARTINEZ Project Date:
Amount Due:
LA QUINTA, CA 92253 GEO:
Planner:
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
14-6000
12/16/2014
$4,851.00
06-06-12-1
.SARA LOPEZ
ED Fee Type Description
1.00 FF SCC -COLLECTION $2,415.00177$2,415.00
1.00 FJ SCC -TREATMENT $2,436.00 $2,436.00
PAID $ H R C;) $4,851.00
Development Services Departmen
JAN 2"2 2015
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBJECT: SCC ONLY- 52-065 AVENIDA MARTINEZ, LA QUINTA, LID 68334 '
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Pagel