BPLB2015-001952620 Avenida Martinez
BPLB2015-0019
78-495 CALLE TAN1i0ICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
c&ht 4 4 QuiKs
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPLB2015-0019
52620 AVENIDA MARTINEZ
773302005
SEWER CONNECT/SEPTIC ABANDONMENT
$2,800.00
FEB 0 9 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licens uncle isions of Chapter
9 {commencing with Section 7000) of Division 3 of the B i ss and P fessions Code,
and my License i in full force and a
License Cla s: License No :LIC"Xate:Zontra
// vv
OWN DER DECLARATION
I he 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
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. BAP.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:
'U r VL ,
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2015
Owner:
ANNETTE MELENDEZ
52620 AVENIDA MARTINEZ
LA QUINTA, CA 92253
Contractor:
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)321-7450
Llc. No.: :LIC -0001138
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 subje " workers'
compensation laws of California, and a e that, if I s uId I ubject o the
workers' compensation provisions o ectio'3700 of th Labor ode, I I orthwith
comply with t Ypse p visions. G.ntC—
late:WARNING:
I J Appl FAILU E 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 th a ab informal' n is co
I agree to comply with all city and county ordinan sand state I s rela ' g to bui
construction, Ind h eby authorize representa(rA
,f this city t enter po the
menti*o nled p _pert for inspection purposes.
pate: G 4 Signature (Applicant/ / f
FINANCIAL • 1•
DE`3CRIPTION .: ' ' ' 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
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
Y 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 for PLUMBING FEES: $24.18 $0.00
TOTALS:• •0
Permit Details PERMIT NUMBER
-; City of La Qu i nta B P LB2015=0019 = '"
Description: SEWER CONNECT/SEPTIC ABANDONMENT
Type: PLUMBING Subtype:
Status: UNDER REVIEW
Applied: 2/9/2015 PJU
Approved: .
Parcel No: 773302005 Site Address: 52620 AVENIDA MARTINEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 143
Lot: 19
Issued:
UNIT 15
Lot Scl Ft: 0 Building Sci Ft: 0
Zoning:
Finaled:
Valuation: $2,800.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
ADDRESSI
Details: SEWER CONNETION SEPTIC ABANDONMENT 2013 CALIFORNIA PLUMBING CODES.
STATE
xUUI'fICPNAL SITES
CHRONOLOGY
CONTACTSCONDITIONS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
ANNETTE MELENDEZ
52620 AVENIDA
MARTINEZ
LA QUINTA
CA
92253
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Monday, February 09, 2015 1:45:07 PM - 1 of 2 CRWYSTEMS
Permit Details PERMIT NUMBER
City of La Quinta BPLB2015-00.19
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
TOTALS:• 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
PLUMBING FINAL"
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
Printed: Monday, February 09, 2015 1:45:07 PM 2 of 2 CRWSrsrEMS
Bin #
.
0ty 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#
Project Address: V OQ aIM)
Owner's Namc: 00f E M L -C-W ()Er--
A. P. Number:
Address: j Z ZQ AJ N100
Legal Description:
City, ST, Zip: L
Contractor:^
Telephone:
:,:,,.;,::•;;::::>.:.:•;::::•;:;.;:.;:;'>;
Address:
Project.Description:
City, ST, c
D6 i
@
•Tclephonc: Q 3 d V
? .:::::,..
::City
r— ,— r_
S tit .1 tL.
Statc Lic. # : p (Dig
Lic. #.:::
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
v.:hY.J': iiyi is
cY:
Construction oYP Occupancy:
State Lic. #:
c (circle one): New Add'n Alter. Re air Demo
Pro'cct 1 p
J type
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#!
Submittal
Rcq'd
Rcc'd
TRACMIG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
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
Subcontaclor List
Called Contact Person
Plumbing
Grant Decd
Plans Pickcd up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
""Review, ready for eorrcctionsrissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
SC11061 FCCS
Total Permit Fees
Jan 2115 11:46a Palm Desert Family Dental 7605685904 p.3
z
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 1/1912015
SUBJECT: SANTA CARMELITA, 52620 AVENIDA MARTINEZ, LA QUINTA, LOT 19, LID 684806 "SCC FEE ONLY"
ANNETTE MELENDEZ Project: 15-6057
52620 AVENIDA MARTINEZ Project Date: 111 6f2015
Amount Due: $4,851.00
LA QUINTA, CA 92253 GEO: 06-06-12-1
Planner. RUSEN MONTIEL
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: SANTA CARMELITA, 52620 AVENIDA MARTINEZ, LA QUINTA, LOT 19, UD 68430E "SCC FEE ONLY-
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
1.00 FFSCC-COLLECTION .
$2,415.00
$2,415.00
1.00 FJ SCC -TREATMENT
S2.436.001
$2,436.00
$4,851.00
PAID $
Development Services Deparnent
JAN 0 9 2015
Coachella Valley Water District jZ
75-5f5 Hovley Lane East
Palm Desert, CA 92211
SUBJECT: SANTA CARMELITA, 52620 AVENIDA MARTINEZ, LA QUINTA, LOT 19, UD 68430E "SCC FEE ONLY-
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel