Loading...
PLBG (09-1085)P.O. BOX 1504 - 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: ."A"0erebjrrilffirmntaderf aof•l .. _-i'SBCt1bf•1%)OODhoi:Di '3rottt License Clbss! C 2 09-00001085 51484 AVENIDA MENDOZA 773-102-005-6 -000000- PLUMBING COVE RESIDENTIAL 3500 T4ht °F 4 Q" .:,:.Accl itect..or Engineet: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 61018 Owner: MISURACA JACKIE 51484 AVENIDA MENDOZA LA QUINTA, CA 92253 (760)250-3636 Contractor: HAMMER .:P.UMP.ING. _INC O?BOX -244'8 "`CA=DRA'L "CITY, 'CA "9'2235 ,. _,. (760)360-7448 'Lic.. No.: 661018 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/09/09 OCT 0 9 2009 CITY OF LA UIQ NTA ....:-,€woRx�Ls�coNteellsntaoN:�aasn�N �d:hefaby.,tif!'um:uodertpetwlty-of yegim,none'attttefiollowutg;declarations: .. ... _:xF:llnve eM..vi+ll�rrrartitam,arcePCti'rate;oF�crntserrMo:selfvaoreHorr�aikeis'rttetiancas'proSided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. _V_I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor f I ����� ��� ._ Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER-BUILDERUECIAR1 ION insurance carrier and policy number are: .. I hereby affirm n of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Num 8655-2009 following reason fSec. 7031 .5, Business and Professions Code: Any city or county that'requires a permit to _ I certify that, in the RSI once of the work r which this hermit is issued, I shall not employ any .... _rconsauct, after, improve, demolish, or repair any structure,prior to its issuance, also requires the applicant for the -': peind :to file a signedstatement that he or she is licensed pursuam'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 erry appucam:for:a'pemtit:subjeMstthe.'applicant.aoa•sivilpenatty:of,not,inamthm,five,hundred ddlars.1S500)::.. . h•" ,- 1.4as:0 wne+.of;the:propeny.-,ocm a to wihrw esas;#%er:sole:e ;. y. mp yess�� ag ompensaiion,�wiU;da;ihe.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, . iandwAtodoesthe=6vork-fWrnseihor:,hersetf'tfvough•tiser2her -own employws;'.proVided-tharthe t .. .t mvrovemenmd enot''tntended`oroffereANor,sale:`if,however,,;The�Miilding�orifnWovementSstsoldtwithin one year of completion, the owner -builder will have the burden of provingthat he or she did not build or improve.for the purpose of sale.). a<�. •;��c�l._1::;I:;aS.tt+wnec�ofnheWppettY:amlezdrsively:contractingaerith�JioeasedisontrrolotS'-ta.cettsiruotsih@'9tolecrSSac. ._:,t�'.; : '"u'X04.4:'BIStI085gs611D!P%OS81�iOn6�=Z'ii�.'L-'OQtIBtLOrS wSLBf$t ',`LrOifs idOe3'AnmoplYft'.aft•:OaM1R1er..Of.r•, . .. .. -':.,i�L(1�BftfriiN:JO:'D1IiYJS�Or::R7tiff.DYES;:f3�rWtL,•DI1fI:!tYi70.+f�IiVBL26liIIr5R:leJ�fCgeCt6!19IJift,'��Cel�[LBCLOtf6)•fif67dSaft . .:•r: C:purltrate-to.ttle'Contractors' State'Lieense.Law.). .•:.(=d•.4am:erempt:auider-:Sec.'. i8:&P-C forVt�.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 person in an nner so as t ecome subjec �kers' mpensation laws of California, and agree tat, if 1 should becom subject to the wonsation provisions of Section f3700 the Labor Code, I shall f_ rthwith comply wLions. `'WARNI GF FAILUR O"SECURE fl.IERS"COMPENSATION COVERAGE'IS UNLAWFUL',`AND'SHALL SUBJECT AN EMPLOY IMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ..*--DOLIARSY'8'1DO.OOOI.'7N`ADI)MOTJ;TD+THE-COST"OF CDtv1AENSAT1ONi�DAMAGES`A•S:PROVIDED'FOR'IN ?"SEL'PIQN �8706-0F,'F}i£: L'ABOR',COE7E:"INTEREST: `AND-A'TTORNEY'S'ffES. .AP`PUCAf4T.ACKN0WLEDGBfiEWT :dMMNi3AAr7��9pgtirationi8ltersby�ioadaaoshe' :Dvwtor:•+ni:Baikha5 nd'SafetYftreventjusubjacttothe � - ':'Gil/fidi�67ffi•anU%r6S$4CCSOt15.i58tifDrif4'ibAdhlib�ppflQtiOf1. 'F• :" is:p¢BWt�rsorfaporisyTaSo'bebaNztl»sajDplieetgn:L9 ettaCe.-�achlperson:a[svehoseregttest:.atiii:for . ::wtwse,.benefn work •is'pErformed.underot:pw.suamSo'any permit: issued°as a-resuh,of this applicafion,. .?.••..the;.owner:;arxSYtte:appticimt..,each.agrees-to: and�shafldefend,: ttdemnify.and.hold•harmless tne:City' ` of..L.a.Wrest, its officers;:agertts and employees for any act or: omission.retated to.the work. being _ performed under or following issuance of this -permit. 2. Any permit issued as a result of this application becomes nu rk is not commenced within 180 days from date of issuance of such permit, or c sation of work 180 days will subject permit to cancellation. I certify that I have read this application a state that thea ove information is rect. I a ree to comply with all city and county ordinances and state la s relating to build construction, and here au orize representatives of thiss county t enter upon the bov mentioned prapert or inspection purpo es. Dale: ti Q Sig ure (Appli ant or A / r / 11 _= 1. 1. . Application Number . . . . . 09-00001085 Permit PLUMBING SEWER Additional desc Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . .. 3500 Expiration Date . . 4/07/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 7 ------------------------------------------------------------------------ Special Notes and Comments ------------------- ---------------------- -------------------------------------- -SMS, -.5814.7z3 ---- -2–DO --Fee summary. -Charged 'Pai'd Ctd-dited - ------------------ ----------- "Due ----------- Pertnit�:F-le 'Total 30.00 00 .,00 30.00 i: Plan..Check...Total.00 '00 —00 .00 Other. Fee Total :"1.00 .-.,00 .00 1.00 Grand_Total'00 31.00 .00 31.00 LQPERMIT Bin # 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 # / t j Project Address: LttS V Owner's Name:--'t'-NCV Mt 5 V Q c A. P. Number: Address: ( Ll Uq Aj L Legal Descriptiog: City, ST, Zip: L Contractor:1A ZS . C- , �� p Z- S C� 3 6 -3 Telephone: ::.;:><:i:.:;:>:..:•;:;;::::....;;z<.<,:?:: ::>t;:>:v>:::::;:>:::�>:::s<.«A:<:>ii::•s: Address: Project Description: City, ST, Zip: _ S C Telephone: 'iy{%;:::iii'i iii}::.<:i�'. iii:•i.•:vv`:i^::•iii;:; Y';.�;:?}L;/..:n..,. n; ...:: ry{.:::::: •: :.: viii:{.. .:.....•�;;:;>::>;«<s::x:x;:;;;::::s:>.::;;:::;. � z� J i� tie State Lic. # : City Lic. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: P ; s««::<•i<;•••{.,;::::{.{ v+iii4: ui•i::i:�ir. ii: ii::4iii: i::YEi: i �::!::::: { i ...~........ Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Name of Contact Person: Telephone # of Contact Person:Estimated u0 Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING 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 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 rE COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 9/23/2009 SUBJECT: 51484 AVENIDA MENDOZA, LA QUINTA, ACC NO. 606014,712.0.8 "SCC FEE ONLY., JACKIE MISURACA Project: 9-1915 51484 AVENIDA MENDOZA Project Date: 9/22/2009 Amount Due: $3,995.00 LA QUINTA, CA 92253 GEO: 06-06-01-4 Planner: SANDRA VILLALOBOS TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK Units Fee Type Description•- Amount 1.00 SCC -COLLECTION $1,65-8-70-0-1—$1,658.00 1.00 SCC -TREATMENT 1 $2,337.001 $2,337.00 PAID $3,995.00 $3 gs.o0 SEP 2 3 2009 COACHELLA VALLEY WATER DISTRICT S,•1-- Addies5 : S -1 q811- Aue. Mew.&z.A. 1 9883 FALLS CKIE CRS RD 5953 �. WHITEWATER, CA 922822009 �% 2 .O 166,1585 Ot J 585 Date Pay the `�iQu- / / t 0 N' Bankof America Customer nce 1� Palm ©rte ��� X798 Palm Desert CA ere - 1: L e- 760.340. 760.340.1887 i For Iw 1: 12 200066 P:5 9 5 3 1110 5$521110090 LII' SUBJECT: 51484 AVENIDA MENDOZA, LA QUINTA, ACC NO. 606014,712.0.8 "SCC FEE ONLY" COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel