06-0477 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00000477
Property Address:
77955 CALLE ARROBA
APN:
774-175-023-22 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
2700
T-ii`!t 4 4 Q"
�eearrt"— � Architect or Engineer:
D /o
J
LA QUINTA
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 and Professionals Code, and my License is in full force and effect.
License Class:AC36-C42-B License No.: 793482
WN - UILDER DECLARATION
al
I hereby affirm under penAry 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.).
1 _ 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—) 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: • 1/31/06
Owner:
SOREBOE ROBERT B
77955 CALLE ARROBA
LA QUINTA, CA 92253
Contractor:
SO CAL PLUMBING & REPIPE CO
P.O. BOX 955
YUCCA VALLEY, CA 92286
(760)369-4104
Lic. No.: 793482
------------------
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 EXEMPT Policy Number EXEMPT
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' compensation provisions of Section
3700 of the Labor Code, I shall f y wit t ose pr
1
WARNING: FAILUR CURE W ERS' 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 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 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 relating to building construction, and hereby alithoHiIi,l rp.9issentatives
of this county to enter upon the above-menti�ant):
d prope rposes.
qae� G�i ture (Applicant or
rte'
- Application Number . . . . . 06-00000477
Permit . . PLUMBING SEWER
Additional desc .
Permit Fee . . . . 30.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
2700
Expiration Date 7/30/06
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
AwSmA.Pw
PUMP/NG
-pleA /f
Lic #C42 855 851
vv .7Lv� • vv I 1 -OV um'01090m / 400
FAX 760 328-6607
P.O. Box 2318 • Cathedral City, CA 92235
CUSTOMER'S ORDER NO.
DATE ORD
AMOUNT
ORDER TAKEN BY
DATE PROMISED
❑ A.M.
❑ P.M.
BILL�TO
PHONE
ADDRESS
MECHANI
CITY / '
HELPER
JOB N ME AND LOCATION /
1 (�
❑ DAY WORK
❑ CONTRACT
❑ EXTRA
DESCRIPTION OF WORK
Dumping Fee per 1000 gal.
QUANT.
DESCRIP O 06 IALUSED
PRICE
AMOUNT
Gallons I �o
Pumping Fee per 1000 gal.
Dumping Fee per 1000 gal.
Out of Area Fee
Locating/ Opening gee (p r>hour)
A
Size System:
A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS.
18% PER YEAR WILL BE CHARGED ON PAST DUE
ACCOUNTS OVER 30 DAYS.
TOTAL
MATERIALS
TOTAL
LABOR
WAIVER: Not responsible for sectarydamage=such as water
damage, chipped concrete,_mark-oncstreet_o,r drive--- y of
SIGNATURE J' �DA7E COMPLETED
TAX
TOTAL
Bin #
City of La Quinta
Building a 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:
55
Owner's Name:
A. P. Number:
Address:
Legal Description:
Contractor:
City, ST, Zip:
Telephone:
Address:
Project Description:
City, ST, Zip: 16?4
Telephone:
State Lic. # : City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: We.Estimated
Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
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
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
an 17 06 04:14p
.ti
Tain Soreboe
760 771-6706
p.2
ALLEY WATER DISTRICT
�... ?.Q- Box. 'i000 Coachella, CA 92236-5000
Tele -phone (760) 398-2651
Sanitation Capacity Charges Yearly Installment
:count Number: 606124,.929.0.8
:cording number: 2003-403806 Recording date: 06/04/2003
:rvice address:
77-955 CAL"LE ARROBA
LA QUINTA
:lephone number: 760-771-6706
Bill to name.
SOREBOE, ROBERT
POST OFFICE BOX 1877
LA QUINTA, CA 92253
Payment History
MCR Beginning Paid
Date Paid Number Principal Interest
05/12/20 95241 1,925.00 .00
Parcel number: 774-175-023-8
Financing plan: A 1,925.00
Number of units: 01 1,925.00
Interest rate %: 6.00
Financing terms: 10 years
Date: -3/04/04
Time: 11:09:18
-----------------
Paid Paid Ending
Principal Amount Principal
192.50 192.50
** This is a duplicate printing of an invoice previously sent to you that may
have incom le, ely printed. This is not a request for an additional payment. If
you were a to pay from the original invoice please disregard this duplicate
billing$ ftrxya or any inconvenience this printing error may have caused. **
r
MAR 331
COACHELLA VALLEY
WAIL -R DISTRICT
0
TWT
� "
78-105 CALLE ESTADO — LA QUINTA,
January 29, 1993
To Whom It May Concern:
CALIFORNIA 92253 �` (619) 564-2246
-FAX (619) 564-5617
The structure located at 77-955 Calle Arroba in La Quinta is in the
"Other Flood Areas Zone X", according to the F . E . M. A. Community
Flood Map Panel No. 060709 0010 B, revised August 19, 1991.
The map state that Zone X are "Areas of 500 -year flood; areas of
100 -year flood with average depths of less than 1 foot or with
drainage areas less than 1 square mile; and areas protected by
levees from 100 -year flood."
If'you-have any questions, feel free to contact me.
Sincerely,
BUILDING AND SAFETY
Tom Hartung
Director of Building and Safety
MAILING ADDRESS - P.O. BOX 1504 LA QUINTA, CALIFORNIA 92253
. T-i'T 4 4a
Qum&
78-105 CALLE ESTADO — LA QUINTA, CALIFORNIA 92253 - (619) 564-2246
FAX (619) 564-5617
January 29, 1993
To Whom It May Concern:
The structure located at 77-955 Calle Arroba in La Quinta is in the
Zone X, according to the F.E.M.A. Community Flood Map Panel No.
060709 0010 B, revised August 19, 1991.
The map state that Zone X are "Areas of 500 -year flood; areas of
100 -year flood with average depths of less than 1 foot or with
drainage areas less than 1 square mile; and areas protected by
levees from 100 -year flood."
If you have any questions, feel free.to contact me.
Sincerely,
BUILDING AND SAFETY
Tom Hartung
Director of Building and Safety
MAILING ADDRESS - P.O. BOX 1504 - LA QUINTA, CALIFORNIA 92253