Loading...
BPLB2016-012578-495 CALLE TAMPICO T-dy 4 4 Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2016-0125 Property Address: 53400 AVENIDA ALVARADO APN: 774074008 Application Description: MARTIN / ABANDON SEPTIC / CONNECT TO SEWER Property Zoning: Application Valuation: $3,200.00 Applicant: HAMMER PLUMBING AND PUMPING INC P 0 BOX 2448 CATHEDRAL CITY, CA 92235 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Pro essions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effec compensation, as provided for by Section 3700 of the Labor Code, for the performance License Cl ss: 42 C36 Licens No.: 661018 of th w k for which this permit is issued. t�have and will maintain workers' compensation insurance, as required by .Date; \ Lf Cont'acto�r:./ Sectio 3 00 of the Labor Code, for the performance of the work for which this permit U-1 / is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUIL DECLARATION Carrier: BARRETT BUSINESS SERVICES INC Policy Number: 2246 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agre�e th 1 should be ome subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of S cUon 3700 f the La or 7:�ith signed statement that he or she is licensed pursuant to the provisions of the comply w h ose provisions. 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 Dat�t t ( l� Appl cant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DCLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason 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. 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 I certify that I have read this application and state that the above I agree to comply with all city and county ordinan . of and stat < construction, and hereby authorize representati es this city t above-medo ed property for inspection purposes. Date11' ( Signature (Applicant �rA8 U informatil is correct. ws relati to building enter y on the Date: 11/1/2016 Owner: DOUG AND DONNA MARTIN 53400 AVENIDA ALVARADO �.�...� LA QUINTA, CA 92253 CIL w Q C=DtE �+ 3 Contractor: w HAMMER PLUMBING AND PU NC P 0 BOX 2448 o G i CATHEDRAL CITY, CA 92235 Z U 0 zOz (760)360-7448 Z Llc. No.: 661018 ` C3 co C3 �.. ti,....�.< LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Pro essions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effec compensation, as provided for by Section 3700 of the Labor Code, for the performance License Cl ss: 42 C36 Licens No.: 661018 of th w k for which this permit is issued. t�have and will maintain workers' compensation insurance, as required by .Date; \ Lf Cont'acto�r:./ Sectio 3 00 of the Labor Code, for the performance of the work for which this permit U-1 / is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUIL DECLARATION Carrier: BARRETT BUSINESS SERVICES INC Policy Number: 2246 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agre�e th 1 should be ome subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of S cUon 3700 f the La or 7:�ith signed statement that he or she is licensed pursuant to the provisions of the comply w h ose provisions. 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 Dat�t t ( l� Appl cant: basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars WARNING: FAILURE TO SECURE WORK COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DCLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (_) I am exempt under Sec. B.&P.C. for this reason 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. 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 I certify that I have read this application and state that the above I agree to comply with all city and county ordinan . of and stat < construction, and hereby authorize representati es this city t above-medo ed property for inspection purposes. Date11' ( Signature (Applicant �rA8 U informatil is correct. ws relati to building enter y on the 4 Application Number: BPLB2016-0125 Property Address: 53400 AVENIDA ALVARADO APN: 774074008 Application Description: MARTIN /ABANDON SEPTIC/ CONNECT TO SEWER Property Zoning: Application Valuation: $3,200..00 Owner: DOUG AND DONNA MARTIN 53400 AV EN I DA ALVARADO LA QUINTA, CA 92253 Date: 11/1/2016 Applicant: Contractor: HAMMER PLUMBING AND PUMPING INC HAMMER PLUMBING AND PUMPING INC P 0 BOX 2448 P 0 BOX 2448 CATHEDRAL CITY, CA 92235 CATHEDRAL CITY, CA 92235 (760)360-7448 Llc. No.: 661018 Detail: PLUMBING - ABANDON SEPTIC/CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES. t FINANCIAL INFORMATION DESCRIPTION ACCOUNTQTY AMOUNT BS AS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION. ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $12.67 Total Paid for PLUMBING FEES: $25.34 Qin #. Permit # `�U,��,(�l j •. (/,,/ Project Address: . City of La Quilita Buifding 8F Safery Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2- 77-701,2-Buifding Permit Application and Tracking Sheet Building 41 -- Owner's Name: Do 6 CI 4- `)b 14 PJ t. M �t tA A. P. Number:Address: L„Qia A b Legal Description: City, ST, Zip: L 4 -TN CA . Contractor: r o. i4vV1 r Tele � Address: �� �� Z LI $ Project Description: City, ST, Zip: C 0t 7v ptc* /J,- l=. t S L 1 C P Telephone:Ll 2 4 •� ` C I dJ State Lie. # : tp ((� L qj City Lie. #t Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone: one: aneY • tructi n TYPe: Con Occupancy: State Lic. #,. JProect type (circle one): New Add'n Alter Repair Demo 0 Name of Contact Person:�� L �� Sq. R.: # Stories: #Units: Telephone # of Contact Person: Z , L� L($ Estimated Value of Project: Z C1U C APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd 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 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN HOUSE,:- Jrd 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 ...--m.......... y+ � '"`7�TI.,. +, � . t ��, v5y:... .:—'a.^err .," 1,,. - .. �-wr^T•.,w. v. - f MINNOW COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL fq? 93912 Received From: Address: Account No. ServiceAddresb-- U Meter(b) O Service(s) O Backflow(s) O House L.steral(s) ❑ DetectorCheck(s)° ❑ Meter -Surcharge Sanitation Capacity Charge O W.S:B.F.C. O Temporary Construction Meter • Turn on Charge 0. Uncollected Account- Name ❑ Inspection Fee - Tract - Fee - © Plan Check Fees Water t Sewer - Trac t - O- .Bond Payment- A.D. - Bond Assmt. 17` Customer Deposit G Other Remarks: KVf XDCopy to:f— f67 Cash - Check 93912 Moneyt . Order Tract S TOTAL S, Water Service ,. Cashier L' s r