BPLB2016-002778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ht 4 s4P Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2016-0027
Property Address:
54580 AVENIDA VALLEJO
APN:
774282005
Application Description:
SLAPE / ABANDON SEPTIC AND CONNECT TO SEWER
Property Zoning:
Application Valuation:
$2,500.00
Applicant:
SEWER & SEPTIC PROS INC
16315 AVENIDA RAMADA
DESERT HOT SPRINGS, CA
92240
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: C42LicenseLiiceense No.: 986954
&te' V w Contracct
OWNER- UILDER 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 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 ) 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 Na
Lender's
46
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEPHEN SLAPE
2160 CARTWHEEL CIR
CORONA, CA 92253 7
Contractor: �
SEWER & SEPTIC PROS INC [-
16315 AVENIDA RAMADA
DESERT HOT SPRINGS, CA 92240
(760)329-7600
Llc. No.: 986954
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 th work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Secti n 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 become subject to the
workers' compensation provisions of Section 3700 of the Labor de, I shall forthwith
comply with those provisions.
Date / Applicant: r .
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 3106 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 relating to building
construction, and hereby authorize representatives of this city to enter upon th
abo a mentioned property for inspection purposes.
r
Date: Signature (Applicant or Agent):v-1 r
"
FINANCIAL 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 E
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
$1.2.09
$0.00
PAID BY
METHOD
RECEIPT #
:CHECK #
CLTD BY
DESCRIPTION
"; ACCOUNT
QTY,
AMOUNT
F 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:• 00
Description: SLAPS / ABANDON SEPTIC AND CONNECT TO SEWER
CONDITIONS
Type: PLUMBING Subtype:
Status: UNDER REVIEW
Applied: 2/8/2016 SKH
Approved:
Parcel No: 774282005 Site Address: 54580 AVENIDA VALLEJO LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 305
Lot: 20
Issued:
UNIT 28
NAME
ADDRESS1
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $2,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
16315 AVENIDA
RAMADA
Details: ABANDON SEPTIC AND CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
CA
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
SEWER & SEPTIC PROS INC
16315 AVENIDA
RAMADA
DESERT HOT
SPRINGS
CA
92240
CONTRACTOR
SEWER & SEPTIC PROS INC
16315 AVENIDA
RAMADA
DESERT HOT
SPRINGS
CA
92240
OWNER
STEPHEN SLAPE
2160 CARTWHEEL CIR
CORONA
I CA
92253
FINANCIAL INFORMATION
Printed: Monday, February 08, 2016 2:02:21 PM 1 of 2 Cff?
SYSTEMS
Permit Details PERMIT NUMBER
City of la Quanta
BPLB2016=0027
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY.
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT 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
$0.00
PARENT PROJECTS
BOND INFORMATION
Printed: Monday, February 08, 2016 2:02:21 PM 2 of 2
sys7rnns
COACHELLA VALLEY WATER DISTRICT
Q��R�Cc P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 2/2/2016
SUBJECT: SANTA CARMELITA, 54580 AVENIDA VALLEJO, LA QUINTA, LID 691334- SCC ONLY
STEVE SLAPE Project:
16-6948
54-580 AVENIDA VALLEJO Project Date:
2/2/2016
Amount Due:
$4,851.00
LA QUINTA, CA 92253 GEO:
06-06-13-1
Planner:
SARA LOPEZ
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
1.00 FF SCC -COLLECTION $2,415.00 $2,415.00
1.00 FJ SCC -TREATMENT $2,436.00 $2.436.00
$4,851.00
PAID $ I)I)gy o,/V
Development Seriices Department
FEB 0 2: 2016
Coachella Valley'Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBJECT:SANTA CARMELITA, 54580 AVENIDA VALLEJO, LA QUINTA, LID 691334- SCC ONLY
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Page 1
P -MAW
m
Bin #
City of La QuInta .
Building 8£ Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
�Z� Building Permit Application and Tracking Sheet
Permit #
'Ott �o� -
Project Address: C) m l
Owner's Name:
A. P. Number:
Address: /Q L/
Legal Description:
City, ST, Zip: ' eQ7"0`l4
Contractor: r:
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T ele hone S l8L
Address: 3/S n,Jc,
Project Description:
City, ST, Zip:
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Telephone: Z 9 O
240
State Lic. # : Mo 9so
City Lie. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
hone
xxxTelephone:
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:::::.<;;::_::.;::.<:..:.:
Con truct o cY
Type: Occupancy:
nTYP
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name,of Contact Person: ()SC)bjZ 2d1_ra3,_.e
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:—)&o 2-7 2 3L4 to
Estimated Value of Project: 2 S C) v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Reed
TRACKING
PERMIT FEES
Plan Sets
Plan'Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Pcrson
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