10-0235 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA; CALIFORNIA -92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
r %•
10-00000235
53710 AVENIDA RUBIO
774-113-010-15 -000000-
PLUMBING
COVE RESIDENTIAL
2969 .
Architect or Engjl
W*
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:��Cllass: B nC36 C42 License No.: 793482
/
Date: 5�/!� ' Contr or:
�0.... 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' a
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 Profession 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. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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: 3/22/10
Owner:
LA QUINTA REDEVELOPMENT AGENCY
78495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
SO CAL & ASSOCIATES PLMBNG INC
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 STATE FUND Policy Number 1820769-2009
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 became subject to the workers' compensation laws of California,
and agree that, if I should beco 'e enation provisions of Section
3700 of the Lab sh om ns.
r q
*ate: 10-1 Applica -
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 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 buildin co onze representatives
of this county to enter upon the above-mentioned inspection purposes.
`
18ate: -0J ignature [Applicant or gen
LQPERMIT
0 Application Number . . . . . 10-00000235
Permit . . . PLUMBING SEWER
Additional desc .
Permit Fee 30.00 Plan Check Fee
.00
Issue.Date . . . . Valuation
2969
Expiration Date 9/18/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1'.00 15.0000 EA PLB BUILDING SEWER
15.00
----------------------------------------------------------------------------
Special Notes and -Comments
SEWER HOOKUP/SEPTIC ABANDONMENT - 2007
_ _-•----.--_-- ---..__.. CALIFORNIA' PLUMBING CODE.
March 22, 2010 4:03:48 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
--------=----------------------------------.--------------
Due
Permit Fee Total 30.00 .00 .00
30.00
Plan Check Total .00 .00 .00
.00'
Other Fee Total 1.00 .00 .00
1.00 .
Grand .Total 31.00 .00 .00
31.00
LQPERMIT
0) -
COACHELLA VALLEY WATER DISTRICT
T ,. P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 3/22/2010
SUBJECT -'-'53 , 710 AVENIDA RUBIO 606123,403.0.1
CITY OF LA QUINTA Project: 10-2226
PO BOX 1504 Project Date: 3/22/2010
Amount Due: $3,995.00
LA QUINTA, CA 92247 GEO: 06-06-12-3
Planner: REBECCA MILWARD
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
1.00SCC-COLLECTION $1,658.00 $1,658.00
1.00 SCC -TREATMENT $2,337.001 $2,337.00
$3,995.00
PAI s�o C)
MAR 2 2 2010
CO
WATER D STRICTACHELLA Y
o1�"
SUBJECT: 53710 AVENIDA RUBIO 606123,403.0.1
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
Mar 05 10 09:38a Socal & Associates Plumbi
Proposal
February. 17, 2010
City Of La Quinta
Tel: 760-777-7016
Fax: 760-777-7011
Att: Kirk
Subject: Sewer Connection
53710 Avenida Rubio
La Quinta, CA 92253
Scope of Work:
Abandon Septic System
>- Connect Property To City Sewer System
> Price Includes City Permits, Pumping, And Fill Dirt
°> Does Not Include Coachella Valley Water District Fees
Cost of Work Provided:
Respectfully Submitted,
Michael S. Hildebrand
SoCal & Associates Plumbing, Inc.
License: A / B/C36 / C42 #793482
$3,000.00
ACCEPTANCE OF PROPOSAL
Accepted
Date 3 - 2 = 1 O
76C 0 369 a 4104 800 $ 791 ® 4445RO
7603286607 p.1
P -
Signature l
. Box 955, Yucca !Valley, :a. 92286
Bin #
Qty Of La Quinta
Building 8r Safety Division
'P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253- (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Ib•o235
Project Address: S 3 _- ` d d L t
Owner's Name: CL G D
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
S A
Contractor: G
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Telephone: �;..;F�;?q{;•.�.y"�•,.::�.f's"a.}:, rss'•<:i
Address: S
Project Description:
City, ST, Zip: U` CL-- ✓ cv� oma.
--
Tele hone. — "4 I
State Lic. # : g CityLic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
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Construction Type: Occupancy
State Lic. #:<<x:
Project type (circle one): New Add n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: b,r"
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Telephone # of Contact Person: , —3 (pq -. JQ'
Estimated Value of Project:
APPLICANT: DO OT WRITE BELOW THIS LINE 9 '
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
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
•re tss� 3
Total Permit Fees
.
A!HA P
PUMP/NG' Inc. Lic #C42 855 851
760 328-7887 • 1-800-334-7255
FAX 760 328-6607
P.O. Box 2318 • Cathedral Cit CA 92235
Yr
CUSTOMER'S ORDER NO.
D yf ,
ORDER TAKEN BY
DATE PROMISED ❑ A.M.
❑ P.M.
BILLTO „ `
PHONE
ADDRESS J ,71 '1
/'S ` Cl•/7
CITY _
HELPER
JOB NAME-ANWROCATION
❑ DAY WORK
DESCRIPTION OF WORK
❑ CONTRACT
❑ EXTRA
QUANT.
V DES IPTION OF MATERIAL USER 4PRICE
AMOUNT
Gallons
Pumping Fee per 1000 gal.
Camera/Power Snake
Out of Area.Fee
LocatinglOpen'" er our)-.
J t
sA
Size System ,
s
V
Fuel Charge
$25-
0 0
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 respo�__topeevar&a-rvdamaneuch as wa a
damage, ch ar
SIGNATU E COMPLETED
TAX
TOTAL
JOB ADDRESS 53-710 AVENIDA RUBIO
SEWER HOOKUP/SEPTIC ABANDONMENT - 2007
CALIFORNIA PLUMBING CODE.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
DECK BONDING '
ti
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED %
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
T
ITY OF LA QUINTA ,
�La
°
BUI DING & SAFETY DEPARTMENT
(760) 777-7012
rte- NSPECTIO_N REQUEST LINE
CFS of °ACV'
(760) 777-7153
cv-Ci
i
OW CITY
A QUINTA RDA
Co tra or 40&'--'&
ASSOCIATES PLUMBING
Pe mit umber
`30 0235 _. _____ _ 7
J B IN CONSPICUOUS PLACE
T SIGN ALL APPLICABLE SPACES
JOB ADDRESS 53-710 AVENIDA RUBIO
SEWER HOOKUP/SEPTIC ABANDONMENT - 2007
CALIFORNIA PLUMBING CODE.
TYPE OF INSPECTION DATE INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
ROOF NAIL / PRE -ROOF
OKAY TO WRAP
FRAMING COMBINATION
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH MECHANICAL
INSULATION
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
DECK BONDING '
ti
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED %
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING