07-1621 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 XPQ",
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/01/07
Application Number:
X07-0'0'0"01621
Owner:
Property Address:
517471 AVENIDA
RAMIREZ
SPENCER DONALD G
APN:
773-125-024-12
-000000-
51741 AVENIDA RAMIREZ
Application description:
PLUMBING
LA QUINTA, CA 92253
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3550
D
Contractor: 2001
• JUN�,o
Applicant:
Architect or Engineer:
JUAREZ'GRADING
- *
54-125-AVENIDA UB O `'
"•,.
-
LA QUINTA, `CA 9' 253-''CrrY0F QUINTI
` I iA
PJ
(760)711-5715 FINANCE DEPT.
Lic: No,.: -715646
---------------------------------------------------
LICENSE O RAC'S DEC ATION
I h'ereby affirm under penalty of perjury that I am' e . un , proyisof .Chapter. 9 (commencing with
Section 7000) of Division 3 of the Business an ssio C• - and my License is in full force and effect.
License Class: A I- .Lic se No.: '.715646
Date: ~ I9 ractor: - , • _ _ ,
NER•BUILDER RATION
I hereby -affirm under penalty otperjury the I.am-axempt from•the Contractor's State License Law for the
followingreasoh,(Sec •7031 .5; Business'and professions -Code: -Any city or county that re4uires a permit to
construct; slier, improve demolish, oriepairany structure; prio..to its issuance,' also requires,the`applicant for the . -
permitio fde a signed; statement that ne or she is licensed pursuant to.the provisions,of the , Contractor' s'State
License U (Chapter 9:(commencing.With Section 7000). of Division 3 of the Business and, Professions Code) or
'that he or'she:
LQPERMIT
. Application Number 07-00001621.
Permit . . . . . . PLUMBING SEWER
Additional desc .
Permit Fee 30.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 3550
Expiration Date 11/28/07
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 30:04
00.
.00
30.00
Plan Check Total .00
.00
.00.
.00
Grand,' total 30.00
.00
.00
30.00
LQPERMIT
COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL
{r. .2 1:9815
Received From: t� Jl Date: J
Address:
�r%�� CTS/y
YAccount No.
Lots
A
Tract
5 Service Address
G.A. Code
❑ Meter(s)
$
O Service(s).
is
F O BackflOw(s)
❑ House Lateral(s)
O Detector Checks)
(. Cl Met r- _Ufrcharge
t3,1 S
�
Sanitation Capacity Charge
O W.S. B;F.C.'
O S.I.W:S:C
❑ Ter poiary, Constructlon Meter
r
'
❑ .Tum,onCharge
-.
❑ Uncollected Account = Name
-
O Inspection Fee - Tract
-
❑ Plan Check Fees Water) Sewer -
Tract -
h
❑ Bond Payment 'A D. -' Bond"
Asap'
❑ Customer Deposk ;
O .Other
TOTAL $
6 Remarks:
Capt to: a
lb
Cash
Water Serv_ ice
i Check
ff
F. Money
0
Cashier
Order..
CVWD 439.(t/OS) '
www.hammerpumping.ctam
760/360-7448 760/321-7448 FAX 760/324-6434
Customer Name
Address Ll I � �
_ _J ua
Ph# -
Additional Service -❑ Required ❑Recommended
P.O. BOX 2448 - Cathedral City, CA 92235-2448 - LIC# 661018 JOB INVOICE
JJOB DATE: )) TIME IN: TIME OUT. TECHNICIAN B1 TECHNICIAN a2 HELPER(S)
ORDERED BV: 1 P.O. - START DAT£:`-----� END DATE:
Job LOCATION
REASON FOR
SERVICE
❑ BACK UP
CONTRACT
MAINTENANCE
REPAIR
MAINTENANCE
ESTIMATE
�'CONSTRUCTION
OTHER
Description/. Remarks/ Drawings
:redit Card — MC !VISA # EXP.DATE
I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges.
I understand that by signing below I am agreeing to all charges incurred on this ticket and
that the work was completed to my satlsfactlon. , 11Ao 1. II
COMMENTS
❑ Leach System Failing ❑ Roots ❑ Excessive sludge/grease
I
Bin #
Cityoft,a, Quints
Building U Safety Division
P.O. Box. 1.504, . 78-495 CalleTampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit, A lication. -and Trackin Sheet
Pp. g
Permlt.# .
Project Address:'Owner's.Name:
A. P. Number:
Address:
Legal Description:
Contractor: J `Q LA a . 44-17 i Vt
City, ST, Zip:
Telephone:
nn
Address: -V O p 7.� '
Prof, .
Jett Description:
City, ST, zip: LA QV
Telephone: 760 - 771-S 7lS
State Lie. # : City Lie. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:,
Name of Contact Person:.
Constrgc06 Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq: Ft :
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:, p c
APPUCANT:,DO'NOT<WRITE BELOW THIS LINE ..
N.
Submittal
Req'd
Recd
TRACK NG .
PERMIT FEES
Plan Sets
Plan,Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections-DepositPlan
Check
Tress Cates.
Called Contact Person
PIan.Check Balance
Energy Calcs.
r
Plans bkked up
Construction.
Flood plain plan.
a
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.
ILO -AL Approval
Plans resubmitted .:
Grading
IN HOUSE:=
'rd Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue, .
School Fees
Total Permit Fees.