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14-0338 (PLBG)TW!t 4 4v. P.O. BOX 1504 w 78-495 CALLE TAMPICO / LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-0000038 Property Address: 522-95 AVENIDA RAMIREZ APN: 773-261-014-3 =000000 - Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 300 Applicant: 4 Architect or Engineer: C��PVV issued. ° Owner: EKAHI WAHINELLC /PAULA 34 CLANCY ESTATES LA QUINTA, CA 92253 (760)250-8742 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 CARRICK Contractor: GHA ENTERPRISE, INC. 30875 DATE PALM DRIVE, S CATHEDRAL CITY, CA 92234 (760)969-1400 Lic. No.: 750957 Date: . 3/31/14 ------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION. hereby affirm under -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation,, as provided License Cla s: B License No.: 750957 for by Section 3700 of the Labor Code, for the performance of the work'for which this permit is issued. ° DLat t �Cv ntractor: _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor J .-+.� Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt, from the Contractor's State License Law for the Carrier STATE FUND Policy Number 9076853-2014 following reason (Sec. 7031.5; Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or —� ,�..�; C-:4700-of-the!L-abc r Code, 1,Ahall forthwith comply with)Aose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for apermit subjects the applicant to a civil penalty of not more than five hundred dollars 155001.: (_ 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.). , 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.). (_ 1 I am exempt under Sec. , B.AP.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 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 thebirector 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 lawsrelatingto building co struction, and hereb author; representatives of this cou ty to nter uupon tthe above-mentioned propd�r fo nspection purpose �� Date. ignatu_ ra=m - e Applicant orAgejn U: - - J Application Number . . . . . 14-00000338 rerMiL . . . PLUMBING 2013 Additional desc . Permit Fee 11.92 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 9/27/14 Qty .Unit Charge Per Extension 1.00 11:9200 EA PLBG BUILDING SEWER 11.92 -------------------------------------------------------- S Secial Notes and Comments S W -M CONNECTION / SEPTIC ABANDONMENT 2013 PLUMBING CODES. -----------------_----------------------------------_--------- Other Fees BLDG.STDS ADMIN (SB1473) -------------- 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 11.92 Fee summary Charged Paid Credited Due Permit Fee Total 11.92 .00 .00 11.92 Plan Check Total .00 .00 .00 .00' Other Fee Total 103.49 00 .00 103.49 Grand Total 115.41 .00 .00 115.41 Bin # City of La Quin' to Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �7 �' 33 Project Address: a Vr •�, CLQmelnl Z. Owner'sNaince A. P. Number: 7 7 3--16/— 1 t f_ e� Address: 3tI C Legal Description: City, ST, Zip: CA ? 22?0 Contractor: o . �� ,�r s � Telephone: p o �asQ -8�� >?>=> `r>'a`>>��'>'.<><'':^<':';<s'`:<;%>=•> Address: 30 VS �� -- -V41M OR. 64e Project Description: �oZ a g5 t.JP�{1L J G l Q A. City, ST, Zip: �'q �JQI C� C,# c?2.Z3q S Ljeek CO Telephone: 40 �-/� :.•::,:;;:.::::::;;;:..,..«::,..;;:<:;::;: , State Lic. # : 5 Q 3 City Lie. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ::.;.;:.::;.>:<:>:< �r?'•`:'s<.;��"<:<�:>?>:»:<:<;�S>:•;:��:;�•»;><�:< Construction Type: p Occupancy: State Lic. # • Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: � Caters e Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 760 Estimated Value of Project: 3 00 - 0 APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACMG PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Depesit Truss Calcs. Called Contact Person Plan Check Balaace. 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:- '^' Reyiew, ready for corrections/issue Developer Impar t Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees ^Y`tp`fiR COACHELLA VALLEY WATER DISTRICT P•o• BOX 1058, COACHELLA,. CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 3/27/2014 SUBJECT: SANTA CARMELITA, 52295 AVENIDA RAMIREZ, LA QUINTA, LID 683882, "SCC FEE ONLY" EKAHI WAHINE LLC Project: 14-5356 c/o PAULA CARRICK Project Date: 3/27/2014 34 CLANCY LANE ESTATES Amount Due: $4,851.00 RANCHO MIRAGE, CA 92270 GEO: 06-06-12-1 Planner: CAROL PFANNKUCHE TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00 FF SCC -COLLECTION $2,41500 $2,415.00 1,00 FJ SCC -TREATMENT $243600 $2,436.00 $4,851.00 MAR 2 8 2014 COACHEILVALLEY W ISTRICT SUBJECT:SANTA CARMELITA, 52295 AVENIDA RAMIREZ, LA QUINTA, LID 683882, "SCC FEE ONLY" COACHELLA VALLEY WATER DISTRICT . P.O. BOX 1058, COACHELLA,. CALIFORNIA 92236 (760) 398-2651. Pagel