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BPLB2015-0077r 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 .4 �a�rw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPL82015-0077 Property Address: 52300 AVENIDA RAMIREZ - APN: 773262003 Application Description: RHUDIR / ABANDON SEPTIC/ CONNECT TO SEWER Property Zoning: Application Valuation: $2,850.00 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: C42 License No.: 986954 /r Date: — SContractor:( / U OWNER -BUILDER 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).: (_) 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 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 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 Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 7774153 Owner: MASIN RHUDIR 25852 MC BEAN PKWY #303 SANTA CLARITA, CA 91321 Contractor: SEWER & SEPTIC PROS INC 16315 AVENIDA RAMADA DESERT HOT SPRINGS, CA 92240 (760)272-3410 Llc. No.: 986954 Date: 6/1/2015 0 o z L C— M M %© + G C) T MV a c.n WORKER'S COMPENSATICIN DECLARATION I hereby affirm under penalty of perjury one of Me following declarations: _ I have and will maintain a certificate of consent to self -insure for -workers' compensation, as provided for by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued. ill 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:_ 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, €f I should become subject to the workers' compensation provisions of Section 370 of the Labor Code, I shall forthwith comply with those provisions. Date `' — —� Applicant: WARNING: FAILURE TO SECURE WORKERS' COMIPENSATION COVERAGE 15 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 ID SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the E3uilding Official for a permit subject to the conditions and restrictions set forth on this a )plication. 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 Cily of La Quinta, its officers, agents, and employees for any actor omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this applicaton 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 cancellaton. 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 ordinar,.ces and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. Date �e— 1 Signature (Applicant or Agent): ljel U 'DESCRIPTION , FINANCIAL •• a • ' ' :. ACCOUNT °. , ' QTY: ': •AMOUNT :;_`� PAID' , ". -;- PAID -DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 :, '• _` PAID BY _. - •... ..... , y .. , = • M METHOD ' :. ; • RECEIPT # ti � € � CHECK #,' � CLTD_fBY + 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 *' ". r.'- METHOD.'. ..,, RECEIPT #, CHECK# `CLTDBY'; Total Paid for PERMIT ISSUANCE: $91.85 $0.00 { ^DESCRIPTION ' r M.. , ACCOUNT' QTY _- AMOUNT - PAID " aPAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 pi -,-PAI Q BY METHOD' - .j RECEIPT # CHECK # � RCLTD BY �rs`ti ;DESCRIPTION r ;ti..A000UNT QTY. AMOUNT >�,` ';• PAID ;PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 .PAID BY r > METHOD '3•- RECEIPT #-, ,. - CHECK # CLTD BY v' . Total Paid for PLUMBING FEES: $24.18 $0.00 TOTALS:i • •- . r . . 4 011 Description: RHUDIR / ABANDON SEPTIC / CONNECT TO SEWER - Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 6/1/2015 SKH Apprnvpd: Parcel No: 773262003 -Site Address: 52300 AVENIDA RAMIREZ LA OUINTA.CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 82 Lot: 20 Issued: UNIT 10 -NAME �$ ADDRESSI ` Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,850.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: PLUMBING -ABANDON SEPTIC/ CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS 'NAME TYPE =-- -NAME �$ ADDRESSI ` CITY ,STATE:61 ' ZIP 'PHONE ' FAX,"" _• EMAIL i APPLICANT SEWER & SEPTIC PROS INC 16315 AVENIDA DESERT HOT CA 92240 .(818)421-2864 RAMADA SPRINGS CONTRACTOR SEWER & SEPTIC PROS INC 16315 AVENIDA DESERT HOT CA 92240 (818)421-2864 RAMADA SPRINGS OWNER MASIN RHUDIR 25852 MC BEAN PKWY SANTA CLARITACA i 91321 - (818)421-2864 1 #303 j . j FINANCIAL • • Printed: Monday, lune 01, 2015 11:13:57 AM 1 of 2 SYSTEMS r DESCRIPTION,k _ACCOUNT QTYAMOUNTPAID,': ., DATE'DATE! r s w 4: t � + � .. , ';� � _' �• _ "' [PAIDDATE;,`RECEIPT# � � �� CHECK#- 'iMETHOD` PAIDBY'' CLTD'>. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 + BSA: PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT 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 TOTALS:$0.00 INSPECTIONS :INSPECTIONTYPEINSPECTOR SCHEDULED COMPLETED RESULT.REMARKS =NOTESSEQID ?: ., DATE'DATE! r s w 4: t � + � .. , ';� � _' �• _ "' � � �� PLUMBING FINAL" BLD PARENT PROJECTS Printed: Monday, June 01, 2015 11:13:57 AM 2 of 2 C SYSTEMS Bin # City of La' Q uin is -Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico .La Quinta, CA 92253 - (760) 777-7012. Building Permit Application_ and Tracking Sh 2et Permit # Project Address:s `L- 300 v r9 Q( At v� rtr Owner's Name: R v >( 1�rtS � In A. P. Number: Address: 2-S - $s -'Z M G e-c?rN kUJ Legal Description: City, ST, Zip: Sq,^l C, C VA✓ kc, Contractor: Is c �i LL7 z.r c� L c: S � YO Q 0 C, Tele g hone: 2-'& P 'I y Address: _ 3 A V �� M A' A Project Description: City, ST, Zip: D S /�_ t ACC, Vl fr'Le L� t, {� Tel ePh0ne �• eco 3 2 i c S 5 v� • State Lie. # : Q C( 5�6 915- y City Lie. #: tT \4D e -N Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone: Con structi n Type: e: anc Occu Y P Occupancy: to Lie. • S to L c #. ProJ tYPa (circle cir cle one w : New Add'n Alter Repair Demo 0 Name of Contact Person: wCG/ ZGJ C -SIP— Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 2,-3 Ll (•,(� Estimated Value of Project: S APPLICANT: DO NOT WRITE BELOW THIS LINE Submittal Req'd Rec'd TRACKING r PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balarce Title 24 Cales. Plans picked,up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2pd Review, ready for corrections/issue Electrical Subeontactor 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 Impacl Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 3c>3 Sanitation Capacity Charges Amortization.Schedule Beginning Interest. Principal Prog: SCCO04RP Coachella'Valley Water Date: 4/30/15 User':•ES1120 Sanitation Capacity Charges Time: 15:51:02 Wrks: CUSTBL01SI Account Number: 606121,210.0.0 Status: Open Customer Name: FISCHER, KIMBERLY J. Recording number: 2003-513321 Mailing address: -52-300 AVENIDA RAMIREZ Recording date: 07/10/2003 235.39 4 LA QUINTA, CA. 92253 Parcel number: 773-262-003-2 25.89 209.50 Financing plan: A 1,925.00 10 04/,01/2013 222.04 'Number of units: 01 1,925.00 Telephone number: 760-564-9224 Interest rate %: 6.00 Service''address: 52-300 AVENIDA RAMIREZ Financing terms: 10 years Sanitation LA QUINTA Past due terms:, 10'days-- Tract # & name:- SANTA CARMELITA Penalty rate %: 10.00 Lateral exist?: Y Sewer available?: Y (Y or N) Entered by: RA0417 Residence type: -S Single residence Principal WATSRV03S1 Comments: -------------------------------------------------------------------------------- 06/17/2003 9.6039 2004-01-22-16.55.55.884000 Sanitation Capacity Charges Amortization.Schedule Beginning Interest. Principal Periodic ..Ending Payment Due Date Principal Payment Payment Payment Pricinpal .07 04/01/2010 815.64 48.93 186.46 235.39 629.18 08 04/01/2011 629.18 37.75 197.64 235.39 4 431.54 09 04/01/2012 431.54 25.89 209.50 235.39 222.04 . 10 04/,01/2013 222.04 13.34 -222.04 235.38 .00 Payment schedule totals: 125.91 815.64 94.1.55 Sanitation Capacity Charges Payment History MCR Beginning Paid Paid Paid Ending .Date Paid, Number Principal, Interest Principal Amount Principa 06/17/2003 9.6039 1,925.00 .00 192.50 192.50 . 1,732.5 03/09/2004 1,732.50 103.95 131.44 .235.39, 1,601.0 04/06/2005 1,601.06 96.06 139.33 235.39 1,461.7 04/10/2006 1,461.73 87.70 147.69 235.39 1,314.0 03/29/2007 1,314.04 78.84 156.55 235.39 1.,157.4 04/10/2008 1,157.49 69.44 165.95 ' 235.39 991.5 03/31/2009 991.54 59.49 175.90 235.39 815.6 Paid history totals: 495.48 1,109.36. 1,604.84 NOTE: Figures are not to be used for pay-off on the account. These are aproximate figures at the time this report was printed.