BPLB2014-102278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPLB2014-1022
52383 AVENIDA RAMIREZ
773261023
ABANDON SEPTIC/SEWER CONNECT
$4,000.00
Applicant:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO, CA 92201
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. -.C36 License No.: 930133
oat 114_'' Z 3 —� y Contractor:'
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, 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. I 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. 0.
Lender's Name:.
Lender's Addre<
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/2014
Owner:
SUSAN GONZALEZ
59493 HOP PATCH SPRINGS RD
MOUNTAIN CENTEF., CA 92561-4018
Contractor:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD 40
INDIO, CA 92201
(760)574-4444
Llc. No.: 930133
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificate cf consent to self -insure for workers'
compensation, as provided for by Section 3700 cl the Labor Code, for the performance
of the work for which this permit is issued.
,00 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 ,_arrier and policy number are:
Carrier: Polity 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 subjecuto 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 Code, I shall forthwith
comply with those provisions.
Date: Applicant:
Applicant:�.�_�.li_
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IV SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOW! EDGEMENT
IMPORTANT: Application is hereby made to the 3uilding 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 Cty 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 applicai.ion 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 ordinz nces 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: Y'� 3'%y Signature (Applicant Cr Agent):,
r
FINANCIAL ,1.
`� :, . t•r DESCRIPTION ; ��; M „,�
' ; y ACCOUNT 3"-
`QTIf!
AMOUNT -� PAID "PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $0.00
PAl BY"
+RMETIiOD�' '_
:!may ,� RECEIPT#' K '� 'CH ECK# T. ^ ;CLTD BY'
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTIONS k . s;
, ACCOUNT
AM'OUNTs-�.
, ' PAID ",,'
..
,PAID: DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID -BY y;a
s,�, z
;r r. r.,..
y 3;" METHOD
sk �?'
Ii yr; RECEIPT +
x ..... •'- ,p
CHECK#
' ..
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
`'DESCRIPTION - ;� a
":' .;; ACCOUNT
QTYAMOUNT
=f PAID' `_
.PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
'PAID BY, s`
-, METHODS
i;;;;RECEIPT # "
ti , CHECK # '',
CLTD BY.,
DESCRIPTION �? :a
ACCOUNT'*
QTY
AMOUNT
G PAID
.PAID DATE,
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
r^ ;, PAID BY
METHOD•
` ' ,; -"RECEIPT # ; ,
_ . CHECK #
CLTD BY"
Total Paid for PLUMBING FEES:. $24.18 $0.00
TOTALS:00
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Description: ABANDON SEPTIC/SEWER CONNECT ,
CONDITIONS
Type: PLUMBING -.
Subtype:' Status: SUBMITTED
Applied: 9/23/2014 SKH
Approved:
Parcel No: 773261023 Site Address: 52383 AVENIDA RAMIREZ LA QUINTA,CA 92253
Subdivision:
Block: Lot:
Issued:
Lot Scl Ft: 0 -
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $4,000.00 , -
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
,*. Yr
Details: ABANDON SEPTIC TANK/CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
TOMMY ROOTER PLUMBING INC
- � • fir. ? vs ";ix .? ��• `
f - ADDITIONALCHRONOLOGY
L
Printed: Tuesday, September 23, 2014 4:08:59 PM .1 of 2 .
SYSTEMS
CONDITIONS
CONTACTS
"NAME+TYPE. :
, -r .� "'NAME
s 3
a :ADDRE5S1•�' x: -
r�: .,CITY ' - ,STATE �`
'�..'`�_ * „y..
: ZIP;
PHONE
FAX, -.
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APPLICANT -
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO CA
92201
,(760)625-3013
CONTRACTOR
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO CA
92201
(760)625-3013
OWNER
SUSAN GONZALEZ
59493 HOP PATCH
SPRINGS RD
MOUNTAIN CA
CENTER
92561=
4018
(760)625-3013
Printed: Tuesday, September 23, 2014 4:08:59 PM .1 of 2 .
SYSTEMS
7 77 �7-777
77"'t77
, S NOTES
7 7�;
.4
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REVIEWS
iDESCRIPTIOk" j�
C
ACCOUNT t�
AMOUNT 0 N T'
PAID,!-
PAID DATE.:;
,CHECK
iMETI-16D
-,',PA ID:BY1j,
BY
ATE
REVIEW TYPE - REVIEWER SE bLi� D7�iE
-15ATE
NOT
x+1
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: $117.03 $0.00
INSPECTIONS
SEQID' I SPECTION TYPE 37*� INSPECTOR SP'EC'T0 k SCHEDULED, COMPLETED
, S NOTES
V DATE" DATE
PLUMBING FINAL"
v
r.
Printed: Tuesday, September 23, 2014 4:08:59 PM 2 of 2 CB?wSYSTEMS
PARENT PROJECTS
REVIEWS
RETURNED
STATUS
REMARKS
4"
ATE
REVIEW TYPE - REVIEWER SE bLi� D7�iE
-15ATE
NOT
x+1
v
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Printed: Tuesday, September 23, 2014 4:08:59 PM 2 of 2 CB?wSYSTEMS
fes-
COACHELLA,VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
_ INVOICE Date: 9/5/2014
SUBJECT: SCC ONLY- 52383 AVENIDA RAMIREZ, LA QUINTA, LID 683890
GONZALEZ SUSAN Project: 14-5778.
59493 HOP PATCH SPGS.RD Project Date: 9/5/2014
Amount Due: $4,851.00
MOUNTAIN: CENTER, CA 925614018 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
0
!1.00 FF SCC -COLLECTION $2,415.0') $2,415.00
1.00 FJ SCCTREATMENT
$2,436.00 $2,436.00
$4..851.00
PAID s-5�
Development Servi s Department
SEP 0 5 2014 Corri
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
-=7-0�-''T ---- =- ---- =-
SUBJECT;SCC ONLY- 52383 AVENIDA kAMIREZ, LA QUINTA, LID 683890
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760)'398-2651
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Bin # - t
r . City of La -' uinta
Building 8r Safety Division , ; 1
Permit # P.D. Box 1504, 78-495 Calle Tampico . e
La Quinta, CA 92253 -.(760) 777-7012
Building Permit Application and Tracking Sheet
Project AddTcss: S""2 Owner's Name:
A. P. Number:.
r
,Address: -"
Y `Y--4,;r9;�
'City, ST; -Z�ip-:t%i.jOKr st-�>JJ�lr.-�•�—�
JJy[f�--�- .�:"t"'•*•,:::.:{.�.;•::;;....,.�.;:..'.�...;,.�.,
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-y-sTelephone:
Legal Description:
Co_ ntract�or
Address: .4b ,X,r . j�(,� �
Project Description: -o�G eco . 'tic
City, ST, Zip:
'Telephone:
' State Lic. # : 3o
City Lie. #;
z '
Arch., Engr., Designer:
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.Address:
City., ST, Zip:
Telephone:
<;r < :'•?? is>:=:::::i: .
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:' �ss!�a . , %<6b ra�ok
# Stories:
if Units:
Telephone # of Contact Person ?(a
&.qx - 2013
Estimated Value of Project: oto
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets'
Plan Check submitted
Item
Amount
Structural Calcs..
Reviewed, ready for corrections
Plan Check Deposit
Truss Cala.
Called Contact Person
Plan Check Balance.,
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrcctionstissue .
Electrical
Subcontactor List
Called Contact Person
Plumbing -
Grant Deed
Plans picked up
S.M.I.
R.O.A. Approval
Plans resubmitted
Grading
,
IN ROUSE:-
3" Reyiew, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees