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10-1055 (PLBG)P.O. BOX 1504 . 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-0.0001055 \ Property Address: 52900 AVENIDA RAMIREZ APN: 773-323-008-19 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 2400 Applicant: Architect or Engineer: 1 �• 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 Professi nd m License is in full force and effect. License Class: A B C3 6 Q4 License No.: tractor: �from DECLARATION I hereby affirm under pena y o perjury, that 1 am exemContractor's State License Law �the following reason (Sec. 7.031.5, 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 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.). 1 1 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 Name: F Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 'TIONS (760) 777-7153 Date: 1 1 Owner: n CITY F LA 78-4955CALLEUTAMPICO LA QUINTA, CA 92253 iii C1� Fj� NCE U��Tq FPT 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. 1 have and will maintain workers' compensatiori 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 1820769-2010 _ 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, d. agree that, if I should become subject to the w ns of Section 700 of the Labor Cod ate: c WA NI 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 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) 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 b g , hv authorize representatives of this county to enter upon the above Application Number . . . 10-00001055 Permit PLUMBING SEWER Additional desc . Permit Fee . . . . 3.0.00 Plan Check Fee 00 Issue Date . . . . Valuation 2400 Expiration Date 4/09/11 Qty Unit Charge Per Extension BASE FEE 30.00 Special Notes and.Comments SEPTIC ABANDON, SEWER CONNECT. 2007 CODES ------------- - ----------------- - --------- 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 - 1.00 SCC -COLLECTION $1,836.00 11 k ' $-1,836.00 1.00 SCC -TREATMENT $2,395.00 11 ' °, $2,395.00 $4,231.00 PAIS s 023/.00 OCT 19' COACHELLA VALLEY AER ISTRICT•-` , BY PEON FOR THE ANNEXATION OF CERTAIN LAND TO t IMPROVEMENT DISTRICT NO. 41 NO. 53 _.• NO. 54 NO. 55 NO. 58 AND REQUEST FOR SANITATION SERVICE OF COACHELLA VALLEY WATER DISTRICT etition a r alleges: (1) That it is the owner of certain land in the County �of Riverside, State of California, described as: Tract or Parcel Map(N.ame or Numbery Block Record of Survey:' Book Page Lot g Map Book: Book Lot Conveyance Deed required and attached �_ S, R (p Sec . �-' T E Street Address 52-900 AVe. am�rez Assessor's Number(s) 773-323-- (2) That it hereby petitions, requests and consents to the annexation of such land to one of the following Improvement Districts: 41, 54, 55. or 51R, to the Coachella Valley Water District. (3) That it understands that the conditions of such annexation are: (a) That the land so anneed to one of..the following Improvement Districts: 41, 54, 55 or 58, shall be subjexct to the existing bond issues and indebtedness r -,of such Improvement District and shall likewise be subject to all assessments, taxes and charges which may be levied.within such Improvement District. (b)., That the land so annexed to one of the following Improvement Districts: 41, 54, 55 or 58, shall be.subject to the payment of an annexation charge in accordance with the amounts set out in District Rules and Regulations in effect at the time of execution of this petition. (4) That the Board Of..Directors of the Coachella Valley Water District may proceed with such annexation and conclude the same at any meeting thereof without further notice to petitioner. (5) The undersigned applies for sanitation service subject to all regulations of the Coachella Valley Water District and agrees to pay a monthly service charge, which shall begin ninety '(90) days after receipt by the District of this petition (when a District sewer is available) or ninety. (90) days after a District sewer becomes available, whichever is later. Any failure to comply with any of the preceding annexation conditions may cause the District to terminate all District services provided the land being annexed herein ' (Type or Print). Tom Hartung, Building & Safety Director for City of La Ouinta Name of Petitioner 10/13/10 78-495 Calle Tampico, La Quinta, CA 92253 Signature of Petitioner Date Mailing Address - nZa Signature of Petitioner 760-777-7019 Date Telephone Signature of Petitioner THIS DOCUMENT REQUIRES THE SIGNATURES OF ALL OWNERS OF Date r r r THE ABOVE DESCRIBED PROPERTY. a# r# a ,r r a a r a a a a r .. # r r r a a a a r a♦ rr r a n • a r r r a a. a r DiISTR y r% r a# r r•♦ r# r s a a r i#..rrraaar :. ��� �� ��� ! to -ado g ��l�tarra#a�.rr#.r;. / D a/ R- /.oanu ' 1p..c-v. !0 091 ASAP- PLIMP11116.9 Inc. Tan Q'32_7227 . 7an Q9Za-n1 '3G Lic NC42 ass 851 Fax 760 365-4118.1-800-334-7255 P.O. Box 2318 • Cathedral City, CA 92235 asappumping@aol.com escaow d DATE AMOUNT BILLTO PHONE ADDRESS ''77 'yy++�� ,��AV A--- FAX CITY - I/u1 '7—,-q- TECHNIC JOB NAME AND LOCATION _ DESCRIPTION OF WORK V` r` - QUANT. DESCRIPTION OF SERVICES PRICE AMOUNT Pumping Fee per 1000 gal, Rooter Service Camera Labor $75/H R Septic Inspection Locating / Opening Fee $75/HR Jetting Service Out of Area Fee After Hours Fee Comments: • SYSTEM FAILING' El YES ❑ NO ' A FAILING SYSTEM MAY FILL BACK UP WITHIN A FEW DAYS AND CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. CHARGE $25 0 0 TOTAL MATERIALS TOTAL LABOR WAIVER: Not responsible for secondary damage such as water damage, chipped concrete, mark on street or driveways or trees. SIGNATURE DATE COMPLETED TAX TOTAL ` O U Qty of La Quint -a Building 8r Safety Wslon P.O. Box 1504, 78-495 Calle Tampico Building Permit Application and Tracking Sheet Permit # to Project Address: '9 P. Number: Address: V 4/ Legal Description: City, ST, Zip - Project Description: Address: Arch., Engr., Designer: State Lie. #: Name of Contact Person: Project type (circle one): New Add'n Alter Repair* Demo Sq. Ft: es: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Ch . eck Deposit Truss CaIcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Dced Plans picked up S.M.1. H.O.4— Approval Plans resubmitted Grading .tN HOUSE:- 30 Review, ready for correctionstissuc Developer Imp.tct Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit F.!es CITY OF LA QUINTA BUILDING & SAFETY DEPARTMENT > (760) 777-7012 INSPECTION REQUEST LINE FMoerN�°. ,; (760) 777-7153 Owner CITY n LA QUINTA REDEVFL Contractor SULCAL & ASSOCIA'T'ES PLUMBING Permit Numbe7�g_IO55 {r:__POST'ON JOB IN CONSPICUOUS PLACE -INSPECTOR.MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-200 AVENIDA RAMIREZ SEPTIC ABANDON, SEWER CONNECT. 2007 CODES. 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 _'Itf 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 FINAL INSPECTIONS TEMP. USE OF PERMANENT POWER ELECTRICAL PLUMBING MECHANICAL PUBLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL / JOB COMPLETED — Z,40r —,- ABOVE ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING