05-1935 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
_-,Application Number:05-'"-`000
10 ,935
Property Address:
532-10 AVENIDA RAMIREZ
APN:
774-052-011-14 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
3200
-Applicant:
D °
Archllet
MAY 19 2005
CITY OF LA QUINTA
FINANCE DEPT:
4 VOICE (760) 777-7012 4
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/19/05
Owner:
ALVARADO SANTOS B
53210 AVENIDA RAMIREZ
LA QUINTA, CA 92253'
Contractor:
ineer: Owner
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I 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 Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor: _ I 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
r
OWNER -BUILDER DECLARATION
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 pplicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500).:
() 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 rea"n
ate: � %�—Q ��wneK� io—ai�•_ IcC7 —fes
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
t
insurance carrier and policy number are:
Carrier I 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 come sublet to the workers' compensation laws of ifornia,
and agree that, if I should be me subject the workers' ompensation provisions f Section
3700 of the Labor Code, I all forthwit omply • ith ose provisions.
Date: �r / scant:
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 the Director of Building and Safety for a permit subject to the
conditions and restrictions set forthonthis 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 ab a inform on is cor t. I agree to comply with
city and county ordinances and to laws relating to builds constru on, and by authorize representativ
of this county to enter up a above-mentioned propert for insp ion r S.
,ate: l/"e Signature (Applicant or Agent .
Application Number . .. 05700001935
Permit . . . PLUMBING SEWER
Additional desc .
Permit Fee 30.00.
Plan Check
Fee
.00
Issue Date
Valuation
3200
Expiration Date 11/15/05
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 30.00
-----------
.00
----------
.00
30.00
Plan Check Total .00
.00
.00
.00
' Grand Total. 30.00
.00
.00
30.00
COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL
E: �108059-
Receivedr..
' .. From: .1 �'t] P. f `, > ✓��K� %' ,NQ
Date:
s Address: Jf ' ✓ ��S %i::r� •} `�i' c;' W� f4�� ,��
Account No. !7 (7 r7� , l Lots) L�� cs1 ��% `i" -
Tract
Service Address-- G.A. Code
€" ❑ Meter(s) $
t: ❑ Service(s)
f; ❑ Backflow(s)
k.
❑ House Lateral(s)
❑ Detector Check(s)
❑ Meter Surcharge
F, Sanitation Capacity Charge fir.- VV
i`
0,
W.S.B.F.C.
i.
)., ❑ S.I.W.S.C.
t' ❑ Temporary Construction Meter
❑ Turn on Charge
r ❑ Uncollected Account - Name
r ❑ Inspection Fee - Tract - '
r
j' Fee -
t. ❑ Plan Check Fees Water / Sewer -
r` Tract -
E; ❑ Bond Payment - A.D. - Bond Assmt
i, ❑ ' Customer Deposit
❑ Other
l
TOTAL
I' Remarks:
Copy to: ',/a S 1,^_`_•�!_'
l Cash
Check . Water Service
;. Money {-.<-
Order Cashier K• �`�rfi
•
. .. CVWD-438 (1/05)
TELEPHONE (760) 777-7012 FAX (760) 777-7011
OWNER/BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified.
For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a
permit. Building permits are not required to be signed by property owners unless they are persormlly performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business license
from the City or County. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcor_tract, you should be
aware of the following information for your benefit and protection:
If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $200.00 or more for the entire project, and such persons are not licens?d as contractors or
subcontractors, then you may be an employer.
If you are an employer, you must register with the State and'Federal Government as an employer and you are subject
to several obligations include State and Federal income tax withholding, federal social security taxes, worker's
compensation insurance, disability insurance costs and unemployment compensation contributions.
There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with
respect to worker's compensation insurance.
For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if
you wish, the U.S. Small Business Administration). For more specific information about your obligations under State
Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontracts, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building
permit, erroneously implying that the property owner is providing his or her, own labor and. material personally.
Building permits are not required to be signed by property owners unless they are performing their own work
personally.
Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your
community or at 1020 N. Street, Sacramento, California 95814.
Please complete and return the enclosed owner -builder verification form so that we can confirm a:hat you are aware of
these matters. The building permit will not be issued until the verification is returned.
Very truly yours,
CITY OF LA QUINTA
DEPT. OF BUILDING AND SAFETY
78-495 Calle Tampico
La Quinta; CA 92253
(760) 777-7012
FAX: 0) 7 -701
OWNER'S SIGNATURE/DATE
PROPERTY ADDRESS
OS-IQ35
PERMIT NUMBER(S)
VALLEY WIDE PUMPING -SERVICE
"Your Waste Is Our Problem"
JOB INVOICE a.r.
09694
- 1 uu J.-Junrlse way bun. 1.3.5 •
PALM SPRINGS, CA 92262 - '
(760)322-2400 • (760) 347-3545•.
sL(� Y Y JYJ
CUSTOMER'S ORDER NO.
_DATE ORDERED
—2 OJ
&
ORDER TAKEN BY
DATE PROMISED 0 A'.M.
❑ P.M.
ADDR S
L� _
;16 Y I
JNI
HEL �
1 B NWME A LOCATION
-
0 DAY WORK
0
DESCRIPTION OF WORK
-CONTRACT
❑ EXTRA
itj
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOUNT
Gallons
Pumping Fee per 1000 gal.
Dumping Fee per 1000 gal.
Out of Area Fee O
L/
7
Locating / Opening Fee (per hour)
r
Size System:
y e_
A SERVICE CHARGE OF $20 WILL BE DUE
ON ALL RETURNED CHECKS.
A FINANCE CHARGE OF 11/2% PER MONTH, 18% PER YEAR
WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
HOURS
LABOR
- AMOUNT
TOTAL
MATERIALS
MECHANICS Q
TOTAL .
LABOR
HELPERS Q
I hereby acknowledge the satisfactory TOTAL LABOR
completion of the above described work:
TAX
SIGNATURE !"`�ti<r`�..,+ i-
DATE COMPLETED
` o�
TOTAL
k
To Reorder Call NESS CUSTI{iM'°printing service TOLL FREE 1-800-88.6327 NESS, Ina, Polerborough, NH 03458. Ref. No: G 710703566...
NOTICE TO OWNER_.
Under the California Mechagics Lien Law any contractor, subcontractor, laborer, supplier
or other person who helps to improve your property, but Is not paid for his/her work or
supplies, has a right to enforce a claim against your property. This means that after a court
hearing, your property could be sold by a court officer and'the proceeds of the sale used to
satisfy the Indebtedness. This can happen even if you have paid your contractor in full if the
subcontractors, laborers or suppliers remain unpaid.
To preserve their right to file a claim or lien against your property, certain claimants such
as subcontractors or material suppliers are required to provide you with a document entitled
"Preliminary Notice:' Original (or prime) contractors and laborers for wages do not have to
provide this notice. A Preliminary Notice is not a lien against your property. Its purpose is to
notify you of persons who may have a right to file a lien against your property If they are not
paid, Generally, the maximum time allowed for filing a claim or lien against your property Is
ninety (90) Days after completion of your project.
TO INSURE EXTRA PROTECTION FR! YOURSELF AND YOUR PROPERTY,.
YOU MAY WISH TO TAKE ONE OR MORE OF TRE FOLLOWING STEPS:
1) Require that payments be made directly to subcontractors'and material suppliers through
a joint control. Any joint control agreement should Include the addendum approved by the
Registrar of Contractors.
2) Issue joint checks for payment, made out to both your contractor and subcontractors or
material suppliers involved, in the project. This will help to insure that all persons due payment
are actually paid.
3) After UPON making payment on any completed phase, of the project, and before making
any further payments, require your contractor to provide you with unconditional lien releases
signed by each material supplier, subcontractor and laborer involved In that portion of the
work for which payment was made. On projects Involving improvements to a single family
residence or a duplex owned by individuals, the persons signing these releases lose the right
to file a claim against your property. In other types of construction this protection may still be
Important, bukmay not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU
Mj,lST BE CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS
HA t SIGNtD.
0
AV
- VALLEY WIDE- PUMPING SERVICE. - ANVOICE
. 1. ;
"Your Waste Is Our Problem" 09754
iuu 0. ounrlse vvdy oulte 117a:
PALM -SPRINGS; CA 92262
.(760) 322'4400'---(760)-347-;3545--
CUSTOMER'S ORDER NO.
DATE ORDERED
ORDER TAKEN BY.,
E-4-ROMISE . D. -.-0 A.M.
0 P.M.
BILL
A
/E4, �Z
S
MECO/
EC C
CI Y1
HELPER
JOB ME AND LOCATION
0_ DAY'WORK
CONTRACT
DESCRIPTION OF WORK
-
'0 EXTRA
QUANT.
DESCRIPTION OF MATERIAL USED
PRICE
AMOONT
Gallons all ns
Pumping Fee per 1000 gal.
Dumping Fee per 1000 gal.
Out of Area Fee
Locating Opening Fee (per houq,'-',
19
Size System: ry
V
A SERWCE-CHAIELGE-OF-0-0 WILL BE DUE"
ON ALL RETURNED CHECKS.
A FINANCE CHARGE OF 11/2% PER MONTH, 18% PER YEAR
WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
HOURS
LABOR
AMOUNT
TOTAL
MATERIALS
MECHANICS (6
TOTAL`
LABOR -
HELPERS @
I hereby acknowledge the satisfactory
completion of the above described work:
TOTAL LABOR
L
TAX
SIGNATURE
DATE COMPLETE.
TOTAL
/9 r
-00-
To Reorder Call NEBS CUST46M"printing service TOLL FREE 1-800-888.6327 NEaa Inc., Patooborough, NH.;03458. Ref. No: G 710703566
v
NOTICE TO OWNER
Under the California Mechanics Lien Law any contractor, subcontractor, laborer, supplier
or other person who helps to improve your property, but Is not paid for his/her work or
supplies, has a right to enforce a claim against your property. This means that after a court
hearing, your property could be sold by a court officer and the proceeds of the sale used to
satisfy the Indebtedness. This can happen even if you have paid your contractor in full if the
subcontractors, laborers or suppliers remain unpaid.
To preserve their right to file a claim or lien against your property, certain claimants such
as subcontractors or material suppliers are required to provide you with a document entitled
"Preliminary Notice:' Original (or prime) contractors and laborers for wages do not have to
provide this notice. A Preliminary Notice is not a lien against your property. Its purpose Is to
notify you of persons who may have a right to file a lien against your propertX if they are not
paid. Generally, the maximum time allowed for filing a claim or lien against your property is
ninety (90) Days after completion of your project.
TO INSURE EXTRA PROTECTION FOR YOURSELF AND YOUR PROPERTY,
YOU MAY WISH TO TAKE ONE OR MORE OF THE FOLLOWING STEPS:
1) Require that payments be made directly to subcontractors and material suppliers through
a joint control. Any joint control agreement should include the addendum approved by the
Registrar of Contractors.
2) Issue joint checks for payment, made out to both your contractor and subcontractors or
material suppliers involved in the project. This will help to insure that all persons due payment
are actually paid.
3) After UPON making payment on any completed phase pf the project, and before making
any further payments, require your contractor to provide you with unconditional lien releases
signed by each material supplier, subcontractor and laborer involved In that portion of the
work for which payment was made.. On projects Involving improvements to a single family
residence ora duplex owned by individuals, the persons signing these releases lose the right
to file a claim against your property. In other types of construction this protection may still be
Important, but may not be as complete. TO PROTECT YOURSELF UNDER THIS OPTION YOU
MUST BE CERTAIN THAT ALL MATERIAL SUPPLIERS, SUBCONTRACTORS OR LABORERS
HAVE SIGNED,