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14-0141 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:, 14-00000141 Property Address: 54625 AVENIDA RAMIREZ APN: 774-275-018-6 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 2450 Applicant: I hereby affirm underpenalty of perjury that I Section 7 00) of Division 3 of t e Business License f� CJ42 C36���P\V �atP'$ I 1 Cnntf,'IR.TM' 'F -41Y_4 BUILDING & SAFETY DEPARTMENT' BUILDING PERMIT Owner: PATRICIA MATHIS P O BOX 254 LA QUINTA, CA 92253 VOICE (760) 777-7012 D - X (740 X77-7011 CTI S (76 7-7153 i FEB 12- Ml e: 12/14 CITY OF w QUINTA _# FINANCE DEPT. Contractor: Architect or Engineer: HAMMER PUMPING INC P.O. BOX 2448 CATHEDRAL CITY, CA 92235 (760)321-7448 LiC. No.: 661018 ---- ------------------------------------------------------------- - - - - -= TOR' DECLARATION under p 'ions of Chapter 9 (commencing with ,.Is Code a y License is in full force and effect. OWNER -BUILDER -DgC LARATI O 'I hereby affirm under penalty o erjury that.l am exempt from tfie Contrac or 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 fora permitsubjects 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 novintended 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 herselfthrough his orher-own employees, provided that the improvements are not intended or offered for sale. If, however, the building or- improvement is sold within one year oCcompletion, the owner-builder'will have the burden"of proving that he or she did not build or improve' for:the purposeof 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 Name: Lender's Address: LQPERMIT 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 save and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which t s permit. is issued. My workers' compensation insurance carrier and policy number are: I certify that,-ierformance of he orkfor ich is permit lsissued, .l shalfnoi employ any person m ymanner sous to beco esub' t to [h 'workers'.c mpensation laws of California, 4FAIL grefe that,if 1 should. becom uble, tothe wor 'comp nsation provisions of Section 0 # the Labor Code I ha h' tfi comply with.tho r visions. Date: -WARNI : URE TOSECUREWORKERS' COMPENSATION COVERAGE IS UNLA FUL, 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 o ission 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 a void if work isnot commenced within 180 days from date of issua permit, or ces tion of 180 days will subject permit to cancellation. I certify thaO have read this application an state thatthe a ve infor tion is cor I agre to comply with all city .and co my rdinances and state law relating to buildi constr ion, and hereby a ri representatives of 'h is ty t enter upon the above-menur above-mentioned pro rt f r in ction pposes. Da Lig Joh!i L L Signature (Applica t or Ag, � Application Number . . . . . 14-00000141 Permit . . . . . . PLUMBING 2013 Additional desc . . Permit Fee . . . . 11.92 Plan Check Fee . Issue Date . . . . Valuation Expiration Date . . 8/11/14 Qty Unit Charge Per Extension 1.00 11.9200 EA PLBG SEPTIC SYSTEM 11.92 ---------------------------------------------------------------------------- Special Notes and Comments PLUMBING - ABANDON SEPTIC TANK, CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 4.77 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 96.34 .00 .00 96.34 Grand Total 108.26 .00 .00 108.26 LQPERMIT Din # -Gr, of La i�Q urn to f Building 8r Safety Division P:O Box 1504, 78 495 C I&Tampico La Qu(nta, CA 92253 (760) 777-70.12' Building Permit Applcat►on'and Tracking Sheet Permit # ii 4"- l �'� Project Address: 5 ZSR. nn i 2 c Owner's Name . P A. P. Number: Address"�6� Z �( Legal Description: r ' City, ST, Zip .L f 4 v C -A ct 2 -L. Y / Contractor: oc• " Tele hone:. Address: ' D k Z L-[. 1-k...• ' . P`ro�ect Description: `:� t L City, ST, Zip:. ,.., C,�-rh.CUl--�IJELI(.d. Telephone:—? ::::%:i::°.::::::<:.>.::>:;:<:>;:>s::•r,:.:>:>::.>.»; . f State Mc. #: CrtyLrc Arch., Engr., Designer. Address: City., ST, Zip: Telephone: P <:'•.»_:•:,.;.,:::::;.:::::;>;:.::.::::;. ;. ;>;;::;:.;;:.: :' : •:h•.::::::::.::.::•:::•.:... ` 'Construction Type:: Occupancy: State Lic. #: 'Project type (circle one),j,New Add'n Alter Repair Demo 'Name of Contact Person: . Sq:. Ft.: # Stories: # Units: Telephone #,of Contact Person:. Estimated Value of•Project APPLICANT: MNOTWRITE,BELOWWTHIS LINE H Submittal Req'd Reed ?TRACKING 7 PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Revieived, ready o corrections 'Plan Check Deposit Truss Calcs. Called'ContactPerson < Plan Check Balance, Title 24 Calcs.Plans picked up .. `,. - Constcuctiop Flood plain plan 4 Plans resubmitted 'Me'chanical Grading plan 2od Review, ready for corrections/issue Eleetrical Subcontactor List . "Called otitact•Person Plumbing Grant Deed Plan's picked,up ' S.M.1., H.O.A. Approval Y. Plans resubmitted %' Grading IN HOUSE:- '"' Review, ready for corrections issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue, School Fees ,Total Permit Fees Stenhanie Khatami From: randy knowles <randyk@hammerpumping.com> Sent: Wednesday, February 12, 2014 8:52 AM To: Stephanie Khatami Subject: Re: [Scan] 2014-02-12 08:18:40 ■ 1.00 FF SCC -COLLECTION , ' $2,415.00 r GOACHELLA•VALLEY WATER DISTRICT +N ER 4�gTRs P.O: BoX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 2/10/2014 SUBJECT: SANTA CARMELITA, 54625 AVENIDA RAMIREZ, LA CIUINTA, LID 691264, "SCC: FEE ONLY" PATRICIA MATHIS Project: 14-5223 PO BOX 254Protect Date: 2/10/2014 Amount Due: $4,851.00 LA QUINTA, CA 92241 GEO: ' 06 06 i3-1 ti Planner: SANDRA VILLALQBOS TO INSURE PROPER CREDIT, PLEA$E RETURN TMS, PORTION WITH REMI TANCFANDANCLUDETMEPROJECTONYOUR'CHECK 'I FEB' 10 2013 ■ 1.00 FF SCC -COLLECTION $2,415.00 $2,415.00 1.00? FS SCC -TREATMENT $2,436.00 $2,.436.00 $4,851.00 FEB' 10 2013 COACHELLA VALLEY .. WATER DISTRICT. , ' ... �.. :4 • - y ... i, a Y. SUBJECT. SANTA CARME .LTA, 54625 A+IENIDA RAMIREZr LA OUiNTA CIO B4i' e" •crrr rxF nnuav- r t J f •". 4 r' COACHELLA VALLEY WATERI. DXSTRICT` ...,..�_..