BPLB2015-004578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2015-0045
Property Address:
50645 CALLE QUITO
APN:
770095006
Application Description:
SESSUMS/ABANDON SEPTIC -CONNECT TO SEWER
Property Zoning:
C-)
Application Valuation:
$3,600.00
Applicant.
HAMMER PLUMBING AND PUMPING IN
P O BOX 2448
i�
CATHEDRAL CITY, CA 92235
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 Pr fessions Code,
and my License is in full force and effect.
License Class: C42 C3 License No: 661018
Date: /(% / Contrakto w
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.).
(_) 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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
3/.1_7,/„ 2.01
Owner:
co'
YVONNE SESSUMS
50645 CALLE QUITO
C-)
�'
LA QUINTA, CA 92253
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Contractor:
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HAMMER PLUMBING AND PUMPING I
P O BOX 2448
`^
CATHEDRAL CITY, CA 92235
.(760)360-7448
Llc. No.: 661018
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of fie following declarations:
I have and will maintain a certificate :)f consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
oWe w or which this permit is issued. '
I have and will maintain workers' conpensation insurance, as required by
on 700 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 tP,e work for which this permit is issued, I
shall not employ any person in any manner so a: to become subject to the workers'
compensation laws of California, and agree that if I should becom subje oah'e Y
workers' compensation provisions of Sectio —0-o a Labor -ii all orthwith
comply wiJ those frovisions.
Date: Applica t/
1
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 Building 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 Gity 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 (have read this application and sta.e that the above infor ati orrect.
I agree to comply with all city and county ordinances and s re g to ilding
construction, and hereby authorize representat.ves of t 's city to e h above
mentioned rop rty for inspection purposes.
Date: Signature (Applicant cr Ag nt):
T.
z
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 3/3/2015
SUBJECT: DESERT CLUB, 50645 CALLE QUITO, LA QUINTA, LOT 52, LID 676594, "SCC FEE Oh LY"
MARTHA SESSUMS Project:
15-6156
544 PALM AVENEUE Project Date:
3/2/2015
Amount Due:
$4,851.00
LOS ALTOS, CA 94022 GEO:
06-07-06-1
Planner:
SANC-RA VILLALOBOS
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT:DESERT CLUB, 50645 CALLE QUITO, LA QUINTA, LOT 52, LID 676594, "SCC FEE ONLY"
COACHELLA VALLEY WATER DISTRICT
,P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
•INFORMATION
DESCRIPTION_°y ` ACCOUNT. r'
'Q'T'Y-:
AMOUNT`.
_ -P AI 5= -PAID DATE
r BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0,001.
€ PAID BYe ' �t METHOD
RECEIPT#
§ CHECK# �`° . CLTD BY-'
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION Vis°
ACCOUNT ' �y _
QTY'
' " AMOUNT
PAID &`PAID:DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID`BY.'-METHOD`
_•
a �•�.�RECEIPT#
. s•,•
CHECK# �_
-
CLTDBY,:
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Total Paid forPERMIT ISSUANCE: $91.85 $0.00 i
::.DESCRIPTIONcti
ACCOUNT f, `
:QTY'
AMOUNT '
- a PAID, $
PAID DATE'
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID. BY r: j � � k;
sf p METHOD' ` ' s
RECEIPT # k , a
a� 'CHECK #
CLTD BY;
'DESCRIP-TION ; _ ; - _
y,`8 , ACCOUNT' '' '
QTY:
'AMOUNT
I,,' ,PAID
PAID DATE-
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY �'�y
METHOD .
=RECEIPT #
',CHECK #-".CLTD
BY
J
1 -
Total Paid forPLUMBINGTEES: $24.18 $0.00
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Description: SESSUMS/ABANDON SEPTIC -CONNECT TO SEWER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 3/17/2015 SKH
Approved:
Parcel No: 770095006 Site Address: 50645 CALLE QUITO LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 5 Block: Lot: 52
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: _.
Finaled:
Valuation: $3,600.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: PLUMBING - ABANDON SEPTIC SYSTEM/CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
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APPLICANT
HAMMER PLUMBING AND PUMPING
P O BOX 2448
CATHEDRAL
CA
92235
(650)222-4372
IN
CITY
CONTRACTOR
HAMMER PLUMBING AND PUMPING
P O BOX 2448
CATHEDRAL
CA
92235
(650)222-4372
IN
CITY
OWNER
YVONNE SESSUMS
50645 CALLE QUITO
LA QUINTA `
CA
.92253
(650)222-4372
. FNAN_CIALMk( RMATION,.
Printed: Tuesday, March 17, 2015 4:07:08 PM - 1 of 2
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Total Paid. for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
DESCRIPTION
.ACCOUNT
QTY
AMOUNT
PAID., .
PAID DATE
RECEIPT #
CHECK #
METHOD .
- PAID BY
CLTD
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BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
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Total Paid. for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
- `*Si"
e,
Total Paid forPERMIT ISSUANCE: $91.85 $0.00 -
BUILDING SEWER
101-0000-42401
0
$12.09
.$0.00
3
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BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.00
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PARENT PROJECTS
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DOC 3/17/2015 STEPHANIE KHATAMIFCVWD RECEIPT 3-17-15 CVWD RECEIPT 3-17- 0
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Printed: Tuesday, March 17, 2015 4:07:08 PM 2 of 2 r .IYSTF S
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-' _"REMARKS
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DOC 3/17/2015 STEPHANIE KHATAMIFCVWD RECEIPT 3-17-15 CVWD RECEIPT 3-17- 0
- i5.pdf
Printed: Tuesday, March 17, 2015 4:07:08 PM 2 of 2 r .IYSTF S
Bin # .. City of La Q I.I l n to .
.-Building 81: Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico.
La Quinta, CA 92253 -.(760) 777-7012.
O �f� Building Permit Application and Tracking sheet
Project Address: lD lis CorL L. Owner's Name: r' \ IA Q- k �'kL�
A. P. Number:
Address: SL .UL(r [ A" L (I t l) TO
Legal Description:
City, ST, Zip: Q tJ 1
Contractor: <
c h n
T Lf
Telephone: Z. L
o Z2 1
s
Address:' Z w (_I
Project Description:
City, ST, Zip: car-,—, i, t To
Telephone:
(-P kJ
State Lic. # : (p (.b �j
City Lie. #t
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
?
°
:
Construction Type: Occupancy:
State Lie.
(circle one): New Add'r Alter Repair Demo
Project type ( 1 0 ) ep
Name of Contact Person:
'
Sq. Ft.:
# Stories:
If Units:
Telephone #,of Contact Person:
ao
Estimated Value of Project: o U—
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES -•
Plan Sets
PIan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up,
Consouctio a
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
r
2"' Review, ready for corrections/issue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
S.M.T.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Reyiew, ready for corrcctionstissuc
Developer Impact Fee
F
Planning Approval
Called Contact.Person
Pub. Wks. Appr
Date of permit issue
School•Fccs
Total Pcrnia Fees