11-0735 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 11-00000-7,35'
Property Address: _"46381 ROUDEL LN
APN: 649-051-003-3 -2667
Application description: PLUMBING
Property Zoning: MEDIUM DENSITY RES
Application valuation: 3000
App
licant:1----------------�-�--
I hereby affirm under penalty of perjury that I
Sectio 70 0) of Division 3 of the Business t
Licensh Clls: C42 C36
/Datee:
Architect.or Engineer:
PIP
Is Cbdq, and
License
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
-----------------
CLARATION
i of Chapter 9 (commencing with '
y License is in full force and effect.
61018
.1t/IDWNER-BUILDER DECLARATION
I hereby affirm under penalty of p rjury t all am exempt from the Contractor's State License Law for the -
following reason (Sec. 7031.5, Bu ' e 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).:
(_ 1 1, 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
pruperty vertu uuiius ui Inip,vvea Ll,e,evn, v„ 1 ..I,., vvulfuLto far the prajeste %with it 6vntrovtor(o) IIQQnr'nd
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
Owner:
THARP KEN J
46381 ROUDEL LANE
LA.QUINTA, CA 92253
Contractor:
HAMMER PUMPING INC
P.O. BOX 2448
CATHEDRAL CITY, CA 92235
(760)360-7448
Lic. No.: 661018
VOICE (760) 777-7012'
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
------------------
WORKER'S COMPENSATION DECLARATION
Date: 7/06/11
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 Section3700 of the Labor Code, for the performance of the work for which this permit is
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work for w ' ermit is issued. My workers' compensation
insurance carrier and policy.number are!
Carrier SELF - INSURED Polic umber 2246
I certify that, in the erformance o the k for which thi permit is issued, I shall not employ any
person in any anner so as to eco su o the w rkers' compensation laws of California,
E111 t1 and agree thtn, if I should bec me bject to the r s' compensation provisions of Section
1 t 3700 of thebor Cod,
s I f rthwith comply wit tho isions.
tee.'7 L 0L A nlic 1 w
WARNING: FAILURE TO SE RE W RKEPS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL -
SUBJECT AN EMPLOYER TO CRLVnNAL FIENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS IS100;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 Fanh mrsnn llnnn whose behalf this 999liyi1ion 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 applidati0R,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Quinta, its officers, agents and�pl . s for any act or * mission related to the work being
performed under or following issuance of this p mit.
2. Any permit issued as a, result of '�iis application comes null and void if work is not commenced
within 180 days from date of ,ssuance of such ermit, or ssatio rk for 180 days will subject
permit to cancellation.
I certify at have read this application and state that the ove infor ation i correct I agree to comply with all
city and oury ordinances and state laws relating to build g constr coon, and eby authorize representatives
of this
ct nt to enter upon t ove-mentioned propert or ins ction purposes.
ate: l S' nature (Applicant 11 \or Agent):
Application Number . . . . 11-00000735.
Permit PLUMBING SEWER
Additional desc .
Permit Fee 30.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 3000
Expiration Date 1/02/12
Qty Unit Charge Per
Extension
BASE FEE
30.00
Special Notes and Comments
SEPTIC ABANDON, SEWER CONNECT. 2010
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 - -
'
J�AT1R .. COACHELLA VALLEY WATER DISTRICT
O�ssa� P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651'
INVOICE Date: 715/2011
SUBJECT: 46381 ROUDEL LN, LA QUINTA, LID 304948 *SCC FEE ONLY"
KEN J. THARP Project:
11-3031
46381 ROUDEL LN
Project Date:
7/5/2011
Amount Due:
$4,231.00
LA (IUINTA, CA 92253 GEO:
05-07-29-1
Planner:
SANMA VILLALOBOS
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: 46381 ROUDEL LN, LA QUWTA, UD 304948 "SCC FEE ONLY'
COACHELLA VALLEY WATER DISTRICT
P.O. 80X,1058, COACHELLA, CALIFORNIA 92236 '(760) 398-2651 Pagel
Bin #
Qty of Ta Quinta .
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:c�i� c _
telephone:.`-:>:{.;:r?:>::>>;..::.:•Hz n< >`
i:vrb�i.4ii:4:^y::liini
Address? 6,
Project Description:
City, ST, Zip: �''�2cA G -•
Clw CLQ �, .G
Telephone: � 6 3 L.0 7 q �
F:. ,,,;:;..;;; .:.<:r!>:.......:: : •.r.:
State Lie. # :
City Lie. #•:
Arch., Engr., Designer:
Address:
City., ST, Zip:
.
Telephone:
:•...it„;�.r::?3:;::4c`:Sii:'i`i:f:: r'�::i:Y:'t:2:<:
:;::::;::;;:::f•,•:,y.rr:<..<,.
~'<r:!;' �'>'•%- .....::;> •>w'>'
Construction Type: Occupancy:
State Lie. #:
.Project type (circle one): New Add'n Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Ba
Estimated Value of Project: dd5'4b-`
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 Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
V Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'”' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Pees