Loading...
BPLB2016-007578-495 CALLE TAMPICO D U a ' VO.IC\!760) 777-7125 LA QUINTA; CALIFORNIA 92253 4X (76 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT r INSPE °IONS (76 7-7153 BUILDING PERMIT Cp�MU n'OF� r ?�,Da /31/2016 Application Number: BPLB2016-0075 Owner: ��E[pp QU�ryjA Property Address: 80119 PALM CIRCLE DR HEINO NURMBERG �FNTQEPfRT APN: 600080032 . 80119 PALM CIRCLE DR �9cryT Application Description: NURMBERG / ABANDON OLD SEEPAGE PIT/INSTALL NEW PIT LA QUINTA, CA 92253 Property Zoning: Application Valuation: $5,000.00 j Applicant: Contractor: ROTOCO INC DBA ROTO ROOTER PLUMBERS ROTOCO INC DBA ROTO ROOTER PLUMBERS 2141 INDUSTRIAL COURT 2141 INDUSTRIAL COURT STE B STE B VISTA, CA 92081 VISTA; CA 92081 (760)598-4234 Llc. No.: 422155 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 Professions Code, and my License is in full force and effect. License Class: A. B. C36, C42 License No.: 422155 �Date:S 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 theN 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).: (_J 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 Lender's 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 forworkers' compensation, as provided for by Section 3700 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 which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: ,Polity 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 a`s to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith . comply with those provisions. I ant 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 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 above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Signature (�4-cant or A Description: NURMBERG / ABANDON OLD SEEPAGE PIT/INSTALL NEW PIT Type: PLUMBING Subtype: Status: ISSUED Applied: 5/27/2016 SKH Approved: 5/31/2016 JJO Parcel No: 600080032 Site Address: 80119 PALM CIRCLE DR LA QUINTA,CA 92253 Subdivision: TR 4518 & INT IN COMMON AREA Block: Lot: 21 Issued: 5/31/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type:' Construction Type: Expired: 11/27/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ABANDON OLD SEEPAGE PIT AND INSTALL NEW 14' SEEPAGE PIT PER 2013 CALIFORNIA BUILDING CODE ABANDON OLD SEEPAGE PIT ONLY. CITY SEWER NOT AVAILABLE. REPLACE SEEPAGE PIT WITH NEW ONE PER HEALTH DEPT. PER 2013 CPC 0 flied to Approved } 5roved to Issued FINANCIAL INFORMATION Printed: Tuesday, May 31, 2016 12:50:35 PM 1 of 2 - r sys7EMs INSPECTIONS PARENT PROJECTS BOND INFORMATION . ... .. ATTACHMENTS . ...... . . ..... .. Printed: Tuesday, May 31, 2016 12:50:35 PM 2 of 2 c9?W1yS7rmS 777777 CLTV DESCRIPTION ACCOUNT: QtY, AMOUNT PAID: PAID DATE 'RECEIPT :'REC .,,CHECK METHOD PAI D BY BY ROTOCO INC DBAMFA BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00. 5/31/16 R15898 21512 CHECK ROTO ROOTER PLU Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: ROTOCO INC DBA PERMIT 1 ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/31/16 R15898' 21512 CHECK ROTO ROOTER PLU MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 . ROTOCO INC DBA SEPTIC SYSTEM 101-0000-42401 0 $12.09 $12.09 5/31/16 R15898 2151 2 CHECK MFA ROTO ROOTER PLU ROTOCO INC DBAMFA SEPTIC SYSTEM PC 101-0000-42600 0 $4.83 $4.83 5/31/16 R15898 21512 CHECK ROTO ROOTER PLU Total Paid for PLUMBING FEES: $16.92 $16.92 TOTALS: $109.77 $109.77 INSPECTIONS PARENT PROJECTS BOND INFORMATION . ... .. ATTACHMENTS . ...... . . ..... .. Printed: Tuesday, May 31, 2016 12:50:35 PM 2 of 2 c9?W1yS7rmS County of Riverside Community Health Agency- / Department of Environmental Health 4080 Lemon Street, 2nd Floor P.O. Box 1206 Riverside, CA 92502 (951) 955-8980 fi. Certification of l st` g Su surface Sewage Disposal / . %. Date of Inspection: T�-� . r (Owner's Name) Property Address) 6dv-� 0-0-63 t (Legal Description and APN) FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT' . OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL. jay 2. Show design and location' on a scale of:1" = 10' to 1" = 40' of the sewage disposal system and 100% expansion area in relation to attached dwellings, structures, wells, rocks, watercourses, etc. on required'plot plan. 3.. a. I.examined•the existing subsurface sewage disposal system at the above location on (date) 9S"��'��- date and determined that the septic tank capacity. is gallons and that there is /sq. ft. of leachline bottom area. There are bedrooms in the dwelling. There are. fixture units. b. There are leac lih ne(s), each ft. long. c. There are plastic chamber(s), each ft. long. y . d. There are / seepage pit(s), each �_in diameter,ft. deep. '`e. The leach bed is ft. by ft., total sq. ft. of Ieach bed' area. 41..::a: 'Construction of septic tank (please check one of the following): " concrete ❑ fiberglass C] steel other: '.Internal dimensions of septic, (length ft., width_, depth I� Condition of tank (please answer yes or no for each .question): 1 Yes No Inlet Tee present? 0® ❑ Outlet Tee present? ❑ Two .compartments? b Tank structure deteriorated?' ❑ 0�°°" *If yes, briefly explain and indicate appropriate correction suggested:.. d Condition of D-Box'(if needed) Level C3 Yes Q-Mp replaced (J Yes El of of>septic_effl.ue.nt_0 Yes:❑_No_.,. 5. a iNhile pumping the tank; did effluent flow back into tank from the absorption stem"? es ❑;;No. b. Prior to pumping; ;was the liquid -level in the, tank above the outlet tee? []ayes ❑ No c. Was the area around the lids oxidized? C] Yes d. 'Is design of system .gravity feed? [ ' es ❑ No e. Were well(s) observed on this or adjacent property? ❑ Yes &WO , If yes, indicate distance of well from: Septic Tank ft. Leachlines ft. Seepage..eits ft. f. Distance from springs, lakes Septic Tank ft. and natural drainage courses: Leachlines 1/ ft. (circle appropriate item). Seepage Pits ft. g. Sewer is within. 200 ft. of system and abuts property line. ❑Yes' ADDITIONAL COMMENTS: h.. How long has dwelling been.vacant?_(if applicable) months weeks. N/A 6a. ❑ It is my opinion that the system appears to be in good working, order and can be expected to function properly with proper maintenance. No repairs are necessary -at this time. . 6b. ❑4 isopmy opinion that the system is not in good working order and will not function properly without the:following repairs: I certify under penalty,gf perjury that the foregoing is true and correct: C-42 State License Number iawre v Expiration Date Print Name Name oMmper Company -and Receipt NNumber./Nrafie of Company Holding G-42 license :�/ 5/f r/S ! da �:' ✓ ✓LT A ;)r C -.t+ �Mow-24-Z2—�Z� ' Address Phone Number The Dart ent of nviron en al Health has reviewed and approved this, certification: 7f14, .�1J 7a yipiental Health Specialist 84 (Rev 6/04) - uare Distribution: WHITE—Office; PINK7.Contracti COUNTY OFRIVERSIDE DEPARTME--NT f OF ENVIRONMENTAL - .HEALTH DEH -SAN -122 Rey:6114 ` a . Distribution: WHITE —Office File; YELLOW —.Applicant,, PINK — Bldg'Depl.; GOLDENROD . Plans/Records Lot No. ASSESSOR'S PARCEL NUMBER LAND USE APPLICATIONti.. '(-( _ �" a -i TUU - - •A "I rS,ECTI;ONAt? �p.;3i. +rs��+�r��'+t`o-r� °.r?'§t`'w'�w' ..Y,�y41?» "':::�s�;�`# `}'k*('a,''s OWNER; ' ti AGENT/CONTRACTOR: f 7� - ADDRESS . 100, CITY ADDRESS 21 tq I �� , t �✓&-F— . CITY l "PHONE',. , EMAIL ." PHONE EMAIL .. JOB PROPERTY ADDR SS ; • CITY " f / LOT SIZE ` WATER AGENCYNVELL USE OF PERMIT . ,�• µ... elf 3r�4,?"' 1vs se' SECTIONi6'�n'�"�t�Ma�`PaI-ItiW: - * FINANCIAL RESPONSIBILITY NOTE: Pertaining to Deposit Based fee Payments — Fees placed on deposit are intended to pay for System review including approval and installation. The project owner or applicant named in Section B will be subject to billing -requests for additional monies should fees deposited to,tnat point be insufficient. At final approval, the project owner. or applicant named will receive a final statement andnotice of any final fees due or refunds due (es applicable).' ROP Fees: For AlternateSystems, renewable operating permit (ROP) fees will be due upon finalization of the project. ROP fees will be issued to the project owner or applicant named in Section B. SEND ALL BILLING MATTERS.TO THE'.CLIENT OR ENTITY. LISTED' BELOW: RESPONSIBLE CLIENT / ENTITY NAME AILING ADDRESS: CITY%STATE ZIP •, PHONE Applicant Signature::Date: Below - For Office Use Only w.. i+'i9 23 .• 'F i'A} ,L'R. 'i'},} L�x.!�'g -N"� 'S�"t t.�+MT�,y�4 ''�'�'+c, NAY, WiN." ,? , ,fig +#".t±.-.t�•J.L: T �' ,SECTIO,NC.�.s :?.1 S#:,:5.' SD.Fc{ y^�r.WR`iv.72,*^ j hn._JS1+r{ �'ssli? br•Yk�wLxYn+.zT� W; .. CHECK BOX IF REQUIRED If any box is checked, this application shall be considered rejected until the information is provided and the fees paid. Re -submittals later than 90 after date noted below may require repayment of fees. - ❑ Holding Tank Agreements Required ❑ Floor Plan and/or Plumbing' -L-ayout`: equired d i%> ❑-Certificate of Existing OWTS Required ❑ Special Feasibility BoringRep6rt4Required ❑ WQCB Clearan a Required , 0 -Detailed Contour Plot Plan Requirr,ed (1 to 5 foot intervals) ❑ Soils Percolation -Re orYRe wired PRE SITE INSPECTION REMARKS INITIALS '& DATES .- �. _f-1e,� ..• IGC e! L ��c G� j"ANK v r71- G Y r`./ /�!—r. ati���-t t_ k '.ilr3Ar��•�. `� kffT'[r(. ,fT. A� p°v/k✓--I •0 7.. ILE-r �' �4,-ACc F{A Le—,,: 134-Cez r=eLt, t,-f-rFf cCtfti G"r1 Cv+/kvL.-jc :SECTI.ON4D:,�" Soils Percolation/Boring. reportby Project # Date' Type of System: ❑ New 8, Replacement ❑ Existing , # Fixture units Septic tank Cap. Soil Rate # Bdrms •• (GAG k f r�r 5 ❑ Pump. ❑ Addition ❑ ATU ❑Connect to Sewer- Sq. Ft. Bottom Area . Total Linear Ft. ' Sidewall.allowance ft Rock/ sq ft running foot. Tested Depth Maximum Trench Depth r Install: Lines ft Ion ft wide with min: u" � inches rock below drain line, or ❑ Plastic Chambers Leach Lines/bedspecial design for slope Applicable' " ❑ N/A ❑ Overburden Factor: Pit DiameterNo. PItS Pit below Inlet (BI) Pit Total Depth - . Max Allowable Depth Well Approval Date`..: .CONSTRUCTION / INSTALLATION INITIALS & DATES .. _ .. •. . Tc - S E C_TI O *''f;'���°� This Application. is•d Approved. ❑ Denied regarding the design of the OWTS as indicated on.the accompanied plot plan using'the requirements. set forth in Section D above. A building„permit is necessary for,tlie construction of;the above designed system. No construction is permitted in _the required reserved 100% Expansion are a. f (1) • Septic tank must bo::1 Q0'fminimuin from any wells. = j area. '..(2) Leach lines must be6:00' minimum from any wells including expansion ; -(3) Sewer lines must be 50' minimum from any. wells. f' (4) Seepage pits must tie.150'�minimum frorri•ari wells including expansion areas. EHS Signature, Date: Environmental Resources Management Office Locations ” Environmental Health - ERM Division _ _ Riverside_ Permit Asslstance Center - Environmental Health — ERM Division Indio Permit Assistance Center 4 ' 3880 Lemon Street, Suite -'200, r 47-950 Arabia Street; Suite A Riverside, CA 92501.. ' .- r _ Indio, CA 92201 •"RIVERSIDE 957 955-8980 " INDIO 760 863-7570 t DEH -SAN -122 Rey:6114 ` a . Distribution: WHITE —Office File; YELLOW —.Applicant,, PINK — Bldg'Depl.; GOLDENROD . Plans/Records Building 8t Safety, Division r ., P.O. Box 1504, 78-495 Calle.Tamplco Permit>tY, La Quinta, CA 92253 -. (760) •777.7012 Building Permit Application and Tracking Sheet t project Address _ Owner s Name ` N • A. P Number • .: ,. Address: Legal Description: City, ST, Zip: 1 Contractor Telephone • r s , Address: ; f Project Description: 401 • City, ST, Zip: 2Q��ki " "< Telephone: i ty, Arch., Engr., Designer: . Address: '• City,, ST, Zip: ... -._.. .... ....:...... . ... Telephone •.;{CFF;: ... j35F Y { m ... .. ... .. .,.... . Construction Type:' Occupancy .: State.Lic #" J 5 r> :. .. Project type (circle one): New Add'n Alter Repair Demo ` Name of Contact Person:Sq. 1?t : #Stories # nits: t4 ° ' Telephone #,of Contact Person: ` . - Estimated Value of Project:. D Do..ry APPLICANT. DO. NOT WRITE BELOW THIS LINE N Submittal RegM Recd 'TRACKING PERMIT FEES Plan Sets r Plan Check submitted _: Item , Amount, i Structural Cates. .... .... Reviewed, ready for corrections _. _.. Plan Check Deposit .. .. S, -t .., 4 Truss Calcs. ....._ .... .............._ .. ....:.,. ...... _ __..... :.Called Contact Person .. .. Plan Check Balance - -Title V Cates. Plans picked up . ,.: Construction Flood plain plan Plansrresubmitted Mechanical Grading plan ,2�a Review, ready for corrections/issue Electrical Subcontactor List 'Called Contact Person ! Plumbing .Grant Deed Plans picked up S.M.I. . H.O.A. A roval PP Plans resubmitted " ... Grading ,•: '. fN HOUSE:- _ 'rd Review, ready for correctians/[ssue ', Developer Impaet Fee - �. _ ... analn _Approynl _ .. .Called C.ontattPCrS _ - A I P P - . Pub Wks Appr Date of •omit issue _ ,. _ __- • School Fees : . ................ .. Total Permit Fees..: - t ar _ .. . _. _