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05500001261 (PLBG)o Y loe wf BUILDING 8t SAFETY DEPARTMENT P:O:>•BOx 1504 K a (760).777-7012 F MpF; 7�8-495 C'ALLE TAMPICO ! "'" FAX (760) .77,7-7011 t' LA'QUINTA CALL ORNIA 92253 INSPECTION REQUESTS (760) 777-7153 G�� SCE • $UILDING?ERMIT °, Application Nui er 05'� 0'0001-2619 y~1 Date 4/05/05 Property Address ` 5.0,92;0 CALLE OBI S.PO �•. APN: 770 104 0'07--85-- •=000000 - Application descript.ori '. PLUMBING Property Zoning LOW`DENSITY RESIDENTIAL Application. valuat'i6h 900 Owner Contractor'. GANDER GERARD J 'ALMS - UNDERGROUND, CONST, INC. *NOT ON FILE 3.87:03- VUISTA -DRIVE UNKNOWN CA'99999..; CATHEDRAL -CITY CA 92234 AU .INS WC: 0050.0023125 0.1/01/06 'CSLBc'. 4821.80 11/30/05 CCC :. 'C42 `C2 1 - Permit PLUMBING SEWER., Additional dese + Permit Fee. 30.00 Plan -Check Fee .00 Issue Date . . . Valuation 0 Qty Unit ..Charge-, Per Extension BASE::,:FEE 30.00 Special Notes ::�and-,Comments:. SEPTIC ABANDON -;,SEWER CONNECT • Fee summary Charged Paid Credited "Due Permit Fee Total 3,0`.00° ".' ";.00 .00 30.00 Plan -Check Total ` : 00' 00 00 00 Grand Total. 3:0..00 0"0 .00 30.00 14 P.O. Box 1504Tay, w VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-701 1 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 05-12(101 Date: 44•,$' 03� Applicant: I Architect or Engineer: Applicant's Mailing Address: Architect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my License is infullforce and effect. t jcense Class !- — 1/e/et�se No. q9_17 l c90o0 /Date `- ontractor //�L� CL WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. . BA P.C. for this reason Date WORKERS' 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 issued. I 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 ance carrier and policy number are: rrier _ A 1.1 _T- S olicy Number a O �, 00 0 -.-)-3 1 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 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. /Date WARNING: FAILURE TO SECURE WORKERS' COMPEASATION 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. 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 IMPORTANT Application is hereby made to the Director of Building and Safety or aACKNOWLEDGEMENT sDGE subject to he 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 Ouinta, 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 �lnu,gnature sentatives of this county to enter upon the above-mentioned propert for inspection purposes. Date g A r+ 20d Applicant or Agent): �' SANCO PUMPING SERVICE I 2502 Morongo Trail Im.Springs,'CA92264 :(760) 327-885"4 0 2 2 -1 1 260 SOLD TO SALffSMAN SHIP PEq,T0 STREET DATE STREET cl STATE y ZIP CITY STATE ZIP CUSTOMER ORDERAT SALffSMAN TERMS F.O.B. DATE -elt o PAYMENT DUE UPON RECEIPT . . c� 1 .,..��+..r+Y!r�r✓'f"q�,lsaa4+i�a,C+kdSr+�fF+4i'°' ,., nn. y�Y•E�.n. ...�' wr 'm.•:..,^- ro;-n.� .-y,x��.�ves ;,MR,"�CyCk''.M•r„ � _ 7- tiff •'77'.C"� i COACHELLA•VALLEY=WATER DISTRICT CASH RECEIPTDETAIL 1017, Tti� t� �/ '! V r i8eceived From: U � f. Y /~Cit � � "a �Date: - Address: cX. aS . ` ;Account No. Ge7� 0 -? -7 JQ - e.Q- 1ot(s) Tract // '[itJ/ Service'Address _ , G:A. Code O 'Nleter(s) $ '0 `Service(s) i O,IBad"ow(s) , it 0. •`House--Laterel(s) Ej Detector,Check(s) ' D Meter. Surcharge ,n *VSanitation-Capacity Charge 0', W S: F.C. t S I.W:S C 0 "Temporary.ConstructEon~Meter f q,, -Turn on Charge +' 0.°Uncollected'Account-!Name ,. 0.1nspectlon Fee -Tract'- ' fee- s- O 'Plan -Check Fees Water/"Sewer- '+ Tract- 01136nd•'Pa`yment-A.D.,- ''Bond Assmt 7J ' r '0 Xustomer,Deposit. 10 Other , r :TOTAL t$ .Remarks.. Al opy to > a' ` r - Cash i r :C . .Waier'Service Money Cashier Order i.