BPLB2016-0128T •, T
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
0" -
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BPLB2016-0128
51050 CALLE OBISPO
770142001
ABBRUZZESE RESIDENCE / SEWER HO UP
$4,000.00
Applicant:
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
/ A-\ a r:
J I H ABBRUZZESE
t 5 CALLE OBISPO
NOV 1 5 2016 INTA, CA 92253
Date: 11/15/2016
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTIffljactor:
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
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 Divisio of the Business and ofessions Code,
and my License is in full force and effect.
License lass: 42 C36 (tense No.: 661018
Date:. N. __Contracto
O DER 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 Name:
Lender's Address:
(760)360-7448
Llc. No.: 661018
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 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: BARRETT BUSINESS SERVICES INC Policy Number: 2246
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, i hould be to the
workers' compensation provisions of Section 3700 of he Labor e, I shall orthwith
comply wit those provisions.
Date 4 ( A lica
WARNING: FAILURE TO SECURE WO 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`a6 inform on is
I agree to comply with all city and county ordin nfes and state I ws rel ing
construction, and hereby authorize representYfives of this city en r upon the
above-me�tionell property for inspection purposes. _
Date: Signa(App icl nYor A
Detail: ABANDON SEPTIC AND HOOK UP SEWER. PER 2013 CALIFORNIA BUILDING CODE
Date: 11/15/2016
Owner:
JUDITH ABBRUZZESE
51050 CALLE OBISPO
LA QUINTA, CA 92253
Contractor:
HAMMER PLUMBING AND PUMPING INC
P O BOX 2448
CATHEDRAL CITY, CA 92235
(760)360-7448
Llc. No.: 661018
Application Number:
BPLB2016-0128
Property Address:
51050 CALLE OBISPO
APN:
770142001
Application Description:
ABBRUZZESE RESIDENCE /SEWER HOOK UP
Property Zoning:
Application Valuation:
$4,000.00
Applicant:
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
Detail: ABANDON SEPTIC AND HOOK UP SEWER. PER 2013 CALIFORNIA BUILDING CODE
Date: 11/15/2016
Owner:
JUDITH ABBRUZZESE
51050 CALLE OBISPO
LA QUINTA, CA 92253
Contractor:
HAMMER PLUMBING AND PUMPING INC
P O BOX 2448
CATHEDRAL CITY, CA 92235
(760)360-7448
Llc. No.: 661018
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$17.73
Total Paid for PLUMBING FEES: $43.06
11
Iain #
City of La Q Lith to
Building BZSafety Division
Permit # 78-495 Calle Tampico
U Quinta, CA 92253 -(760) 777-701,2
BuildingPermit Application and Tracking Sheet
Project Address: 0 0—A'—LLEE U
Q 1. Owner's Name:-3u l7 I I to M�E-5� .
A. P. Number:
Address:) b�Q CL
Legal Description:
"�-
Ci ty; ST, Zip: L.(,\,- CA
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Contractor: rT
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Tele hone:
: I 3 `d
Address: P�. (. L
aProject Description:
City_, ST, Zip: \ �CL`�Q
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Tele h
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State Lic. #
City Lic.#;.:.
Arch.,`Engr., Designer:
Address:
City, ST, Zip:
Telephone: h
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Construction Type: Occupancy:
State Lic. 4:
New Add'n Alter Repair.ai
ProJecttyPa(circle one): r Demo
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Name of Contact Person: �,;;;:>;.:
Sq. Ft::
#Stories:
# Units:
Telephone # of Contact Person: f— � .c:
Estimated Value of.Project: 000 L •
•
APPLICANT: DO NOT.-WRITE:BELOW THIS LINE -
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item,
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs._
Called Contact Person _
Plan Check Balance.
Title 24 talcs:
Plans:picked up
Construction_
Flood plain plan
{
Plans resubmitted
Mechanical
Grading.plan
2'd Review,.ready for correclionsrissue
Electrical .
Subcontactor List
Called ContactPcrson`.
Plumbing
Gran( Deed
Plans picked. up
S.M.I.
II.O.A. Approval
Plans. esulimitted
Grading.
IN ROUSE:-
'"! Review, ready Cor corrections/issue
Developer Impact Fee .
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
TotalPcrmit Fees
COACHELt-A. VALLEY -WATER, DISTRICT
P.O. Box losa, COACHELLA, CALIFORNIA 92236 (760):398-2651
IN.VQICIE Daite111/151200
SUBJECT:� 51050-CALLE OBISPO, LAQUINTA, LOT 91, CID 877.124 '`SCC ONLY"
JUDITH ABBRUZZESE Project
116=76*01
.51-050 GALE oB-isoo ...
Pr6i P0 D 6te:
1.1/15/201,6
ount Due:
Amount
$4,851.00
LA QUI.NTA,,.CA. 922.5.3* GEO-
.06-07-0.6-4
Plahn e*r':.
SARA LOPEZ
TOINSUREPROPER.CRE
...PIT,PL.EA:S.EkIETURNTH,IS,PORTI.ON.,WITH
REMITTANCE ANO I NCLUDE THE'PkOjECT ON-.*0URCHECK
- ------- - --
I Mlt-t' IbLA;-UULLI=UJ.IUN
$2 ' 416'06
1:00 FJ ISMTRIfATMENf $21436.00 $2,43&0
ed).4 ea"d $4,1.851.00
PAID :$
es.Qepanment
Development,..-ervic—
olv.-:1.`5 :2016
Cbk.W16 V6
75;.51.5 t3ovley Lane Easti
.92211
SUBJECT: 51050 CALLE, 0BISP0,1A. QUINTAi LOT 91..Llo 67.71.24 "SCC.ONLY"
. tbACHLI-A VALLEY W,'.-TA1 79223:6,.(760) 'ATER DISTRIC398T
P.O. BOX 1058,tOACHELLA, CALIFORNIA -2651
Pagel
3