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BPLB2015-0003Application Number: BPLB2015-0003 Property Address: 49280 AVENIDA FERNANDO APN: 658280019 Application Description: INSTALL SEEPAGE PIT Property Zoning: Application Valuation: $7,000.00 Applicant: ALMS UNDERGROUND CONSTRUCTION 38703 VISTA DRIVE CATHEDRAL CITY, CA 92234 VOICE (760) 777-7125 FAX (760) 777-7011 TjIpNS 777-7153 U L�IAN072015 Owner: TED MI LER CITYOFIAQUIIJTA 1805 N S VELOPMENfDEPART PORTLAND, OR 92253 Contractor: ALMS UNDERGROUND CONSTRUCTION 38703 VISTA DRIVE CATHEDRAL CITY, CA 92234 (760)324-1911 LIC. No.: 482180 1/7/2015 --------------------------------------------------------------------------------------------- c 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: -C-21. C42 License No.: 482180 D e: 7-N a n . OI S Contractor - OWNER -BUILDER DEC LAR ION 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 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 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 I 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: 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: _ Policy 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 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: 7 Jati . Z 0/ S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS ION 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. Date: �s Signature (Applicant or Agent):r C� 78-495 CALLEfTAMPICO D LA QUINTA, CALIFORNIA 92253\ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0003 Property Address: 49280 AVENIDA FERNANDO APN: 658280019 Application Description: INSTALL SEEPAGE PIT Property Zoning: Application Valuation: $7,000.00 Applicant: ALMS UNDERGROUND CONSTRUCTION 38703 VISTA DRIVE CATHEDRAL CITY, CA 92234 VOICE (760) 777-7125 FAX (760) 777-7011 TjIpNS 777-7153 U L�IAN072015 Owner: TED MI LER CITYOFIAQUIIJTA 1805 N S VELOPMENfDEPART PORTLAND, OR 92253 Contractor: ALMS UNDERGROUND CONSTRUCTION 38703 VISTA DRIVE CATHEDRAL CITY, CA 92234 (760)324-1911 LIC. No.: 482180 1/7/2015 --------------------------------------------------------------------------------------------- c 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: -C-21. C42 License No.: 482180 D e: 7-N a n . OI S Contractor - OWNER -BUILDER DEC LAR ION 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 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 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 I 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: 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: _ Policy 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 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: 7 Jati . Z 0/ S Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued.as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. Date: �s Signature (Applicant or Agent):r 1 1 NFORMATIOkll :?$ t i',•.:, :',tS ..'2. 3 a$' i-' s T tt , irc'4°'e'^ xj :&;SEs e.-' t f '.. E i; Y '. ': 4,4 £ a,. tr 4 Y c ACCOUNT �_�_ QTY AMOUNT DESCRIPTIONEa 7r PAID' PAID DATE; t r �i Y4>Eelaek`w �*' .f, ,.-..:R,h,_-.»;_..c w,.yR,,, :,.v. Yii_;.�. F-3C'<,u.. a P s ....?E—.�.�. '�'a' 9 ': .6 BSAS SB1473 FEE, 101-0000-20306: 0 $1.00 $1.00 • 1/7/15 ..........x a ,'i: yax 7-iit'xpiE W.5 k PAID BY; f x.. "xsy ✓�." m s3,t t -a "? xn': £.. METMOD. n a r "^E '. s.'':"�`: }; '?f Y - t is x r ;: -„ t p -. 7... # CHECK # £ CLTD BY b•::=,. i:, .. �ia.c'i �,�..'-cYp:u..a_.• :... �.-m.`,�..'�Ez'x 1 .RECEIPzT :: � ALMS UNDERGROUND CONSTRUCTION CHECK R3334 ., 1317 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA' $1.00 $1.00 .. ;;c s^ ,::nsz.li;<7: �•., .=LY,t, s' -ty ' CCOUNT pzoTm!, a•eMOUNT: OUTSCRIPTIONak3 ai, I¢D, t t..- P.;A. ID. _ DZAT:. E: �yttr;- �PAn; PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85. 1/7/15 .•i. d i 'Y (,yyJ 3ECr BY k' ' 4 X; E 1`tn%wsE .. . Y*' � 9.0 �METHODRECEIPT .E" 'S 4 ii. #? *V CHECK # tt CLTD BYt' =PAID a` vE h., .>f, ta: ,ik ar .,,>.. 45. �, a...;.•ww .. r'i< .?;2 .. r... _ , ti?8 ;; .` "r`:".'#:?r cx; 9Y ;G4 ,�i x{ :�`s ': E t±.'.3:`" s... <hvtz;3 d`.r.'P .£`c� f ,.. �s�.; ��� .. .. .�J> ALMS UNDERGROUND CONSTRUCTION CHECK R3334 1317 MFA Total Paid forPERM1T ISSUANCE- $91.85 ' $91.85 dL ' SFX ACCOUNT��yQC�7YF "l .✓f' ' • `i :.�.*f44 $: �..r"4�- "I PAID PAIDYOATE,- ? " `:.:... xDESCRIPTIONg 4�AMO,UNTy _'y s SEPTICSYSTEM 101-0000-42401. 0 •$12.09 $12.09 1/7/15 PAID BYg -_v METI40D xys st. tf,•r.;af`,"z:.i'r ir, �, RECEIPT #� a>a cl ,>:z:, F CHECKF# �' CLTD BY �M'a, ,.-n'�iwL. ;i ¢ +e•i_�. �.-,�5 -(� tb5 ALMS UNDERGROUND CONSTRUCTION ' CHECK R3334 1317 MFA • �`:. DESCRIPTIONe ,t-''.is:'"f7.n ACCOUNTNT ."� '" i �..b� Egy, `s. a PAID DATE ;. r, a a<F x��ClTlfAMOUNTzwi 3, {PAID SEPTIC SYSTEM, PC 101-0000-42600 0 $4.83 $4.83 • 1/7/15 .t'. .�. e -G BYry k, ufLrR.'4.ro`. lI ECEIPTS# �k, , ..:�. { ♦. # .; ,,5 CLTD BY -. .' �4PAID ,. , A+,n, : , ..:.x.�ETHOD y y y 19.4k," r. _.CHECK i( ALMS UNDERGROUND CONSTRUCTION CHECK, R3334 1317 MFA ' Total Paid forPLUMBING FEES: $16.92 $16.92 ' • •• �• Description: INSTALL SEEPAGE PIT CONDITIONS NAME TYPE -NAME Type: PLUMBING Subtype: Status: APPROVED Applied: 1/7/2015 MFA Approved: 1/7/2015 MFA Parcel No: 658280019 Site Address: 49280 AVENIDA FERNANDO LA QUINTA,CA 92253 Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 152 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $7,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CATHEDRAL CITY Details: INSTALL SEEPAGE PIT PER 2013 CBC - 92234 ( Printed: Wednesday, January 07, 2015 2:13:48 PM 1 of 2 Or SYSTEMS a� ui 5'1 �`�C�., ^..*cry`¢• 'y OF DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY' CLTD .. - BY ALMS BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/7/15 R3334 1317 CHECK UNDERGROUND MFA CONSTRUCTION Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: ALMS PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/7/15 R3334 1317 CHECK UNDERGROUND MFA' CONSTRUCTION Total Paid for PERMIT ISSUANCE: $91.85 $91.85 ALMS SEPTIC SYSTEM 101-0000-42401 0 $12.09 $12.09 1/7/15 R3334 1317 CHECK UNDERGROUND MFA CONSTRUCTION ALMS SEPTIC SYSTEM PC 101-0000-42600 0 $4.83 $4.83 1/7/15 R3334 1317 CHECK UNDERGROUND MFA CONSTRUCTION Total Paid for PLUMBING FEES: $16.92 $16.92 $109.77 $104.77 INSPECTIONS SEQID . INSPECTION TYPE INSPECTOR SCHEDULEDCOMPLETED DATE DATE RESULT REMARKS NOTES _.. PLUMBING FINAL" PARENT PROJECTS Printed: Wednesday, January 07, 2015 2:13:48 PM 2 of 2 SVSTEIv1S Bin #Qty of La QUTnta. Building &r Safety Division P.O. Box 1504, 78 495 Cage Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 2 f} ve , re rn n o Owner's Name: -7;d jx/; 1/e r— A. P. Number: 6 S-3 , a%<), O 1 i i Address: S E�vwe� Legal Description: City, ST, Zip: Contractor: „� ne�e� oK� C Tele hone: $ p '-''%%s"''^ "z .i';'.': =; %r> <`.'>.<'s?• Address: "8703 V' a r Project.Description: �v,s-���� See a City, ST, Zip:. - t�i 9 -ZZ3 41 J. Telephone:' 760 32 L(-) 9 State Lic. # : y 82 / Sp city Lic. #; 7 69 Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ' : Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n . Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: if Units: Telephone # of Contact Person: T Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Calcs. Revic-,ved, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subeontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN If OUSE:- '`" Rcyiew, ready for corrections issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Jan 12 2015 9:32AM HP Fax page 2 EBvcoiuloebtsf: t 'n G C �aC L G �"•r i op - (o 0 U f4 N`"?- I - 4 q. N ay v - 44 .-At. 0 z:GL.� �I: LQ_k aL DEPARTMENT REQUIREMENTS 045' LL SEPTIC SYSTEM IN NATIVE SOIL k PROVIUE FOR 100% FUTURE EXPANSION COMPLY WITH ALL SETBACK REQUIREMENTS' T HIS APPROVAL GRANTED BY THE DEPARTMENT OF ENVIRONMENTAL HEALTH !S VALID FOR ONE (1) YEAR FROM DATE :?F APPROVAL. DEPARTMENT OF ENVIRONMENTAL HEALTH Food Gallon Septic Tank Trailer Park Sq. Ft. of Leach Line .X_ Dwellihng u No_'—Dia..G BI TDaMD Ll d Commercial Connection to Sewer . Swimlausg Pooi Connect to Existing S. S. D. S. 'LNo on-site reger c:.nuj g wafer softening, devices may be discharged into the individual seweb. , ..,.� .. .systzml herewitp dppzuvcd wafiuut cieaia:wx horn the Waioi Quality Control Board. °All sewage disposal irisrallation must conform with requirements. of current Unifbrtn. Plumbing curtiue,, grading of filling iii area of Ictwhwg system may nullity sewage disposdl xppro�141. Approval has beau oDmii cd from the Regiunal Water Quality Contrut Hoard fbr installation of the sewnge disposal system. t- COUNTY OF RIVERSIDE , DEPARTMENT OF ENVIRONMENTAL HEALTH LAND USE APPLICATION OFFICE USE ONLY ❑ 3880 Lemon Street • Suite 200 • Riverside • CA • 92501 - (951) 955-8980 PE CODE: FEE: 9147-950 Arabia Street • Suite A • Indio • CA 92201 - (760) 863-7570 EHS # ON # LMS # APN: TR/PM LOT # USE OF PERMIT: L Cf Wiz I F L;% A-te J j? SECTION A . Name OWNER: Address �; g 7 uV i t vic i PhonefS Email Com an Name /1)"-g I./. Joen P.,�,,.,.� A enUC no tractor 0atr 4 AGENTL, J CONTRACTOR:- �•- r Mailing Address 7;-'670-2 (/, c •� ,, �r ` e/Xr a t C Phone -769, :L d ` 19 11 a � %- �a. "Nf-1e r Ci r , v . t_ c' ,rkn , � . �.0 by --`:i ! �,Emm�ail Date 0 � ��, �,{�y� Si nature � :.,e � o�ca...-. �►.-) (' wC�, l2 f:�X." �r , Ss. 18157 11 11 217 A III Site Address N 115 � • tic rrVO4 f"#:+^NAw0 d PROPERTY INFO: , Water Agency/Well %JV-0Lot Size 12M.Sill SECTION B Below -for Office Use Only.' CHECK BOX IF REQUIRED If any box is checked, this application shall be considered denied until the information is provided. CHENN V•!1.1 ❑ Holding Tank Agreements Required ❑ Floor Plan and/or Plumbing Layout Required ❑ Certificate of Existing OWTS Required (C-42) ❑ Special Feasibility Boring Report Required ❑ WQCB Clearance Required ❑ Detailed Contour Plot Plan Required (1 to 5 foot intervals) ❑ Soils Percolation Report Required SITE EVALUATION INSPECTION REMARKS: A t)p1'l rr;,.v/f C FKILI PIF L/i,4 0oy.. 01.1 ,.;+ 144t, -f- 4etlSy ®r✓r1� i on fv/-/SPL. D- 11 U, Md v s f`i or c��-cnt rt P� 0 EHS INITIALS /DATE: SECTION C ❑ NEW I LI REPAIR / REPLACEMENT 1 ❑ EXISTING ❑ PUMP ❑ A ❑ CONNECT TO SEWER FIXTURE UNITS # BDRMS # Soils Percolation/Boring Report By: Date: Project# C-42 Certification By: Date: License# Septic tank cap.: Soil Rate: Tested Depth: Max. trench depth: 1000 a Sq. Ft. Bottom Area: Total Linear Ft.: Line(s): Length: feet -Each 3 feet wide Sidewall Allowance: Ft. Rock/Sq. ft. Running foot Rock below drain line: in. or ❑ Plastic Chambers Leach Lines/bed special design for slope: ❑ N/A ❑ Overburden Factor: Pit Diameter: No. pits: Depth below Inlet (bi): Pit Total Depth: Max. allowable depth: -t ! 1 14 Z CONSTRUCTION/INSTALLATION REMARKS': CRY of l,-,4 0,v1P.rA -1v hu I,S�ctr�vr -SECTION D This Application islS Approved ❑-Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in Section C above. No construction is permitted in the required reserved 100% Expansion area. EHS Signature:Date: / / ,�• DEH -SAN -122 Rev. 10114 Distribution: WHITE—Office File: YELLOW —Bldg. Dept. PINK—Applicant P: