SEW2014-000278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-d4t 4 4 Qum&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: SEW2014-0002
Property Address: 48890 AVENIDA EL NIDO
APN: 658300019
Application Description: ABANDON OLD SEPTIC AND REPLACE WITH NEW
Property Zoning:
Application Valuation: $17,500.00
Applicant:
SEWER & SEPTIC PROS INC
16315 AVENIDA RAMADA
DESERT HOT SPRINGS, CA 92240
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.
Licens ass: 2 License No.: 986954
Date: I!' ontracCt�
OW ILDER DECLARATIO
I hereby affirm under pen 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 Addres
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ROBERT CHAMBERS
Date: 11/19/2014
Contractor:
SEWER & SEPTIC PROS INC
16315 AVENIDA RAMADA
DESERT HOT SPRINGS, CA!
(760)272-3410
Llc. No.: 986954
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 a� ork for which this permit is issued.
1, have and will maintain workers' compensation insurance, as required by
Section 370 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. J
Date://f 19
)
—1 i Applicant: ,54
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UN' FU L,
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: —1 0 Signature (Applicant or Agent):�Z
i
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
...AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404 0
$91.85
$0.00
PAID BY
METHOD
RECEIPT#
CHECK #
CLTD BY.
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
DESCRIPTION
ACCOUNT.
QTY
AMOUNT
PAID
PAID DATE
SEPTIC SYSTEM
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
,DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SEPTIC SYSTEM PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES:
TOTALS:$0.00
$16.92
$0.00
Description: ABANDON OLD SEPTIC AND REPLACE WITH NEW
Type: SEWER ONLY Subtype: Status: APPROVED
Applied: 11/19/2014 SKH
Approved: 11/19/2014 SKH
Parcel No: 658300019 Site Address: 48890 AVENIDA EL NIDO LA QUINTA,CA 92253
Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 92
Issued:
Lot Sci Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $17,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
a
Details: NEW SEPTIC SYSTEM -ABANDONED OLD SEPTIC SYSTEM, INSTALL NEW PER APPROVED PLAN. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, November 19, 2014 3:38:23 PM 1 of 2 CIM.I.
CONTACTS
NAME TYPE
a
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
SEWER & SEPTIC PROS INC
16315 AVENIDA
RAMADA
DESERT HOT CA
SPRINGS
92240
CONTRACTOR
SEWER & SEPTIC PROS INC
16315 AVENIDA
RAMADA
DESERT HOT CA
SPRINGS
92240
OWNER
ROBERT CHAMBERS
591 HILLTOP CT
I WHITEFISH
I MT
I 92253
DESCRIPTION
ACCOUNT QTY
FINANCIAL
AMOUNT
INFORMATION
PAID
PAID DATE
LTD
RECEIPT # CHECK # METHOD PAID BY CBY
BY
PERMIT ISSUANCE
101-0000-42404 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
Printed: Wednesday, November 19, 2014 3:38:23 PM 1 of 2 CIM.I.
DESCRIPTION ACCOUNT QTY ' AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
SEPTIC SYSTEM 101-0000-42401 0 $12.09 $0.00
SEPTIC SYSTEM PC 101-0000-42600 0 $4.83 $0.00
Total Paid for PLUMBING FEES: $16.92 $0.00
PARENT PROJECTS
Printed: Wednesday, November 19, 2014 3:38:23 PM 2 of 2 C wsr ..
I4
JO
,ITY OF LA QUINTA
cX> 3UILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
M Y;IAT ? -0l1
BY
s Nr
c
to P4 I
i :aF•
COUNTY OF RIVERSIDE
DEPARTMENT OF ENVIRONMENTAL HEALTH
LAND USE APPLICATION
OFFICE USE ONLY
❑ 3880 Lemon Street- Suite 200 1 Riverside • CA • 92501- (951) 955-8980
❑ 47-950 Arabia Street • Suite A • Indio 1 CA 92201 - (760) 863-7570
PE CODE:FEE:
*�
EHS #
v y
ON #
LMS #
APN:
uv- o � �►
TR/PM
LOT #
USE OF PERMIT:
AV1(,t Cc-rr Irl Teri r Jr 5-V.•
SECTION'A' _ ,
7
Name `
OWNER:
Address �'j� 69 �1
Phone ' Email
�.
Company Name QA
enUContractor
AGENT/
CONTRACTOR:
-i -
Mailing Address (? - yy) A
�(► C r
Phone r] [ ` 1 Email '
Date
Site Add ss . A ,
PROPERTY INFO:
Water Agency/Well Cv 1.-d Lot Size
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.
❑ Holding Tank Agreements Required '
❑ Certificate of Existing OWTS Required (C-42)
❑ WQCB Clearance Required
❑ Soils Percolation Re ort Required
❑ Floor Plan and/or Plumbing LayautJ3egrui&- /' ,-'C!:" 4 000D
❑ Special Feasibility Boring Repoq,R,�g@red 1; 52RI E 1M. j"0
❑ Detailed Contour Plot Plan Required (1 to 5 foot intervals)
" �'�
2z" •'
SITE EVALUATION INSPECTION REMARKS: `'4
It 0 r~ "/ AQ &♦ Gr (�f
-tAArh%.,%rr(-i '5f"t- d F1cLt-rrI r I L'te-, i/4 Clt-two 114r, A &TJ.a�_`.
EHS INITIALS/DATE:
VIA 13W -pux r 5'(r tv,-CKw-rr
SECTION C _
U NEW I 1W REPAIR/ REPLACEMENT ❑ EXISTING ❑ PUMP ❑ ATU ❑ CONNECT TO SEWER FIXTURE UNITS # BDRMS #
Soils Percolation/Boring Report By:
Date:
Project#
C-42 Certification By:
Date:
License#
Septic tank cap.:
sU0
Soil Rate:
a5
Tested Depth:
Max. trench depth:
Sq. Ft. Bottom Area:
0-S
Total Linear Ft.:
Line(s):
Len the 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:
CONSTRUCTION/INSTALLATION REMARKS:
pf G 19,,
SECTION D
This Application isApproved ❑ Denied regarding the design of the OWTS as indicated on the accompanied plot plan using the requirements set forth in
Section C above. o construction is permitted in the required reserved 100% Expansion area.
EHS Sign ur
Date:Ittif /I
`•� •^^ ^- •^�• • niorihiitinn• WHITF -nffira RIA: YELLOW -81da. Deot. PINK - ADDlicant
col
y.l'.r'-RT.MENT OF ENVIRONMENTAL
...... – F ood 3SyU Gallon Septic Took
Trailer ParkSCI. Ft. of Lesch Line
_Dwelling �..._No _Di. BI.SU D—IYMD'-!'
C oerlr lar: ial Connection to Sewer
_�_ SwrtiiFi:rlg Pool Connect to Existing S. S. D. S.
�` Nc on-site wame'� softening devices may be discharged into the individual sewage dispwd
�gvsi�t.S ❑crcvvar. app fu'vcu w1ulluUt ewdrttnur ."ro-m the Waicr Quality Control Board.
>r.-w> disposa, installation must conforin with requirernenis of current Uniform Plumbing Code
:UU11ir, g. a --W!6 o: t tnllg in arch of lcad:hirlg sysu:rn may nullity scwago dispusal approval.
_..ftipprovh} has bccv awwacd tion} the Regiunai Water Quality Coni ul Board for instaliation of the
icwugc; diJVusb{ SYsterIi.
IDOL'i3 aFj t l �it'QB ! ✓;�M1�!'A�t�;. n:ri.:�.:",tk+d;��
FROM TABLE 7-3
4.
DRAINAGE FIXTURE UNIT VALVES (bFU)
Plumbing Appliance, Appurtenance or Fixture
F/U
Minimum
Septic Tank gallons
Bathtub or combination bath/shower
2
x 4 =
Clothes Washer, domestic
3
x 1 t: _
Dishwasher, domestic
2
x 1 = 1
Shower single head trap
2
x =
Multi -head, each additional
1
x =
Lavato , single
1
x =
Lavatory in sets of two or three
2
x 1 =
Bar Sink
1
x I = I
Kitchen sink, domestic
2
x I =
L-aundry sink with or without discharge -from clothes washer
2
x
Water closet toilets
6
x 1 =
Total= Li 3
Compare
t
From Table K-2
Capacity of Septic Tank
Seepage Pit Size
Maximum
F/U Served
Minimum
Septic Tank gallons
6 x 10
15
750
6 x 14
20
1000
.:'6 x 16
'25
1200
6 x 20
a3
1500
45
2000
55
2250
*Assuming 25 ft. 2/100 gal
60
2500
70
2750
80
3000
90
3250
100
3500
CONTRACTORS STATE UCENSE BOARD:'
FC'
Contractor's License Detail for License # 986954
)ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on
his information, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear
below. Click on the link or button to obtain complaint and/or legal action information.
Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails -to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
Data current as of 11/19/2014 3:40:00 Pfd
Business Information
SEWER & SEPTIC PROS INC
16315 AVENIDA RAMADA
DESERT HOT SPRINGS, CA 92240
Business Phone Number:(760) 272-3410
Entity Corporation
Issue Date 09/18/2013
Expire Date 09/30/2015
License Status
is under suspension for the following reasons:
License is under suspension for failure to comply with Workers Comp. A workers' compensation certificate or
exemption statement may have been received by the Board but not yet processed. Once the certificate or exemption
statement is processed the suspension will be lifted retroactively to the effective date of the certificate or exemption
statement. Ask the contractor for proof of worker's compensation and contact the insurance company to verify
coverage.
Additional Status
Probationary license issued pursuant to Business and Professions Code Section 7073(e).
Classifications
C42 - SANITATION SYSTEM 771
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with WESCO INSURANCE COMPANY.
Bond Number: 04WBO49717
Bond Amount: $12,500
Effective Date: 07/22/2014
Contractor's Bond History
Bond of Qualifying Individual
Responsible Managing Officer (RMO) ZARATE OSCAR certified that he/she owns 10 percent or more of the voting
ck/equity of the corporation. A bond•ofqualifying individual is not required.
Workers' Compensation
This license has workers compensation insurance with the STATE COMPENSATION INSURANCE FUND
Policy Number:.9076014
Effective Date: 10/17/2013
Expire Date: 10/17/2014
Workers' Compensation History
Miscellaneous Information
09/18/2013 - 3 YEAR PROBATION PER SECT 7073(E)
Bin #
City of La 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 #
2014—
Project Address: S O I n dDo
Owner's Name: CA
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor: Ca, } � � S G ,
Telephone: �
Address:lG;� 5. A
Project Description:
City, ST, Zip:-.. str/ - S LG• 9Z2q6
Tele hone: 4. 31-9-24
P 7J
State Lic. #: % 8 b? S t-1
City Lie. #..
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
......................................:...............
Construction Type: Occupancy:
State Lic.
Add'n Alter Repair DemoJect tyPa circle one): New
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: % �j • ®['j
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Zed 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 IiOUSE:-
'rd Review, ready for correctionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fces