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08-1666 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4t�v 4 XP Q" , BUILDING & SAFETY DEPARTMENT - BUILDING PERMIT Application Number: CZO8-00001666- Owner: Property Address: 5195-5 AVENIDA JUAREZ KINSTLER CHARLES APN: 773-154-022-10 -000000- '� Application description: PLUMBING � Property Zoning: Application valuation: COVE RESIDENTIAL 3316 I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CALIFORNIA INS Policy Number 460093580104 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to r construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, Contractor: j Applicant: Architect or Engineer: ALMS UNDERGROUND that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / _Z7 1_T__1 t /� _ e _ ✓1 38703 VISTA D CATHEDRAL CITYY,, C. CMCJ (760)324-1911 Lic. No.: 482180 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/06/08 e1 �INe . -------------------------------- ---------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION _ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C21 C42 License No.: 482180 -�� for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ., �/,�.,� )/�/'.�� Date:Contractoc_ ,_ �/' C�. �— _ 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier CALIFORNIA INS Policy Number 460093580104 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / _Z7 1_T__1 t /� _ e _ ✓1 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.). (_ 1 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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 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 j work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: — Lender's Address: LQPERMIT WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AWEMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes. A Application Number . . ... . 08-00001666 Permit . . . PLUMBING SEWER Additional desc . . Permit Fee 30.00 Plan Check Fee _ .00 Issue Date . . Valuation 3316 Expiration Date 4/04/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SEPTIC ABANDONMENT / SEWER HOOK UP Fee summary Charged --------------------------- -Paid ---------- Credited -------------------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 ►q i I 51-975 AVENIDA JUAREZ,QUINTA ACCOUNT NO. -•- DTM TOTAL DUE: PLEASE DETACH AND SEND THIS COPY WITH REMITTANCE Name: KINSTLER, CHARLES Date: 10/06/08 Remit and make check payable to: Due Date: 11/05/08 COACHELLA VALLEY WATER DISTRICT Customer No: 980/980 POST OFFICE BOX 1058 COACHELLA CA 92236 Type: DS - DEVELOPMENT SERVICES Invoice No: 508 Terms: 30 DAYS Total Due: $7,990.00 CV W DINPD OR www.hammerpumping.com 760/360-7448 760/321-7448 FAX 760/324-6434 Customer Name { wc, A) r� g Address City Ph# Additional Serv'Ice-_1Required MRecommended Description/ Remarks/ Drawings P.O. BOX 2448 • Cathedral City, CA 92235-2448 LIC# 661018 JOB INVOICE JOB DATE' TIME IN:, - - TIME OUT• TECHNICIAN 01 TECHNICIAN tlI HELPERIS) ORDERED BY: I P.O. N START DATE; END DATE: JOB LOCATION ! SERVICE BACK UP ❑CONTRACT MAINTENANCE REPAIR MAINTENANCE ESTIMATE ®'CONSTRUCTION F OTHER PAID BY: ;redit Card — MC I VISA # EXP.DATE I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges. 1 understand that by signing below I am agreeing to all charges incurred on this ticket and that the work was completed to my satisfaction. anature or iob completion . COMMENTS VQt->€"-- `.-'r r IL ❑ Leach System Failing ❑ Roots ❑ Excessive sludge/grease SERVICES COMPLETED - ALMS UNDERGROUND CONSTRUCTION, INC. 38703 VISTA DR. CATHEDRAL CITY, CA. 92234 760-324-1911;FAX:760-324-9541 —7Z' '-s 15 4c C.LA kov-12-e— r -r nEO Ar4zvc.(O I t5 1'O'�— �MS ��c(er ('o LA Act I r Bin # City of La Quints Building & Safety Division P.O. Box 1504, 78-495, Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # -\\d�X 'Do,. Project Address: A I �— Owner's Name: -A. P. Number: Address: Legal Description: City, ST, Zip:t V' Contractor: 'A fer)Q211) C:,'I—, Telephone: Address: t4-A PProject Description: f MY City, ST, Zip: t • 1 110 Telephone: r City Lic. #: 00 State Lic. # : b Arch., Engr., Designer: Address: City, ST, Zip: Telephone: y '� State Lic. #: Name of Contact Person: Construction Type: Occupancy: P Y: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.:I #Stories: # Units: T Telephone # of Contact Person: 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 Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted - Mechanical Grading plan 2nd Review, ready for correctionsfiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A I p p Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees Bin # . City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # d Project Address: ^ ' «, Owner's Name: l A. P. Number: Address:' (g Legal Description: Contractor: ET U City, ST, Zip: r--� v Telephone: x' . . Address: I Project Description: City, ST, Zip:72cV I Telephone:_71e,11 13 2 r _ 1 � .. W State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone:* State Lic. #: Name of Contact Person: ' ' r t Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" 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 HOUSE:- ''" Review, 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