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08-0171 (PLBG)4 P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 .LA QUINTA, CALIFORNIA 92253. UI I & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 t � WING PERMIT Date: 1/23/08 Application Number: —0-8--0000017-1-- 2 Owner. 'Property Address: 53725 AVENIDA'NAVARRO �y'n �� O CHRISTY FLORES APN: 774-134-021-11 -000000- O�� rJ 53725 AVENIDA ALVARADO Application description: PLUMBING OQ 0 LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIALspy (760) 564-9491 71,.1. • Appllcatiori Valiiatjon: 2000 y Contractor. Applicant:. Architect or Engineer: FLORES EXCAVATING/GRADING, A P.O. BOX 1036 AI LA QUINTA, CA 92247. `v (760)360-0255 Lic. No.: 610005 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 underpenalty 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: A '.C12 License No.: 610005 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ 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 PRAETORIAN INS Policy Number P000501786001 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 andProfessionsCode) or . 3700 of the Labor Code, I shall frorlkShfw_ith comply with those pr�ovision�s. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any a plicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: Applicant: ( I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and T� the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_ 1 I, as owner of'.the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT 'Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose -behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, _ (_ 1 I am exempt under Sec. , B.&P.C. for this reason - - 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. Date: •� Owner: 00, Y -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 . CONSTRUCTION LENDING AGENCY - permit to cancellation. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct: I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). 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 inspe ion purposes. 'Lender's Name: (tA.,.11Y• ,�— . Date: Signature (Applicant or Agent): , Lender's "Address: LQPERMIT - Application•Number' 08-00000171 Permit PLUMBING SEWER ° " Additional desc . Permit Fee • .. 30.00 Plan Check Fee .00 Issue, Date-_ Valuation 2000 Expiration Date 7/21/08 - Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments _ SEWER HOOK UP, /'SEPTIC ABANDONMENT 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 LQPERMIT - COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL 2-P-5' 122760 I M Received From: �t� " ' %!`� ' 1 © SIV +�V /V Date: "J/V �(� G of l Address: �T ((�f G / C/10Lots) Account No.6661a ` 5-3 _ /9— Tract Service Address G.A. Code ❑ Meter(s) $ ❑ Service(s) ❑ Backflow(s) `t VuuQ � ti b�A ❑ House Lateral(s) ❑ Detector Check(s) ❑ Meter Surcharge Sanitation Capacity Charge 3/ 9s ' ❑ W.S.B.F.C. . ❑ - 1488400.8 738 ❑ Temporary Construction Meter ❑ Turn on Charge ❑ Uncollected Account - Name .. .. - ❑ Inspection Fee - Tract - �:.1:2;227162.7:440:016032:42?(I' 10 01r. Fee - ❑ Plan Check Fees Water / Sewer - Tract - ❑ Bond Payment - A.D. - Bond Assmt ❑ Customer Deposit ❑ Other CVWD-438 (1/05) 10, C� °1'O Y" FLORES LEONEL{'FLORES 410`BUCHANAN ST NVJ 90-7182/3222 & WASHINGTON DC'r2011A. h Q� date 8 `t VuuQ � ti b�A C�,fLr�'�(V ollas L ;,. a� 0 Washtntton Mutual ' ilnpton MuWel,'BaN, FA We6lif C,6�lt . P.O..Box Bi1108�'•= Seattl9;.WA•9Bi/1 � - 1488400.8 738 For`• .. .. - ' �:.1:2;227162.7:440:016032:42?(I' 10 01r. 10, www.hammerpumping'com 760/360-7448 7601321-7448 FAX 760/324-6434 Customer Name C 4- -, � � 0 f `P Address jI �3-1 �j ��- vs e 1` Iain« r ( J city Ph# i Additional Service-❑ Required M Recommended P.O. BOX 2448 -.Cathedral City, CA 92235-2448 • I II^# FF1(11R JOB INVOICE J0a DATE" TIME IN: TIME.0" TECHNICIAN #1 TECHNICIAN 02 HELPER(S) Cat/ �':95Ai�� Kl..SAS-!)a,Y\ ORDERED BY: P.O. Y 1 START DATE: I END DATE: JOB LOCATION SERVICE BACK UP ❑CONTRACT MAINTENANCE REPAIR ❑ MAINTENANCE ESTIMATE fO CONSTRUCTION OTHER Description/ Remarks/ Drawings I Sim q+gi I I:LQAf- .. t:H• PAID BY: t/� f f 1 y ,redit Card MC / VISA # t'L t 1 � ✓ P } EXP.DATE if) �1 0 C I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges. I understand that by signing below 1 am agreeing to all charges incurred on this ticket and that the work was completed to my satisfaction. I h,��� f `. K I f S Or-KV1%or-0 l.V1Y11-LC 1 CU ' Sim q+gi I I:LQAf- .. t:H• PAID BY: t/� f f 1 y ,redit Card MC / VISA # t'L t 1 � ✓ P } EXP.DATE if) �1 0 C I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges. I understand that by signing below 1 am agreeing to all charges incurred on this ticket and that the work was completed to my satisfaction. I h,��� f `. K I f S Or-KV1%or-0 l.V1Y11-LC 1 CU ' Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: ' S Fore -S A. P. Number: Address: Legal Description: City, ST, Zip: U G 9 as S3 Contractor: A, UJ(-eS .E c&Q a,J ,Lke Telephone: 1 lD _S104 - 9 W 4 Address: Project Description: City, ST, Zip: Telephone: x City Lic. #: State Lie. # : Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New. Add'n Alter Repair Demo Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: '� (Q� - �(Q� -9.� 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. 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°d 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:- ''d 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