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07-2951 (PLBG)P.O. BOX 1504 ti 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: . Application description Property Zoning: Application Valuation: Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 07-00002951 Owner- 770-104-002 wner: D N Date: 11/16/07 50925 PALOMA CT DAVIS WILLIAM P±_ 770-104-002-3 -00.0000- 50925 PALOMA CT a PLUMBING LA QUINTA, CA 92253 LOW DENSITY RESIDENTIAL !' 1800 Contractor: /y Architect or Engineer: A & S ' PLUMBING, INC. 1592 E. VIA ESCUELA PALM SPRINGS, CA 92262 (760)567-6046 Lic. No.: 886076 ------- - - - - -— LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby.affirm. under, penalty of perjury that I am licensed undei 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 Busines rofessionals-Code,�No.: and my,License is in full force.and effect. _ I have and will maintein,a certificate of consent to self -insure for workers' compensation, as provided -LicenseClass: C36. 076 for. by Section`3700 of the Labor Code, for the performance of the work for which this permit is ,issued. ' Oate(' Cor ntra m �'//tf�.�f�'�� a�%J/�//i _ I have and'will maintain'workers' compensation insurance, as required by Section 3700 of the Labor � "d / Code,for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATII) - - insurance carrier and policy number are: hereby affirm'under enalty of perjury that I am exempt from the Contractor's State License Law for the Carrier END.: INS Policy Number WEN00163 9701 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, orrepair 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 sh uld b subject to the workers' co pensation provisions of Section License Law (Chapter 9 (commencing with Section 7006) of Division 3 of the Business and Professions Code) or: ' _ 3700 of the La4er.Ft�p�rthwith comply. ith those31 ovisioins. that he or sheJs exempt therefrom and the basis, for the alleged exemption. Any violation of Section 7031.5 by any. applicant for a.permit subjects theapplicantto a civil penalty of. not more than five hundred dollars ($500).: (_) I, as -owner of theproperty, or my employdes.with wages as their sole compensation, Will dcthe work, and the structure°isnot intended°or offered for sale (Seca 7044, Business and Professions Code: The Contractors' State;License1_a6v.does not applyto an owner of property -who .buildsorimproves thereon, andwho does the work himself or'herself through -his or her own employees, provided that the improvements are not-infended or offered for, sale. If; however, the building & 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: LQPERMIT WARNINGi FAILURE,TO SECURE WORKERS' COMPENSATION COVE E -IS UNLAWFUL, AND SHALL ..SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTo,ONE HUNDRED,THOUSAND DOLLARS"(S.100,000). IN ADDITION TOTHE-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 count rdinances and state laws relating to building co uction, and hereby authorize representatives of this cyyntenj�r upon the above-mentioned prpergy forjrisu'on purposes.n Application Number . . . . . 07-00002951 4 Permit . . . . . PLUMBING SEWER Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1800 Expiration Date 5/14/08. 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 LQPERMIT License Detail Page 1 of 2 November License Detail Contractor License.# 886076 STATE LICENSI DISCLAIMER A license status,check 'provides information taken from the CSLB license database. BeforE on this 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 tc complaint disclosure, a link for complaint disclosure will appear, below. Click on the lin 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 ont Board's license data base. Extract Date: 11/14/2007 * * * Business Information A,.& S PLUMBING.INC 12765 WEST ARROYO DRIVE DESERT HOT SPRINGS, CA 92240 Business -Phone Number: (760) 251-3860 Entity: Corporation Issue Date: 10/20/2006 Expire Date.,: 10/31/2008 *. * * License Status * * * This license is current and active. All information below should' be reviewed. * * * Classifications Class Description C36 PLUMBING * * * Bonding Information CONTRACTOR'S BOND: This license filed Contractor's Bond number 5000075 in the arr $12,500 with the bonding company http://www2.cslb.ca.gov/CSLB_LIBRA.RY./License+Detai1.asp 11/14/20071 License Detail Page 2 of 2 SURETY COMPANY -OF THERACIFIC. Effective-Date,`01 /01 /2007 Contractor's Bonding History_ :BOND OF QUALIFYING INDIVIDUAL(1): The Responslble.Manading Officer (RMO) TIN 'WILLIAMS ANDERSON certified that he/she owns 1Q;, -percent or more of the voting stock/( the corporation A bond'of qualifyingy'individuakis not required. Effective Date: 110/20/2006: ' * * * Workers Compensation Information This.licensb has;workers.compensatlon insurance with the '-ENDURANCE<:REINSURANCE'CORPORATION OF AMERICA Policy Number: WEN66,4639701 Effective Date*,02/28/2007 Expire Date: 02/28/200 Workers°.:C`ompensation History Personnel List License Number Request Contractor Name Request .Personnel Name Request Salesperson Request Salesperson` Name Request 2006 State of California. Conditions of Use Privacy Policy http://www2.cslb.ca.gov/CSLB. LIBRARY/License+Detail.asp 11/14/2007 Bin # City bf. La QgJnta Building. & Safety Division P.O. Box 150.4, �78-4.95 Calle Tampico La.Quinta, CA 92253'-. (760): 777-7012 Building.Permit,Appllcationand Tracking Sheet Permit # Project Address: 4 o*f .. Owner's Name: i I I / 0. A. P. Number: Address.: &�' Legal Description:.p2 li !:� `�/jc,�Tf(�g City,, ST, Zip: /,& .... �. d` Contractor: q%S+ �: ��� Address: l �: f E5 Lke_ �..0- Y Telephon Q� . '''Proiecf•Desciiption: City, ST, Zip:C !'� S'• 5 (P Tclephon7 d',;- State Lic. # : City Lic. #: . Arch., Engr., Designer: Address: City, ST, Zip: Telephone: . Construotion-Type: Occupancy: State Lic. #: Project type (circle.one): New Add'n Alter Repair Demo Name of Contact Person: Sq.. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value,of•Project. d t APPLICANT: DO NOT,WRITE.BELOW:THIS,LINE # Submittal Req'd _ Rec'd ti TRACKING_ PERMIT FEES Plan Sets Plan•Cheeck'submitted• Item' } Amount Structural Cafes. Reviewed, _ready for corrections Plan ,Check Deposit Truss Calcs. Called Contact Person . Plan Check Balance Energy Cates. 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 j CbACHELLA.411EY.WATER DISTRICT. CASH RECEIPT DETAIL- 9-6223 } F �.�- Received From• � t1 l ✓ : �✓ � / / j f .t` 1 tji�''y � � � Date: Address Account No. ��� i � ©_.�' — C:/ � . � Lot(s) Tractt IN.. Service Address �`� �- Z�A..t�t.Code . . ❑ Meter(s) 19 ❑ Service(s) El kfl Bac ow s • I House Lateral(s) ❑ Detector Check(s) • r r Mete Su ch az e 9 ter Sanitation Capacity Charge.:. W .F. ❑ .S B C. r • Temporary ra ConstructionMet e • Tum on Charge Uncollected Account - Name c In tion F - Tract - ❑ sec Fee P Fee - / Plan Check k Fees WaterSewer Tract - ❑ Bond Payment -A.D.D - Bon d Assmt. t mer Deposit • Cuso Po th ❑ Or e Copy to: g� $ Com. ✓� �_ 438(71189) 19 g� $ Com. ✓� �_ 438(71189) Print Window N DCData xom Single Property Profile Page 1 of 1 Property Location Last Updated: 11/7/2007 Address: 50925 PALOMA CT City: LA QUINTA Zip: 92253 APN#: 770-104-002 Use Code: Single Family Residence County: Riverside Driving Directions Tract 0 Census Tract 451.11 Zone: R1 Map Page/Grid: 849/G6 Legal Desc: .29 ACRES IN PAR 3 PM 174/045 PM 26710 Appraisal Tax Information Total Assessed Value: 302,506.00 Tax Amount: 3,506.94 Percent Improvement: 75.48 Tax Year: 2006 Current Owner Information Current Owner: DAVIS,WILLIAM P & ROSELYN Owner Address: 50925 PALOMA CT City, State: LA QUINTA CA Zip: 92253 Last Transaction: 05/03/1991 Deed Type: Amount: 0 Document 148054 Last Sale Information IN1600 t1U •, N Vli<t bEE . s Transferred From: Seller Address: Sale Date: 05/03/1991 Prior Sale Date: Most Recent Sale Price: 0 Prior Sale Price: 0 Document Number: 148054 Prior Document No.: Document Type: Prior Document Type: Lender Information Lender: Full/Partial: Loan Amount /2nd Trust Deed: 0 / NA Loan Type: Physical Information Building Area: 2237 # of Bedrooms: 3 Lot Size: 12632 Additional: 0 # of Bathrooms: 3.00 Year Built/Effective: 1990/0 Garage: 671 # of Stories: 1 Heating: central First Floor: 0 Total Rooms: 0 Cooling: central Second Floor: 0 # of Units: 1 Roof Type: tile Third Floor: 0 Garage/Carport: attached / Construction/Quality: /0 Basement Finished: 0 Fireplaces: yes Building Shape: Basement Unfinished: 0 Pool/Spa: yes View: Flood Data ;,;? G_ T � 600 iT #7Dsf Panel Date: 08/19/1991 Comm/Panel Number: 060709 / 0005 B Flood Zone: X500 Copyright © 1998-2005 NDCData.com