BPLB2016-013978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-iht 4 4 Q"
DESIGN & DEVELOPMENT DEPARTMENT
Application Number: BPLB2016-0139
Property Address: 53865 AVENIDA HERRER
APN. 774163020
Application Description: WATER SERVICE REPLACE OD
Property Zoning:
Application Valuation: $2,200.00
Applicant:
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
BUILDING PERMIT
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DEC 0 9 2016
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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: 4¢21 36 Licens o.: 661018
Date:�Z 1 tractor -
OWNER -BUILDER DECLARATION
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
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).:
(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 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/9/2016
Owner:
SANDRA WARN
P 0 BOX 207
LA QUINTA, CA 92253
Contractor:
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
(760)360-7448
Llc. No.: 661018
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: BARRETT BUSINESS SERVICES INC Policy Number: 2246
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 becomjb to the workers'
compensation laws of California, and agree i ould oe,l
ct to the
workers' compensation provisions of.S ¢tion 3700 of heLaall forthwith
comply with thosebrovisions. > i
WARNING: FAILURE TO SECURE WORKEM' COMPENSATION 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 infor is correct.
I agree to comply with all city and county ordinances d sta law r lating o building
construction, and hefeby authorize representativ s�this cit toe upon he
above-mentiojed p operty for inspection purp es.
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Date: 12/9/2016
Application Number: BPLB2016-0139
Owner:
Property Address: .53865 AVENIDA HERRERA.-
SANDRA WARN
APN: 774163020
P 0 BOX 207
Application Description: WATER SERVICE REPLACEMENT
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,200.00
Applicant:
Contractor:
HAMMER.PLUMBING AND PUMPING INC
HAMMER PLUMBING AND PUMPING INC
P 0 BOX 2448
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
CATHEDRAL CITY, CA 92235
j
(760)360-7448
------------------------ -----------------------------------------------------------------------
Llc. No.: 661018
Detail: REPLACE WATER SERVICE TO STREET. PER 2013 CALIFORNIA BUILDING CODE
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Total Paid for PLUMBING FEES: $25.34
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE. 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP PC
101-0000-426000
$12.67
Total Paid for PLUMBING FEES: $25.34
Qin ##
Permit #
Project Address: ,
City of La Q uin to
Building 8F Safety Division
. _ 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheen
Owner's Name: �l
A. P. Number:
Address:
Legal Description:
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Arch., Engr., Designer:
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State Lic. #� •
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Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person:t;S—
Estimated Value of Projec : Z Z V
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets.
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Cls'eck Deposit
Truss Cates.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.T.
Ii.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.I'.P.
Pub. 1Vks_ Appr
Date of permit issue
School Fees,
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.
Total Permit Fees
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