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07-0271 (PLBG)' P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 07_00000271 '—_ Property Address: 51655 AVENIDA VELASCO APN: 773-133-019-7 -000,000- Application description: PLUMBING . Property'Zoning: COVE RESIDENTIAL Application valuation: 4850 Applicant: Architect or Engineer: ---------------------------------------------------- 'LICENSED CONTRACTOR'S DECLARATION - r�,, I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - Section 70001 of Division 3 of the Business and Pr a si als de, aond my License is in full force and effect. License Class: A B Licen e,N�t:' 475515 a Date:' I 1 C- Contractor. -- OWNER -BUILDER DECLARATION 1 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, oconstruct, 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 70001 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 fivehundreddollars 15500).: ( 1 1, 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 intendedor offered for sale. If; however, the building or improvement issoldwithin 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 1, 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.). I—) I am exempt under Sec. B.&P.C. for this reason ' 1 Date: Owner: CONSTRUCTION LENDING AGENCY w _ I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the . t work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/25/07 Owner: BROWN RHONDA L 51655 AVENIDA VELASCO LA QUINTA, CA 92253 Contractor: 2007 TRI STAR CONTRACTI INCJAN P.O. BOX 542 CATHEDRAL CITY, CA 22 ' 4 CITY OF LA QUINTA ' (760)321-0898 FINANCE DEPT. Lic. No.: 475515 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 irisurance, 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'STATE FUND . Policy Number . 0019798-2006 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 became 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 vitft se provisions. Date: Z 6 Applicant: - WARNING: FAILURE TO SECURE WORKERS' 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 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 ofthis 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 tion is orrect. I agree to comply with all - city and county ordinances and state laws relating to build n constru io , an etebp'aujhorize representatives of this county to enter upon the above-mentioned propert or inspecti os S. tDate_:A? :^Signature (Applicant or Agent): Application Number . . . . . 07-00000271 Permit . . . SEWER• ,PLUMBING Additional desc . Permit Feel 30.00 Plan Check Fee .00 Issue'Date.. Valuation 4850 Expiration Date,. 7/24/07 z Qty Unit Charge Per Extension BASE•FEE 15.00 • _ 1.00 15.0000 EA PLB BUILDING SEWER 15..00 ---------------------------------------------------------------------------- Special.Notes and Comments SEWER CONNECTION/SEPTIC ABANDONEMENT. 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 Bin # City of La Quinta Building 81 Safety Division * P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # roject Address: 5[,05- AVCq,dQ v<JCkSc-c> #0-ner's Name: A.P.Number: Address: Legal Description:CAV' Ync,'k it L&QZ�1111t"'i City, ST, Zip: LX Y)+Q CA q -a ........................ ........... ....... ontractor: ................ ... 0, -Tyi -51OV/ C&A+Y&C4-( rV, �Vr Telephone: ...................... .............. Address: Project Description: I.,- Lq'e' 11CL-4— City, ST, Zip: s-Lfb evvLo— Telephone: 'ZI -U-V' 4-0 Cwt tate Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: ......... ... ........ . .................. Telephone: ................ ......... Construction T pe: Occupancy: . ........ .. ............ y . ............ State Lic. X 0. ...................... Priect type (circle one): New Add'n ..... .... ..................... Alter Repair Demo Name of Contact Person:0 CY, a Nyw 4 Z- Sq. Ft.: # Stories: 4 Units - Telephone # of Contact Person: 194-- 2 ,v (Tstimated Value of Project: 91150, Ila_ APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Reviewed, ready for corrections Plan Check Deposit Truss CaIcs. Called Contact Person Plan Check Balance Title 24 CaIcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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, readv 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 ASAP PUMP/NG' Inc. Lic #C42 855 851 760 328-7887 • 1-800-334-7256 FAX 760 328-6607 P.O. Box 2318 • Cathedral City, CA 92235 CUSTOMER'S ORDER NO. DATE0 DERED �7_ -30!,0 ORDER TAKEN BY DATE PROMISED ❑ A.M. ❑ P.M. BILL TO - PHONE ADDRESS MEC A'f4 C CITY HELP,6R� ��►► JOB �D •CAT DAY ARK DESCRIPTION OF WORK ❑ CONTRACT ❑ EXTRA QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT Gallons Pumping Fed -per 1000 gal. Camera/Power Snake Out of Area Fee Locating / Opening Fee (per hour) $.75/HR Size System: Fuel Charge $25 0 0 A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS. 18% PER YEAR WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS. TOTAL MATERIALS / TOTAL LABOR WAIVER: Not responsible for secondary damage such as water damage, chivppedoconcrete, mark on street or driveways or trees. SIG ATU � DTE COMPLETED TAX TOTAL JAN -22-2007 01:14 PM RHONDA'L. BROWN 310 5764966 P.02 -��.�'^�y '% l lit T� Rir' 'T.P•�Im�I�R�` rl � r . • . `Q�AN �� pgfA1L � ������ ' � 'r V • 1 VAILO yyATEA 016TftiCT p�f1 W414 " i Vet( A,ddrffe: � AMYM I semi" W ; i p MOWS) I p BeMa(el ' O Bsckllow(el . ❑ limas Let ts) Ot9 � eAe�r f�rd�ar0e �� ' .�erdtefion Capenfty Ch�9f , . ❑ W,B.O.P.C. - •. O to futon Ref-1Msa1- Fef - Y p plan Check Fees waw 1 Sewer - ,. Hatt - - ❑ tiarayment - A.D. �...— C, Customer _ C3 Other _ TOTAL • l Tit,/ 4-. 4a. rcv 78-105 CALLE ESTADO - LA QUINTA, CALIFORNIA 92253 - (619) 564-2246 May :17, 1991 To Whom It May Concern: The structure located at 51-655 Avenida Velasco will be located'in a "B" flood zone per the revised F.I.R.M. (panels 060709 005 A.and 0010 A)..for La Quinta.. This change will be effective August 13, 1991. The property is.currently designated as zone AO (depth two (2) feet). If•you havelany.questions, feel free to contact me. Sincerely, BUILD NG AND SAFETY J6� Tom Hartung' Director of Building and Safety TH/lc MAILING ADDRESS.- P.O. BOX 1504 - LA QUINTA; 'CALIFORNIA_ 92253