14-0046 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
14-00000046
Property Address:
51748 AVENIDA VELASCO
"APN:
773-`134-012-12 -000000-
Application description:
PLUMBING
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5000
Applicant: Architect or'Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GEORGE TAYLOR
51-748 AVENIDA VELASCO
LA QUINTA, CA 92253
(760)396-4692
--------------------- -- --------------------------
LI ENS ONT ACTOR'S DECLARATION
I her irm under penalty of perjury that a licens der provisions of Chapter 9 (commencing with
Section 7 001' f •Division 3 ofthe Busines an Profession ode, and my License is in full force and effect.
License ass: C42 C36 _ Licens o.: 661018
Date C /r
OWNER- ER 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).:
(_) 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 ISec. 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 ownemployees, 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 contractingwithlicensed 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 ISec. 3097, Civ. C.).
Lender's Name: —
Lender's Address:
LQPERA1IT
Contractor:
HAMMER'PUMPING INC -
P.O 'BOX 2448
CATHEDRAL CITY, CA 92235
(760)321-7448
Lic. No.: 661018
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/16/14
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
_ Iave 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
' / sued.
`t ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work fol -which this permit is issued. My workers' compensation
insurance carrier and policy number are: -
Carrier NATIONAL UNION licy mber, 1�0
I certify that, in the performance of t e w k for w ich this per it is issued, I shall not employ any
person in any manner so as to b om subject to worke s' compensation laws of California,
YG:F
agree,that, if I should beco esu ject to the work ' c mpensation provisions of Section
0 o the Labor Code, 1 hfor with comply with tho rovisions.
Date:pplicaicant:
WARNE 0 SECUR RK S' COMPENSATION COVERAGE I NLAWFUL, AND SHALL
SUBJO MINAL ENALTIES AND CIVIL FINES UP ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATI , 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 issuan4theabov
Ztia
ion of work for 180 days will subject
peimit to cancellation.
I certify that I ve'read this application and stateis corr I agr to comply with all
city and'ount ordinances and state laws relatingd hereby au a representatives
o�f [his c unty. o enter upon the above-mentionedoses.
eater 1 Signature (Applicant or, Agen
Application Number 14-00000046
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee 11.92 Plan. Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 7/15/14
Qty lihit Chaige" Per
-Extension
1.00 11.9200 EA PLBG BUILDING SEWER
11.92
----------------------------------------------------------------------------
--•Special -Notes--and--Comments
_... _
PLUMBING - SEPTIC ABANDON, SEWER
CONNECT. 2013 CALIFORNIA BUILDING CODES.
` Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, PLUMBING
11.92
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 11.92 .00 ..00
11.92
Plan Check Total .00 .00 .00
.00
Other Fee Total 103.49 .00 .00
103.49
Grand Total 115.41 .00 .00
115.41
LQPERNI IT
Bin #
City Of La Q uin to
Building 8L Safety'Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777.7012
Building Permit Application and Tracking Sheet
Permic ' ^
i
Project Address: l j J-7 C ,C-
Owner's Name: C F o GE_.
A. P. Number:
p6L
Address:51 t (p V V L o S G v
Legal Description:
City, ST, Zip: L A �, v t, ��- n CA 9 2 Z51
Contractor:
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Tele honer 0
P
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Address: L> 4 Lt
Project Description:
City, ST, Zip` �: c_ `—.--c
�r 1 I r_ A .Q. a.A1-4 er,
Telephone:-1 �{ t-1
0 3 b v
�t-vat-- �''� *s ►-� cCT 1. o v�
State Lic. # : City Lic. #..
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:'`'";";•
":::";;";:':;";':;';;.`..`;,`;:;;l:;l:;".<';" .;.;:"< ?>>..>
..
ConstructioType: Occupancy:
State Lic. #:
Project type (circle one), New Add'n Alter Repair Demo
Name of Contact Person: A,�ap LC S
Sq. Ft.:
#Stories:
#Units:
Telephone #,of Contact Person: 6 o (o p —1 (-( L(
Estimated Value of Project: pp V _
APPLICANT: DO NOT .WRITE BELOW THIS LINE
k
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
Title 24 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 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
COACHELLA VALLEY WATER DISTRICT.
X. P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 1/13/2014
SUBJECT: SANTA CARMELITA, 51748 AVENIDA VELASCO, LA QUINTA, LID 681660, "SCC FEE ONLY"
GEORGE TAYLOR Project: 13-5129
51748 AVENIDA VELASCO Project Date: 1/2/2014
Amount Due: $4,851.00
LA QUINTA, CA 92253 GEO: 06-06-01-4
Planner: SANDRA VILLALOBOS
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
1.00 +FJSCC-TREATMENT
C-COLLECTION $2,415.00 $2,415.00
1.00 $2,436.00 $2,436.00
$4,851.00
SUBJECT: SANTA CARMELITA, 51748 AVENIDA VELASCO, LA QUINTA, LID 681660, "SCC FEE ONLY"
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Pagel