BPLB2015-003078-495 CALLE TAMPICO ! t
LA QUINTA, CALIFORNIA 9_,Lo..'J 1
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COMMUNITY DEVELOPMENT DEPARTMENT
-BUILDING PERMIT
Application Number: BPLB2015-0030
Property Address: 51865 AVENIDA VELASCO
APN: 773173018
Application Description: HUNTER/ABANDON SEPTIC CONNECTTO SEWER
Property Zoning:
Application Valuation: $1,400.00
Applicant: •
HAMMER PLUMBING AND PUMPING IN
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
'LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licenseo under provisions of Chapter
9 (commencing with Section 7000in) of D• f the B si and rofessions Code,
and my License is in full force and ect. ,
License Clas : C42—d36 Lic se No.: 66101
Date: Z 2� C ntract n'
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).:
(_) 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. Q.
Lender's Name:
Lender's Address:
VOICE (760) 777-7125
FAX. (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
CORRY HUNTER
51865 AVENIDA VELASCO
LA QUINTA, CA 92253
Contractor:
HAMMER PLUMBING AND PUM
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
(760)360-7448
LIC. No.: 661018
Date: 2/23/2015-
Owner:
/23/2015
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'
sation, as provided for by Section 3700 of the Labor Code, for the performance
of the for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
on 3700 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier avid polity number are:
Carrier:— Policy Number: _
I certify that in the performance of the work for whi r it is issued,
shall not employ any person in any manner so as to become s ject to t e workers'
compensation laws of California, and agre hould beco su I ct to the
workers' compensation provisions of 5 ion 3700 o the bor Co hall forthwith
comply wit those rovisions.
Date: 2 Applic nt: '
WARNING: FAILURE TO SECURE WORK COMPE SATION 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 restfictions 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 formation is
I agree to comply with all city and county ordinanc and state law relatin
construction, and hereby authorize representativ of this city to a ter nth
mentioned p operty for inspection purposes.
Date: Signature (Applicant r Ag
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236' (760) 398-2651
INVOICE Date: 211712015
SUBJECT: SCC ONLY, 51865 AVENIDA VELASCO, LA QUINTA
KRISTYN ROBBINSProject:' 15$127-
51865 AVENIDA VELASCO Project Date: 2/17/2015
Amount Due: $4,851.00
LA QUINTA, CA 92253 GEO:06-06=01-4
Planner: DAVID MCGEE
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: SCC ONLY, 51865 AVENIDA VELASCO, LA QUINTA
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA., CALIFORNIA 92236-(760) 398-2651
Page 1
FINANCIAL INFORMATION
DESCRIPTION»` p: ACCOUNT,, e QTY AMOUNT, €�''aPAID w
PAID. DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
` t`+PAIDBY " .•k - . x •
�C
BY.
Total Paid'forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
=xDESCRIPTION ,::-
px� y . , ACCOUNT
QTY°
q
!}AM N �-
OU T
r•
T' PAID `'
..
PAID'DATE"
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID,BY r�u 3 `',r ,,"
METHOD ` t- ; g
A ` "RECEIPT # � : _ £
u k` CHECK #
CLTD BY `x
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION f �k
"AGCOUNT� . r
<QTY
- AMOUNT i,;
- � ,PAID ,' ,„,
"PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY �: x f;:.�
' a11-1
METHOD ` ..
. !RECEIPT #x' ,�
4R,,,CHECK # 3.^a
r CLTD BY'.'
r
ACCOUNT
QTY
EAMOUNTAID
!
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
;aPAIDBY+_#METHOD;
t<'RECEIPT#��;.`t
:. CHECK#
CCTDBYAix
Total Paid forPLUMBING FEES: $24.18 $0.00
TOTALS:• 0•
Description: HUNTER/ABANDON SEPTIC CONNECT TO SEWER
ADDITIONAL SITES
CHRONOLOGY
Type: PLUMBING Subtype:
Status: UNDER REVIEW
Applied: 2/23/2015 S.KH
Approved:
Parcel No: 773173018 Site Address: 51865 AVENIDA VELASCO LA QUINTACA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 61
Lot: 6
Issued:
UNIT 5
.. " 66kESSi
Nk1IViETYPE:,A
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:,-
Finaled:-
Valuation: $1;400.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 •
No. Unites: 0
92235
Details: PLUMBING -ABANDON SEPTIC, CONNECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
I Ll
JIIVA 1_1
114L AL INFORMATION
Printed: Monday, February 23, 2015 3:14:00 PM 1of2 CR.WlYSTIMS,
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
.
. ..... ... . ..
.. " 66kESSi
Nk1IViETYPE:,A
STATE
�ZIP I
HON
......
. .... . ... ........... ...............
APPLICANT HAMMER PLUMBING AND PUMPING P 0 BOX 2448
CATHEDRAL
CA'
92235
(760)250-1011
IN
CITY
CONTRACTOR HAMMER PLUMBING AND PUMPING P 0 BOX 2448
CATHEDRAL
'CA
92235
(760)250-1011
IN
CITY
OWNER CORRY HUNTER 51865 AVENIDA
I
LA QUINTA
I
CA
92253
(760)2SO-1011
I
I
L VELASCO
.
JIIVA 1_1
114L AL INFORMATION
Printed: Monday, February 23, 2015 3:14:00 PM 1of2 CR.WlYSTIMS,
'. .. .' _ :'. ,;: a.
DESCRIPTION
i:'i. -
ACCOUNT
I
QTY
AMOUNT
_
PAID:. -
PAID DATE
'RECEIPT #
wwvwx'".yn.,.wK✓.,W'
-CHECK #
.,�n......rrws�r
METHOD
PAID BY
qBY.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
.$0.00
,
Total Paid forBUILDING STANDARDS ADMINISTRATION .
$1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
•$91.85
$0.00
_ Total Paid for PERMIT ISSUANCE: $91.85 $0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.00
• • ••
PECTIC
SEQID INSPECTION TYPE INSPECTOR `, SCHEDULEDCOMPL�
ETED RESULT : REMARKS F' " NOTES
:� - • :. _ ._ .
DATE:^ DATE -
n
A4
PLUMBING FINAL"
Printed: Monday, February 23, 2015 3:14:00 PM
PARENT PRQJ6CTfi—��"� . .
2of2
'.3 A c o 3 .
Bin #
City. of La Quinta.
Building 8Z` Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Buildi g Permit Application and Tracking Sheet
Permit #
Project Address: �' �� A �� top,C j
Owner's Name:
A. P. Number:
Address: J J�t�t OA Enn 0
Legal Descrip 'on:
City, ST, Zip: LA— J 1 N T A W
Contractor:�Q
telephone: I
2 1
<.
Address: P ��( 2 �. (%
Project Description: (� (QAE
City, ST, Zip: C P "€ QZ n L C CN �
t L_ L S T
TeIe h ne.
3 y�
/v
State Lie. 4: (0
City Lie.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
'.
::> Ci �.';:;.:;i:C;il'i,':;iiJ'i:�i'ry'::}�}^`
-:::;;;s>•:;«:,:;. : .;:
Construction Type: Occupancy:
:
State Lie. #:
project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
un
Estimated Value of Project: �. 4•Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans pickcd up
Construction
Flood plain plan 14
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:-
'rd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
F
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fces