BPLB2015-0030 (2)78-495 CALLE TAMPICO �t p D
L/1 QUIN7A, CALIFORNIA 32253. COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address: _
APN:
Application Description:
Property Zoning: .
Application Valuation:
BPL82015-0030
51865 AVENIDA VELASCO
773113018
HUNTER/ABANDON SEPTIC CONNECTTO SEWER
$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 license under provisions of Chapter
9 (commencing with Section 70001 of Ujviaiar ; f the 13 ,sir ss ane{ ''rofessions Code,
and my License is in ftrll force and of ecc
License Clas„UcVhse No.: 61 R1 '
;z r
D t L r1 .4nlracl
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt frorn the Contractor's State
License Law for the follaiving 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?
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 coritractors
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. fur this reason—
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is aconstruction lending agency for
tyre performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:. _
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
\jowdlfiO_wne:r
LORRY HUNTER..
51865 AVENIDA VELASCO
L'A CIUINTA,' 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
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'
�W#+1042l.Sallon, as provided for by Section 3700 of the Labor Code, for the performance
of the v ryf 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: _ Polity Number: _
^� I certify that in the performance of the work for whl h"IfiiS"Per t is issued, I
shall not employ any person in any manner so as to become st sject tot a workers'
compensation laws of California,'and agrec,that, If" hould becc :�.q.,J et to the
workers; compensation provisions of Sec ion 3700 of the LflborCo(jZ�Ighall forthwith
WARNING: FAILURE TO SECURE WORKb S' COMPEIfSAT10N 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 FEE'S.
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 frorn 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 tlte`ah'o' nlormation is c(rled.
I agree to comply with all city and county ordinances`and state lave. relating+ l)y'•dinL
construction, and hereby authorize representatives of this city to
.ter m ill
;E Ove.
mentioned fs operty for' Inspect on purposes•
Date:. ,,5" Y �3 Sig ature ('Applicant it AgAl ,
Des cri p't:iq1n..HUNTER/ABANDON §EPTIC Cd ff NtCT*TO"SEWER--i
Type: PLUMBING Subtype: Sta I tus: -FINALED
Applied: 2/23/2015 SKH
Approved: 2/23/2015 SKH
Parcel No: 773173018 Site Address: 51865.AVENIDAVELASC.0—LA—qUINTA,CA 92253
Subdivisioni: SANTA CARMELITA VALE LA QUINTA Block: 61 Lot: 6
Issued: 2/23/2015 SKH
UNIT S
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled: 2/25/2015JFU
Valuation: $1,400.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
_j Applied toApproved
Details: PLUMBING -ABANDON SEPTIC, CONNECT TO SEWER. 20.13145A—LIFORN-1A 9UI1bING-C(yDgs—.--
Process Summary
Issued to Finaled T'I
2 0
4
V:,
_j Applied toApproved
fz�opproved to Issued
7
Issued to Finaled T'I
449@0 �1_
Printed: Thursday, December 08, 2016 5:24:36 PM 1 of 3
MON
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NAME TYPE
AME'
�ADDRESSI
C
CITY
�-STATF.
ZIP''""
PHONE
FAX
"EMAIL'
APPLICANT
HAMMER PLUMBING AND PUMPING
P OBOX 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 AVENIPA
LA QUINTA
CA
92253
(760)250-1011
VELASCO
449@0 �1_
Printed: Thursday, December 08, 2016 5:24:36 PM 1 of 3
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SEPTICABAND ONMENT
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2/25/20.15..>2/.25/2015—'rAPPROVED
''REMARKS'
WQ5�;��
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.� _��,
SEWER CONNECTION,
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Y 2/25/2015 `
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/25/2015 '
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'APPROVED
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DESCRIPTION ACCOUNT :QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID.BY CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00.
2/23/15
R3795
11137
CHECK
HAMMER PLUMBING
SKH
AND PUMPING IN
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$1.00
BSA:
PERMIT ISSUANCE
101-0000-424040
$91.85
$91.85
2/23/15
R3795
11137
CHECK
HAMMER PLUMBING
SKH
AND PUMPING IN
Total Paid for PERMIT ISSUANCE:
$91.85
$91.85
BUILDING SEWER
101-0000-42401
0
$12.09
$12.09
2/23/15
R3795
11137
CHECK
HAMMER PLUMBING
SKH
AND PUMPING IN
BUILDING SEWER PC
101-0000-42600
0.
$12.09
$12.09
2/23/15
R3795
11137
CHECK
HAMMER PLUMBING
SKH
AND PUMPING IN
Total Paid for PLUMBING FEES:
$24.18
$24.18
._
Y
SEQID. INSPECTIONTYPE INSPECTOR SCHEDULED 'COMPLETED RESULT REMARKS::qwwt NOTES
DATE✓ DATE
_.... : .
'RETURNED
SEPTICABAND ONMENT
JFU
a
2/25/20.15..>2/.25/2015—'rAPPROVED
''REMARKS'
.� _��,
SEWER CONNECTION,
JFU
Y 2/25/2015 `
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/25/2015 '
y
'APPROVED
SEWER CONNECTION VIEWED VIA SEWER
CAMERA. NO LOW SPOTS OR STANDING
WATER.
P,LUIVIBING FINAQ*
,JFU
}2/25/2015.2/25/2015-7}APPROVED
Printed: Thursday, December 08, 2016 5:24:36 PM 2 of 3
REVIEW TYPE
REVIEWER 'j:SENT-'1IIATE-..
'RETURNED
DUE DATE
STATUS
''REMARKS'
DATE
NOTES.
Printed: Thursday, December 08, 2016 5:24:36 PM 2 of 3
Printed: Thursday, December 08, 2016 5:24:36 PM 3 of 3
,' A !�''• .COACHELLA VALLEY WATER DISTRICT
P.O. Box 10581 COACHELLA, CALIFORNIA-92236',(760)
398-2651 -
'. INVOICE Pate: 211.7l2015
'
SUBJECT: SCC ONLY, 51865 AVENIDA VELASCO; LA'QUINTA .
KRISTYN!ROI%BINS .
51;8.65�AVN '-VEL ksmO ' s P�°3e�'
♦ - Project Date
'
15-6127 '
2/1712015.
Amount Due. _
LA Q INTA 92253, ' '
$4,851.00
,
: ;, GEO:
' 06-06-01-4
Planner:
DAVID MCGEE
J TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
t
j . REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
+
1.00 FF SCC-COLLECTION $2,415.00
$2,415.00
'
1.00 FJ SCC-TREATMENT $2,436.00
$2,438.00
• • - ,
'- . -x.$4,851.00
-
PAID _
.-DevelopmentServices Department
. •� . 4 ,, FE6�1���2015�' "? 1(�
• • ,
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211. ..
e
r
• - !
SUBJECT: SCC ONLY, 51865 AVENIDA VELASCO, LA OUINTA_.
, ••
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058,: COACHELLA, CALIFORNIA 92236•(760) 39872652
!.
\
Page 1
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