BPLB2015-007678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2015-0076
Property Address:
77201 CALLE SONORA
APN:
773241005
Application Description:
HUBBARD / ABANDON SEPTIC/CONNTECT TO SEWER
Property Zoning:
Application Valuation:
$6,200.00
Applicant:
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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 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:: C42, C36 License No.: 661018
Date: L2(2 1 0 (5 Contractor:
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. C.).
Lender's Name:
Owner:
GARTH HUBBARD
140 B LIMPLIGHT LN
HATBORO, PA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/1/2015
Contractor:
HAMMER PLUMBING AND PUMPING I
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:_ Policy Number: _
_ I certify that in the performance of the work for which this permit is issued,
shall not employ any person in any manner so as to become 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 with those provisions.
Date: ob I a( 1 1 5 Applicant: k Ar
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 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, anc
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, anc
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 information is correct
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cijoeer uponthe above
mentionedproprty for inspection purposes.%��jp %Date: O ` Of' Signature (Applicant or Agent): v '`�/
Lender's Address: I /
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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:_ Policy Number: _
_ I certify that in the performance of the work for which this permit is issued,
shall not employ any person in any manner so as to become 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 with those provisions.
Date: ob I a( 1 1 5 Applicant: k Ar
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 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, anc
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, anc
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 information is correct
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this cijoeer uponthe above
mentionedproprty for inspection purposes.%��jp %Date: O ` Of' Signature (Applicant or Agent): v '`�/
Lender's Address: I /
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FINANCIAL INFORMATION
' .
DESCRIPTION
, • - -ACCOUNT J "
;:QTY
';- AMOUNT
�° PAID , ->
,PAID DATE-
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
`.-PAIDBY
'" ', METHOD
t
S"RECEIPT.#
'`CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA:
$1.00
$0.00
DESCRIPTION Y
. ACCOUNT
QTY
� •-'.,AMOUNT ".'
_
� . ,• •;PAID �'
PAIDDATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
.PAID".BY -'
:`
t'" a METHOD - : ,.
RECEIPT .# , _•
a CHECK #
CLTD BY L.
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
�"` DESCRIPTION
�� `; 'ACCOUNT.
QTY
AMOUNT ``
PAID
PAID'DATE'
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
r
'METHOD-`
RECEIPT# t•`"
;` CHECK# .;
CLTD BY
t •sr �` 'DESCRIPTION'
r$ -ACCO UNT
QTY
AMOUNT
= `PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09 -
$0.00
PAID BY.
;;;z-�
- -' ,METHOD
'RECEIPT #'
CHECK #
CL'TD BY
Total Paid for PLUMBING FEES:
$24:18
$0.00
TOTALS:•
• 0•
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Description: HUBBARD / ABANDON SEPTIC/CONNTECT TO SEWER
CONDITIONSCHRONOLOGY
Type: PLUMBING Subtype:
Status: APPROVED
Applied: 6/1/2015 SKH
Approved: 6/1/2015 SKH
Parcel No: 773241005 Site Address: 77201 CALLE SONORA LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 40
Lot: 5
Issued:
UNIT 3
>NAME TYPE;
` . - NAME`
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $6,200.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
HAMMER PLUMBING AND PUMPING
IN
Details: PLUMBING -ABANDON SEPTIC/CONNTECT TO SEWER. 2013 CALIFORNIA BUILDING CODES.
CATHEDRAL
CITY
. _� r � -1 rr* err � - •
i
a
CONDITIONSCHRONOLOGY
CONTACTS
>NAME TYPE;
` . - NAME`
• ADDRESSI . -.
�.,: CITY. `s
. •STATE
_ZIP .,'
PHONE
FAX
EMAIL
APPLICANT
HAMMER PLUMBING AND PUMPING
IN
P O BOX 2448
CATHEDRAL
CITY
CA
92235
CONTRACTOR
HAMMER PLUMBING AND PUMPING
IN
P O BOX 2448
CATHEDRAL
CITY
CA
92235
OWNER
GARTH HUBBARD
140 B LIMPLIGHT LN
HATBORO
PA
92253
" FINANCIAL INFORMATION
a
Printed: Monday, Juno 01, 2015 IM06i27 AM 1 of 2 J
SYSTEMS
INSPECTIONS
�SEQID ,5 �- INSPECTION TYPE , INSPECTOR .', . SCHEDULED 'COMPLETED
RESULT REMARKS . ' " . _ NOTES
' '
-Ar- t
PLUMBING FINAL" BLD
PLUMBING
BY" `
DESCRIPTION
"; _ACCOUNTt ..^ -'
t.
QTY
AMOUNT
iPAID
PAID DATE
RECEIPT #
CHECK #;'
METHOD..
PAID
`;s •:
BY'`
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85- • $0.00
BUILDING SEWER
101-0000-42401
0
T $12.09
$0.00
-
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid for PLUMBING FEES:. $24.18 .$0.00
TOTALS:00
INSPECTIONS
�SEQID ,5 �- INSPECTION TYPE , INSPECTOR .', . SCHEDULED 'COMPLETED
RESULT REMARKS . ' " . _ NOTES
� .• f` , , �. �,, t DATE -DATE-
-Ar- t
PLUMBING FINAL" BLD
PLUMBING
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
erintgd: Rlond;iy, Juno 01, 2015 10;05;27 AM -20f2
SYSTEMS
Bin #
City of La Quinta
Building 8i Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
J�Gw,o
Project Address:
Owner's Name:
Ajublpcxe,�._
A. P. Number:
Addres . Zoea I(e5 In, 0 Y pl
Legal Description:
Contractor: V---) w1fil/
, ST, Zip: 'l
T ele P h e: Z G
Address:
Project Desc ' tion:
City, ST, Zip: Cq
Telephone: hone O O
State Lic. # :
City. Lic. M. `�!t
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P o e.•
Lic. #
Name of Contact Person: Q �/
Con
Construction n TY P e: O ccu ancY•
Rep.........
air Demo_x.
PoJect hPa (circle one): New Add'n Alter
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:`
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
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
Subeontactor 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 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
CLI
Fee T scr'
Type De ption
.............
chalge Inoull Total
..........Amouni
.
OT,