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BPLB2017-0029,j Yl 78-495 CALLE TAMPICO U LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2017-0029 Property Address:. 52961 AVENIDA VALLEJO APN: 773323029 Application Description: PALMOUNITZ / ABANDON SEPTIC/CONNECT TO SEWER Property Zoning: Application Valuation: $7,880.00 Applicant: HAMMER PLUMBING AND PUMPING INC 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.: 6.61018 Da, te�Z 1 O Contracto 4W' 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.). + (_) 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 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: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: PALMOUNITZ PROP z -n P 0 BOX 23990 M 00 RANCHO MIRAGE, CA 92253 oT � C � mQ � N o . mq o Contractor: HAMMER PLUMBING AND PUM G 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' compieqIsation, as provided for by Section 3700 of the Labor Code, for the performance th o k for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Sef ion n 3 0 of the Labor Code, for the performance of the work for which this -permit issued. My workers' compensation insurance carrier and policy number are: Carrier: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48818456 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 become subject to the workers' compensation laws of California, and agree that, if I should b come subject to the workers' compensation provisions of Se of the L or s all forthwith comply with those provisions. 1V Date: t1 Appli antes 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, 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 permitto cancellation.. I certify that I have read this application and state that th ve inform tion is correct. I agree to comply with all city and county ordinance nd state aws r ting to building construction, and hereby authorize representative of this city en r u above- sm�en oned roperty for inspection purpos D t� j* ` Signature (Applicant or ge Date:. 2/10/2017 Application Number: BPLB2017-0029 Owner: Property Address: 52961 AVENIDA VALLEJO PALMOUNITZ PROP APN: 773323029 P 0 BOX 2399 Application Description: PALMOUNITZ /ABANDON SEPTIC/CONNECT TO SEWER RANCHO MIRAGE, CA 92253 Property Zoning: Application Valuation: $7,880.00 Applicant: Contractor: HAMMER.PLUMBING AND PUMPING INC HAMMER PLUMBING AND PUMPING INC P 0 BOX 2448 P 0 BOX 2448 CATHEDRAL CITY, CA 92235 CATHEDRAL CITY, CA 92235 (760)360-7448 LIc. No.: 661018 Detail: PLUMBING -ABANDON SEPTIC/CONNECT TO SEWER. 2016 CALIFORNIA BUILDING CODE. ( DESCRIPTION • ACCOUNT QTY AMOUNT BSAS 561473 FEE 101-000040306 0 $1:00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404. 0 $96.27. Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION c ACCOUNT QTY AMOUNT BUILDING SEWER 101-0000-42401 0 $25.33 _ DESCRIPTION ACCOUNT QTY AMOUNT BUILDING SEWER PC 101-0000-42600 0 $17.73. Total Paid for PLUMBING FEES: $43.06 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 lain # City of La Qu" � to Building &r Safety Division Permit # 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 ��L"Q.Zo�� Z�1 Building Permit Application and Tracking Sheet Project Address: (� owner's Name: A. P. Number: .. Address: V , OY. Z.73 C1 1 Legal Description: City, ST, Zip: JC t j �,2 AA/If C 4 Contractor: " kk P l r T ele h on 0 P 3 O b �o U 3 Address:U 6-.-;L,2 ` t� Project Description: ` l L C_ A ,J (� City, ST, zip: C 0� �1 �R O."c_ tT 1 •- �. Telephone: one: Z 3 t7 � State Lic. # : v' City Lic. #: Arch.,'Engr., Designer: Address: City, ST, Zip: Telephone: P o . Con tructiot Type: Occupancy: t a ,. Sto Lic #- • Project hPa (circle one • New Add'n Alter Repair.air Demo 0 Name of Contact Person: loow Lt Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: —I (p (� 3� Lfj LC 0 00 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. 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 2qd Review, ready for corrections/issue Electrical . Subcontactor List Called ContaetSPerson Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for correctionsfissuc Developer Impact Fee Planning Approval Called Contact Person A.I-I'.P. ' Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees T COACHELLA,VALLEY WATER DISTRICT T, VP-.G.. BOX _1058, cOAcH'E*LLA, CALIPORN.I ..522. &--; -36 (160) 8,526511 " ikvbiCE Date: 1/27/2017 SUBJECT: SANTA CARMELITA, 5.29.61 AV.ENID' VALLPIP, LA QU!NTA, LID. 68.53.36, "SQQ`FEEQNLY" PALIVIOUNITZIPROP ptoj,ct:- 1.6-7585 Pb, 130X 2399 Pr iect.Date: Amount Due: .RANt'.H.0 MI.RAG''E', C.A. 9.2.270. GEO.. 06-06-12=1 Planner TO INSUREPIkOPMCRED.R. PLEASE*RET.UkN THISPORTON WITH REMITTANCE AND INCLUDE7HE PROJECT-ON'YQUO CHECK — --- - --- ------- --- A—mm, 1.00 FF JSCC-COLLECTION V2,415.00 $2 4.6-.00, $2,415:00 1.00 1.00 FJ SCC -TREATMENT $g.-43gibb�l!!!! $051.00 PAP $ U , .8j� R 7 riffien!"t JANE 7 '2011 C6i&&!! -a' Wll6j-Water ,,Distr'id Z5-5.15 Hovley,Lane East Palm 2-1-1" ,bearll,-CX92 SUBjeCf.*'SANT.A:CAR..M.ELITA."52.9.61:.A.VE.NIDAVALLEJO;,LA'*qPINTA, LIU%6853.36 "SCP-:FEE�.ONLYP . COA C*HELLA.. -VALLEY WATER DISTRI'CT P.O. BOX. 105,8,-.(oAc.HEL'LAj. '-C-A.'ILIFOk4!A,92-236'-(760). 398-2651, Pagel