The URL can be used to link to this page

13-1259 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001259 Property Address: 78730 AVENIDA LA FONDA APN: 770-145-007-139 -000000- Application description: PLUMBING Property Zoning: LOW DENSITY .RESIDENTIAL Application valuation: . 4000 L Applicant: V I hereby affirm under penalty of perjury that I Lection 7000) ur Division 3 of the Business a License Cy6s: A / Date: ontractor:' T4t�l " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: DEMARBIEX FRANK 78730 AVENIDA LA FONDA LA QUINTA, CA 92253 Contractor: Architect or Engineer: SOLOMON ENGINEERING 72740 BURSERA WAY ,\_V0J PALM DESERT, CA 92260 (760)773-3686 Lic. No.: 927567 TRACTOR'S DECLARATION under provisions of Chapter 9 (commencing with ials Code, and my License is in full force and effect. License No.: 927567 (.}WNER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I (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).: 1 _ 1 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 ISec. 3097, Civ. C.). Lender's Name: Lender's Address LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/02/13 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the followiiig declaratlons: _ ave 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 I ve 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 re: Carrier PT P01' y Number EXEMPT I certif that, in the performan of th work for which this permit is issued, I shall not employ any erson in any manner so a t bee a subject to the workers' compensation laws of California, and agree that, if I should e m ubi!ct to the workers' compensation provisions of Section 370 Qf the Labor Code, s II f hwith comply with those provisions. WARNING: FAILURE TO SECURE WORYEALTIES OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,000). IN ADDITION TOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, ST, 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 his p it. 2. Any permit issued as a result of this appl' tion comes null and void if work is not commenced within 180 days from date of issuance f suc ermit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state at he ove information is correct. I agree to comply with all city and county o5.1, 'ces and state laws relatin to uil g construction, and hereby authorize representatives of thi unty to ort the above -mention pr er for inspection purposes. Dateature (Applicant or gent): Application Number . . . . . 13-00001259 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 11.92 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 3/31/14 Qty Unit Charge Per Extension 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 ---------------------------------------------------------------------------- Special Notes acid .Comments PLUMBING - SEPTIC ABANDONMENT, CONNECT TO SEWER. 2010 CALIFORNIA BUILDING.' CODES.- ----------- ------- -------------------------------------- ----------------- Other Fees . . . . . . . . PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, PLUMBING 4.77 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 95.34 .00 .00 95.34 Grand Total' 107.26 .00 .00 107.26_ LQPERMIT Bin # City of La Quinta Building 81: Safety Division Permit.# P.O. Box 1504, 78-495 Calle Tampico . _ _. _ _ --la Quinta,-CA_92253-- (760) 7777012----- ' Building Permit Application and Tracking Sheet Project Address: e Owner's Name: �� c A. P. Number: Address: 7,3014) L Legal Description: p`' s �� City, ST, Zip: 3 Contractor: r elc hone:>:;f: Address: 7 5 �, Project Description: QJ ef' K, City, ST, Zip: Telephon /1/ //n/Y, ;'?: w f :.:, • "`::i "'N`' State Lie. # :7 City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ;.:::;:;;:.•.:!.: Construction Type: Occupancy: i 4: �f,.: :.�n•...!�.A �i!i:^i'-'i'v:Jvi rij. State Lie. #: :>s;: f:f::>.<;;:::; Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft : # Stori s: # Units: [ITeLle-phone #,of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITF 6F1 OW THIS 1 INF # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cluck 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 ROUSE:- '"' 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 I' -.A COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 10%1/2013 SUBJECT: SCC ONLY- 78730 AVENIDA LA FONDA, LA QUINTA, LID 677204 Georgia Demarbiex Project: 13-4907 78730 Avenida La Fonda Project Date: 10/1/2013 Amount Due: $4,851.00 LA QUINTA, CA 92253 GEO: 06-07-06-4 Planner: CAROL PFANNKUCHE TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK 1.00 SCC -COLLECTION $2,415.00 $2,415.00 1.00 SCC -TREATMENT $2,436.00 $2,436.00 PA $4,851.00 $ S/•oo v�.�938 OCT 0:12013 AA COACHELLA VALLEY WATER DISTRICT OBJECT: SCC ONLY- 78730 AVENIDA LA FONDA, LA QUINTA, LID 677204 COACHELLA VALLEY .WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Page 1