10-0325 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000325
Property Address: 52608 AVENIDA DIAZ
APN: 773-282-005-19 -000000-
Application description: PLUMBING
Property Zoning: COVE RESIDENTIAL
Application valuation: 2169
Applicant:
c&t!t 4 4 Q"
Architect or Engineer:
1_ la
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
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 Professionals Code, and my License is in full force and effect.
License Class: B C36 C42 license No.: 793482
ate: C tractor:
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 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
Contractor6' 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 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.).
1 _ 1 I am exempt under Sec. BAP.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:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
2,
///`� Date: 4/15/10
Owner:
LA QUINTA REDEVELOPMIEN AGEN Y �f
R;r
78495 CALLE TAMPIC� F1
LA QUINTA, CA 9225
Contractor:
SO CAL & ASSOCIATES PLMBNG INC
P.O. BOX 955
YUCCA VALLEY, CA 92286
(760)369-4104
Lic. No.: 793482
------------------
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 STATE FUND Policy Number 1820769-2010
_ 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 become subject to the workers' compensation provisions of Section
3700 of the Labor Code, I shall forthwith comply with those provisions.
ate: licant:
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 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 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 county to enter upon the above-mentioned property for inspection purposes.
�ature (Applicant or Agent):
- "I,
LQPERMIT
Application Number . . . . . 10-00000325
Permit . . . .
.. PLUMBING SEWER
Additional desc .
.
Permit Fee . . .
. 30.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 2169
Expiration Date
10/12/10
Qty Unit Charge Per
Extension
BASE FEE
30.00
----------------------------------------------------------------------------
Special Notes and
Comments
SEPTIC ABANDON, SEWER CONNECT. 2007
CODES.
------------------------------------------------------=---------------------
` Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid
--------------------
Credited
--------------------
Due
Permit Fee Total
30.00
.00 .00
30.00
Plan Check Total
.00
.00 .00
.00'
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
COACHELLA VALLEY WATER DISTRICT
$1� T-� P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 5/20/2010
SUBJECT: 52608 AVENIDA DIAZ, LA QUINTA 606122,240
CITY OF LA QUINTA Project: 10-2323
PO BOX 1504 Project Date: 5/20/2010
Amount Due: $3,995.00
LA QUINTA, CA 92247 GEO: 06-06-12-2
Planner: REBECCA MILWARD
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: 52608 AVENIDA DIAZ, LA QUINTA 606122,240
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Pagel
CITY OF LA QUINTA
A. BUILDING & SAFETY DEPARTMENT
' (760) 777-7012
INSPECTION REQUEST LINE
i r.I �Fd� of �° (760) 777-7153
F° OCAL PLUMBING
Co tractor
„___:< . Y -T1 10-325
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 52-608 AVENIDA DIAZ
SEPTIC ABANDON, SEWER CONNECT. 2007
CODES.
TYPE OF INSPECTION I DATE I INSP.
TEMPORARY POWER
SETBACKS
U/G PLUMBING / WASTE
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
DO NOT POUR CONCRETE UNTIL ABOVE SIGNED
FRAMING COMBINATION
ROUGH ELECTRIC
RCM 1rH PI I IMRINr,
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. DRYWALL
EXTERIOR LATH
GAS TEST
SEPTIC ABANDONMENT 0r
SEWER CONNECTION -
SEPTIC / GREASE INTERCEPTOR
MASONRY INSPECTIONS
FOOTINGS / STEEL
BOND BEAM
POOL / SPA / WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS
U/G PLUMBING
U/G GAS
U/G ELECTRICAL
PRE -PLASTER ALARMS / BARRIERS
DECK BONDING
FINAL INSPECTIONS
TEMP. USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
MECHANICAL
PUBLIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT.
FINAL / JOB COMPLETED 9� �h11i
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
ASAP
PLIMPING, Inc. Lic #C42 855 851
760 328-7887 • 1-800-334.7255 CUSTOMERS ORDER No.
FAX 760 328-6607
ORDER TAKEN BY
P.O. Box 2318 • Cathedral City, CA 92235
BILLTO
DAT DE
"ee)
DATE PROMISED 0 A M
L7 P.M.
PHONE
'
AODRESt; 0 GJ — (
7 I
E
CITY
HELMER
JOB NAME AND L CATION
❑ DAY WORK
0 CONTRACT
❑ EXTRA
DESCRIPTION OF WORK
QUANT.
DESCRI PTI ON OF MATERIAL USED
PRICE
AMOU
1
Gallons
Pumping Fee per 1000 gal. .41
Camera/Power Snake
Out of Area Fee
Locating / Opening Fee (per hour)
$ 75/HA
Size System:
Fuel Charge
$ 2 5
6 0
A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS.
1 B% PER YEAR WILL BE CHARGED ON PAST DUE
ACCOUNTS OVER.30.DAY
TOTAL
MATERIALS
TOTAL
LABOR
WAIVER: Not responsible for Wcondary dame as water
damage, chipped Concrete driveways or trees.
SIGNATURE '" DATE COMPLETED
�' � �
TAX
TOTAL