BPLB2015-0024• ORB
�. MI54&
78-495 CALLE TAMPICO Ct 0 D �cu
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/17/2015
Application Number: BPLB2015 0024
Owner:
Property Address: 48995 WASHINGTON ST
DIANE TAYLOR
APN: 646150021'
5147 S HARVARD AVE NO 218
Application Description: VILLAS OF LA QUINTA/TAYLOR/ABANDON SEEPAGE
PIT/ADD NEW 14' TULSA, OK 92253
Property Zoning:
Application Valuation: $10,000.00
o
Applicant:.
z 't1
Contractor: rn
HAMMER PLUMBING AND PUMPING-INHAMMER
PLUMBING AND PUMIG IN
P O BOX 2448
P O BOX 2448
CATHEDRAL CITY, CA 92235 -
CATHEDRAL CITY, CA 92235 A O
z S .
o�
(760)360-7448 v v cr
Llc. No.: 661018
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LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Divisio the Busin nd Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and fff
as provided for by Section 3700 of the Labor Code, for the performance
License Class• C42 C36 Lice a No.: 6610
&Censation,
k for which this permit is issued.
Zi (� 'ntra
I have and will, maintain workers' compensation insurance, as required by
Date: C
00 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:
OWNER -BUILDER DECLARATION
Carrier: Policy Number:._
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec: 7031.5, Business and Professions Code: Any
shall not employ any'person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California; and a I should become s e
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions ection 3700 f the Labo ode, I s o with .
signed statement that he or she is licensed pursuant to the provisions of the
comply-with)hose pr visions.
'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
(Zo
a e:.i (�5 li ea
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, -
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is. not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND'ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or.improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose t
(_) 1, as owner of the property, am exclusively contracting with Iicensed,contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to .
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. , B.&P.C. for this reason
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. ,
Date:
Owner:
I certify that I have read this application and state that th ove orn
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances d state law rel
I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and her by authorize representati(Age
this cVtoter
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mentioned operty or inspection purposes.
Lender's Name: Date: 5 Signature (Applicant o
Lender's Address:
bu
i
FINANCIAL • ' ` •
t&a q, na
DESCRIPTION:A000UNT TY AMOUNT PAID: _ AID DATE,
.
BSAS SB1473 FEE 101-0000-20306 ` 0 $1.00
$0.00
oval PAIDBY�',r=' • M ETHOD
CHECK #, CLTD•BY.
;.'ate ^:RECEIPT'#r •xs
;':
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
'ACCOUNT a ,:a
QTYg
PAID;
PAID DATE'
{ .
,
,AMOUNT,..",,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
_ $0.00
r
PAID BY`a;s,
°METHODS*f�#:ROC
EIPT# '"
:CHECK;##
CLTD BY;
- Total Paid for PERMIT ISSUANCE: $91:85 $0.00'
• 0.
^DESCRIPTION` `
y`1�ACCOUNT A
CITY.
4 'wC 9t
?> AMOUNT4
PAID DATE
y,
.a
SEPTIC SYSTEM
101-0000-42401
0
$12.09
$0.00
�I
4
$rMETHOD ;
rFtECEIPT# ``"
'CHECK#
CLTDBY'
�•'
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�?„. ,,� .
k �•.
DESCRIePTION#
' a'ACCOUNT
'QTY
F^'x 'AMOUNT
PAID;'•,
PAID:DATE'
.`m+
5
SEPTIC SYSTEM, PC
101-0000-42600
0
$4.83
$0.00
PAID BY ;"-
: 'METHOD s,RECEIPT#
CHECK;#h,.,
CLTD BY
.'.
" Total Paid forPLUMBING FEES: ' $16.92 $0.00
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Description: VILLAS OF LA QUINTA/TAYLOR/ABANDON SEEPAGE PIT/ADD NEW 14'
Type: PLUMBING Subtype: Status: APPROVED
Applied: 2/17/2015 SKH
Approved: 2/17/2015 JFU _
Parcel No: 646150021 Site Address: 48995 WASHINGTON ST LA QUINTA CA 92253 '
Subdivision: TR 3455 & INT IN COMMON AREAS Block: Lot: 20
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:.
Expired:
No. Buildings: 0 No. Stories: 0 No: Unites: 0
Details: ,PLUMBING -ABANDON SEEPAGE PIT, ADD NEW 14' PIT. 2013 CALIFORNIA BUILDING CODES. ,'
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•ADDRESSl.•�
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APPLICANT
HAMMER PLUMBING AND PUMPING.
P O BOX 2448
CATHEDRAL
CA
92235
(760)564-6644
'
IN
CITY
CONTRACTOR
HAMMER PLUMBING AND PUMPING
P O BOX 2448
CATHEDRAL
CA
92235
(760)564-6644
IN
CITY
OWNER
DIANE TAYLOR
5147 S HARVARD AVE
TULSA
OK
92253
(760)564-6644
NO 218
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Printed: Tuesday, February'17, 2015 4:42:16 PM 1 of 3 •
- SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
"` CHECK#
METHOD
PAID BYr"
CLTD
BY
BSAS SB3473'FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.8.5
Total Paid for PERMIT ISSUANCE: .$91.85 $0.00
SEPTIC SYSTEM
101-0000-42401
0
$12.09
$0.00
SEPTIC SYSTEM PC
101-0000-42600
0
$4.83
$0.00
Total Paid for PLUMBING FEES: $16.92 $0.00
PARENT PROJECT$...
Printed: Tuesday, February 17, 2015 4:42:16 PM 2 of 3
SYSTEMS
DOC
2/17/2015
STEPHANIE KHATAMI
COUNTY
APPROVAL 2- COUNTY APPROVAL 2-
-
11-15.pdf 11-15.pdf
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CRW.,Y'STEA.4S
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Bin#
City of La. Quin to .
-'Building 8£ Safety Division
P.O. Box 1504; 78-495 Calle Tampico .
La,Quinta, CA 92253 - (760) 777-7012.
Building Permit Application -and Tracking Sheet
Permit
lokb 101 —
Project Address:
Owncr's Name: Ar (� 1 A, L
I
A. P. Number: Co`� (o --130 U2
Address: Q B��SI,J�al •J �'
Legal Description:
City, ST, Zip:
Contractor: n� C -
'�SZ— U t ►3C�
Telephone:-1� 0 S io`I (4('gL-1
EM`'w'> s:;< : 'sz .'•:a;: ::<.; .
Address:.V dZ Z" -(Lt
Project.Description: NZ Aa-*
City, ST, Zir—
Telephone�^^ ,c` `� L,j, LC
VLOV V
...........
StatcLic. # :l.0 l U
City Lic. #:
Arch., Engr., Designer:
Address:
,
City., ST, Zip:
Telephone:
<'"'':<<ys''•<:=>`.:....::.:..::>:;<.;:�:•.,.:>�:.;..;>
<_<>%<«<
Construction Type: Occupancy:'
State Lic. #:
d'n Alter. Repair
Project type (circle one): New Ad R p Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Projcct: C C U d Qom'
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Chcck Dcposit
Truss C21cs.
Called Contact Person.
Plan Check Balance.
Title 24 Calcs.
Plans picked up •
rconstruction
Flood plain plan
Plans resubmitted
Mechanical i
Grading plan
2" Review, ready for corrcctionsrssue
Electrical
Subeontaclor List
Called Contact Person
Plumbing
GrantDecd
Plans picked up
S.M.I.
If.O.A. Approval
Plans resubmitted
Grading
N HOUSE:-
'`° Rcvicw, ready for eorrcctionsfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. App r
Date of permit issue
Fccs
. .
npSN,chool
Total Permit Fccs
The Management Trust
OWNER INSPIRED. CHALLENGE ACCEPTED.
February 10, 2015
To Whom It May Concern:
The Villas of La QOinta Homeowners Association approves Hammer Plumbing to be on site in order to
address issues with the seepage pit for the home located at 48-995 Washington Street. Both the
homeowner and association met with Hammer Plumbing and are aware of this work.
If you need any further assistance, please contact our Association Manager Wendy Coyne at 760-776-
5100 or by email at wendy.coyne@managementtrust.com
Sincerely,
Linda Fuller
Board President
Villas of La Quinta
cc: File, NPG, Hammer Plumbing
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39755 Berkey Drive, Suite A, Palm Desert, CA 92211-1106
WASHINGTON(OREGONINEVADAICOLORAl10ICALIFORNLAIARI2ONA PH:760.776.5100 FAX:760,776.5111
www.managementtrust.com
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C.�TION
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OFFICE USE ONLY
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reet-;�Suh�'200 Riversi
-80 Le 'On M de -:CA 92501 :v,
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-950 Arab
ia Street
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LOT
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'Phone 4 It, `_ .
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0ontrac or
Company Name IRA, 22— gent/
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'.AGENT/
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CONTRACTOR:
Wili'g Address
12" JO k- 4 A
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'PRO�ERT,�., IN.
�:J A,
q atief A:ge'ncy/w6lj_1L.t1 Lot Si2�e
:CHECK. -BOX IF REQUIRED'.-
ic6ti6fi.shall be considered,denied until�th f
lflar�� boxJs c e�ked_this A ein ormation is
p pr6vided�
0 r-Plah�and/or P . . . equir
El Holding. Tank Agreernents.`,R�qui red,,., F,!Oo lurfibi6g ed
its
S"Re�Uired (C-42).
6rt b Spec.ial,Fe@si I ity, onng RepoH ReqtlirM
b.0 ificate of Existitig�
Detailed', ontour t n uired
Pla R6q (,,.fo �* f
C' 5 obt intervals),
E
olation
0 Soils Perc Repbd�equired' 8 ECK
SIT EVALUATION 1 NSPECTIOWREMARKS.
-EHSt!NITIALS/DATE-
WIN sm M 11% 1111
NEW=
0. 1 40
MOM 50RMW
A W(R F U NifS 4 RMS4"
IXT
FIEPAIR'Z* OLPILMtMENT 13 EXISTING .1i"
Projecw
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Y* , :: '' 1, 1: : � - - - " -
,&6blatiqn�Boring �.,Repp 'i,
cation By!
.:'.C-42,C'ertifi
Datd' License4f
:J -4
#AAk
!�'JSeptic'tahk cao.:,-4' 'I R ,Sted Depth: .11;
"Sol ate'- -Tg Max. trerfch depth� i,,
'w I
�Sa: Ft.'.'Bbttbrh Area- Total Linear Ft-- 'Line(s)`
Length: feet.` -::'E' `h� f
ac 3 6e e
Sidewall Allowance:'!_. Ft�. Ro6k/ :-Sq: ft. Running,foot Rock below drain, line., in*. or,-i.,b Olasfic Chambers
'V�
i or-sliope': 0 Ni' 6"bl
eachLines/bed Spec al design f verburdenFa6tor.
Pi
Pit Diameter: [N Depth,,beIoW'InleV(bi),, I Total, Depth Max.,,a!loWible'depth.
F.
CONSTRUCTION/INSTALLATION REMARKS:
t A"' "J'i, Al
r
1. iS � N, 110 111101 munr4w,
U, N,
T
This Applicabon is -Aoprbved E beiiidr�g�rdingth'e'de�ig�,6fth6:0���,'�,�indic;�.t6��ont��6:ac�O pan. ied -'plot plan usi%t6l, req ullire tents -set forth in,,,
C e n is 0 ninift. in the req6ire r 1. ser�e A 00 at
,�_ection,, abQv ..NdconstrUctio d e '0/6,"Ex-
P ed qP
p ns On
?�EHS.,Signat
1;,Date::.
7.
H -SAN -12 7,;,�,Distribdtion: WHITE - Office File; YELICOW - Bldg. Dept. PINK - A pli
,p cant.
2,iRev: i6/14.
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CITY QF LA QUI '
BUILDING & S �P
AppR
DATE �72o1S BY :
it
' FINIRO�v°MENTAL BE
o
�icTank E`�`d71` w L
r`+� ()uL), ca]!on Sc.p• d U
Sq: Ft. of Leach Line
ar?Z s
a
!" N ction to sewer X Z
L.0 x ice] S. �J TJ. S. >
- t+�.t:Fc 1 tG F .lilYi C,'3 lLl L1J
tF;c iud vidual so uge :1 i , ... _j LL Z n
1 :u
v Cl;; ac tin fticy tk: disc hie. ab x :TItO Q "0 0 u.
t�iG ��'alrl �lrl l 7tI1TG1 f503t'd., >
x�r vv�tll insu lla:autc R1uSl coritorh LVitti Ica+lllC lelrt5 GT' ufC�t uIllfGfCll l a p '` t�
`_itu ir-a,Gcuticai7lt+ �4�t�;u'tlaytltc��]�}.�CN k;lCLa(�uJclld!,7j)f(Jy�. F F- n
i s _.. t < C::. J
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,.: t,. ,�l;�vu. i,� acc:.:�bc:suacii tluu, cru: Scaytonat Walcr Cjualtty �ouuul �doaa'd for installation c?T ii:a
cra�c�Cu
y�t•.osL �6't:i�lu5a! SyStGITl. � �.- (� i'} �
esaams+rs _ .
-County of Riverside Community Health Agency
Department of Environmental Health
4080 Lemon Street, 2nd Floor
P.O. Box 1206
Riverside, CA 92502
(951) 955-8980
1. Certification of Existing Subsurface Sewage Disposal System: �Date of Inspection:
O/ArJE7
(Property Address) (Owner's Name) ' t
(Legal Description and APN)
FAILURE TO PROVIDE ALL REQUIRED INFORMATION SHALL PREVENT
OWNER FROM OBTAINING ENVIRONMENTAL HEALTH SERVICES APPROVAL.
2. ' Show design and location on a scale of 1" = 10' to '1" = 40' of the sewage disposal system and 100% expansion area
in relation to 'attached dwellings, structures, wells, rocks, watercourses, etc. on required plot plan.
3. a. I examined the existing subsurface sewage disposal system at the above location on (date)' .Z- a date
and determined that the septic tank -capacity is f CyNe-,� gallons and that there is sq.'ft. of leachline
bottom area. There are . bedrooms in.the dwelling. There are . Zq fixture units.
b. There are leachline(s), each ft. long.
c. There are plastic chamber(s), each . ft. long.
d. There are ` seepage pit(s), each Lo in diameter, ft.. deep.
e. The leach. bed is . ft. by ft., total sq. ft. of leachbed area.
4. a. Construction of septic tank (please check one of'the following):
�j concrete ❑ fiberglass (Jsteel ❑. other:
e ---
b. Internal dimensions of septic (length ft., width depth ft.) ,
c. Condition *of tank (please answer yes or no for each question):
NY s No
Inlet Tee present? a ❑
Outlet Tee present? 4 ❑
Two compartments? �]. Q
Tank structure deteriorated?* ❑
*If yes, briefly explain and indicate a%pp p riate correction suggested:
d. Condition of D -Box (if needed) Level ❑ Yes ❑ No replaced ❑ Yes No
full of.septic effluent ❑ Yes No
5. a. While pumping the tank, did effluent flow back into tank from the absorption system? ❑ Yest& No
b. 'Prior to pumping, was the liquid level in the tan the outlet tee? ❑ Yes❑ No
c: Was the area around the lids oxidi ed? ❑ Yes" ,above No
d. Is design of system gravity feed? Yes ❑ No .
e: Were wells) observed on this or adjacent property? ❑ Yes V13 No
� t
If yes, indicate distance of well from, Septic Tank ! ft.
Leachlines ft.
Seepage Pits ft.
f. Distance from springs, lakes - Septic Tank J / ft.
and natural drainage courses: Leachlines / 1k ft.
(circle appropriate item) Seepage Pits'..."ft.
g. Sewer is within 200 ft: of system.and'•abuts property line. ® Yes ❑ No
ADDITIONAL COMMENTS: L P..Jt- n4 P Ar P, r 19(--N
l '
h. How long has dwelling been vacant? (if applicable) months weeks. N/A4
6a. ❑ It is my opinion that the system appears.to be in good working order and can be expected to function properly with -
proper maintenance. No repairs are necessary at this time.
6b. r0 It is my opinion that the system is not in good working order and _will. not function properly without the following repairs:
t15. A i s—
fy[un/d/e� penalty -of re jury'that the foregoing is true and correct: i I
Print Name
Address
The D(/eL`ppirttme t
kA [d
Envir
o
nmental Health. Speci
DEH -SAN -111184 (Rev1,6/04)'.°
F;
of Pumper Company and Receipt
C -,P �3 nR
160:340
1 — " Phone Numbers , v
of
Environmental Health has reviewed and approved this certification: )` /
{Y T ,4
Ast Date
G Distribution: WHITE—Office; PINK—Contractor-, YELLOW—Applicant•.