The URL can be used to link to this page

06-0476 (PLBG)P.Or,'BOX 1504 VOICE (760) 777=7012 4. 78-495 CALLE TAMPICO ' FAX (760).777-7011 LA QUINTA; CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT ,. 4. Date: 1/31/06 ;r Application Number:. C-06-00000476— Owner: Property Address: -53553 AVENIDA VILLA ASTER EVANGELISTA . APN:' 774-133-015=3 -000000- 53553 AVENIDA VILLA r Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: COVE RESIDENTIAL - Application valuation: 2700 Contractor_ t Applicant: t. Architect or"Engineer: SO CAL PLUMBING & REPIPE CO . P.O. BOX 955 t p YUCCA VALLEY, CA 92286 (760)369-4104 n1 ZQ�6 y LiC .. NO e 793482 OF Lp,auttillk +►� ------------- -----=--------------------------------------------------------- - -- -- LICENSED CONTRACTOR'S DECLARATION _ - WORKER'S COMPENSATION DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with , I hereby affirm under penalty of perjury one of the following- declarations: - - - Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers' compensation,as provided - License Class: C36-C42-13 license No.: 793482 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - A' issued. ate: /-�/ ontra - _ 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 is My workers' compensation �NER�-BUILDER DECLARATION - insurance carrier and policy number are:. - I hereby affirm under penalty of perjury that I am exempt-from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to - fq&r4certify that, in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, t permit to file asigned statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith comply with those provisions. - 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).: ate:- (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and loo the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPE N COVERAGE IS UNLAWFUL, AND SHALL Contractors'-State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST 0 MPENSATI0 , DAMAGES AS PROVIDED FOR IN . improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. -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.).. - APPLICANT ACKNOWLEDGEMENT - - (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of, conditions and restrictions set forth on this application.. - property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as.a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 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. Date: Owner: - .. 2. Any permit issued as a result of this application becomes null and void if work is not commenced - t, ., _ _ - - -- - _ • _ , -_ within 180 days :from date of f issuance of such permit, or cessation of work for 180 days will subject " CONSTRUCTION LENDING AGENCY - permit to cancellation. - - - - - 1 thereby affirmunderpenalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - 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. • Lender's Name: - ��-- . . '. Date• . i,nature (Applicantt Lender's Address: - LQPERMIT _ Application Number . . . . . 06-00000476 Permit . . . PLUMBING SEWER Additional desc . Permit Fee . . 30.00 Plan Check Fee .00 Issue Date . . . Valuation 2700 Expiration Date 7/30/06 Qty Unit Charge Per Extension BASE FEE 30.00 Special Notes and Comments SEPTIC ABANDON, SEWER CONNECT Fee summary Charged Paid Credited' Due ------------------------------------- Permit Fee Total 30.00 ---------- .00 ---------- .00 30.00 Plan Check.Total .00 .00 .00 .00 Grand Total 30.00 .00 .0.0 30.00 LQPERMIT , B'° # City of La Quinta ' Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 -Building Permit Application and Tracking Sheet Permit # Project Address:' �j V1 Owner's Name: EANr,,777 A. P. Number: Address: Legal Description: Contractor: City, ST, Zip: Telephone: Address: Project Description: ' City, ST, Zip: y� Telephone: 3 �� State Lic. # : City Lic. #: Arch., Engr., Designer: ;R Address: City, ST, Zip: Telephone: t, State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo ; Sq. Ft.: # Stories: # Units: Telephone # of Contact Person:' .._ __Estimated_ValueofProject:.. - . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING. PERMIT FEES Plan Sets Plan Check. submitted Ite Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plsn Check Balance Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plmbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3' Review, ready for correctionslissue Developer Impact Fee Planning Approval Called Contact Person A I,p p Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees -'•�;AmSmAirPa A PUMP/NG Lic #C42 835 851 low 440' / o8 / CUSTOMER'S ORDER NO. DAT€ O DE BD FAX 760 328-6607 i ��p P.O. Box 2318 • Cathedral City, CA 92235 ORDER TAKEN BY DATE PROMISED, ❑ A.M. Pumping Fee per 1000 gal. ❑ P.M. BILL TO PHONE ADDRESS/� �� ^� •ME6F1A IC CITY ^ HEL?ER JOB NAME AND LOCATION ❑DAY WORK DESCRIPTION OF WORK ❑ CONTRACT Out of Area Fee ❑ EXTRA n v QUANT. DESCRIPTION OF MATERIAL USED PRICE AMOUNT Gallons Pumping Fee per 1000 gal. Dumping Fee per 1000 gal. Out of Area Fee ' Locating / Opening Fee (per hour) Size System: 1 ry I f A SERVICE CHARGE OF $20 WILL BE DUE ON ALL RETURNED CHECKS. 18% PER YEAR WILL BE CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS. TOTAL MATERIALS; TOTAL LABOR WAIVER: Not responsible for secondary damage.such as water damage, chippeed.co�ncret—e ma ,k on=str—� cdrlvewy ay� sor trees. SIGNATURE !�� r�-i DATE COMPLETED TAX TOTAL ��