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11-0205 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT .BUILDING PERMIT Owner: CRAIN J & LINDA /SINCLAIR J 52390 AVENIDA VILLA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS '(760) 777-7153 Date: 2/28/11 Contractor: Application Number:[- 11-000002.05' Property Address: 52390 AVENIDA- VILLA APN: 773 -274 -006 -17 -000000 - Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 2400 BUILDING & SAFETY DEPARTMENT .BUILDING PERMIT Owner: CRAIN J & LINDA /SINCLAIR J 52390 AVENIDA VILLA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS '(760) 777-7153 Date: 2/28/11 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 1$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.iSec. 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 r " 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—) 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. 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 (Seca 3097, Civ. C.). - - - Lender's Name: - t Lender's Address: LQPERMIT i WARNING: FAIL ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 rastrirtions 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 statelaws relating to building constructio of ZZty to enter eabove-mentioned proDae" gnature (Applica gent : w Contractor: Applicant: Architect or Engineer: SO CAL :& ASSOCIATES PLMBNG IN P.O. BOX 955 i6 } YUCCA VALLEY, CA 92286 �ll^ (760)369-4104 (7 1 FEB 2V E: Lic.- No.:793482 . ^ 201 CRYOF�AQUWA ---------_-- -- ---y------------ ----------------- ------------------------------------------------ ' - LICENSED CONTRACTOR'S DECLARATION ---------- -------- ------ - r WORKER'S COMPENSATION DECLARATION , 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm underpenalty 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: A B C36 C4 LicenseNo.: 793482 for by Section 3700.of the Labor Code, for the performance of the work for which this permit is n� /Date: �l�D ' C - - — - --- - 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: • I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE -FUND Policy Number 1820769-2010.. following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, 1 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, permit to file a signed 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 700 0) of Division 3 of the Business and Professions Code) or , •. ,� 3700yoj.the Labor Code, I s 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 1$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.iSec. 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 r " 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—) 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. 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 (Seca 3097, Civ. C.). - - - Lender's Name: - t Lender's Address: LQPERMIT i WARNING: FAIL ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. 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 rastrirtions 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 statelaws relating to building constructio of ZZty to enter eabove-mentioned proDae" gnature (Applica gent : w Application Number 11-00000205 Permit" PLUMBING SEWER ' Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date . . Valuation, 2400 Expiration Date 8/27/11 .Qty Unit" Charge Per Extension BASE FEE 30-..00 Special Notes and Comments SEPTIC.ABANDON, SEWER CONNECT. 2010 CODES. -------------------------- ------------------------------------ Other Fees . . BLDG STDS ADMIN (SB1473). 1.00 Fee summary Charged Paid Credited Due " Permit Fee Total 30.0.0 .00 .00 310.00 Plari Check Total. .00 .00 .00 .00 Other Fee"Total 1.00:" .00 .00 1.00 Grand -Total 31.00 .00 00 31.00 LQPERMIT Bin # City of La Quint'a Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trackirg Sheet Permit # Project Address: , 3 l Q Vey Owner's Name: C� l ,II A. P. Number: '713 % Y --0 0 ( Address: Legal Description: City, ST, Zip: Contractor: S o Clk-- 1 Telephone: Address: Project Description: teA— City, ST, Zip: S b Telephone: State Lic. # : City Lic. Arch., Engr., Designer: Address: City, ST,' Zip: Telephone: ':::ti::::::2�;.}}•??}k;?::::}:: S•$i:..;,;>.::,w........ State Lic. #: .:. .:.. ...... .. . 's..,..:�. s:::'>`>%<':•. %'<? {s':<' -:`::;; . > Construction Type: Occupancy: Project type (circle one): New Acd'n Alter Repair Demo Name of Contact Person: r--r-n t �� �—�- t ae L r� Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: " APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construrtlon Flood plain pian Plans resubmitted Mechan"eeal 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 HOUSE: - "4 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 Feb 21 11 10:05a Socal & Associates Plumbi . 76032866C7 p.1 ® 1PLUlY��C■1���NiP_ �Jali=Jny Jas � ' Sewer - WaterWorks - StormDrains State License AB/C36/C42 #793482 Proposal / Contract February 21, 2011 City Of La Quinta Tel: 760-777-7016 Fax: 760-777-701 Att: Kirk Subject: Sewer Connection 52390 Avenida Villa La Quinta, CA 92253 Scope of Work: Abandon Septic System , `�► Connect Property To City Sewer System Price Includes Pumping And Fill Dirt 9 Coachella Valley Water District Fee Must Be Paid In Full Before The Commencement' Of Work Does Not Include City Permits Cost of Work Provided: $Z400.00 (Does Not Include CVWD Fee) Respectfully Submitted, ���ichael TSI SoCal & Associates Plumbing, Inc. License: A ! B/C36 ! C42 #793482 A _ ACCEPTANCE OF PROPOSAL f CONTRACT Accepted Signature Date_ { • /►1ATQ COACHELLA VALLEY WATER DISTRICT rQj�421 P.O. BOX 1058; COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 2/24/2011 SUBJECT: 52390 AVENIDA VILLA, LA QUINTA JAMES CRAIN Project: 11-2791 52390 AVENIDA VILLA Project Date: 2/24/2011 Amount Due: $4,231.00 LA QUINTA, CA 92253 GEO: 06-06-12-1 Planner: REBECCA MILWARD TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK Sam • 0 • • • • 1.00 SCC -COLLECTION $1,836.00 $1,836.00 1.00 SCC -TREATMENT $2,395.OD $2,395.00 $4,231.00 FEB 2 4 Z011 COACH WATEq DSS A lEY :f.CT SUBJECT: 52390 AVENIDA VILLA, LA QUINTA COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel Q. F LA QUINTA SAFETY DEPARTMENT 60) 777-7012 - '2Q1Ois, -ION REQUEST LINE ~°wS 60) 777-7153" OFIAQUINTA F Contractor SO CAI, & ASSOC_ PljJMB Permit Numbers 020i--- POSTON-JOB-IN-CONSPICUOUS PLACE . INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-390 AVENIDA VILLA SEPTIC ABANDON, SEWER CONNECT. 2010 CODES. TYPE OF INSPECTION I DATE I INSPP, TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED ROOF NAIL / PRE -ROOF OKAY TO WRAP FRAMING COMBINATION ROUGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT 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 ABOVE APPROVALS DO NOT INCLUDE RIGHT TO TURN ON UTILITIES OR OCCUPY BUILDING