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07-1664 (PLBG)4 P.O. BOX 1504 �VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/06/07 Application Number: 07-00001664 Owner: Property Address: 53185 AVENIDA HERRERA GARCIA SCOTT APN: 774-053-021-9 -000000- 53600 AVENIDA HERRERA Application description: PLUMBING LA QUINTA, CA 92253 n 6 Property Zoning: COVE RESIDENTIAL. -------------------------- --- Application valuation: 3000 JUN 0 6 2007 Contractor: Applicant: Architect or Engineer: Owner CI4YOFtgQ.UINTA FINANCC ®EpT: .> I --------------------------------- r -------------------------------------------------- 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: License No.: ate: 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 ISec. 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 anyapplicantfor a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 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 of 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 licensed contractors to/atractor(s) a project ISec. 7044, Business and Professions Code: The Contra rs' State License Law doeo an owner of property who builds or improves thereon, and wh ontracts for the projects wilicensed rsu ant to the Contractors' State License Law.) I—) I am Ixemp{under Sec. B.&P.0 .r ason Date: .11 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.). v Lender's Name: Lender's Address: LQPERMIT ------------------ 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 numbe re: Carrier Ii Number I certify that, in the performance o h work for which this permi issued, I shall not employ any person in any manner so as to ec me subject to the worker ompensation laws of California, and agree that, if I should b subject t the workers' c pensation provisions of Section �NG: 3700 othe Labor C forthwi ly ith th provi plicant: WE 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 a City of La Quinta, its officers, agents and employees for any act or omission related to the wor ing performed under or following issuance of this permit. ' 2. Any permit issued as a result of this application bec m null and void if work is not c enced within 180 days from date of issuance of such p mi , or cessation of work for 18 d s will subject pe it to cancellation. certify t t I ave read chis application and state that o : formatio correct. I agr to'comply with all city and un ordinances and state laws relating to onstr"Utin hereby auth ze representatives of tl cunt to enter upon the above-mentioned propert or in a rpos at nature (Applicant or Agent): Application Number . . . . . 07-00001664 Permit . . PLUMBING SEWER Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation 3000 Expiration Date . . 12/03/07 - Qty Unit Charge Per Extension BASE FEE 30.00 --------------------7------------------------------------------------------- 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 .00 30.00 LQPERMIT COACHELLA VALLEY WATER DISTRICT CASK; ._4LCE'7r'DETA1L - 3ecelved Fr \ddress: lccount No. Lot ) C Service Address J Meter(s) 7 Service(s) u1 , 7 Backflow(s) 7 House Lateral(s) 7 DetectorCheck(s) .] Meter Surcharge anitation Capacity Charge ] W.S.B.F.C. - J Temporary Construction Meter J Turn on Charge Uncollected Account - Name J Inspection Fee - Tract - - - - -- - — Fee - Plan Check Fees Water I Sewer - Tract - Bond Payment - A.D. - Bond Assmt. Customer Deposit Other J 96639 G.A. Code _�•. - d O TOTAL $ -67 Water service Cashler CVWD-438 (11 189) _• litu A-1 Cesspool Service, Inc. P.O. Box 580188, North Palm Springs, CA. 92258 JOB INVOICE 'Since 1959' (760) 329-6875 Fax (760) 251-3405 State Lic. #265214 www.alcesspool.com BILL TO SERVICEIIPUMP SEPTTC TANK HAS SEPTIC TANK BEEN DUG UP? AYes 0 No ❑'\PMT, ON SITE REQUESTED UMP SEEPAGE PIT AT ITS RISER AV*BILLING 9 W Pumping Fee per 1000 Gallons (or fraction) Waste Discharge Fee per 1000 Gallons y Locating and Opening Fee (1hr. Mm.) Out of Area Fee ❑ THE LEACHING SYSTEM HAS FAILED. ❑ THEREIS AN OBSTRUCTION "UPSTREAM" OF THE SEPTIC TANK. ' It will be neoessaty to contact a lime cleaning company. ❑ WE'RECOMMEND MAINTENANCE PUMPING OF THE SEPTIC TANK EVERY 0 YEAR ❑ OTHER YEAR ❑ 2-3 YEARS To tenove built up solids. This will i tetease the life ofyour leaching system. . ❑ THIS PUMPING WILL PROVIDE ONLY TEMPORARY RELIEF AND NOT SOLVE CUSTOMERS SEPTIC PROBLEM BECAUSE OF THE ABOVE. ❑ CUSTOMER HAS BEEN GIVEN—AN "EXPLA1NATTON" PACKET. A SERVICEtgURGE OF 822 WILL BE DUE ON ALL RETRUNED CHECKS. A FINANCE CHARGE OF 11112% PER MONTIL 18% PER YEAR, WILL BE CHARGED ON PAST DUE ACCOUNT'S OVER 30 DAYS. IF PAYMEKr is� Y C � K DRIVERS LIG // I STIE I herehy aekeowfedge the satla(aetoryump/le/Uo of me ahoy ��serlhed o2k SIGNATURE J // 7 DTotal W TELEPHONE (760) 777-7012 FAX (760) 777-7011 OWNER/BUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $200.00, or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are sul ject to several obligations include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. r ' For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contracts are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Very truly yours, CITY OF LA UI TA DEPT. OF IL NG AND SAFETY 78-495 C e Ta pico La Quint , CA 2253 (760) 77 F 77-70 S SIGNATURE/DATE -e 8S" PROPERTY ADDRESS 7r �(,a&4 PERMIT NUMBER(S) B'" # City of La Quinta Building 8t Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 -.(760) 777-7012 "Building Permit Application and Tracking Sheet Permit # ,1 Project Address:' LS �- Owner's Name:_77! — �Q A. P. Number: Address: L� Legal Description: City, ST, Zip: 6a l-� Contractor: -` Telephone:. �. Address: Project Description: 7� G Gl�lfwl City, ST, Zip: Telephone: State Lie. # : City Lie. #: esigner Arch., Engr., Designer- Address: Address: City, ST: Zip: Telephone: Construction Type: Occupancy; Project type (circle one): New Add'n Alter Repair Demo State Lie. #: Name of Contact Person:. Sq: FL: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Pry APPLICANT: DO NOT WRITE BELOW THIS LINE #. Submittal Req'd Recd TRACKING.. PERwr FEES Plan Sets Pian Check submitted Item -Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan .Check Balance , Energy Calcs. Plans Wicked up Construction Flood plain plan. Pians. resubmitted Mechanical Grading, pian Zed Review, ready for corrections!issue Electrical Subcontactor List • Called Contact Person . Plumbing Grant Deed Plans picked up S.M.I. R.O.A.. Approval Plans resubmitted Grading IN ROUSE:= 7t° Review, ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. '� PA. Wks. Appr Date of permit issue School Fees Total Permit Fees.