The URL can be used to link to this page

11-0239 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000239 Property Address: 53790 AVENIDA HERRERA APN: 774-164-003-22 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 3200 T4ht 4 4v Q" Applicant: Architect or Engineer: r l 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. Lice. lass: C12 License No.: 872134 Date:,: Yv- f ..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)•: (_ 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 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. , 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 (Sec. 3097, Civ. C.). Lender's Name: ,,11 Lender's Address: r LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/10/11 Owner: REISNER WERNER 12523 FREEMAN AVE HAWTHORNE, Contractor: WILLIAMSON 74923 HIGHW INDIAN WELL (760)773-53 LiC. No.: 872134 NO C ----------------------------------------------- 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 EXEMPT Policy Number EXEMPT I c=at, 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 L r Code, 1 shall rthwith comply with those provisions. D� Applicant: L_ 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 1 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 insp ction purposes. 9afb4!52L&-1% Sig re (Applicant or Agent): ' Application Number . . 11-00000239 Permit . . . PLUMBING SEWER Additional desc . Permit Fee . . . . 30.00 -Plan Check Fee 00 Issue Date . . . . Valuation . . . . 3200 Expiration Date 9/06/11 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 30.00 .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 LQPERMIT 03-10-11;20:17 LIM ED, 5ERYICES 17607777112 ale Zzu t9i COACHELLA VALLEY WATER DIS11i p.o. MW 1058, GuACHELLA, CALIFORNIA 92236 (760) 398-2651 z lluvl Date: G13ll SUSMC-I: 637911 AVENIDA KJ'RwEll LA 011.11INTA wEiRNERJ,RE1SNF_R , Project. . Ill ill 06-06A2-4 Planner. REBECCA Mill -to WailAllile VM_JCRC?RWJ1,PLEA,.r .,&rjRw YW- I w3P.-ILINOW" RFmcmilim, Aw) wo-w I p mi��liv!jlll 1.00 -COLLECTION =.1;.TZREAT1IMEKr S1.6 00 1.00 S2,3,3710 $3.995.00 4PA � 400 0 2010 COACELLA VALLEY ll� WIN ,IA -S A P PLIMPING, Inco ycn eno 700� - ;Ycn �cV A4^c Lic#C42855851 Fax 760 365-4118. 1-800-334-7255 P.O. Box 2318 • Cathedral City, CA 92235 asappumping@aol.com Escaow # DATE3� ` AMOUNT BILL TO _ PHONE ADDRESS FAX - {y./'Ar ,,-ry`j ` } 1-7 CITY f"'P' f' I tool l.1 /A A� ,.' TECHNICIAN JOB NAME AND LOCATION Rooter Service DESCRIPTION OF WORK Cttj�j d, r QUANT. DESCRIPTION OF SERVICES ' PRICE AMOUNT Pumping Fee per 1000 gal. w Rooter Service #_Camera Labor -1 $75/HR Septic Inspection Locating / Opening Fee $75/HR Jetting Service Out of Area Fee t e After Hours Fee Comments: SYSTEM FAILING* El YES ❑ NO A FAILING SYSTEM MAY FILL BACK UP WITHIN A FEW DAYS AND CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. FUEL CHARGE $25 0 0 TOTAL MATERIALS TOTAL LABOR WAIVER: Not responsible for secondary.damage such as water damage, chipped concrete, mark on street or driveways or trees. ' .� SIGNATURE / �} Q DATE COMPLETED /� / / TAX TOTAL q► A -SAP PUMP/NG, Inc., Tan 47A-7Ra7 • 7an Oat;-A17t: Lic NC42 955 851 Fax 760 365-4118.1-800-334-7255 P.O. Box 2318 • Cathedral City, CA 92235-�� asappumping@aol.com ESCROW# DAT AMOUNT BILL TO PHONE ADDRESS FAX CITY TECHNIC)" r JOB NAME ANDaAC TION f -f7W DESCRIPTION OF RK (/. QUANT. DESCRIPTION OF SERVICES PRICE AMOUNT Pumping_Fee per 1000 gal. Rooter Service Camera Labor -^ -$75/H R' ftt Septic Inspection Locating / Opening Fee $75/HR' Jetting Service Out of Area Fee After Hours Fee Comments: SYSTEM FAILING` ❑ YES ❑ NO A FAILING SYSTEM MAY FILL BACK UP WITHIN A FEW DAYS AND CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. FUEL CHARGE $25 0 0 TOTAL MATERIALS TOTAL LABOR WAIVER: Not responsible for secondary damage such as water damage, chipped concretes mark on street or driveways or trees. SIGNATURE,' / ,Di F C,0MPLETED -:! / l TAX TOTAL �' Bin # city of La Quinta Building a Safety Division 1 P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 +; Building Permit Application and Tracking Sheet Permit # Project Address: 3 � Q � Owner's Name: 7 A. P. Number: Address: .5-3- -?q o z- (tel Tii✓'��C.` Legal Description: City, ST, Zip: ��' 3 Contractor: le n - Address: C.l_ 152 /4G/Y W .2-0 Project Descr City, ST, Zip:—I-,, 1,,kA6,e4 gq;y v elephone 7d0 27 :.•,f.::r:<.::i;:::::: <'•:`«' '.'•>`?::::<: State Lic. # : ,?a [• City Lie. #: Arch., Engr., Designer: �s + Address: City, ST, Zip: Telephone: State Lic. #: ><r%<}:<...?•>.`°?<'<.:>...«::`.:: Construction Type: Occupancy: Project type circle one): New Add'n Alter Repair Demo Name of Contact Person: 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 Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical 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:- '"' 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