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11-0525 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00000525 Property Address: `'S2035 EI3ENHOWER DR APN: 773-225-012-1 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 3200 c&ty�, 4 X Q" Architect or Engineer: ILk— BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/20/11 Owner: KIM ALAN 52035 EISENHOWER LA QUINTA, CA 92253 Contractor: Il HAMMER PUMPING INC U 1 P O BOX 2448 1 ��tr1 �rt �pl� CATHEDRAL.CITY,.CA 92235 3 1 (760)360-7448 L i C . No.: 66101E a my hit i -A QIJI TA ------------------------ }------------------------------------------------------------------------ �--tl SED COAPT AC R'S DECLARATION I hereby affirm 111u1nder penalty oT�perjury that I a licensed n r visions of Chapter 9 (commencing with Section 7000) f Division 3 of the Business an rofess' nals Cod nd my License is in full force and effect. Lirense lass C42 � Licens No.: 661018 • I N�_� ✓ 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 0500).: (_) 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: 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 number are: Carrier SELF - INSURED Policy Number 22 I certify that, in the p5rfqr.. ante of the work for wh' this per 't is issued, I shall not employ any person'in any manner so as t c`ome'su ject to a workers' ompensation laws of California, d agree that, if I should becom subje td the wor s' tom ensation provisions of Section 700 of the Labor Code, I shall rthw' mply with t e ovisions. Dater a ( Ap(/I,.ant1:,,WARNING: AILURETOUOR ' COMPENSATION COVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES Up/ 0 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATTON, 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;T5lU-ff-weFk4 not commenced within 180 days from date of i�an a of suc rmit, or -.1-s atio work for 1 days will subject permit to cancellation. I certify that I have read this application ar}d state that the abov infor a on is corr>1ee t comply with all city and c my o dinances and state law relating to buildingonstr ti n, and herepresentatives of this co ty to nter upon the above- entioned property r ' sp n purposes. Date: 2® Signature IApplica t or Ag L Application Number . . . . . 11-00000525 Permit . . . PLUMBING SEWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 3200 Expiration Date 11/16/11 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------=------------------------------------------------------ Special Notes and Comments SEPTIC ABANDONMENT SEWER HOOK UP. ---------------------------------------------------------------------------- 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 May 20 11 02:56p Hammer Plumbing 760-324-6434 p.1 COACHELLA VALLEYWATER DISTRICT z 'P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 INVOICE Date: 5/1612011 SUBJECT: SCC ONLY- 52035 EISENHOWER i DR, LA QUINTA KIM, ALLEN J Project: 11-2925_ 50949 WASHINGTON ST, STE B Project Date: 5/16/2011 Amount Due: $4,231.00 LA QUINTA, CA 92253 GEO: 06-06-12-1 Planner. DAVID MCGEE TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK SUBJECT: SCC ONLY- 52035 EISENHOWER DR, LA QUINTA COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-26511 Pagel www.hammerpumping.com 760/360-7448 760/321-7448 FAX 760/324-6434 Customer Name tlf.I.I^A,-,^�i Address ;t, Phil Additional Service-MRequired ❑Recommended Description/ Remarks/ Drawings Card — MC I VISA P.O. BOX 2448 - Cathedral City, CA 92235-2448 - LIC# 661018 JOB INVOICE JOB DATE: IME IN: TIME OUT: TECHNICIAN N1 TECHNICIAN b2 HELPER($) t.r t L / ORDERED BY: I P.O. S START DATE: I END DATE: JOB LOCATION SERVICE BACK UP CONTRACT MAINTENANCE REPAIR MAINTENANCE ESTIMATE [jj-50NSTRUCTION OTHER I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges. I understand that by signing below 1 am agreeing to all charges incurred on this ticket and that the work was completed to my satisfaction. / / /f ( F r' V C -1 — // COMMENTS t *I r ! ,l r r.Ir t Y ❑ Leach System Failing ❑ Roots ❑ Excessive sludge/grease SERVICES COMPLETED Bin # 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 # i S Project Address: 5z— C�>35 F Owner's Name: K i PA x A. P. Number: Address: Legal Descri tion: City, ST, Zip: Contractor:Ao,,ftTelephone: is;'.?; �>:ri:�.�:, s�<:�!�:•>t:. Address: (� Z� �1 "� Project Description: City, ST, Zip: W-'��J� C iZ� S c id.��rfJUl•M/l� .` Telephon : tP 6)3G67 1-44 ^•,4Yf.l::Sk:': v:v;{?;�. ii:nfv•>::.4`\i.: L� I State Lie. # : City Lie. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:..... >;: Construction Type. State Lie. #:.> Project type (circle one): Add'n to Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Pian 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 god 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 r -