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13-0051 (PLBG)P.O: BOX 1504 78495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 1 -00000051 Property Address: 52130 EISENHOWER DR APN: 773-231-007-16 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 4000 T4hf 4 4 a" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: LA QUINTA PROPERTY MANAGI 52130 EISENHOWER DR r LA QUINTA, CA 92253 IID Contractor: HAMMER PUMPING INC P.O. BOX 2448 CATHEDRAL CITY, CA 92235 (760)360-7448 Lic. No.: 661018 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/16/13 ------------------------------------------------ U TRACTOR'S DECLARATION -- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION hereby affirm under6penplt-perjury hat licensed nder provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 70001 of Divthe Busi e s a Pro sc' n Is 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 lass:, C42 1 a. No.: 661018 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: (- _ 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 oNER-BUILDFJi.BEC RATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that 1 am exempt from the Contractor's State License Law for the Carrier NATIONAL UNION Policy Number 91 :,ss following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, ' e performance the work for which t ermit is ed, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person' 'any manner so as to b come subject to worke ' comp nsation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State a ree that, if sho bec,'o a subject to th orkers' compe tion provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 0 of the Labor Code, I forthwith co ply with those ision . 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).: "-"Date: 1 (__ AFAILURE pplicanr /V - 1, 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 WARN( GTO E WORKERS' COMPENSATION 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 AND 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 OF COMPENSATION, 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 (_ 1 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 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 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 cessati n of work for 180 days will subject permit to cancellation. - I certify that I have read this applicati and state that the ab ve informatio is correct agree to comply with all city and oun ordinances and stat?laws relating to building 'onstructio , and hereby thoriz representatives of this / u/nt to enter upon the above-mentioned property f inspecti purposes. Date: / �V L.Signature (Aplticant or Aqa_ _ Application Number Permit Additional,desc . Permit Fee . . . . Issue Date . . . . Expiration Date . . . . . . 13-00000051 PLUMBING SEWER 30.00 Plan Check Fee 00 Valuation 4000 7/15/13 Qty Unit Charge Per Extension BASE FEE 15.00, 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ----------------------------------- 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 Bin.� Permit f ProjectAddtess JAZ ��jU CityOf ici QUIhta Bulidttlt & Safety Ditdsion P.O. Box 1504,78-495 Cane Tampico fa.Quinta, CA 92253 -:(760) 777-7012 Building Permit "Application and Tracking Sheet '���j �v l�v— Owner's Name:. LAQ.; , r s A izeC A P. Number Address: Legal Description: City, ST, Zip: Contractor. �n,t (L J,M l ti 1 Telephone: Project Description: Address: City, ST, Zip: ' . Ara 0 OwJ M- ." Telephone %O ate 61 �{ L(, `j State Lia #: City Lic. 0, Ard.. Fag., Designer: Address City, ST, Zip. Telephone: State Lia #: Name of Coatact person: Construction Type:. Occupancy: Pmject type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories # Units: Telephone i of Contact Person: Estimated Value of Project: D C) v / Submittal Req'd Plan Set APPLICANT. DO NOT WRITE BELOW THIS LINE Recd TRAC MG PERMrr FEES" Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. Truss Cates. Called Contact Person Plan Check Balance • Tide 24 Calve. Plans picked up Construction" Flood plain plan Plans resubmitted Mecharilcal Gilding plan 2" Review, ready for correctionsrissue Electrical Subeostaetor List Called Contact Person Plumbing " Grant peed Plans picked up ' S.M-L H.O.A. Approval Plans resubmitted Grading [K 110USE:1 ''' Review; ready for correctioaslissue Developer [millet Fee Pbhnoing Approval Called Contact Person Ad.P.P. Pub. Wks. Appr Dau of permit issue Sebooi Fees Total Permit Fees COACHELLA VALLEY WATER DISTRICT TSC� P.O. BOX 1058,-COACHELLA, CALIFORNIA '92236 (760) 398-2651 INVOICE Date: 1/15/2013 SUBJECT: SANTA CARMELITA, 52130 EISENHOWER DR, LA QUINTA, LID 683320, "SCC FEE ONLY" FLORENTINO VARGAS Project: 13-4338 52130 EISENHOWER DRIVE Project Date: 1/15/2013 Amount Due: $4,231.00 LA QUINTA, CA 92253 GEO: 06-06-12-1 Planner: SANDRA VILLALOBOS TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK Em __Eee Type Description 1.00 FF SCC -COLLECTION $1,836.00 $1,836.00 1 1.00 FJ SCC -TREATMENT $2,395.001 $2,395.00 g � e 00 $4,231.00 ✓�- /&7q JAN' 15 202 COACHELLA VALLE)' WATER DISTRICT SUBJECT:SANTA CARMELITA, 52130 EISENHOWER DR, LA QUINTA, LID 683320, "SCC FEE.ONLY" COACHELLA VALLEY WATER DISTRICT P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel _A P.O. BOX 2448 - Cathedral City, CA 92235-2448 • LIC# 6.61018 JOB INVOICE L�ATE: TIME. TIME IN: OUT. TECHNICIAN N2 HELPER(S) ORDERED BY: P.O. N START DATE; END DATE: www.hammerpumping.com 760/360-7448 7601321-7448 FAX 760/324-6434 Custdmer Name 14v kor4rk' Address t city r'i Phil_ Additional Service -_1 Required ❑Recommended Description/ Remarks/ Drawings Jog LOCATION REASON FOR SERVICE ❑ BACK UP ❑CONTRACT MAINTENANCE ❑ REPAIR ❑ MAINTENANCE ❑ ESTIMATE ®"CONSTRUCTION ❑ OTHER Credit Card -- MC / VISA # EXP.DATE I hereby authorize Hammer Pumping, Inc. to charge my credit card for the above charges. I understand that by signing below I am agreeing to all charges incurred on this ticket and that the work was completed to my satisfactlon.' y J i COMMENTS ❑ Leach System Failing ❑ Roots ❑ Excessive sludge/grease SERVICES COMPLETED PUMPING PLUMBING SEPTIC E] Water Line - ®,SEEPAGE PIT ❑ Sewer Line El Gas Line [_]GREASE ❑ Toilet ❑ DRYWELL ❑ Water Heater ❑ CATCH BASIN ❑ Hose Bib ❑ OTHER ❑ Fixture CONSTRUCTION SERVICE ❑ Leach Line ❑ Snake / Rooter ❑ Seepage Pit ❑ Hydro Jet ❑ Sewer Hook -Up ❑ Video Inspectior% ❑ Tank Install ❑ C-42 j ❑ Landscape Drains r E] Other ❑ Products /Parts ❑ Leak Detection QTY SERVICE AMOUNT TOTAL NEXT SERVICE DUE ON ❑ Billing TOTAL AMOUNT DUE _ ❑Check#�� A service charge of $20 will be due on all returned checks, 18% per year will be charged on past due our 1� MAI=m Problem Solved!