BPLB2014-102678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
BPLB2014-1026
53780 EISENHOWER DR
774171002 .
SEPTIC ABANDONM
$3,200.00
"&tit 4 1aQumrw
COMMUNITY DEVELOPMENT DEPARTMENT
1. BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed unde provisions of Chapter 9
(commencing with Section 7000) of Division 3 Business ns Code, and
my License is in full force and effect.
License Class: _114
cerise No.::LIC 001138
Date: ! `6 Contra
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 alleg
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).:
(_) 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.).
(_) 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.).
(_) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/14/2014
Owner:
COACHELLA VALLEY HOUSING COA
45701 MONROE ST STE G
INDIO, CA 92253
Contractor:
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)321-7450
Llc. No.: :LIC -0001138
WORKER'S COMPENSATION DECLARATION
1 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: _ Policy Number: _
_ I certify that 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 agre t if I should b come subject to the
workers' compensation provisions ection 370 of the L e I shall forthwith
comply with thosIt
rovisions.
Date: 6 A plicant:
WARNING: FAILURE TO SECURE WORKERS' CMPENSATION 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 Building Official 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 I have read this application and state that the above inform ti h c
I agree to comply with all city and county ordinan law elati to
construction, and hereby authorize represents es of this city ter n the
mentioned p oper for inspection purposes.
Date: /d Signature (Applican or A [
DESCRIPTION
FINANCIAL •• 1.
ACCOUNT QTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-000042404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT#
CHECK#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $24.18 $0.00
• 1 0•
wet�ail.5 PERMITN 2_10"6
R
r City of La Quinta BPL620�1
Description: SEPTIC ABANDONMENT /SEWER HOOK UP
i
•
Type: PLUMBING Subtype:
Status: APPROVED
Applied: 10/14/2014 PJU
Approved:
Parcel No: 774171002 Site Address: 53780 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 247
Lot: 23
Issued:
UNIT 23
PAID DATE RECEIPT # CHECK # METHOD PAID BY
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $3,200.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
$0.00
Details: SEPTIC ABANDONMENT SEWER HOOK UP 2013 CALIFORNIA PLUMBING CODES.
Process bmmm_a_ry
. , . 0. i't.k 4
i
•
1 , is k „�5. T •'X,ij
N '
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
0 0 0
$1.00
$0.00
BSA:
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
HAMMER PUMPING INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
COACHELLA VALLEY HOUSING COA
45701 MONROE ST STE
G
INDIO
CA
92253
. , . 0. i't.k 4
i
•
1 , is k „�5. T •'X,ij
N '
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Tuesday, October 14, 201412:36:45 PM
1 of 2
��CVC TFMC
DES
ACCOUNT
QTY
AMOUNT.
--T
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid for PLUMBING FEES: $24.18 $0.0.0
TOTALS:00
- PA
- RENT°PROJECTS
RETURNED STATUS REMARKS
REVIEW TYPE, ' REVIEWER SENT DATE DUE DATE DATE NOTES '
Printed: Tuesday, October 14, 201412:36:45 PM 2 of 2 CRC ".F C
C� -,H— toSZ9
Bin #
Submittal
Oty of La QCuinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012.'
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Scl3VJ
Owner's Name: J_. 1JC
A. P. Number: ,
1� O Z —
AA
Address: W S� O M O t-v—d£ S
Legal Descriptiop:
City, ST, Zip: /-Ab i`t✓t ZZ6 j
Contractor:
Telephone:
Address: a Zj'k
2 (
Project Description:
City, ST, Zip: Citi 4&0 WA L C. 'CT
Telephone --?6.
Truss Cala.
b
State Lic. # : 0 1
C211 ed Contact Person
City Lic. C
Plan Check Balance •
Arch., Engr., Designer. 1
Title 24 Cala.
Address:
Plans picked up
City., ST, Zip:
Construction
Telephone:
Flood plain plan
`>h
..
Construction Type: Occupancy:.
Project type (circle nc : New Add'n Alter Repair Demo
'tate Lic. #:
�"
of Contact Person:
q.
#Stories:
#Unlame
:.
Celcphone # of Contact Person -7
Uv '
Estimated Value of Project: ZU�--
APPLICANT: DO NOT WRITE BELOW THIS LINE '
#
Submittal
Rcq'd
Rec'dTRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Cheek Deposit
Truss Cala.
C211 ed Contact Person
Plan Check Balance •
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mcehanical
Grading plan
2"' Review, ready for corrcctions/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.'
II.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
'`d Review, ready for correclionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fccs
Total Permit Fees
c�kl�8zi
4
z
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 9/19/2014
SUBJECT: SCC ONLY -5.3780 EISENHOWER OR., LA QUINTA, LOT 23, LID 68314
CV HOUSING COALITION
45701 MONROE ST. UNIT
G
INDIO, CA 92201
Project:
Project Date:
Amount Due:
GEO:
Planner:
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
14-5826
9/19/2014
$4,851.00
06-06-12-4
SARA LOPEZ
SUBJECT:SCC ONLY- 53780 EISENHOWER DR., LA QUINTA, LOT 23, LID 68314
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
1.00 FF SCC -COLLECTION $2,415.001$2,415.00
1.00 FJ SCC -TREATMENT 1 $2.436.001
$2.436.001
$4,851.00
PAID $ >
Services Department
Development Se p
SEP 19 2014
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBJECT:SCC ONLY- 53780 EISENHOWER DR., LA QUINTA, LOT 23, LID 68314
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel