BPLB2014-104178-495 CALLE TAMPICO
'LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2014-1041
c&tiv, 4 4v Qi"j
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address: 53845 EISENHOWER DR
APN: 774165026
Application Description: SEPTIC ABANDON, SEWER CONNECT D [�
Property Zoning:
Application Valuation: $3,500.00 NOV
2 6 2014
Applicant: CITY OF LA QtilNTA
ALMS UNDERGROUND CONSTRUCTION COMMONITYDEVELOPisii_NTDEPSRTkIENT
38703 VISTA DRIVE
CATHEDRAL CITY, CA 92234
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 Professions Code, and
my License is in full force and effect.
License Class: C21, C42 License No.C48,Z180 _ A
Date:&!2 /YOU 201y Conor.
OWNER -BUILDER DECLAR/ajplON
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).:
(� 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.).
I I 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:
Owner:.
MARTIN FAMILETTI
40287 LA SPEZIA CT
INDIO, CA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/26/2014
Contractor:
ALMS UNDERGROUND CONSTRUCTION
38703 VISTA DRIVE
CATHEDRAL CITY, CA 92234
(760)324-1911
Llc. No.: 482180
. 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
2ction 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 agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Ate : 26/VDV 7 Applicant: L,"z
WARNING: FAILURE TO SECURE WORKERS' COMPENS T ON 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 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 city to enter upon the above-
mentioned �prJoperty for inspection purposes.
t 6 /USV 2 4Signat' e (Applicant or Agent/
DESCRIPTION
FINANCIAL '
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
101-0000-42404
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
TOTALS: $117.03 00
Description: SEPTIC ABANDON, SEWER CONNECT
Type: PLUMBING Subtype:
Status: SUBMITTED
Applied: 11/26/2014 AZA
Approved:
Parcel No: 774165026 Site Address: 53845 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 246
Lot: 7
Issued:
UNIT 23 .
Lot Scl Ft: 0 Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $3,500.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
CONTACTS'
Details: SEPTIC ABANDON, SEWER CONNECT. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Wednesday, November 26, 2014 12:05:50 PM 1 of 2 COW. ._._.._
CHRONOLOGY
CONDITIONS
CONTACTS'
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX ..
EMAIL
APPLICANT.
ALMS UNDERGROUND
38703 VISTA DRIVE
CATHEDRAL
CA
92234
CONSTRUCTION
CITY
CONTRACTOR
ALMS UNDERGROUND
38703 VISTA DRIVE
CATHEDRAL
CA
92234
CONSTRUCTION
CITY
OWNER
MARTIN FAMILETTI
40287 LA SPEZIA CT
INDIO
CA
9.2253
Printed: Wednesday, November 26, 2014 12:05:50 PM 1 of 2 COW. ._._.._
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT#
CHECK #'
METHOD
PAID BY
CLfD
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUIL . DING STANDARDS ADMINISTRATION $1.00 $0.00
PERMIT ISSUANCE
101-0000-424.04
0
$91.8S
-$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
BUILDING SEWER
101-0000-424 01
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
Total Paid forPLUMBING FEES: $24.18 $0.00
TOTALS: $117.03 $0.00
Printed: Wednesday, November 26, 2014 12-05:50 PM 2ofZ
it
COACHELLA VALLEY WATER DISTRICT
O�S:Rtc P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 11/7/2014
SUBJECT: SANTA CARMELITA, 53845 EISENHOWER DR, LA QUINTA, LOT 6, LID 689298, "SCC FEE ONLY"
MARTIN FAMLETTI Project: 14-5942
40287 LA SPEZIA COURT Project Date: 11/6/2014
Amount Due: $4,851.00
INDIO, CA 92203 GEO: 06-06-12-4
Planner: SANDRA VILLALOBOS
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT:SANTA CARMELITA, 53845 EISENHOWER DR, LA QUINTA, LOT 6, LID 689298, "SCC FEE ONLY"
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651. Pagel
1.00 FF SCC -COLLECTION $2,415.00
$2,415.00
1.00 FJ SCC -TREATMENT $2 436.00
$2,436.00
$4,851.00
PAID $
Development Services Department
NOV 0 7 2014
Coachella Valley Water District
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBJECT:SANTA CARMELITA, 53845 EISENHOWER DR, LA QUINTA, LOT 6, LID 689298, "SCC FEE ONLY"
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651. Pagel
Bin # City of La QUThta
Building 8t: Safety Division
Permit # P.O. Box 1504, 78-495 Calle Tampico .
�(� I La Quinta, CA 92253 - (760) 777-1012.
Tracking Sheet
Building Permit Application and
Project Address: 3 d�'�5 ��ser�oW[r- Owner's Name: uvh l e fit
A. P. Number:
Address: e-10 2- 8'7 Lo S •e mi a -C
Legal Description:
City, ST, Zip: Zv` d i p CQ (3.Z2 a
Contractor:A 1"s „ -er rbUh Cb v`5
Telephone:
Structural Calcs.
L
Address: 3 8703 !/� S+a r.
Project Description: sewer Goin ec��oY•
City, ST, Zip: CaAedro 1 C C,, 922.3 y
Telephone: 960 , 37-Y -.911•
Truss C21cs.
Called Contact Person
State Lic. # : Y $2 / RD
City Lie. #: j 69
Arch., Engr., Designer:
Address:
Plans picked up
City, ST, Zip:
Construction
Telephone:
:
Construction Type: Occu aney=
State Lic. #:
type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: om 6
Sq. Ft.:
# Stories�t:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: yw 3 S 00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Rcvicwtd, ready for corrections
Plan Check Deposit
Truss C21cs.
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 corrcctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN If OUSE.-
'"' Reyicw, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fccs
Total Permit Fccs