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07-2360 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 07-00002360 Property Address: 54450 EISENHOWER DR APN: 774-253-010-14 -000000- Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 3500 "'"'t aF 4 4" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - - - - - - - - - - - - - - - - - - — — — — — — — — — — — — — — — — — — — — — — — — — — ENSED CO RAC 'S CLARATION I hereby affirm under p alty of perjury that m licens under prove Chapter 9 -(commencing with Section 70'1 of 'vi ion 3 of the Business a d Profe ionals Code, nd my Lice �Se is in full force and effect. License CI s: C Licens o.: 6610 '8 Date: Zi. ontract OWNER -BUILDER DECLARATION I hereby affirm under p 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 contractorls) 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: LQPERMIT Owner: VLADESCU BOGDAN 54450 EISENHOWER DRIVE LA QUINTA, CA 92253 ( 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: 8/22/07 ---------------------------- 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 STATE FUND olicyN mber Y3-2007 _ I certify that, in performance oft a wo for his perml is issued, I shall not employ any person in n r manner so as to be me ubie to thew rs' compensation laws of California, nd agr that, if I should beco su ect the workers' c nsation provisions of Section 700 f the Labor Code, I , fort i comply with th a provis s. Date: ZZ. Applicant: WARN NG: FAILURE ORKERS' 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 thhi Ii becomes null and void if work is not commenced within 180 days from date o;issuance of such rmit, or cessat' n of work for 780 days will subject permit to cancellation. I certify that I have read this application/and state that the abov informati is correct. gree �o comply with all city and c my rdinances and state/laws relating to building c nstructi ,and hereby auth representatives of this co my Banter upon the above-mentioned prope y f in pe n is Dateg Z �h- Signature IA{iplicant or A Application Number 07-00002360 Permit . . . PLUMBING SEWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date Valuation 3500 Expiration Date 2/18/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 ------------------'---------------------------------------------------------- Special Notes and Comments • SEPTIC ABANDONMENT / SEWER HOOK UP Fee summary Charged Paid., ------------------------------------- Credited Due Permit Fee Total 30.00 ---------- .00 ---------- .00 30.00 Plan Check Total .00 .00. ..00 .00 Grand Total 30.00 .00 .00 30.00 I- LQPERMIT Bin # City of La Quinta �. Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �V Project Address: 5- A S-0 E, 6f #,j46vj EP_ Owner's Name: �C A. P. Number: Address:5- ¢5-6 Legal Description: ,-f 1- Contractor: CA L)v \j(� Tele ( City, ST, Zip: LA S -2S p hone: Address: Project Description: City, ST, Zip: C�_­__V 4�CR A- L C "r. L 16�7 LJ Tele hone: -e4--A 4- p 0 5 x 3 State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: ' ' .` Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft,: # Stories: t #Units: l Telephone # of Contact Person: Estimated Value of Project: b APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKING. - PERMIT FEES Plan Check submitted Item Amount l Calcs. Reviewed, ready for'corrections Plan Check Deposit FReq'd cs. Called Contact Person Plan Check Balance alcs. Plans picked up Construction in plan Plans resubmitted Mechanical Grading plan 2nd 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:- ''d 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 Jr AUC -06-2007 M04 07:15 AM ARMTEC . Y FAX K0. 760 398 4864 P. 02 1100" VANE- MM OMff2CT GASH RECENT FETA&�►in AAD _ !�.. wfr. w. 1 • _ _ ! !. 4 7A / f fRd F}tll1� e v e � • �� y i v �'' R "'�'%" �>�� � e cs ' i L .!. l.: Cr7 !,r^ pate. Ao t -,M Tfm Q Fgpi�Raw(� . '.� ttola3a ■ q ❑ Orieeciotgt•q�tq t7 ffige a.rb. s.� m a ws.e.F� • O UVA&M o �a�.ryoawn>�or►fN.�e. Q tAnooYrore �ooant�t- "� �--� Q kvomloni•ae-Ttac!- Fet- Q Trm - O Baetif"VVMIR-R.D - -- AggTj- D CUWAM DODO It CIA o pr�c �� ` .--- � - ver aim +mow, i.•,.,r.w.... •: _ cai A" (W ..� ... :. � • . ? ,: . _'--.••.....�..:.•- , _...-. milk www.hammerpumping.com 760/360-7448 760/321-7448 FAX 760/324-6434 Customer Name) t O�-J cat.l 4AC�C ` Addres i /- 4 IT U r city Ph# Additional Service -71 Required ❑Recommended P.O. BOX 2448 - Cathedral City, CA 92235-2448 - LIC# 661018 JOB INVOICE JOB DATE: IME IN: TIME OUT. TECHNICIAN N1 TECHNICIAN 02 HELPER(S) SI -2 Z./c>--i- U`J �� 3 p } ORDERED BY: I P.O. N I END DATE: IJOB LOCATION REASON FOR SERVICE ❑ BACK UP CONTRACT MAINTENANCE ❑ REPAIR ❑ MAINTENANCE ESTIMATE '©,CONSTRUCTION OTHER Description/ Remarks/ Drawings Card — MC / VISA 1 hereby authorize Hammer Pumpir I understand that by signing below that the work was completed to ,hy Inc, to charge my credit card for the above charges. m�agreeing to all charges incurred on this ticket and I COMMENTS .� P, r•�� V IN -K] Leach System Failing ❑ Roots ❑ Excessive sludge/grease