BPLB2015-0089.38-495 CALLE TAMPICO . ' 44 � � VOICE (760) 777-7125
L¢' QUINTA, CALIFORNIA 92253 FAX (7 60) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Applicant:
HAMMER PLUMBING AND PUMPING IN
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
Owner:
CARY•ACHE .
80.140 VISTA GRANDE
LA QUINTA, CA 92253
Date: 7/6/2015
N
Contractor:
HAMMER PLUMBING AND PUMPING IN
P 0 BOX 2448 '
CATHEDRAL CITY, CA.92235
(760)360-744.8
Llc. No.: 661018
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed uncle)provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Divisio Busines fessions Code, I have and will maintain a certificate of consent to self -insure forworkers'
and my Lic rise is in full force and effect compensation, as provided for.by Section 3700 of the Labor Code, for the performance
License CI s: 42 C36 License No.: 661018 of the work for which this permit is issued.
I have'and will maintain workers' compensation insurance, as required by .
Date: Co` tract 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:
OWNER- LDER DECLARATION Carrier: - Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to th ers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree thea ,if -I -she d become bject tot e
any structure,' prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Si iofi 3700 of the L bor Cod I, hall fo hwith
signed statement that he or she is licensed pursuant to the provisions of the comply with hos provisions.
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 1 Ap licant:
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 WARNING: FAI URE TO SECURE W 'COMPENSATION COVERAGE IS UNLAWFUL,
($500).: 1 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
I ) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE;
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for. sale.' If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(.)I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold.harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason 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. '
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:
I certify that I have read this application and state t at the abo a infori
I agree to comply with all city and county ordinances and statil laws re
i
construction, and hereby authorize representatives of this cit t ent
mentioned ro711
rty for inspection purposes.
Signature •(Applicant or den
Application Number:
BPLB2015-0089
Property Address:
80140 VISTA GRANDE
APN:
600120007
Application Description:
ACHE RESIDENCE SEWER CONNECTION
Property Zoning: .
Application Valuation:
$3,200.00
Applicant:
HAMMER PLUMBING AND PUMPING IN
P 0 BOX 2448
CATHEDRAL CITY, CA 92235
Owner:
CARY•ACHE .
80.140 VISTA GRANDE
LA QUINTA, CA 92253
Date: 7/6/2015
N
Contractor:
HAMMER PLUMBING AND PUMPING IN
P 0 BOX 2448 '
CATHEDRAL CITY, CA.92235
(760)360-744.8
Llc. No.: 661018
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed uncle)provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Divisio Busines fessions Code, I have and will maintain a certificate of consent to self -insure forworkers'
and my Lic rise is in full force and effect compensation, as provided for.by Section 3700 of the Labor Code, for the performance
License CI s: 42 C36 License No.: 661018 of the work for which this permit is issued.
I have'and will maintain workers' compensation insurance, as required by .
Date: Co` tract 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:
OWNER- LDER DECLARATION Carrier: - Polity Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to th ers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree thea ,if -I -she d become bject tot e
any structure,' prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Si iofi 3700 of the L bor Cod I, hall fo hwith
signed statement that he or she is licensed pursuant to the provisions of the comply with hos provisions.
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 1 Ap licant:
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 WARNING: FAI URE TO SECURE W 'COMPENSATION COVERAGE IS UNLAWFUL,
($500).: 1 AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
I ) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE;
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for. sale.' If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(.)I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold.harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(� I am exempt under Sec. B.&P.C. for this reason 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. '
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:
I certify that I have read this application and state t at the abo a infori
I agree to comply with all city and county ordinances and statil laws re
i
construction, and hereby authorize representatives of this cit t ent
mentioned ro711
rty for inspection purposes.
Signature •(Applicant or den
FINANCIAL O• , •
}}' Y� ESCRIPTION
' 'D+r
3 �. a+�,.,:,>.q _r. ,�2n,-.v
' �� ,-ACCO QTY�AMOUNT
.o -i _.a.�.•T. .,b'.1&a�e° RFs,',.c.,.
tr PAID a tPAID DATE
w
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $0.00
pyg'$Pu i ` ' z `'PA`ID`BYdt , , a
h - 44+ S..m e.'44. 'Cs i�".m`'. t� e .: e
".q METHob .WM5 t � RECEIPT# �� st4 �?��CHECK' f LTU�BY�:
4'�..�'f �c. �:: aS IIX... ':�4'�9:. _v ..i':.Xa Feuh ^�....
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
s I � ,`�
�;DESCRIP,TION
,i.".+rpt,. ^E
t ACCOUNT
ryQTY'
'.a � AMOUNT °
rT"PAID '% `
,n 4, i"':
*PAID DATE{
f
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
�.�
Ej p`R �F�,
N.34; PAID: BY �.Fzst46.
gas... i�.i^,�'.
s ;YMETHOD x
z,' RECEIPT #{
r' :`CHECK # y `
? CLTD BYz
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
SDESCRIPTION'n
i�sACCOIINT $�CiTY
>�AMOUNT 3
x�PAID�PAIDDATE
BUILDING SEWER
101-0000-42401
0
$12.09 •
$0.00
PAID BY`METHOD;
> RECEIPT #" i
"CHE#
CK 3Yr"
4 c CLTD BYE
X fESCRIPTION' �ffi�`
.� +xTACCOUNT
;QTY.
AMOUNTx :"
'PAIDsxM�
'PAID DATE':
BUILDING SEWER PC
101-0000-42600
01
$12.09
$0.00
€3'yyroPAID'BY,! :
in �M`,f METFIODr$t,.°y
iaW aid'• i...s<. �."5..'2A
RECEIPT #`i
I�;�.
CHECK #"
x CLTD BY
..k
Total Paid forPLUMBING FEES: $24.18 $0.00
TOTALS:00
Description: ACHE RESIDENCE SEWER CONNECTION
Type: PLUMBING
-Subtype: ;
Status: APPROVED
Applied: 7/6/2015 EVA
Approved: 7/6/2015 EVA
Parcel No: 600120007 Site Address: 80140 VISTA GRANDE LA QUINTA,CA 92253
Subdivision: TR 3505
Block:
Lot: 7
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0.
Zoning:
Finaled:
Valuation: $3,200.00
Occupancy Type:
- _ Construction Type:
Expired:
No. Buildings: 0
No. Stories:'O
-No. Unites: 0
Details: SEPTIC ABANDONMENT, SEWER CONNECTION
t
F NANCIAL INFORMATION
...�--=•}.,r
Printed: Monday, July 06, 2015 2:40:27 PM 1 of 2CNFW
SYSTEMS .
BOND. INFORMATION
Printed: Monday, July 06, 2015 2:40:27 PM 2 of 2
' sysrems
Bin #
City of. La Quinta
Building 8i 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:
Owner's Name:
A. P. Number.
Address: V Cl.-
'&Q� P\
Legal Description:
City, ST, Zip: LA fir; 1.4—
Contract •
or.
vv, v �
c. �f 2
i
Tele hone: S
P � l
V
Address: �t C5� 2` `( (�
Project Description:
City, ST, Zip:Cxlzz� a_� L G n
0..3 ca—
ele h .
Telephone: Po e
r-fL � t
State Lic. # : ( �j
City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
h one:
Co n structi n Type: e: Occupancy:
Y P
State te Lic.#:
Pe (circle one): • New Add'n Alter Repair -Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:'
APPLICANT: DO NOT WRITE BELOW THIS'LINE
#
Submittal
Req'd'
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
R
Plan Cbeck Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical -
Grading plan
tae Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
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
- SUBJECT:TRACT 3505, 80140 VISTA GRANDE, LA QUINTA, LOT T, LID 305688 "SCCON LY"
`
COACHELLA VALLEY WATER DISTRICT
'P O.•BOX 21058, COACHELLA, CALIFORNIA 92236 (760)'398-2651
.
5 Page 1 •
r
VALLEY
,y .. .COACHELLA WATER DISTRICT,.
�•
t!j . 'A •P.O. 60X:,1058, COACHELLA, CALIFORNIA 92236 (760)
398-2651
INVOICE" . ' Date: 6/30/2015
SUBJECT: TRACT 3505, 80140 VISTA, GRANDE, LA QUINTA, LOT 7, LID 305688 "SCC ONLY'
- ' i +r ! t •:
, ,
.
T
t
DOROTHY J. TAUL "� �t, . 'Project { y
15-6457
_
80140 VISTA GRANDE
Project Date: ''
6/30/2015 -
' i. �•' ` ' j' ',�s. r 'Amount Due:
•
$4,851.00
LA QUINTA, CA 92253 •`� k - a r
0.
r
'Planner =
RUBEN MONTIEL
I
a ... L ._ { "- 3 '• .' 1 , ,
},, }. - r L
T
f l ^'�
, L ± !. . t ._ `
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH:
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
- SUBJECT:TRACT 3505, 80140 VISTA GRANDE, LA QUINTA, LOT T, LID 305688 "SCCON LY"
`
COACHELLA VALLEY WATER DISTRICT
'P O.•BOX 21058, COACHELLA, CALIFORNIA 92236 (760)'398-2651
.
5 Page 1 •
r