BPLB2017-007578-495 CALL TAMPICO C� 0' D "i VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT.DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
a
Date: 5/23/2017
Application Number: BPLB2017-0075 Owner:
Property Address: 52616 AVENIDA HERRERA PETER PALMER
APN: 773294006 42335 WASHINGTON ST F346
Application Description: PALMER / SEWER CONNECT PALM DESERT, CA 92253
Property Zoning:
Application Valuation: $4,500.00
Applicant: Contractor:
ALMS UNDERGROUND CONSTRUCTION INC MAY 2 2 2017 ALMS UNDERGROUND CONSTRUCTION INC .
38703 VISTA DRIVE 38703 VISTA DRIVE
CATHEDRAL CITY, CA 92234 CATHEDRAL CITY, CA 92234
CITY LA QUINTA
DESIGN AND DEPART
MENT (760)324-1911
Llc. No.: 482180
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.: 482180
Dater Contractor:1 / t�nYr
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
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 ) 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.).
( 11, 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 Na
Lender's Add
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
pfttte�v rk 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: ACE AMERICAN INSURANCE COMPANY Policy Number: RWCC48821078
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.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 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 property for inspection purposes.
I� ��pp V� �
Date �ZSignature (Applicant or Agent;J7 1 L C _O /
Detail: PLUMBING - ABANDON SEPTIC AND FILL/CONNECT-TO SEWER. 2016 CALIFORNIA BUILDING CODE.
Date: ,5/23/2017
Application Number:
BPLB2017-0075
Owner:
Property Address:
52616 AVENIDA HERRERA
PETER PALMER
APN:
773294006
42335 WASHINGTON ST F346
Application Description:
PALMER / SEWER CONNECT
PALM DESERT, CA 92253
Property Zoning:
Application Valuation:
$4,500.00
Applicant:
Contractor:
ALMS UNDERGROUND CONSTRUCTION INC
ALMS UNDERGROUND CONSTRUCTION INC
38703 VISTA DRIVE
38703 VISTA DRIVE
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
(760)324-1911
Llc. No.: 482180
Detail: PLUMBING - ABANDON SEPTIC AND FILL/CONNECT-TO SEWER. 2016 CALIFORNIA BUILDING CODE.
DESCRIPTION
ACCOUNT I QTY I AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
Qty
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$17.73.
Total Paid for PLUMBING FEES: $43.06
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: .$S.00
r
j
Bin.#
City Of La Quinta
Building 8L Safety Division
78-495 Calle Tampico
La Quinta, CA.92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:'S,41
Owner's Name:
A. P. Number:
Address: ,4 v4 '
Legal Description:
Contractor: S
City, ST, Zip: 'v �
telephone:
h ne•
3
Address:
e
Project Description:
City, ST, Zip: Co
1 C .
Telephone:
hone: 6 0
7 2
State Lic. 4-
'City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Tee h
1P one:
State Lic. #
Name of Contact Person: L
. :
.......:...
Con o
structi n Type: Occupancy:
P
Proct type (circle one)
• New
Je Add' n Alter Repair
Sq. FL: #Stories: #Units:
Demo..............
Telephone # of Contact Person: 7
— 2 6 f qEstimated
Value of Projeci• < O 0
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
Plan Check Deposit
Truss Calcs.
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 corrections/issueElectrical
Subcontactor. List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A: Approval
Plans resubmitted
Grading
IN HOUSE:-
'"` 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
COACHELLA VALLEY WATER DISTRICT
l?Pubti�ti P.O. BOX 1058, COACHELLA, CALIFORNI.A 92236 (760) 398-2651
INVOICE Date: 4114/2617
SUBJECT: TRACT SANTA CARMELITA; 62,616 AVENIDA HERRERA, LA QUINTA, LID -684658 "SCC ONLY
LA QUINTA PALMS REALTY Project:
52616 AVENIDA HERRERA Project Date:
Amount Due:
LA QUINTA; CA 92253 GEO:
Planner:
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
17-7935
4/14/2017
$4,851.00
06-06-12-1
SARA LOPEZ
SUBaECT:TRACT.SANTA.CARMELITA, 52616 AVENIDA HERRERA, LA QUINTA, LID 684658 "SCC ONLY"
COACHELLA VALLEY WATER DISTRICT
R. 0. BOX'. .1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Page 1
1.00 FF S.CC-COLLECTION
$2,415.00 $2;415.00
1.00 FJ SCC -TREATMENT
$243600 $2,436.00
$4;851.00
PAID $ 1-1 851.0.0
Development Services Department.
C
MAY 1' 2017
Coachella Valley Water. District
o
75-515 Hovley Lane East
Palm Desert, CA 92211
SUBaECT:TRACT.SANTA.CARMELITA, 52616 AVENIDA HERRERA, LA QUINTA, LID 684658 "SCC ONLY"
COACHELLA VALLEY WATER DISTRICT
R. 0. BOX'. .1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
Page 1
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