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BPLB2022-0028
Permit Details City of La Quinta Description: VALDEZ / SEPTIC ABANDON SEWER CONNECT Type: PLUMBING - SEWER Subtype: Status: FINALED CONNECT/SEPTIC ABANDON (WEB) Applied: 2/22/2022 ECON Approved: 2/23/2022 AHI Issued: 2/24/2022 AHI Finaled: 3/2/2022 MHU Expired: Parcel No: 600052004 Site Address: 79660 CORTEZ LN LN LA QUINTA,CA 92253 Subdivision: TR 2180 Block: Lot: 72 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $6,000.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: SEPTIC TANK ABANDON BY FILLING WITH SLURRY OR SAND AND HOOKING UP TO CVWD SEWER SYSTEM. INSPECTOR TO VERIFY IF BACKWATER VALVE IS NEEDED AT THE PROPERTY PER 2019 CALIFORNIA PLUMBING CODE. i j Applied to Approved Approved to Issued Issued to Finaled ADDITIONAL SITES CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT A & R POOLS INC P 0 BOX 103 LA QUINTA CA 92247 ARPOOLSINC@HOTMA IL.COM CONTRACTOR OWNER BUILDER OWNER Roy and Michelle Valdez 79660 Cortez Ln. La Quinta ca 92247 FINANCIAL INFORMATION Printed: Thursday, July 06, 2023 2:56:06 PM 1 of 5 CRWSYSTEMS Permit Details PERMIT NUMBER City of La Quinta BPLB2022-0028 1111 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD ■ ■ PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PERMIT ISSUANCE 101-0000-42404 0 $105.60 $105.60 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI Total Paid for PERMIT ISSUANCE: $105.60 $105.60 SEWER CONNECTION/SEPTIC ABANDON 101-0000-42401 0 $27.79 $27.79 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI SEWER CONNECTION/SEPTIC ABANDON PC 101-0000-42600 0 $19.45 $19.45 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI Total Paid for PLUMBING 2021: $47.24 $47.24 RECORDS MANAGEMENT FEE 101-0000-42416 0 $11.00 $11.00 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI Total Paid for RECORDS MANAGEMENT FEE: $11.00 $11.00 TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 $5.00 2/24/22 R69105 INVOICE 1545 CREDIT Roy and Michelle Valdez AHI Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 $5.00 TOTA $169.84 INSPECTION' SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES Printed: Thursday, July 06, 2023 2:56:06 PM 2 of 5 CRWSYSTE S Permit Details City of La Quinta SEPTIC ABANDONMENT MHU 2/25/2022 2/25/2022 APPROVED eTRAKiT Inspection Request 2/24/2022 11:51 AM A & R POOLS INC Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PLUMBING FINAL** BLD 2/28/2022 2/28/2022 CANCELED eTRAKiT Inspection Request 2/25/2022 12:37 PM A & R POOLS INC Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PER EMAIL FROM CONTRACTOR. SEWER CONNECTION BLD 2/28/2022 2/28/2022 CANCELED eTRAKiT Inspection Request 2/25/2022 3:28 PM A & R POOLS INC Mark Hunt already inspected these on Friday with the abandonment Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PER EMAIL FROM CONTRACTOR. UNDERGROUND PLBG BLD 2/28/2022 2/28/2022 CANCELED eTRAKiT Inspection Request 2/25/2022 3:28 PM A & R POOLS INC Mark Hunt already inspected these on Friday with the abandonment Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PER EMAIL FROM CONTRACTOR. Printed: Thursday, July 06, 2023 2:56:06 PM 3 of 5 CRWSYSTE S Permit Details City of La Quinta PERMIT NUMBER BPL62022-00111 28 UNDERGROUND PLBG MHU 3/2/2022 3/2/2022 CANCELED eTRAKiT Inspection Request 3/1/2022 12:42 PM A & R POOLS INC Mark did this inspection when he came to look at sewer abandonment. Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM SEWER CONNECTION MHU 3/2/2022 3/2/2022 APPROVED eTRAKiT Inspection Request 3/1/2022 12:42 PM A & R POOLS INC Mark did this inspection when he came to look at sewer abandonment. Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PLUMBING FINAL** MHU 3/2/2022 3/2/2022 APPROVED eTRAKiT Inspection Request 3/1/2022 12:42 PM A & R POOLS INC Mark did this inspection when he came to look at sewer abandonment. Contact Name: A & R POOLS INC Site Address: 79660 CORTEZ LN LN Phone: 7607720752 e-Mail: ARPOOLSINC@HOTMAIL.COM PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE I RETURNEDDATE STATUS REMARKS NOTES 1ST PERMIT TECH — ETRAKIT (1 DAY) AARON HICKSON 2/22/2022 2/23/2022 2/23/2022 COMPLETE BOND INFORMATION Printed: Thursday, July 06, 2023 2:56:06 PM 4 of 5 CRWSYSTE S Permit Details City of La Quinta PERMIT NUMBER BPLB2022-0028 ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 2/22/2022 Etrakit Contractor CVWD RECEIPT Sewer Connection Fees Paid.pdf 1 DOC 2/23/2022 Etrakit Contractor OWNER BUILDER FORMS OWNER BUILDER FORMS02232022.pdf 1 DOC 2/23/2022 Etrakit Contractor MICHELLE DL Michelle DL02022022.pdf 1 DOC 2/23/2022 Etrakit Contractor ROGELIO DL ROY DL02232022.pdf 1 DOC 2/25/2022 Etrakit Contractor Septic Fail Report cortezlane79660.fail.tan k.(2.17.22).pdf 1 DOC 2/25/2022 Etrakit Contractor Pump Receipt Septic Pump02252022.pdf 1 PHOTO 2/23/2022 Etrakit Contractor Tank being abandoned Tank location.jpg 1 PHOTO 2/23/2022 Etrakit Contractor leach location and old tank Old Tank.jpg 1 Printed: Thursday, July 06, 2023 2:56:06 PM 5 of 5 CRWSYSTE S ASAP PUMPING, Inc. 760 328-7887. 760 365-4125 Fax 760 365-4118 • 1-800-334-7255 F.O. Box 2318 • Cathedral City, CA 92235 asappumping@aol.com www.asappumping.com BILL TO QUANT. Lic =C42 855 851 J ei aiiiimminninDESCRIPTION OF SERVICES CE P_-UNT Pumping Fee per 1000 gal. __ mim Labor 111111111111 _- Rooter Service Septic Inspection Opening Locating / Opening Fee SYSTEM FAILING* >c'ES NO * A FAILING SYSTEM MAY FILL BACK UP WITHIN A FEW YS AND CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. WAIVER: Not responsible for secondary damage such as water damage, chipped concrete. mark on street or driveways or trees. I Acknowledge AI}!work has/been cojnpletedl my satisfaction. SIGNATURE % �' e ? ii .. ♦. /1'/� �t-'—t DATE COMPLETED IMO ELF TOTAL Deluxe' P 1-800-868-E3e7 Per i c: U358.:8)28 ASAP PUMPING, Inc. 760 328-7887.760 365-4125 Lic 88C42 855 851 Fax 760 365-4118.1-800-334-7255 P.O. Box 2318 - Cathedral City, CA 92235 asappumping@aol.com www.asappumping.com DATE r ! 7_` ESCROW 4 BILL TO - Zit _ 4 PHONE ADDRESS CITY JOB NAME AND LOCATION S - 1 9 r' DESCRIPTION OF WORK i./ d"*".'—. _� /r of.' .i /Y f Jf ....;(1 /aY J -+ _ —,.� - QUANT. DESCRIPTION OF SERVICES PRICE AMOUNT Pumping Fee per 1000 gal. Rooter Service Camera Labor Septic Inspection 41f5..-- Locating / Opening Fee Vc C\ i XI \ k Ci :4.3) Comments: 2 eloar` X. i . 07, ' Iv;GG "AX_- 7b g4 ‘41oft7)"7- ".rs' ca:j-).t..i -`.r / ' /hc-1—jll SYSTEM FAILING* ES ❑ NO *A FAILING SYSTEM MAY FILL CK U WITHIN A FEW DAYS AND CONTINUE TO HAVE PROBLEMS IF NOT RECTIFIED. WAIVER: Not responsible for secondary damage such as water damage, chipped concrete, mark on street or driveways or trees. I Acknowledge k ha been o plete my satisfaction. SIGpiATURE _ DATE COMPLETED TOTAL #i' REPORT OF INSPECTION - • INDIVIDUAL SEWAGE DISPOSAL SYSTEM PRIMARY TREATMENT consists of Septic tank 0 Cesspool Septic Tank Distance from well: feet. _Material, Total liquid capacity /Coco gallons. Capacity inlet component Number of components .fan Inside length. 8 feel Inside width, 6 feet Liquid depth, feet. gallons_ Cesspool: Distance from well, feet_ Foundation, feet, nearest lot line at © front ❑ side ❑ rear feet Inside diameter, feet Depth, feet. Liquid capacity, gallons. Lining material SECONDARY TREATMENT consists of 0 Tile disposal field ❑. Seepage pits 0 Other ( specify ) Tile Disposal Field: Distance from well, feet, foundation, feet, nearest lot line at ❑ front 0 side ❑ rear r feet_ Total length of file tines, _ • feet; Number of lines, - Distance between lines feet_ Trench width, ' inches. Total effective absorption area at bottom of trenches, square feet. Length of each line, - ` feet: Depth, top of tile to finish grade, inches_ Type of fitter material D. brevet D Broken stone 0 Other ( Specify) Depth of fitter 'material beneath tile, inches. Depth Of filter material over file, inches. Sewage Pss: . Number of pits, ` / utside diameter, 6 ' k /SY " feet. Lining material "+ Distance from well, feet, building foundation - tr feet, nearest lot line at front ❑ side 0 rear 90 feet. Inspection made by: 0 tate • © County . 0 Local Health.Authority Inspected by: /Awl s3.�ci Date of Inspection: a `/7 o`er- , RgPORT OF INSPECTION - INDIVIDUAL WATERSUPPLY SYSTEM Distance to nearest public water main, feet Size of main, inches_ Individual wells 0 are . 0 are not customary in neighborhood_ Give most recent record of failcre of wells in immediate vicinity to furnish adequate supply of water Properties in -neighborhood ❑ are ❑ are not being developed with both individual water supply and sewage disposal systems. Lot size feet wide, feet deep. Dwelling set back from m property line, feet. Individual water supply from: ❑ Drilled well ` 0 Driven well 0 Dug well 0 Bored well. Distance of well from:. : Building feet, nearest lot line at ❑ front ❑ side ❑ rear feet; castironsewer, - " feet, tile sewer feet, septic tank feet, disposal field, feet; sewage pitL feet, cesspool feet, other sources of possible pollution feet_ Well Consihictian: Diameter,- - inches. Total depth, feet_ Type of casting, Depth of casting, feet_ ApproxiFnate depth to pumping level of water in well, feet. Approximate yield , gallons per minute_ Sealed ± geElightto depth of feet Exterior space .around casting sealed with: ❑ Cement grout ❑ Puddled day ❑ Ordinary backfsll. Well cover-' • - 0 Concrete. ',—E Wood ❑ Metal. Openings in well cover watertight ❑ Yes 0 No. Pump 0 Shallow well 0 Deep well, Length of drop pipe, feet: Pump capacity, _ gallons per minute. Located in ❑ Basement ❑ Purnproorn off basement ❑ Pumphouse above ground ❑ Pump pit • Pumproorn property drained: ❑ Yes ❑ No. 'Pump mounting watertight: ❑ Yes ❑ No. Type of storage: 0 Pressure El Gravity. Capacity, gallons_ Has bacteriological examination of water been made? ❑ Yes ❑ No. If answer is -!'Yes" give date Quality of water El is ❑ Is not satisfactory for human consumption. Installation ❑ does ❑ does not comply with approved exhibits , if any. Inspection made by: ❑ State ❑ County ❑ Local Health Authority. Inspected by Date of inspection ( Title ) °,,A CASE NO. crn Aoprcvad :1A8 Ma asoo-coal DATE VETERANS ADMINISTRATION 1 U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT HEALTH AUTHORITY APPROVAL INDIVIDUAL WATER- SUPPLY AND SEWAGE -DISPOSAL SYSTEM IMPORTANT This form should be completed and filed as required by existing law 38 U.S.C. 1804 and 1810 • HUD1 FHA OR VA OFFICE PART 1 TO BE COMPLETED BY HUD/FHA OR VA MORTGAGE NAME AND ADDRESS (Include ZIP Code) TOTAL NUMBER LIVING UNITS R SUPPLY 8Y PUBLIC SYSTEM BEDROOMS 3 GE DISPOSAL BY: ..^0 PuEuC SYSTEM BAIT -IS COMMUNrr( SYSTEM IS THERE A BASE- IMiEN YES 7tN INDIVIDUAL ❑ COMMUNITY SYSTEM !NDIVt/UAL ISTHIS ANEW INSTALLATION? YES NO MORTGAGE OR SPONSOR PROPERTY ADDRESS s CA; • 99-a-szp SUBDIVISION 1LOT NO. CAN THE ATTIC OR OTHER AREA BE MADE €NTO ADDITIONAL BEDROOMS? of ' } E ' how many SYSTEM DESIGNED FOR NO. OF BEDROOMS GARBA4GE DISPOSAL 3 PART 11- Tel BE COMPLETED Btf HEALTH DEPARTMENT OR COMPLIANCE INSPECTOR INSPECTOR'S SKETCH (Il7 REPORT AS -BUILT DEVLMTTONS FROM APPROVED PLAN) Aci-F‘ r--- NO It is the opinion of the OState ❑ County ©Local Department of Health that this individual water -supply system 0 is ❑ is not satisfactory as a domestic water supply for the subject' property . Not 1is pected 11:wz it is the opinion of the State ❑ County ['Local Dep ent Health that the individual sewage -disposal system with proper maintenance[] Can be expected to function satisfactorily, and is of 1to create unsanitary conditions. Cannot be expected to function satisfactorily. This is an inspection not st warranty. SIGNATURES .. 6- /7-aa7- Tr1ZE ASAP -PUMPING, INC. TECHNICIAN LIC # C42-855851 NOTE The health authority should complete the appropria£e opinion statement above and affix date, signature and title in the spaces provided. NOTE: Use of the reverse of this is at the option of the health authotity_ PART I • FOR USE OF FIELD OFFICE I have reviewed the foregoing and: the pertinent Compliance inspection Report and recommend that the individual water -supply Stem be considered acceptable table notac py e❑'acceptable and that the sewage -disposal be considered El acceptable El not acceptable.. DATE SIGNATURE TITLE ❑ HUD ARCHITECTURAL SECTION CHIEF OR DEPUTY CI -LIEF I ❑ VACHSEFAPPRAISAL SECTION OR DESIGNEE VA FORM 26-S395 APR. t982 SUPERSEDES VA FORM 25-8395. OCT 1g78 atigra CALIFORNIA Disclosures & Forms for Owner -Builders Applying for Construction Permits IMPORTANT! NOTICE TO PROPERTY OWNER Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified at c1 tc 4, o C ce .Z L. We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your responsibilities and possible risk you may incur by having this permit issued in your name as the Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision, signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice unless you, the property owner, obtain the prior approval of the permitting authority. OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION DIRECTIONS: Read and initial each statement below to signify you understand or verify this information. ��1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner - Builder" building permit that erroneously implies that the property owner is providing his or her own labor and material personally, I, as an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers on my property. I understand building permits are not required to be signed by property owners unless they are responsible for the construction and are not hiring a licensed Contractor to assume this responsibility. L.LA-z 3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my own. ` A-74. I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on permits and contracts. ✓�i��5. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer" under state and federal law. ' 6. I understand if I am considered an "employer" under state and federal law, I must register with the state and federal government, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial risk. . I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed under contract with a licensed general building Contractor. 8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the workmanship or materials. Page 3 of 4 '-'I;1-79. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors. . I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the party legally and financially responsible for proposed construction activity at the following address: ✓`�`� 1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all applicable laws and requirements that govern Owner -Builders as well as employers. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors, you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers' compensation insurance coverage. Before a building permit can be issued, this form must be completed and signed by the property owner and returned to the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owr�r:X/!'( ` Date: Note: The following Authorization Form is required to be completed by the property owner only when designating an agent of the property owner to apply for a construction permit for the Owner -Builder. AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder Permit for my project. Scope of Construction Project (or Description of Work): Project Location or Address: Name of Authorized Agent: Phone: Address of Authorized Agent: I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification acceptable to the agency is required to be presented when the permit is issued to verify the property owner's signature. Signature of Property Owner: Date: Page 4 of 4 v(5 J LANDSCAPING (C-27) FENCING (C-13) CABINETS (C-6) CERAMIC TILE (C-54) PAINTING (C-33) SEWAGE DISP. (C-42) INSULATION (C-2) GLAZING(C-17) FLOORING(C-16 ) SHEET METAL (C-43) ROOFING (C-39) ELECTRICAL(C-10) x a n n N 0 DRYWALL(C-9) LATH, PLASTER (C-35) PLUMBING (C-36) MASONRY (C-29) STRUCT. STEEL (C-51) FRAMING (C-5) CONCRETE (C-8) EARTHWORK (C-12) TRADE/CLASSIFICATION Company Name CONTRACTOR I I Classification (e.g. A, B, C-B) STATE CONTRACTOR'S LICENSE I a California License Number C.)-)x m v a, m i I i I I Carrier Name (e.g. State Fund, CalComp) • • • v• , ,' a rlvl ail CI dWIC FCSU(1Se. WORKER COMPENSATION INSURANCE CITY BUSINESS LICENSE Policy Numbers (Format Varies) IG I Exp. Date 11 License Number Exp. Date d a-ILi o • CsO O O H °,o v n CDD a 3 A m O o S y a i 0 ✓ o r) • F cr m --�. CDo o_ ° 0 �V Q 0 C uj fp � a• a a •cr 7 D rf ' i - tD 3 3 a (D 0 N ;313- i v7 O 0 ? cu r S Di Dl II N C II r — a o. C 7 72 �o i-, 3 1-1 d H -▪ 4 co 'O CD C n • 3 n elA o eu ` ' M o SU K f ° W Du °a"C, ° to N O N 1 N. O 0) go - 7 O to C o C. H O 0 2 3 H • O n • n m ro fD 7J r 0 5 • ° , < O N o O O T ° N D 0 D S. 3. UD O 0 3 '-O < fD M C 1-1 CD C0 r 5 m 7-7 c ,3 II1 3 ()I 8 O < 61 CD LO In re d o ti. ;NU 1