11-0547 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TAot Y-/
.4
BUILDING & SAFETY DEPARTMENT
BUILDING. PERMIT
Application Number:
CT1=0'0000547
Property Address;
54093 OAK TREE
APN:
775-080-006-
- -
Application description:
ELECTRICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application,•valuation:
.4 acl'
Applic//a11nt:kz,�_C�
'Architect or Engineer:
-
LICENSED CONTRACTOR'S DECLARATION
Iherebyaffirm under penalty of -perjury that i_ am licensed under provisions of Chapter'9•(commencing with -
Section 7000);of�Division 3 of -the Business and Professionals Code,'and my. License is in:full force and effect.
License:Class. !Cl License No.: 8366.AI '
Contra
."6WNER-BUILOER•DECLARATION- '
"Thereby affirm under penalty of perjury that I am exempt from the` Contractor's State License Law for the
followi .g reason ISec. 7031.5, Business and Professions Code: Anycity: or county,tharrequires'.a permit to
construct, alter, improve,, demolish, or repair any, structure, prior to its issuance, requires the applicant for the
permit to file a signed siatement'that lie or. she is licensed-pursuant'to the provisions of,the Contractor's State
License Law, (Chapter 9;Icommencing;with Section 7000) of Division3 of the Business and Professions Code) or
that -
tt he or she is exempt'therefromiand the basis for the alleged exemption. Any violation of by'
anlic
y appant for a permit subjectsthe applicant to a'civil;penaltyof,not more than five .hundred dollars (5500).:
1 _ 1 I, as owner of tiie property, or.'my employees witH wages'astheir sole compensation, will do the work, and
the structure is nobintended�oroffered,:for sale (Sec.-704'4;.Busiriess and Professions Co'de_.The
Contractors' State License Law does not apply to an owner of property.wh? builds o{improve.s.thereon,
and: who doesthe':work'l imselforhers'elf through his"or'her own employees,.provided�_thatthe'-">
-' improvements ar6ot 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 tliat he or she did not build or.
improve.forthe 'purpose of sale.)..
1 _ 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;doeis not applyto an owner of
- �s`-_ ... . , a y,.....
property'who builds-orimproves thereon,.and,who contracts for the projects with a contiactorlsl licensed
pursuant to the•Contractors' State License Law.). -
(_ 1 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:
PGA WEST MASTERS HOA
7500b;CPOUNTRY CLUB
PALM DESERT, CA 92211
Contractor:
SUPERIOR ELECTRIC
81273 POPPY STREET
INDIO CA '-92201
(760)578 8535•
Lic.'. ,No.:.' 836641
VOICE (760) 777-7012
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 5/25/11
- WORKER'S COMPENSATION DECLARATION
I hereby affirm unde'r.pe'nalty 1. of perjury one of the following. declarations:. - -
I Have and will maintaima certdicate of consent to self -insure for workers'.compensation, as'provided '
for by.Sectiori.3700 of.the,Labor. Code, fo the perforrimance 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 EXEMPT Policy NumberY. EXEMPT
_ I certify'that,.in the• performance of the work.for which -this permit,is'issued,, 1`shall not employ any
person, in'any manner so; as to become subject to the workers' compensation laws of California,
and agree that, if,l'should become subject'to the workers' ,compensation provisions of Section
370of�theL�ab"or Cod _ with comply with those provisions.;
Applicant:, ,
WARNING:*, FAILURE TO. - CURE S;: 6'M" COVERAGEIS;UNLAWFUL', AND SHALL
SUBJECT•AN,EMPLOYER TO CRIMINAL PENALTIES�AND,CIVIL.FINES UP,TO�ONE HUNDRED THOUSAND
DOLLARS 1$100;000). IN ADDITION TO THE COST OF�COMPENSATLON;-D'AMAGES;AS'PROVIDED, FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST,. AND ATTORNEY'S FEES.
APPLICANT, ACKNOW LEDGEM ENT `
IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subje.q-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 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 permitissued 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 186 days will subject
permit to cancellation.
I certify that I have read this application and state that the above informationis correct. I agree to comply with all
city and county ordinances and state laws relating to ' g�eR8E4tction, and hereby authorize representatives
of this county to en r upon the above-mentioned"pr -erty for inspection purposes.
Date: S y Signature-IApplicant-oir�Agen
L
Application Number. . . . . . 11-00000547
Permit ELEC-SERVICE CHANGE
Additional desc .
Permit Fee 33.50 Plan Check Fee..
..00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 11/21/11
Qty Unit Charge Per.
Exteft8i_on
BASE FEE
15.00
1.00, 18.5000 EA- ELEC SVC <=600V/<=200A
18.:50
Special`. Notes and - Comments
INSTALLATION OF (i)- IRRIGATION -:MAIN:..
PEDESTAL 100 AMP. APPROVED` PER• G.B•.
----=--.=-------_-_-- - - ----------=------ --------------------=--.---------
Qther`Fees_ BLDG STDS•ADMIN (SB1473).:
.
1.00
Fee summary Charged" _ Paid Credited
---- - - - - -- --
Due. f
- ----- - - - - - - - - --
Permit Fee - Total 33.50 00 .00
33'5.0°
P1 an -Check -Total 00 :00 .00.
00
Other-Fe.e Total 1:00 ..00, .00
1.:00
Grand Total 3450 .00. .00
34,:50
LQPEPMIT
CSF LA QUINT
BUILDING & SAF
A E�iY DEP
FOR CO VE® ..
RUCTION
Dqr
BY I
i -ooh
o- eoC�
Bin #
. City. of ;Quints:
Bu11d1ng'9.Safety.Dlvlslon
P.Q. B00:1504, 78-495 Calle Tampico
la Qulnta, 760) 777-7072
&02251,'l
Building. Permit A0040.0on and Tracking Sheet
Permit #
Project•Address:
GLI65% -O,9'3
Owner's Name:- 604 Lc>ci7 %tS At).19�
A. P. Number: ��. 7d7t- C
Address:
Legal Description:
Contractor: V C"i2 Q
Address: .1 %
(� •.- p
City, ST; Zip:.
`Telephone: ��•.: �: � ' '',:
.:Pro .
ject Description:
City, ST, Zip:iv0
-
Telephone:%�
xz # a 1.57 :
All
State Lic. #:"C- -l0 e 3 66 / •.
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:''
� y�y
.f�;<:••. .��• :::;.
,x H; c >? ; '�:
.
,
•~Construction Type: ,:. Occupancy:
State Lic. #:
_ ..
Protect type.(circl6 one): New., Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Name of Contact Person: S6 wpyrq �;-Z
Telephone # of Contact Person:
OG
Estimated Value, of Project:
APPLICANT::DO NOT,WRITE BELOW. THIS • LINE
#
Submittal
Req'd -..
Rec'd
TRACKING
PERMIT FEES
Plan Sets s.
Plan Check submitted:.
Item
Amount
Structural Calcs._
Reviewed, ready. for corrections
Plan Check Deposit
Tress Calcs.
Called Contact PersonPIa6
Check Balance
Title 24.Calcs.
Plansu icked
P� P
Construction
Flood plain plan
Plans resubmitted
'Mechanical
Grading plan:
2" Review, ready. for correctiouslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked:np
S.M.I.
H.O.A. Approval •
Pians, resubmitted
'Grading
IN HOUSE: -
3" Review, ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I:P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
'
Total Permit Fees '
RealQuest.com ® - Report
Property Detail Report
For Property Located At
„ CA
Page 1 of 1
CorbLogic°
RealQuest°'1rofessional
Owner Information:
'Deed Type:
Sale Price:
Owner Name:
PGA -WEST RESIDENTIAL ASSN INC
Mailing Address:
75005.;000NTRY'CLUB DR, PALM -DESERT CA 92211-3224 C047
Phone Number:
Vesting Codes:
/
Location Information:
Sale Type:
Legal Description:
3:27.ACRE&NET IN-LOTSA, 5; 6 & 7+ MB 155/055 TR 20717-4 SEE
2nd. Mtg,Amount/Type: /
ASSESSORS=MAP.BK=..769-31 FOR CM
2nd Mtg•Int: Rateffype: /
County:
RIVERSIDE; CA APN:
775-080-006
Census Tract /. Block:
456:03`/ 3 Alternate APN:
775-080-006
Township -Range -Sect:
Subdivision:
Gross Area:
Legal Book/Page:
Map; Reference:
/
Legal. Lot:.
4 Tract k
207174
Legal Block:
School: District:
COACHELLA VLY
Market Area:
7MunielTownship:
# of Stories:
Neighbor Code:
Owner Transfer Information:
Recording/Sale Date: I .
'Deed Type:
Sale Price:
1st Mtg Document#:
Document #:
Last Market Sale Information.-
nformation.Recording/Sale
Recording/SaleDate: l :
1st Mtg Amount/Type: I
Sale Price:
1 st Mtg lnl' RateTType: I
Sale Type:
1st.Mtg. Document #:
Document#:
2nd. Mtg,Amount/Type: /
Deed Type:
2nd Mtg•Int: Rateffype: /
Transfer Document #:
Price'Per.SgFt:
New Construction:
Multi/Split Sale:
Title Company:
Year Built / Eff:
Lender:
Seller Name:
Prior.Sale Information:
Prior Rec/Sale Date:
Prior Sale Price:
Prior Doc Number:
Prior Deed'Type:
Property Characteristics:
Year Built / Eff:
/
Total .
-Rooms/Offices:
Gross Area:
Total Restrooms:
Building Area:
Roof Type:.
Tot Adj Area:
Roof Material:
Above Grade:
Construction:
# of Stories:
Foundation:
Other Improvements:
Exterior wall.
Basement Area:
Site Information:
Zoning:.
Acres:
Flood Zone:
Lot Area: .
Flood Panel:
Lot Width/Depth:
Flood Panel Date:
Commercial Units:
Land Use:
VACANT- BuildingClass:
LAND (NEC)
Tax Information:
Total Value:
$736,330
Assessed Year:
Land Value•
.$736330
Im roved °/` '
Improvement Value: Tax•Year.
Total Taxable Value: $736,330
Prior Lender:
Prior 1st.Mtg Amt/Type: /
Prior 1 st• Mtg Rate/Type: /
3.27
.. 142,441
X
2010
Garage Area
Garage Capacity:
Parking Spaces:
Heat -Type:
Air Cond:
Pool:
Quality:
Condition:
County Use
State Use:
Site Influence:
Sewer Type:
Water Type:
VAC
MISCELLANEOUS
(W)
R07000
Property Tax:
Tax Area: 20025
Tax Exemption:
http://www.realquest.com/j sp/report.j sp?&client=&d.ctiori=confirm&type=getreport&recor... 5/25/2011
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