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08-0255 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO ` LA QUINTA, CALIFORNIA 92253 Application Number: 00.8=00.0"0'0'25.5 Property Address: 533-5-0`AVENIDA OBREGON APN: 774-075-006-6 -000000- Application description: ELECTRICAL Property Zoning: COVE RESIDENTIAL. Application valuation: 3730 l.i Applicant: Architect or Engineer:. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: BARNETT DOLAN 53-350 AVENIDA OBREGON LA.QUINTA, CA 92253 (760)574-8094 Contractor: COVE ELECTRIC, INC. 77824 WILDCAT DRIVE PALM DESERT, CA 92211 (760)360-0036 Lic. No.: 397002 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/04/08 Inx FEB o510�� -------------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions ofChapter 9 (commencing. with I hereby affirm under penalty of perjury one ofthe following. declarations: Section 7000) of*Division 3 of the Business and Professionals Code, and my License is in full force and effect. -- I have and will maintain a cenifica"te of consent to self -insure for workers' compensation, as provided License Class: C10 Li ense No.: 397002 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. - ,O -Date:— - [ C-ontractor:, _ 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 OWNER -BUILDER DECLARATION - insurance carrier and policy number are: I hereby affirm under penalty o jury that I am exempt from the Contractor's State License.Law for the ' Carrier ZENITH INS CO Policy Number Z06855503 .following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, . permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Coderll shall forthwith comply with those provisions. 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.). (_ I 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 contractor(s) 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 WARNING: FAILURE TO SE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND_SHALL SUBJECT AN EMPLOYER T RIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN DITION 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 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 buildin construction, and hereby authorize representatives of this county to enter upon the above-mentioned property fgr inspection p/rposes. Application Number . . . . . 08-00000255 r Permit . . . ELEC-SERVICE CHANGE Additional desc . Permit Fee 33.50 Plan Check Fee .00 • Issue Date . . . . Valuation . . . . 0 Expiration Date 8/02/08 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=6.0OV/<=200A 18.50 -------------------------------------------------------=-------------- Special Notes and Comments ------ SERVICE CHANGE FROM 125AMP TO 200AMP Fee summary Charged --------------------------- Paid Credited Due ---------- Permit Fee Total 33.50 ---------- .00 ---------- .00 33.50 Plan Check Total .00 .00 .00 .00 Grand Total 33.50 .00 .00 33.50 LQPERMIT Bin # City. of La.:-QUhita ' Building a Safety Division P.O.:.Box 1504, 7.8-495 Calle Tampico U Quintai CA 92253 - (760) 777-7012 Building. Permit -Application and -,Tracking Sheet Permit # f ` Project Address: 3 _3s-� Owner's Name: A. P. Number: Address: _ Legal Description: Contractor: n �/ � d,G ' Ci ,. City; ST, Zip: Telephone: %4,i Address: 7 Project Description: City, ST, Zip: L 6 /1 PA G - Telephone: . State Lic. #: e) L. 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 AIter Repair Demo Sq. Ft.: i�J # Stories: #Units: Telephone # of Contact Person: %ZQ- _ Estimated Value of Project: ci 00 . r APPLICANT: DO NOT, WRITE BELOW THIS LINE . # Submittal Req'd Rec'd <: 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 Energy Calcs. Plans.picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" 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: 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr. . Date of permit issue School Fees Total Permit Fees i 78-495 CAL' LE TAMPICO IA 'CALIFORNIA January, 11, 1994 Mr. David R. Johnson' -:,t 52-350 -Avemaa Obregon La Quinti. CA 42253 ' Dear Mr.. Johnson: 92253 - (619) 777-7000 FAX (619) 777-7101 SETBACK ADJUSTMENT= 94=222 _ LOCATION `;53 35Q A17ENIDA OBREGON This letter is to report approval of your'recentJapplication,for'a setback -adjustment, pursuant_ to .Chapter 9.1'88 ,of the'Ci`ty of 'La Quinti Planning` & Zoning .Regulations. The following,setback ad�ustinent has been approved' subject to conditions .and. in accordance -with attached Exhibit A SETBACK ADJUSTMENT FOR:. Construction of a' spa-and'.spa equipment; CONDITIONS: 1. Obtain,a buildin "per uut froni•Ahe Building,Department. 2. The fencing requirements for: S -R. Zone -shall be met. 3. "A three. (3) $inch : PVC -conduit, schedule; 40, or better, " be placed within the Imperial Irrigation.°District easement area located�near the,',rear property line. This would facilitate the:area'in the`future, shbuld;the need to replace utility facilities,arise This co1.nduit` is to." be capped`off within, five -'.(5,) :feet of the side property hries, and' shoul11 d be placed at a°'maximum' of thirty' (30). inches from the rear�property line., After review it was determ'ine'd that: 1. This adjustment is consistent with, the intent .and: purpose of the Zoning Ordinance 2. There, are special 'circumstances "applicable, to: the property,,.'.ihcluding such_ factors as size"; shapes; topography, location or -surroundings, that justify approval' of the adjustment These`, special` circumstances are : small size of the lot : ' 3. This adjustment will not be sdetriinental .to the °health, safety, and general welfare -of the' community or be dertrimental to ;property in' the vic', ' 60- parcel for which ahe adjustment is. requested .' JAN 18 �rG & MAILING ADDRESS - P.O. ' BOX 1504 LA QUINTA, CALIFORNIA 92253 Ti+RI,C.Q49 - - .� r TLRLC:049