BELC2014-1051 (BELC)47750 Adams Street 1313
s, -
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BELC2014-1051
Property Address: 47750 ADAMS ST 1313
APN: 600020015
Application Description: METER INSTALL ADJU
Property Zoning:
Application Valuation: $0.00
Applicant:
CALIFORNIA WIDE ELECTRIC
P.O. BOX 1425
MORENO VALLEY, CA 92256
T4tr ^F 1wQubt&
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
DEC 04 2014
`CIfY OF LA QUINTA
COMMUNITY DEVELO7MEtvR DEPARTMENT
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: License No.: _
J Date: Z Contractor,
/ OWNE - UILDER 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 DivisionA3
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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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, 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: I -
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
Lender's Address:
1111 11111IIIIIIIII1
15
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/4/2014
Owner:
AVENTINE DEV
7131 OWENSMOUTH AVE NO 6D
CANOGA PARK, CA 92253
Contractor:
CALIFORNIA WIDE ELECTRIC
P 0 BOX 1425
MORENO VALLEY, CA 92253
(951)906-7680
Llc. No.:
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
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: Policy Number: _
_ 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 t ose proS.
;4/4/Applicant:
Date:
WARNING: FAILURE TO SECURE W ERS' 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 buil 'ng
construction, and hereby authorize representatives of this city to enter upon t o e•
mgntioned property f inspection purposes. o
bate: Z Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
Permit Details PERMIT NUMBER
�-7City of La Quinta BELG214-1051
Description: METER INSTALL ADJUST CLIP
"CH•
Type: ELECTRICAL
Subtype:
Status: SUBMITTED
Applied: 12/4/2014 PJU
Approved:
Parcel No: 600020015 Site Address: 47750 ADAMS ST 1313 LA QUINTA,CA 92253
Subdivision:
Block: Lot:
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
STATE
Details: ADJUST METER CLIP FOR METER INSTALLATION 2013 CEC.
FAX EMAIL
APPLICANT
[Process S-um� m
Printed: Thursday, December 04, 2014 12:56:55 PM 1 of 2
L! 1..1 Ll LI SYSTEMS
"CH•
• • •
-WINIDIT10NS
x
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP PHONE
FAX EMAIL
APPLICANT
CALIFORNIA WIDE ELECTRIC
P.O. BOX 1425
MORENO
CA
92256
VALLEY
CONTRACTOR
CALIFORNIA WIDE ELECTRIC
P 0 BOX 1425
MORENO
CA
92253
VALLEY
OWNER
AVENTINE DEV
7131 OWENSMOUTH
CANOGA PARK
CA
92253
AVE NO 6D
Printed: Thursday, December 04, 2014 12:56:55 PM 1 of 2
L! 1..1 Ll LI SYSTEMS
' Permit Details 111RERMIT BERELC•214;IKM4
051
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
.ry
Printed: Thursday, December 04, 2014 12:56:55 PM 2 of 2
L U LJ LJ SYSTEMS
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:,
BELC2014-1051
47750 ADAMS CT' 3"
600020015
METER INSTALL
3
�`ski I
Applicant:
CALIFORNIA WIDE ELECTRIC
P.O. BOX 1425
MORENO VALLEY, CA 92256
rd
`&ttf41wQuiKz
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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.
j License Class: _ License No.: _
/,Date: Contractor,
/ OWNE - UILDER 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
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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 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, 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 Name:
Lender's Addre!
IIIIIIIIVIIIIIIVIIIIIII 16
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/4/2014
Owner:
AVENTINE DEV
7131 OWENSMOUTH AVE NO 6D
CANOGA PARK, CA 92253
Contractor:
CALIFORNIA WIDE ELECTRIC
P 0 BOX 1425
MORENO VALLEY, CA 92253
(951)906-7680
Llc. No.:
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
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: _ Policy Number: _
_ 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 t ose proZApplicant:
te:
WARNING: FAILURE TO SECURE W ERS' 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 buil 'ng
construction, and hereby authorize representatives of this city to enter upon t o e•
mentioned property f inspection purposes. a
'Date : Z ` Signature (Applicant or Agent):
sir
_'tel
DESCRIPTION
FINANCIAL •
ACCOUNT
1
QTY AMOUNT
PAID PAID DATE
SERVICES
101-0000-42403
0 $24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $36.26 _ $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
$0.00
Description: METER INSTALL ADJUST CLIP
Type: ELECTRICAL
Subtype:
Status: SUBMITTED
Applied: 12/4/2014 PJU
Approved:
Parcel No: 600020015 Site Address: 47750 ADAMS ST 1313 LA QUINTA,CA 92253
Subdivision:
Block: Lot:
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
92256
Details: ADJUST METER CLIP FOR METER INSTALLATION 2013 CEC.
Printed: Thursday, December 04, 2014 12:56:55 PM 1 of 2 NAAF
CP
SYSTEMS
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
CALIFORNIA WIDE ELECTRIC
P.O. BOX 1425
MORENO
CA
92256
VALLEY
CONTRACTOR
CALIFORNIA WIDE ELECTRIC
P O BOX 1425
MORENO
CA
92253
VALLEY
OWNER
AVENTINE DEV
7131 OWENSMOUTH
CANOGA PARK
CA
92253
AVE NO 6D
Printed: Thursday, December 04, 2014 12:56:55 PM 1 of 2 NAAF
CP
SYSTEMS
DESCRIPTIONI ACCOUNT I QTY I AMOUNT I PAID I PAID DATE I RECEIPT # I CHECK # I METHOD I PAID BY I BY
SERVICES PC
101-0000-42403
1 0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, December 04, 2014 12:56:55 PM 2 of 2 V? SrSTEMS