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BELC2014-1061 (BELC)Applicant: Contractor: POWER PLUS POWER PLUS 0 OUTSIDE CITY LIMITS �) �� �_� N 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 _ - . .__� p LA QUINTA, CA 92253 (714)765-7550 Uc. No.: :UC -0001881 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. �L' ense Class: CSC License No.: :LIC -0001881 te: / Z/3J /11f Contract 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I 11, 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 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 those provisions. Date: 12 13.0 /IY 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. bate: 12110114t Signature (Applicant or A IIIIIIIIVIIIIIIVIIIIIII 53 IE VOICE (760) 777-7125 78-495 CALLE TAMPIW D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/30/2014 Application Number: BELC2014-1061 Owner: Property Address: 59282 ALMERIA T D DESERT DEV APN: 764210024 81570 CARBONERAS Application Description: INSTALL 200 AMP ULG120/240V TEMP POLE LA QUINTA, CA 0 Property Zoning: Application Valuation: $400.00 F Applicant: Contractor: POWER PLUS POWER PLUS 0 OUTSIDE CITY LIMITS �) �� �_� N 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 _ - . .__� p LA QUINTA, CA 92253 (714)765-7550 Uc. No.: :UC -0001881 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. �L' ense Class: CSC License No.: :LIC -0001881 te: / Z/3J /11f Contract 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: I 11, 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 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 those provisions. Date: 12 13.0 /IY 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. bate: 12110114t Signature (Applicant or A IIIIIIIIVIIIIIIVIIIIIII 53 IE FINANCIAL • • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $0.00 PAID BY; METHOD RECEIPT #_ CHECK # CLTD BY Total Paid for ELECTRICAL: $41.09 $0.00 DESCRIPTION ACCOUNT s .. 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 Description: INSTALL 200 AMP ULG120/240V TEMP POLE Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 12/30/2014 PJU Approved: Parcel No: 764210024 Site Address: 59282 ALMERIA LA QUINTA CA 92253 Subdivision: Block: Lot: Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $400.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INSTALL ONE 200 AMP U/G 120/240 V TEMPORARY POWER POLE FOR POWER TO PRODUCTION OF TRACT HOMES AT NDALUSIA @ CORAL MTN. APPROVED PER AJ. 2013 CBC. ADDITIONAL SITES DESCRIPTION I ACCOUNT I QTY I AMOUNT PAID I PAID DATE I RECEIPT # I CHECK # I METHOD BSAS SB1473 FEE 1 101-0000-20306 1 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: LTD PAID BY I CBY BY Printed: Tuesday, December 30, 2014 11:13:25 AM 1 of 2 CRW SYSTEMS :1 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE ELECTRICAL FINAL** REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE T BOND INFORMATION ' CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.92 $0.00 PC Total Paid forELECTRICAL: $41.09 $0.00 PERMIT ISSUANCE 1 101-0000-42404 1 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:$0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE ELECTRICAL FINAL** REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE Printed: Tuesday, December 30, 2014 11:13:25 AM 2 of 2 CRWrsreMS BOND INFORMATION ATTACHMENTS Printed: Tuesday, December 30, 2014 11:13:25 AM 2 of 2 CRWrsreMS Bin #° ` city of La Quinta. Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address. L/L� Owner's Name: A. P. Number: Address: ?/-570 Legal Description: City, ST, Zip: (411K/ -/j Gq 9Z Z51 Contractor: IL Telephone: 77-/Ii,s2`<[: s•��:�`^>'�'' :`•;>~><`'.'ti;".:::->;:•:<{> Address: /Z/O Al, jgED 60,4.) Project.Description: f NS'TiiLL- or IC -2a) City, ST, Zip: NIQif%E/A C-4 17- A6, lZ, h4yV i4Ap0XA,?Y 44✓e,4Z CZE TvR 00044iR- Telephone: ���/'7GS 'iSs1 `` or State Lic. # : City Lie. #: Foge-INbAu.,ef/A 0 C -4 L li►Tfl N•. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: `'><>::::zr:<:>::>;:;:.s.>..:»<;:::;:s:>:: €<: Construction T e: / Occupancy: State Lic. # roJject type one): Add'n Alter Repair Demo Name of Contact Person: /A.5- 1&r-ac. Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: Estimated Value of Project: y , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Rcq'd Rec'd TRACKING PERMIT FEES, Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Cal cs. ' 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 Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- "" Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permlt issue School Fees Total Permit Fees 112 88 87 86 85 84 162 81-885 'Andalusia 163 81-905 Andalusia 164 81-925 Andalusia ' 165 81-945 Andalusia 166 59-145 1 Seville 167 59-175 Seville 168 59-205 Seville 169 59-235 Seville 170 59-265 Seville 171 59-295 Seville 172 59-325 Seville 173 59-355 Seville 174 59-385 Seville 65 666�y 67 68� 5A 2A9 69 ,is LOT 70 80 lat 71 �p�,, 51- 79 °Z61 113 78 72 .61- 114 5q" ��.t ✓q - , 77 76 75 74 73 Ot- �,-'r ` 115 - jai, y�" . 5j- °7Q ,,�� �" 33 SA 117 116 54- - 115 �poil g` 2 - Oo154 31 60 156 0 v � 30 Loi n M 29 so 155 �, c - - 154 ° -0 157 „ p "'o 153 — o-UoO o 28 150 151 152 W � 158 �� 27 2: mo 160 26 161. 25