13-0809 (ELEC)i IIIIIII IIID III VIII IIII 37
IE
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-&t44Q"
VOICE (760) 777-7012
or FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
13-00000809
Property Address:
44295 CAMINO AZUL
APN:
604-191-016- -
Application description:
ELECTRICAL
Property Zoning:
Application valuation:
1200
Applicant: Architect or Engineer:
/v
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 Professionals Code, and my License is in full force and effect.
License Class: C7 Lice se N� 543
Date:?/j - Contractor:
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 a 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 Address:
LQPERMIT
Owner:
TIME WARNER CABLE
41725 COOK ST
LA QUINTA, CA 92253
(760)000-0340
Contractor:
COCHRAN COMMUNCATION
36630 CATHEDRAL CANYO
CATHEDRAL CITY, CA 92
(760)328-6778
LiC. No.: 478543
Date: 7/01/13
8
C INC
2N 1i
3 I E JUL 01209
CITY OF LA QUINTA
FINANCE 0EE
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
1 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 COMPANION PRPTY Policy Number CPCA14592
_ 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, II shall forthwith comply with those provisions.
.
Date/ ) 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 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 building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date:7/i / 3 Signature (Applicant or Agent):
Application Number . . . . . .13-00000809
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 12/28/13
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC SERVICES
23.83
----------------------------------------------------------------------------
Notes and Comments
,Special
ELECTRICAL - REPLACE OLD 100 AMP CATV
PEDESTAL WITH NEW CABINET AND METER IN
RIGHT OF WAY (CORNER OF LA PALMA AND
CAMINO AZUL), PER ATTACHED PLAN. IID
CONDUIT EXISTING WITH PULL ROPE. 2010
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, ELECTRICAL
11.92
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid Credited
-7 --------- ---------- ---------- ----------
Due
-----------------
Permit Fee Total 23.83 .00 .00
23.83
Plan Check Total .00 .00 .00
.00
Other Fee Total 103.49 .00 .00
103.49
Grand Total 127.32 .00 .00
127.32
LQPERINIT 0
Cn
CU
Q
(not to scale)
Thomas Guide
819 H-7
COCHRAN COMMUNICATIONS CONSTRUCTION
36-630 Cathedral Canyon Drive
Cathedral City, CA 92234
for
TIME WARNER CABLE
La Quinta'
'_ IIIIIIIIIIIDIIIVIIIIIII
38
i IE
Replace old 100 Amp CAN Pedestal with New Cabinet and Meter
IID Conduit Existing with Pull Rope
o �
J
Fred Waring Dr
I ciN OF LA QUINTA
V.
BUILDING & SAFETY DEPT.
`O C)
C) APPROVED
FOR CONSTRUCTION
m m
yNZq� U DAT ///j BY
"Cf2i{N! f Vic 1124 W �
Existing CAN g 2
100 Amp Ped
yy . Existing
IID Carson Box
-,-- ---------------------0
1
La Palma Dr
2"
Existing
IID Conduit
75
N
Q
O
C
E
N
U
?-e
72 ft
N CityGIS'
R �� Copyright 02006 All Rights Reserved. The information contained herein is the proprietary property of the
§ ., contributor supplied under license and may not be approved except as licensed by Digital Map Products.
http://maps.digitalmapcential.tom/production/citygig/v07_03_001/index.p7.aspx , 6/28/2013
Page 2 of 2
APN:
604191016
Address:
44275 CAMINO AZUL, LA QUINTA CA, 92253
Owner Name:
MARSHALL,SOLOMON C
Owner Address:
44275 CAMINO AZUL, LA QUINTA CA, 92253
Owner Phone:
Building SF:
2344
Acres (Assessor):
Acres (Calculated):
0.27
Lot Front:
Lot Depth:
Legal Description:
POR LOT J AND LOT 36 MB 212/045 TR 24517
Land SF (Assessor):
Land SF (Calculated):
11761.0
Land Use:
: SFR
Year Built:
1989
Assessed Value:
$273,000
TBM Page:
H7
Sales Deed Cat:
source: TAX—UPDATE ( 05/18/2012 00:00)
http://maps.digitalmapcentral.com/production/citygis/v07_03_001/index:p7.aspx 6/28/2013
I
I
I
I
A� D 'CERTIFICATE OF LIABILITY INSURANCE
-DATE MID Df
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
2�
01 M
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must he endorsed. If SUBROGATION IS WAIVED, subject to the
terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT
NAME
SADEGHI LUNA INSURANCE SERVICES 951.686.0080
5005 CANYON CREST DR STE 101
RIVERSIDE, CA. 92507
PHONE
AIC No Ed): F No):
ADo Ess:
INSURER(S) AFFORDING COVERAGE NAIL
INSURERA:
wSURERA: MT.HAWLEY INSURANCE CO.
OENERALLJABILITY
INSURED
B: TOPA INSURANCE COMPANY
COCHRAN COMMUNICATION CONSTRUCTION, INC.
INSURER C: COMPANION PROPERTY& CASULATY INS CO
36-30 CATHEDRAL CANYON DRIVE
INSURER D:
CATHEDRAL CITY, CA. 92234
INSURER E:
INSURER F:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR •THE
POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR
TYPE OF INSURANCE
DDL
INSR
UBR
WD
POLICY NUMBER
MM/JODY
MMI
LIMTiS -
A
OENERALLJABILITY
MGLO176223
1/1/2012
1/1/2013
EACH OCCURRENCE $ 1,000,000
X COMMERCIAL GENERAL LIABILITY
WEY ES Ea occ nce) $ 50,000
MED EXP (Arty one person) $ x5000
CLAIMS -MADE X� OCCUR
PERSONAL & ADV INJURY i 1,000,000
GENERALAGGREGATE E 2,000,000
GEN'LAGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/O P AGG $ 1 000 G S 1 000000
POLICY FXI JEa LOC
$
AUTOMOBILE J JABIUTV
'Lk:
UNIFF
acrid E
ANY&WIVE AUTO
AALIOYUNED�DULED
UUTTO0..SS
BODILY INJURY (Per person) $
BODILY INJURY (PeracddeM) $
HIRED AUTOS ANUMWNED
11.1:A
PR Y DAMAGE
(Per n) i
E
B
UMBRELLA LIAB
X
occuR
XL660242"1
1/1/2012
1/1/2013
EACHOCCURRENCE S 3,000,000
EXCESS LIAR
I
ICLAIMS-MADE
AGGREGATE E 3,00D,000
DED I X I RETENTION $10,000
`.
WORKERS COMPENSATION
AND EMPIDYEOR/PARTNER
CPCA12211ANY
1/1/2012
1!1/2013
$
X -
YIN
OFFIC PRIETOR/PARLUDEDXECUTIyE❑
OFFICER/MEM�ER EXCLUDED?
(MartdatoryI H)
N/A
E.L. EACH ACCIDENT $ 1,000,DDO
E.L. DISEASE - EA EMPLOYEE1 S 1,000,000
Kyes, d render
E. L. DISEASE -POLICY LIMIT is 1,000,000
0'0
DESCRIP710NOFOPERATIONShelav
DESCRIPTION OF OPERATIONS /LOCATIONS /VEHICLES (Attach ACORD 101, Addtdonal Remarks SchedWe, K more space Is required)
10 DAYS NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM
RE; ALL OPERATIONS OF THE NAMED INSURED
THE FOLLOWING ARE NAMED ADDITIONAL INSURED: CITY OF LA QUINTA
CERTIFICATE sans nFa
CITY OF LA QUI NTA
BUILDING & SAFETY
P.O. BOX 1504
LA QUINTA, CA. 92253
Af%norl !kr nnenmrl
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
9B8 -2D1
1 nor ha,vru+ norma ana toga are regJsrerea marks Of ACORD
reserved.
-- - --�
r
OD '
m
w
cs
Q
01
m
00
N
m
0
LD
r`
r`
I1')
N
a4
N
a--4
CD
N
Go
a--1
0
State Of California
%l5tp,
STATE LICENSE BOARD t -
Consumer ad
ACTIVE LICENSE
Affairs
Hp11J
License N inter 47 543
Erft COR P
6usinessName COCHRAN COMMUNICATION
CONSTRUCTION INC
CtasMficaon(s) C-7
ExpirgonWe 08/31/2013
www.cslb.ca.gov
OUTSIDE CITY LIMITS
78495 Calle Tampico, La Quinta, CA 92253
(760) 777-7000
ell��f �1ZTIFICATE= _
TTtANSFEIR
t•
aim
COCHRA== c ST IN
BUSINESS ADDRESS: 36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY CA 92234
Please be aware that issuance of a business license by the City does not authorize
you to conduct business in a building or tenant space that has not been approved
for occupancy by the Bbilding and Safety Department. If you have any questions
regarding this issue o , W,,yyou are not sure if a Certificate of Occupancy hots been
ug� fory�o��r laceo fiusiness,'pleasecontactBuil dSt
41�I�,,
be icen a na a Far i 6aviogpaid tothe�ty- M- - iMalAee;=
.1 snit o- +" J gii:"e lick"nIt X0 !r bygrentedsaid licensei-aflsiM-h WW rem
set"forth, for the period stated, in conformity wrovtsions of Ordinance
No. 2 of this City. This Licensee is issuedwithout verification that the licensee
is subject to or exempt from licensing by.the State of California.
k BUSINESSLIC—NO: 865
=I Sus
f I� _ DATE. 7/31/ r
FINANCE DIRECTOR