07-2036 (ELEC) IIIIIIIIIIIIIIIIIIIIII�II 69 e
IE r
P.O. BOX 1504 VOICE (760) 777-7012
TA
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/12/07
Application Number: 07-00002036 Owner:
Property Address: 80970 AVENUE 58 G5 ENTERPRISES, INC.
APN: 762-240-015-B -32225 - 6347 DI VITA WAY
Application description: ELECTRICAL CARLSBAD, CA 92009
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 500. \�
Contractor: D
Applicant: Architect or Engineer: TEMP POWER SYSTEMS 21 `
625 S.. FEE ANA STREET V� j
PLACENTIA, CA 92870 QU\NSA
G� (714)223-5600 \ OFC Dip(,
nn Lic. No. : 696713 C F\NpN
- - ------------ -- --- - -- - - -- - -- ----- - - - - - ---- - ------- - ------ --- ---- - - - --- --- ---- - - - -- ---- -- - - - - - ---
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the 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 certificate of consent to self-insure for workers'compensation,as provided
License Class: 10 License No.: 696713 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date: V Contractor: J�� _ 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 DEC RATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier VIRGINIA SURETY Policy Number 1CW5020S301'
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 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 t ome 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 me sub' t t 'he workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or �of the Labor Code all i with with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by //��t01
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date: O Applicant:
1_1 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 WARNING: FAILURE TO SECURE WORKERS'COMPENS ON COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS($100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT
(_I I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)liceAsed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_1 I am exempt under Sec. ,B.&P.C.for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY peiiiiil to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above inf motion is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.I city and county ordinances and state laws relating to buildingruction,and her y authorize representatives
of this co ty enter upon the above-mentioned prdperty f spe P.
Lender's Name:
Date: Signature(Applicant or Agent): G
Lender's Address: f -
I.QPERI111T ,
Application Number * . . 07-00002036
Permit . . . ELEC-TEMPORARY POWER
Additional desc .
Permit Fee• 30 .00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 0
Expiration Date 1/08/08
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15..0000 EA ELEC TEMPORARY POWER POLE 15.00
Fee summary Charged Paid Credited Due ~
Permit Fee Total 30.00 .00 00 30.00.
Plan Check Total .00 .00 .00 .00
Grand Total 30.00 .00 .00 30.00
LQPERMIT
05/12/2003 08:58 7607777011 LA QUINTA PAGE 01/01
Bin" City of La Quinta .
7BuildingISE Safety Division
Permit a 0110 P.O. Box 1 SO4, 78-495 Cabe Tamplco
t l g La Quin,CA 92253 - (760) 777-7012
• (y Building Permit Applicadon and Tracking Sheet
XProject Addres . 44/ d '52
Owner's Name: U 1 D
A.P.Number: Address: f �� S'
Legal Description: City.ST.Zip:
x Cootmaor: !�!/V L FT bOAG: r .__+'r.�•"'�
X Address: r e Proect Description: -- -
A City:ST.Zip:
0
K Telephone:
State uc.q Citv Lic.so:
Arch..Engr..Designer:
Address;
City.ST.Zip-
Telephone:
ip:
Tel hone:
eP Construction Type: Occupancy:
State Lic.d: = Project type(circle one): New Add'n Altcr Repair Demo
I( Name of Contact Person: Sq.Ft; A N Stories: r Units:
t�X Telephone#of contact Person: — 93 Stitntvcd Value of Project: -
APPLICANT: DO NOT WRITE BELOW THM LINE
M Submittal Req'd Ree'd TRACKING PMUT SES
Plan Sea Plan Check submitted Item Assotal
Strsctnral Cain. Reviewed.t=ads for corrections Plsn Check Deposit
Truss Cala. Caped Contact Person Plan Cbeck Batanct
Icnergy Cake. Plans Oleked up Consrnetioo
Flood plain plan Plans reavbmined Mechanical
Grading plan 2''Review.ready rev corrections/issue Electrical
Sobtootactor List Called Contact Person Plumbing
Graft Deed Plans pikd
S
H-O.A.Approval Plans resnbiatitted Grsdiog
IN HOUSE: '"'Reviler.ready for confttioaslssvt Developer Impact Fee
Planning A.ppro.al Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School fees
Total Permit Fees
IUY61.'
c -
RIVERSIDE COUNTY FIRE DEPARTMENT
�. In cooperation with the
°.� California Department of Forestry and Fire Protection
82-675 Highway 111,2nd Fl.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072
December 3,2003 IIIIIIBIIIIIIII�IIIIIIIII 70
IE
Tom Tisdale
Fire Chief Santamada&Associates
44-100 Monterey Avenue,Ste.201 B
Proudly serving the Palm Desert,CA 92260
unincorporated
areas of Riverside Re: Non-Structural Building Plan Review -
County and the LAQ-03-BP-098_/81=130 Avenu®_58, La QUinta-: -
Cities of Stone Creek Ranch-Entry Tower
Banning. Fire Department personnel have reviewed and approved the plans you submitted for the above
referenced project. Please be advised the following conditions apply as a part of the conditions for the
Beaumont issuance of a building permit.
Calimesa Gate,Power Operated (driveway/road with powered nates).
Canyon Lake
4. 1) Install Knox key operated switches,series KS-2P with dust cover, mounted per recommended
Coachella standard of the Knox Company. Plans must be submitted to the Fire Department for approval of
�• mounting location/position and operating standards. Special forms are available from this office for
Desert Hot Springs the ordering of the Key Switch. This form must be authorized and signed by this office for the
44. correctly coded system to be purchased.
Indian Wells
Indio Utility Room Structure
Lake Elsinore 2) Install a portable fire extinguisher per Title 19,but not less than 2A1 013C in rating. Contact certified
E• extinguisher company for proper placement of equipment.
La Quinta
40 Please contact the Fire Department Planning&Engineering staff for final inspection prior to occupancy.
Moreno Valley
'• All questions regarding the meaning of these conditions should be referred to the Fire Department
Palm Desert Planning&Engineering staff at(760)863-8886.
r.
Perris
4-
Rancho Mirage Sincerely,
r.
San Jacinto FRANK KAWASAKI
❖ Chief Fire Department Planner
Temecula
Board of Supervisors
BY
Bob Buster, Walter Brandes
District l Fire Safety Specialist
John Tavaglione,
District 2 �Cc_Cigr of_La Quints=Building Dept.
Jim Venable,
District 3
Roy Wilson,
District 4
RAPEMP DetaU 0A0%PR0JEcrMUh*V PMAO-03eP490Acc
Marion Ashley
District 5
EMERGENCY SERVICES DIVISION •PLANNING SECTION •INDIO OFFICE
82-675 Highway 111,2nd FI.,Indio,CA 92201 •(760)863-8886 •Fax(760)863-7072