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12-1437 (ELEC) I IIIIIII�IIII III VIII IIII 23 P.O. BOX 1504 1E T4ht 4- ^' VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/01/13 Application Number: 12-00001437 Owner: Property Address: 80875 AVENUE 60 LA QUINTA MALAGA LLC APN: 766-110-016- - - 10621 CIVIC CENTER DR Application description: ELECTRICAL RANCHO CUCAMONGA, CA 30 Property Zoning: LOW DENSITY RESIDENTIAL (909)481-1100 Application valuation: 50000 ,AA Contractor: Applicant: Architect or Engineer: VICTOR ELECTRIC INC CI1V QV LAWNTA 3177 FRANKLIN AVENUE FINANCE Pr-pl RIVERSIDE, CA 92507 (951)788-9110 Lic. No. : 447105 -- - - - -- --- -- -- - - - - - - - - - --- - ----- - - - --- - - - --- -- ------- -- - - - - - - ---- - - - - ---- -- -- -- - - --- - -- - - - -- - - --- 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: C10 License No.: 447105 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is ,., p Tissued. " . Date:-3 .Z0V1 Contractor: ICT CELOCO -lC +h-K,, 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 of perjury that I am exempt from the Contractor's State License Law for the Carrier EVEREST NATL Policy Number CA10000477111 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 lawsofCalifornia, 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 Code,I 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 /ZZl,�luBR- any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date: 3-172011 Applicant: 7j✓� `� -�%�-�L ��L' 1_1 1,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'COMPENSATION 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(5100,000). 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 (_1 1,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)licensed 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, (_) 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 as 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 permit 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 information is correct. I agree to comply with all work for which this permit is issued(Sec.3097,Civ.C.). 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' secon urposes. Lender's Name: /� Date: -3-/?"Dsignature(Applicant or Agent): _ Lender's Address: LQPF;RMIT 1 Application Number . . . . . 12-00001437 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 63 .00 Plan Check Fee 15 .75 Issue Date Valuation . . . . 0 Expiration Date 8/25/13 Qty Unit Charge Per Extension BASE FEE 15 .00 2.-00 18 .5000 EA ELEC SVC <=600V/<=200A 37.00 1.00 11.0000 EA ELEC' MISC 11.00 ---------------------------------------------'------------------------------- Special Notes and Comments PROVIDE NEW 200 AMP. PANEL @ EXIST. 400 AMP SERVICE TO CONNECT EXISTING PUMPS IN PUMP STATION VAULT. REPLACES ABOVE GROUND CONDUIT W/WIRING. 2010 CEC. ELECTRICAL ENGINEER: ABBAS HEYDARI E13411. DIRECTIONS: EAST OF MAIN ENTRY, SOUTH OF RETENTION BASIN. !c = ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 .00 ..00 .00 63 .00 Plan Check Total 15.75 .00 00 15.75 Other Fee Total 2 .00 .00 .00 2 .00 Grand Total 80.75 .00 .00 80.75 LQPERA11T IIIIIIIIIIIIIIIIIIIIIIIII 24 IE ' Bin.# City OUinta Building 8r Safety Division "pv Permit# P.O.Box iSO4,-78-495 Calle Tampico I3� [a.Quinta,CA 92253 (760)777-7012 Building Permit-Application"and Tracking Sheet Project Address:80 C O Owner's Name:. A P.Number. w /tYv- , D Address: 106?-1 G 1 1 I r t: c .I Legal Description: 'TY' 313S-9.-7 'City,ST Zip: Contractor. C Telephone: Address: CJew- r- ��J Project Description: Z H City,ST,zip: c G: EMU La j Telephone: �Nt>v60 ;r State Lie.#: City Li c #: v hLCkA, : . Arch,P.ngr.,Designer. Y . �I :i i Address: •(i �$ � � /��" ID City.,ST,Zip: tJ/Ne 409 li Telephon •3 . O ;V •Y . Construction Type: Occupancy: _ , 1 State Lie.#: <-.. Project circle one): New Add'a Alter Repair Demo Name of Contact Person: L�,` Sq.Ft.: #Stories: #Units: i Telephone#of Contact Person:7AM, F.stinulted Value of Project; t�O► Y APPLICANT: DO NOT WRITE BELOW THIS LINE D # Submittal Req'd Recd TRACK NIG PERMIT FEES f�/ �'�✓� Plan Sets Plan Check submitted Item Amount Strnctura[Coles. Reviewed,ready for corrections Plan Check Deposit. Truss C21cs• Called Contact Person Pian Check Salanee •a3� . . ' Title 24 Calcs Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2`i Review,ready for correc6o slissue 'y t Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A.Approval Plans resubmitted Grading IN HOUSE: 'n°Review;ready for torrections/issue Developer Impact Fee ' Planning Approval. Called Contact Person M.P.P. Pub.Wks.Appr' Date of permit issue 01 Schodl Fees Total Permit Fees e IOooZ 3%I a�� II'Bd19YM81 AIA35 I�S53618 if53�o�Iqq � I Z r \ IL Lruu I O I t S_ O 6 \ 49L uv ov rzlt \ I I e I .I II ZI I � � I t �. 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VXNW"MW 55 Legm 36., .W.'k, 4 s so o 4 42 9 25 83— SECTION A-Aice: 10sry IN, Ir,71% 45 AVENUE 6 (naUC MCED j;i R.T.HUGHES, CO., LLC I muE.1 --sa'. Rj\ WN-Ml6bm —13 33' INTERIOR STREE M."4 7.sum 2aa 7w)m-4m (—E sT-w!) 15 Q—. cl etas RMWM axE smE My MADISON STREET MAI Pill SECTION 13-113 = �� (wauets-Ix.. ?` �� \` ��e\`::� r�'1 /�,, ,; Oil Vc Peen w6h .'ft- 9.esee .N SUBSTANTIAL N Ht CONFORMANCE No. 1 TENTATIVE V TRACT No. 33597 -0 DECEMBER 3.2007 MADISON STREET MADISON STREET Ez=. SECTION Q -D SECTION C- T 9k 57,90. STA.6 4W.W ........ ... ..... ... ..TS. SHEET 1 OF 1