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BELC2014-1014 IIIIIII ILII I I VIII III 74 I � IE 78-495 CALLE TAMPICO D l ` VOICE(760)777-7125 ISD FAX(760)777-7011 LA QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153 BUILDING PERMIT Date: 10/1/2014 Application Number: BELC2014-1014 Owner: Property Address: 80875 AVENUE 60 LA QUINTA MALAGA APN: 766110016 10621 CIVIC CENTER DR Application Description: NEW ELECTRICAL PANEL W/CONDUCTORS TO EXISTING PUMP RANCHO CUCAMONGA,CA 91730 Property Zoning: EQUIPMENT Application Valuation: $14,000.00 Applicant: Contractor: PREMIER ELECTRIC PREMIER ELECTRIC P 0 BOX 2 522 AMIGOS DR STE D YUCAIPA,CA 92399 REDLANDS,CA 92373 (909)731-1038 Llc. No.:972477 -------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 1 hereby affirm under penalty of perjury one of the following declarations: (commencing with Section 7000)of Division 3 of the Business and Professions Code,and _ I have and will maintain a certificate of consent to self-insure for workers' my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance of License Class:C10 License No.:972477 the r for which this permit is issued. I have and will maintain workers'compensation insurance,as required by Date-1:0111 120)q N Contractor: i 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: OWNER-BUIL ER DECLARATION Carrier:_ Policy Number:_ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _I certify that in the performance of the work for which this permit is issued,I License Law for the following reason(Sec.7031.5,Business and Professions Code:Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct,alter,improve,demolish,or repair any compensation laws of California,and agree that,if I should become subject to the 'structure,prior to its issuance,also requires the applicant for the permit to file a signed workers'compensation provisions of Section 3700 of the or Code,I shall forthwith statement that he or she is licensed pursuant to the provisions of the Contractor's State comply with those provisions. License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business G/�� y and Professions Code)or that he or she is exempt therefrom and the basis for the alleged Date: /(� Applicant: 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).: WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL, I )I,as owner of the property,or my employees with wages as their sole . AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE compensation,will do the work,and the structure is not intended or offered for sale. HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF (Sec.7044,Business and Professions Code:The Contractors'State License Law does not COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, apply to an owner of property who builds or improves thereon,and who does the work INTEREST,AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT within one year of completion,the owner-builder will have the burden of proving that he IMPORTANT:Application is hereby made to the Building Official for a permit subject to or she did not build or improve for the purpose of sale.). the conditions and restrictions set forth on this application. (_)I,as owner of the property,am exclusively contracting with licensed contractors to 1. Each person upon whose behalf this application is made,each person at whose construct the project. (Sec.7044,Business and Professions Code:The Contractors'State request and for whose benefit work is performed under or pursuant to any permit issued License Law does not apply to an owner of property who builds or improves thereon,and as a result of this application,the owner,and the applicant, each agrees to,and shall who contracts for the projects with a contractor(s)licensed pursuant to the Contractors' defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and State License Law.). employees for any act or omission related to the work being performed under or (_)I am exempt under Sec. B.&P.C.for this reason 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 Date: Owner: for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued(Sec.3097,Civ.C.). construction,and hereby authorize representatives of this city to ent upon the above- mentioned propery for inspection purposes. Lender's Name: )) c/ Date: /0 OlJ7 Signature(Applicant or Agent): s�� Lender's Address: 1 FINANCIAL INFORMATION DESCRIPTION ACCOUNT- QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/1/14 PAID BY METHOD RECEIPT# CHECK# CLTD BY PREMIER ELECTRIC DEBIT R1619 AZA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE OTHER ELECTRICAL EQUIPMENT 101-0000-42403 0 $23.83 $23.83 10/1/14 PAID BY' i METHOD RECEIPT# CHECK# CLTD BY PREMIER ELECTRIC DEBIT R1619 AZA DESCRIPTION ACCOUNT„ QTY AMOUNT PAID PAID DATE OTHER ELECTRICAL EQUIPMENT PC 101-0000-42600 0 $23.83 $23.83 10/1/14 PAID BY METHOD RECEIPT# CHECK# CLTD BY PREMIER ELECTRIC DEBIT R1619 AZA Total Paid for ELECTRICAL: $47.66 $47.66 DESCRIPTION. ACCOUNTQTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $90.57 10/1/14 PAID BY METHOD RECEIPT# CHECK# CLTD BY PREMIER ELECTRIC DEBIT R1619 AZA Total Paid for PERMIT ISSUANCE: $90.57 $90.57 a ! 9 s -Permit Number:BELC2014-1014 _ -.Description: NEW ELECTRICAL PANEL W/CONDUCTORS TO.EXISTING PUMP!EQUIPMENT .Applied:8/20/2014 Approved:8/26/2014 Site Address:80875 AVENUE 60 Issued: Finaled: City,State Zip.Code:LA QUINTX'CA 92253 f. Status:APPROVED Applicant: PREMIER ELECTRIC Parent Permit: Owner LA QUINTA MALAGA . Parent.Project: Contrai tor:PREMIER ELECTRIC Details: +. NEW ELECTRICAL PANEL WITH CONDUCTORS TO EXISTING PUMP EQUIPMENT.2013 CALIFORNIA.ELECTRICAL CODE. LISTDIFAtVIE �RET� ; � � .M � ���.�DATE Review Group:BLDG 1ST(1WK) 8/20/2014 8/26/2014 8/27/2014` NON-STRUCTURAL AJ ORTEGA - APPROVED EP R C URNED ONVERSATION:WIT,H,FRANKDINO�LO.CONDhJCTORS TO BE WET'RATEO INEXTERIOR UNDERGRQUND CONDUITS PER CEC SECTION 310-5(B)y • I Printed:Wednesday,01 October,2014 1 of•1 illllll IIID III VIII IIII 75 - IE Bin#04, City of La Quinto r nBuilding a Safety Division Permit# I( P.O. Box 1504, 78-495 Calle Tampico �* L f 619 La Quinta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: SQD�� �/ey��e 6 o Owner's Name: VILI I, coils bvvlah A.P.Number: Address ��6 Z � ceoIV 1 � n Legal Description: �— C City,ST,Zip: v�ti�o v G t CA t73 Contractor: �►•v1?✓ — •QG 1 c Telephone: Address: �,� P,`� V S �TZ "J > Project Description: City,ST,Zip: I r _ 9 hbl 1 I e ev i �/j1�lj Telephone: 409 a 1 , 3 � x n •D V State Lic.#: �. City Lie.#; Arch.,Engr.,Designer: Address: 7e f t(J C GN .%n Yt ci s✓I )30 City.,ST,Zip: —Tr V1,✓%L C 0 Telephone: q9 3 Construction9 Ty Type: Occupancy: ancY •0 roJ•eStatoLic.# P ct type(circle one): New Add'n Alter Repair r Demo Name of Contact Person: rpn Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: gog — 3 1— ©5 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal , Req'd Recd TRACKING PERMIT FEES Plan Sets, Plan Check submitted Item Amount Structural Calcs. Reviewed,ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. 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 Deed Plans picked up S.M.I. H.O.A.Approval Plans resubmitted Grading IN HOUSE:- 3"Review,ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees P. W CF'b OE TN4i O- Description:NEW ELECTRICAL PANEL W/CONDUCTORS TO EXISTING PUMP EQUIPMENT Type:ELECTRICAL Subtype: Status:APPROVED Applied:8/20/2014 PJU ! Parcel No:766110016 Site Address:80875 AVENUE 60 LA QUINTA,CA 92253 Approved:8/26/2014 AOR Subdivision: Block: Lot: Issued: 6 Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled: Valuation:$14,000.00 Occupancy Type: Construction Type: Expired: No.Buildings:0 No.Stories:0 No. Unites:0 t Details: NEW ELECTRICAL PANEL WITH CONDUCTORS TO EXISTING PUMP EQUIPMENT.2013 CALIFORNIA ELECTRICAL CODE. 1 Applied to Approved ADDITIONAL CHRONOLOGY "- CMIkONOLOGYTYPE `'3TA"'NAME -ACTIQigi'1JA)E LUNIPLE11UNUAI! NUILS ` TELEPHONE CALL AJ ORTEGA 8/27/2014 8/27/2014 PHONED APPLICANT THAT PLAN IS APPROVED AND READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT PREMIER ELECTRIC P O BOX 2 YUCAIPA CA 92399 CONTRACTOR PREMIER ELECTRIC 522 AMIGOS DR STE D REDLANDS CA 92373 OWNER LA QUINTA MALAGA 10621 CIVIC CENTER DR RANCHO CA 91730 CUCAMONGA FINANCIAL INFORMATION Printed:Wednesday,August 27,2014 2:29:59 PM 1 of 2 tJ Ll tJ{J SYSTEMS 'v i IRA,.. 77 DESCRIPTION ! ', CLTD,; ACCOUNT QTY AMOUNT PAID ;PAID DATE RECEIPT#,: CHECKr#.. 'IVIETHQD ` ;PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 . $0.00 Total'Paid forBUILDING STANDARDS'ADMINISTRATION $1.00 $0.00 BSA: -OTHER ELECTRICAL 101-0000-42403 0 $23.83 . $0.00 EQUIPMENT OTHER ELECTRICAL $23.83 EQUIPMENT PC . 101-0000-42600 0 $0.00 Total Paid forELECTRICAL: $47.66 $0.00 - PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE:: $90.57 $0.00 TOTALS: $139.23 00 INSPECTIONS &911t� �^ ULI?6 �r1M IPTFfi Kr' u i Lt+A/1MKs r: Of[" — I�uN�1,W,I L. " IF*I C,TI n ti� ,u.i..... .. ... u ,, Tp, u a J.ydr ELECTRICAL FINAL** PROJECTSPARENT REVIEWS m .. _. .......... RGTUIINGD f �70 „ E RlOR .. ' RE1/IEW TYPE E fE,,:E.., SENT DATE DUE DANE- U 9� K3 NUTES DANE , PER CONVERSATION WITH FRANK DINOLO NON-STRUCTURAL AJ ORTEGA 8/20/2014 8/27/2014 8/26/2014 APPROVED CONDUCTORS TO BE WET-RATED IN EXTERIOR UNDERGROUND CONDUITS PER CEC SECTION 310.5(B) BOND INFORMATION ATTACHMENTS Printed:Wednesday,August 27,2014 2:29:59 PM 2 of 2 �/ Y SYSTEMS