BSPN2014-0026 78-495 CALLE TAMPICO U VOICE(760)777-7125
LA QUINTA,CALIFORNIA 92253 FAX(760)777-7011COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS(760)777-7153
BUILDING PERMIT
_ Date: 9/17/2014
Application Number: BSPN2014-0026 Q Owner:
Property Address: 81848 AVENUE 60 D T D DESERT DEV
APN: 764210024 81570 CARBONERAS
Application Description: SPECIAL INSPECTION FOR IID RELEASE S�� 014 LA QUINTA,CA 92253
Property Zoning:
Application Valuation: $60,000.00 CITY OF LA QUINTA
COMMUNITY DEVELOP M EPA M
Applicant: 0
Contractor:
COCKRELL ELECTRIC INC COCKRELL ELECTRIC INC
590 OLEANDER ROAD 590 OLEANDER ROAD
PALM SPRINGS,CA 92264 PALM SPRINGS,CA 92264
(760)864-6233
LIC.No.:725720
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9{commencing with Section 70001 of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class:C10 License No.:725720_ of the work for which this permit is issued.
I have and will maintain workers'compensation insurance,as required by
Date: —� 7y Contractor: ( 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-BUILDER 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 compensation laws of California,and agree that,if I should become subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions.
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 Date: Applicant:
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 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE 15 UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(1 I,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF
compensation,will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
(_)I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors'State License Law.). following issuance of this permit.
(�I am exempt under Sec. B.&P.C.for this reason 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.
Date: Owner:
I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of ' . to enter upon the above•
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned property for inspection purposes.
Lender's Name: Date: / /7-/7/ Signature(Applicant or Agent):
Lender's Address:
IIIIIII VIII III VIII IIII 21
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�a. City of La ,Permit Details PERMIT NUMBER
01- 46 !00 0 » .�
Description:SPECIAL INSPECTION FOR IID RELEASE _
Type:SPECIAL INSPECTION Subtype: Status:SUBMITTED Applied:9/17/2014 SKH
Parcel No:764210024 Site Address:81848 AVENUE 60 LA QUINTA,CA 92253 Approved:
Subdivision:ANDALUSIA Block: Lot: Issued:
Lot Scl Ft;0 Building Scl Ft:0 Zoning: Finaled:
Valuation:$60,000.00 Occupancy Type: Construction Type: Expired:
No. Buildings:0 No.Stories:0 No.Unites:0 '
Details: SPECIAL INSPECTION FOR IID RELEASE.THIS PERMIT IS NOT FOR WORK.2013 CALIFORNIA BUILDING CODES. I
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL
APPLICANT COCKRELL ELECTRIC INC 590 OLEANDER ROAD PALM SPRINGS CA 92264
CONTRACTOR COCKRELL ELECTRIC INC 590 OLEANDER ROAD PALM SPRINGS CA 92264
OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 92253
FINANCIAL INFORMATION
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
FINAL"'
Printed:Wednesday,September 17, 2014 12:00:31 PM 1 of 2 Irsp _..___.._
Permit Details PERMIT
NUMBER
rs
City of La Quinta
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
BOND INFORMATION
ATTACHMENTS
Printed:Wednesday,September 17, 2014 12:00:31 PM 2 of 2 COW........
Din# City Of La Qulnta
..Building&Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico .
La Quinta,CA 92253- (760) 777-7012
Building Permit Application and
/� Tracking-Sheet
Owner's Name:Project Addss: eGD
LZ C
A.P.Number: Address: 1S'7 0 4,�ei q
Legal Description: City,ST,Zip: zel, /VAS 9e-Z-513
Contractor: CD C�� l �1 8-C. Telephone:
Address: S O p 4J 0, e-a. Project.Description:
City,ST,Zip: IM A,1/ S Z Z�.`�
Telephone: ....
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State Lic.#610 LZf 71� City
Arch.,Engr.,Designer:
Address: � g , .� �.7 D o D
City.,ST,Zip:
Telephone:ne:
- Construction TYPe:
Occupancy:
an
cY:
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State Lic.It: <'%'><- ::F>'-<r»::`<:<''> >;<- >s»^ Project type circle one): New Add'n . Alter Repair Demo
....................................................
Name of Contact Person: l� 6 Sq.Ft.: #Stories: #Units:
Telephone#ofContact Person: �jQ' 2-76 S'-5 3 Estimated Value of Project:
APPLICANT:DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACIONG PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. Reviewed,ready for corrections Plan Cluck Deposit
Truss Cala. Called Contact Person Plan Check Balance.
Title 24 Cala. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2*'Review,ready for correctionsfissae Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"'Review,ready for correctionsfissue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees