BSPN2015-000654521 Avenida Alvarado
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
+y.ew4itr rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSPN2015-0006
54521AVENIDA ALVARADO
774272013
CANTEDO RESIDENCE PALNEL UPGRADE
$1,000.00
Applicant:
CANEDO, DEBORAH CONSUELO
54521 AVENIDA ALVARADO
LA QUINTA, CA 92253
A a h
MAR 0 2 2015
Amer:
NEDO, DEBORAH CONSUELO
704 PEPPER TREE ST
QUINTA, CA 92253
LA
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
III1311IIIII 111111165
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
T K ELECTRIC
68-300 TACHEVAH DRIVE
CATHEDRAL CITY, CA 92234
(760)325-3103
Llc. No.: 794457
Date: 3/2/2015
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 Professions Code,
and my License is in full force and effect.
License Class: C10 License No.: 794457
Date:
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.).
(_) 1, 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:
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 Nanie:
Lender's Address: •
WORKER'S COMPENSATION DECLARATION
I 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: Policy Number:
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, I shall forthwith
comply with those provisions.
Date:
Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5 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 Building Official 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 • this city to enter upon the
mentioned propert for inspection purposes.
Date` eZ .id •ignature (Applicant or Age
DESCRIPTION
SPECIAL INSPECTION
PAID BY
CANEDO, DEBORAH CONSUELO
FINANCIAL INFORMATION
ACCOUNT.
101-0000-42404
METHOD
CHECK
QTY
1
AMOUNT
$72.52
RECEIPT #
R3849
PAID
$72.52
CHECK #
2607
PAID DATE
3/2/15
CLTD BY
MFA
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION:
$72.52
$72.52
TOTALS:
$72.52
$72.52
Permit Details
City of La Quints...
PERMIT NUMBER
BSPN201J5 00(
Description: CANTEDO RESIDENCE PALNEL UPGRADE
Type: SPECIAL INSPECTION Subtype: Status: ISSUED
Applied: 3/2/2015 MFA
Approved: 3/2/2015 MFA
Issued: 3/2/2015 MFA
Finaled:
Expired: 8/29/2015 MFA
Parcel No: 774272013 Site Address: 54521 AVENIDA ALVARADOLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 269 Lot: 1
UNIT 25
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Valuation: 51,000.00 - Occupancy Type: Construction Type:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 100 AMP TO 200 AMP PANEL UPGRADE PER 2013 CALIFORNIA BUILDING CODE
I
Applied to Approved
I Approved to Issued
CHRONOLOGY
CONDITIONS
NAME TYPE.
NAME
ADDRESS1
CONTACTS
CITY
• STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
CANEDO, DEBORAH CONSUELO
54521 AVENIDA
ALVARADO
LA QUINTA
CA
92253
CONTRACTOR
T K ELECTRIC
68-300 TACHEVAH
DRIVE
CATHEDRAL
CITY
CA
92234
OWNER
CANEDO;DEBORAH CONSUELO
31704 PEPPER TREE ST
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Monday, March 02, 2015 2:23:09 PM
1•of 2"
CRSYSTEMS
Permit Details
City of La Quinta
PERMIT NUMBER,.
BSPN201t5t0006
DESCRIPTION'
ACCOUNT
QTY
AMOUNT
PAI D
PAID DATE RECEIPT # CHECK # METHOD
PAID BY
CLTD
•BY
SPECIAL INSPECTION
101-0000-42404
1
$72.52
$72.52
3/2/15
R3849
2607
CHECK
CANEDO, DEBORAH
CONSUELO
MFA
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52
SEQID
INSPECTION TYPE
TOTALS: $72.52
INSPECTOR
$72.52
$72.52
INSPECTIONS
SCHEDULED COMPLETED
DATE DATE
RESULT
REMARKS
NOTES
FINAL**
PARENT PROJECTS
REVIEW TYPE
REVIEWER SENT DATE DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
BOND INFORMATION
A ii'MCHNIEN I s
Printed: Monday, March 02, 2015 2:23:09 PM 2 of 2
CRWSYSTEMS
aF.fwa4irw
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
(760) 777-7012
FAX (760) 777-7011
PROPERTY OWNER'S PACKAGE
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been , ubmitted in your name listing yourself as the builder of the property
improvements specified at Cry ,5—_,_, / . l yx,c/ jA4 176d .,
We are providing you with an Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verify this information.
1. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. I, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
•
't . I understand building permits are not required to be signed by property owners unless they are responsible for the
onnsttr�uction and are not hiring a licensed Contractor to assume this responsibility.
", V3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
myself from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of m
�o(�wnn.. • . Y
�'V I understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
permits and contracts.
<70(t. I understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
of my construction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
X1,4 understand if I am considered an "employer" under state and federal law, I must register with the state and federal
ovemment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by -these laws may subject me to serious financial
risk.
I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
stru
0-.II
cannot legally build them with the intent to offer them for sale, unless all work iserformed bylicensed
P sed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
ervice, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-3/l21-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
MO. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and ancially responsible for proposed construction activity . at the following address:
Sy,fiS / ✓x,c�� hvq- v- - /. L ee: f1.2 5-3
1. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
of plicable laws and requirements that govern Owner -Builders as well as employers.
2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form. Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agency is required to be presented when the permit is issued to verify the property
owner's signature.
Signature of property ownerQ !/1/.4>
� Date: 4��.2
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work):
Project Location or Address:
Name of Authorized Agent:
Tel No
Address of Authorized Agent:
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy. Note: A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is required to be presented when the permit is issued to vers the property owner's signature.
Property Owner's Signature: Date:
CITY OF LA --_I'TA S__-_ON[RA_lOR 'LUSF
JOB ADDRESS / 4' PERMIT NUMBER KWNER/ -
`~
BQIUDER
This form shall be posted on the iob with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested b&ow must be competed by applicant. "On File" is not an acceptable response.
ComranvNamo
Classification License Number Exp. Date Carrier Name
(e.g. A, B, C-8) (xxxxxx) (xx/xx/xx) (e.g. State Fund, CalComp)
/
~^�
o
Policy Number
(Format Varies)
Exp. Date License Number Exp. Date
bAAc
::••CABINB•
54521 AVENIDAALVARADO - EXISTING ELECTRICAL PANEL LOCATION
APN: 774-272-013-9
OWNER: DEBORAH CANEDO
54521 AVENIDAALVARADO, LA QUINTA, CA 92253
PHONE: 619-846-5513
Location of Existing 100 amp Panel
(new 200 amp panel to be installed at same location as existing)
48' from ground to bottom of panel
Properly Line
11'
7-1
CARFCRT
16-8 1/4"
CLOSET
L
CHEST BED 2
14 6•
e ID
5' 1 3/4•
vAMTY
t•
LAIJRV
4. 10 3
I4 r
FRDDE
1
B 10 6/8'
COVERED PAID
ID r
2•
CCFCE 6 8 I/2'
LIEN
CLOSET
GUEST BED 1
CADr1ET8
u
TEMECULA
z
I II V4
•
Ih
Bin ll
V CV( (7 w .r
City of La Quinto.
Building 8r Safety Division
Permit #
P.O. Box 1504, 78-495 Calle Tampico .. •
• La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: 6---/3-,i/ r 4/y
Owner's Name: f'sEt56 6,4,�' re)
A. P. Number: er_.e ' AE•,
Address: i
Legal Description:
City, ST, Zip: LeZ. _ id S'.-2
Contractor:z_e
Telephone:
Address: 8 op 7 .,z,4 d4�� .
Project Description:,: -_1-='-:•- _- am-•.___
-z._.-,- "2
City, ST, Zip: ef4'7�ir%rbi"Lam .
.�1;t
Telephone:
,
State Lic. # : 9 5-7 •
City Lic. #.:1/226/t.„4,___4._./Zi.
4'.. 1 A, ' I
Arch., Engr., Designer: , ,,,, ,
19097Cioe..
e,
406/9-72.0 N' NO r L tt "/.AA,...,
Address:
/eV *A %� �1-�llt- 11
City, ST, Zip:
Telephone:
Construction Type: c cy:
State Lic. #: •
<z?`'<:::'>:'s:s::::::::::s::::::>::s>;>::s:::;:;:.
Project type (circle one): New Add, n Alter epair Demo
• Name of Contact Person: 2 `do,e,v c L 4
• Sq. Ft.: u//,,�
# Stories:
# Units:
Telephone #,of Contact Person: 6/3 e -g' /4 - 5-37 1
``APPPPLICANT:
Estimated Value of Project: 0 4. QUB
DO NOT WRITE BELOW THIS LINE •
N
Submittal •
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
•
Reviewed, rcady 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 Dccd
Plans picked up •
S.M.I. •
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'rd Review, ready for corrcctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fccs .
Total Permit Fees
•
be.
111E1111111111 66
IE
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property•Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
COMMI LAITY DEVELOPMENT DEPARTMENT
• BUILDING PERMIT •
BSPN2015-0006
54521 AVENIDA ALVARADO
774272013
CANTEDO RESIDENCE PANEL UPGRADE
$1,000.00
Applicant:
CANEDO, DEBORAH CONSUELO '
54521 AVENIDA ALVARADO
LA QUINTA, CA 92253
MAR 2 t ?017
CITY ORA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 7777011
INSPECTIONS (760) 777-7153
Date: 3/20/2015
Owner:
. CANEDO, DEBORAH CONSUELO .
31704 PEPPER TREE ST
LA QUINTA, CA 92253
Contractor:
T K ELECTRIC
68-300 TACHEVAH DRIVE
CATHEDRAL CITY, CA 92234
(760)325-3103
LIc. No.: 794457
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 Professions Code,
and my License is in full force and effect.
License Class: C10 License No.: 794457
ate: 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 anV applicant for
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 isnot 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. 7.044, 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
pate: / ,AG/Owner: 24' L'_ V/,1i(1
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:
WORKER'S COMPENSATION DECLARATION
I 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 LaborCode, 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: Policy Number:
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, I shall forthwith
comply with those provisions. / /��
ate:09/� 4..a / SApplicant: d J a- d 't
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 Building Official for a permit subject to
the conditions and restrictions setforth 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 city to enter upon the above-
mentioned property for inspection purposes.
ate ..ceS/tAdei Signature (Applicant or Ag
0
..
4.('✓`:9i,.a*:in;'ca+K"''l'� fir`£ .',.rte Y ?.14 xir,*Zr -ti'. t',T�
tiEr w ^U a..N 't- :S,F.. c;�i:.`t �v1
FINANCIAL INFORMATION
. Z -e il'.:.,Y+,.xru'K:-i._..-s.
'a.`r:DE - .. ..k ,.•i. ,,tki•�?.::'.'>�,�"'. x• .: : .^�r.xS :: ,•~,"x,
D SCRIPTION x a ACCOUNT y,; ��r TY
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-�. �£. � 'Y` � '� � i i^NE i.� >i,,(�.
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PAID a
X1.5
rz r. r,a,`�
; AMOUNT r>, fl
.._r. d ..>L -.xi4` c
SPECIAL INSPECTION
• 101-0000-42404 '
1 '$72.52
$72.52
• 3/2/15
..?F'�•k�
-'�i.j � ij ��� rA �'. T-: � � ''"*dam 1C:'.7 N�3k
*ms PAID BY r '
.,;:fiSx"CvSA.;3F`
h i � r S � :m",iy` ,ag'{..
s METHOD xt�,
Y lC "x .'" L
s RECEIPT:#) `a
3x.:
R3849
+3 ^/ ry "3 kAa`; N .�
s .r CI E '�:K�#
C
'f%1. rs9.'?»
2607
)5 t:X�{iMlpj�'1�,._9F
'; CITD BYE'
`�_r.
MFA
CANEDO,•DEBORAH CONSUELO
• CHECK
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION:. • $72.52 '. $72.52 •
)
;1
"•;:< . .: ,..4r.a-.-: "4i:`4'•?«y'9} Yai5 a -f`}< G
DESCRIPTIONS E ��
SERVICES
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, ;` A000UNT� T,
"�:1 _
101-0000-42403
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0 x .$24.17
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$24.17
.ifHY. 'A-c44i61 iy{e
: PAIDkDA''.
a: ::°..ww TE,:
3/20/15
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METHOD
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`.i"s'` :dye,;; .,. .:EL'C
RECEIPT #
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�`+ .d .rgX-:
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�'' CHECK #�'
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��4r.:r.i
CLTD. BY
5 y4
f�:::k"'ryw�.d;�.
CANEDO; DEBORAH CONSUELO
CHECK
R4087
2614
• ' PJU
&r:x`-:-Ae ce-si:?s- k`.x, ,'C.'r>, ..i' :.� -i%. £4
{ DESCRIPTION
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3B
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AMOUNT
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?PYAID=��'
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PAID DATE;
SERVICES PC •
• 101-0000-42403
0
$12.09
$12.09
3/20/15
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..<�:;::RECEIPT# �.;a:x.
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CHECK #
,- CLTDaBY
:i %;,t1.
CANEDO, DEBORAH CONSUELO .
CHECK
• R40.87 '
a . 2614
PJU
' r Total Paid for ELECTRICAL: $36.26 $36.26
4 348; :3' n-:s,'�'!':T'x 1�,� t �;
DESCRIPTION 4�,
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n�`T..: jT_ $d 7'K' l :e` x. 2.N " �'v(
.` ACCOUNT ;
#t>s �
TY
;rd.. ".. ����#+4'r es:3 'SSY. 3� ....
x�
AMOUNT
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.�P,ATAAIO�DATEt.
PERMIT ISSUANCE
101-0000742404
01-0000-42404 '.r'.
.
$19.
.3wK 3'r#Y
3/20/1. 5
a>
4+11.Q7.5,-,
wIDBY
.::
'�H
d'i 1411
V,$19__.33
CEIP#
4.�
. F
Y¢.
LTDB
CANEDO, DEBORAH CONSUELO
CHECK. `
R4087
.'2614 •
PJU
.a
- :
Total Paid for PERMIT ISSUANCE: $19.33 - $19.33 ,
. 14 w
K f:48
"4 ti�F:t 'b.: .�^'!:f ' i i Y - ;4^ !'. d Ts . _ "d. t.[ d 'S� �„
: �,.• TOTALS $128.11: 128 11
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Permit Details
City of La Quinta
Description: CANTED() RESIDENCE PANEL UPGRADE .
Type: ELECTRICAL Subtype: Status: ISSUED
Applied: 3/2/2015 MFA
Approved: 3/2/2015 MFA
Issued: 3/2/2015 MFA .
Finaled:
Expired: 8/29/2015 MFA
Parcel No: 774272013 Site Address: 54521 AVENIDA ALVARADOLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 269 Lot: 1
UNIT 25
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Valuation: $1,000.00 Occupancy Type: Construction Type:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 100 AMP TO 200 AMP PANEL UPGRADE PER 2013 CALIFORNIA BUILDING CODE
Process Summary
j Applied to Approved
ea Approved to Issued
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
ADDRESS].
CONTACTS
CITY
STATE
ZIP j
PHONE-,
FAX,
EMAIL
APPLICANT
CANEDO, DEBORAH CONSUELO
54521 AVENIDA
ALVARADO
LA QUINTA
CA
92253
CONTRACTOR
T K ELECTRIC
68-300 TACHEVAH
DRIVE
CATHEDRAL
CITY
CA
92234
OWNER
CANEDO, DEBORAH CONSUELO
31704 PEPPER TREE ST
LA QUINTA
CA
92253
FINANCIAL INFORMATION
Printed: Friday, March 20, 2015 1:47:12 PM
1of3
CRSYSTEMS
DESCRIPTION
ACCOUNT
SPECIAL INSPECTION
101-0000-42404
1
AMOUNT
$72.52
$72.52
PAID DATE RECEIPT #' ":`CHECK # METHOD
3/2/15
R3849
2607
CHECK
PAID BY
CANEDO, DEBORAH
CONSUELO
CLTD
BY:
MFA t
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52
$72.52
SERVICES
101-0000-42403
0
$24.17
$24.17
3/20/15
R4087
2614
CHECK
CANEDO, DEBORAH
CONSUELO
PJU
SERVICES PC
101-0000-42403
0
$12.09
512.09
3/20/15
R4087
2614
CHECK
CANEDO, DEBORAH
CONSUELO
PJU
Total Paid forELECTRICAL:
$36.26. $36.26
PERMIT ISSUANCE
101-0000-42404
$19.33
$19.33
3/20/15
R4087
2614
CHECK
CANEDO, DEBORAH
CONSUELO
PJU
Total Paid forPERMIT ISSUANCE: $19.33
SEQID INSPECTION TYPE
FINAL**
TOTALS: $128.11
INSPECTOR
$19.33
$128.11
INSPECTIONS
SCHEDULED 'COMPLETED•
DATE DATE
TEMP USE OF PERM PWR
JFU
3/19/2015
3/19/2015
APPROVED
W/EXCEPTIO
N
PANEL TO BE LABELED BY FINAL INSPECTION.
PARENT PROJECTS
REVIEW TYPE:.
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE : ..
REVIEWS
STATUS:
REMARKS
BOND INFORMATION
Printed: Friday, March 20, 2015 1:47:12 PM
2of3
CRSYSTEMS
Attachment Type
CREATED
Permit Details
City of La Quinta
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
DOC
3/11/2015
CECILIA PATINO
APPROVED PLANS
BSPN2015-0006.pdf
APPROVED PLANS.pdf
0
DOC
3/11/2015
CECILIA PATINO
ISSUED PERMIT
BSPN2015-0006. pdf
0
Printed: Friday., March 20, 2015 1:47:12 PM 3 of 3
CPWSYSTEMS
Cash Register Receipt
City of La Quinta
DESCRIPTION I ACCOUNT QTY
PermitTRAK
PAID
$55.59
BSPN2015-0006 Address: 54521 AVENIDA ALVARADO Apn: 774272013
$55.59
ELECTRICAL
$36.26
SERVICES
101-0000-42403
0
$24.17
SERVICES PC
101-0000-42403
0
$12.09
PERMIT ISSUANCE
$19.33
PERMIT ISSUANCE
TOTAL FEES PAID BY RECEIPT:R4087
101-0000-42404
0
$19.33
$55.59
Date Paid: Friday, March 20, 2015
Paid By: CANEDO, DEBORAH CONSUELO
Cashier: PJU
Pay Method: CHECK 2614
Printed: Friday, March 20, 2015 1:44 PM 1 of 1
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