BELC2014-101979654 Mandarina
BELC2014-1019
Ar. liA61
78-495 CALLETAMPICO ' 0 D A VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
MMUN9Y OEVE
/ (760)328-6778
LIc. No.: 478543
-----------------------------------------
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: C-7 License No.: 478543
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.).
( ) I, 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:
Owner:
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
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 thfiC9 —k for which this permit is issued.
= Thave 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 polity 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: / ' 1 Applicant: /
vIA/1,
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 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 of this city to enter upon the
above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date: 9/11/2014
Application Number: BELC2014-1019
Owner:
Property Address: 79654 MANDARINA
CITRUS COURSE HOMEOWNERS ASS
APN: 776190002
3501 JAMBOREE RD NO 200
Application Description: 100 AMP METER PEDESTAL REPLACEMENT
NEWPORT BEACH, CA 0
Property Zoning:
Application Valuation: $1,200.00
Applicant:
r,
1 2014
Contractor:
COCHRAN COMMUNICATION CONSTRUC
COCHRAN COMMUNICATIONCONSTRUC
36630 CATHEDRAL CANYON DRIVE
36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY, CA 92234
A QUINTACATHEDRAL
--,NT DEPARTMENT
CITY, CA 92234
MMUN9Y OEVE
/ (760)328-6778
LIc. No.: 478543
-----------------------------------------
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: C-7 License No.: 478543
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.).
( ) I, 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:
Owner:
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
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 thfiC9 —k for which this permit is issued.
= Thave 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 polity 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: / ' 1 Applicant: /
vIA/1,
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 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 of this city to enter upon the
above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT: QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
OTHER ELECTRICAL EQUIPMENT
101-0000-42403
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT # ,
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
OTHER ELECTRICAL EQUIPMENT PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forELECTRICAL: $47.66 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $90.57 $0.00
TOTALS:00
Description: 100 AMP METER PEDESTAL REPLACEMENT
NAME TYPE
NAME
Type: ELECTRICAL
Subtype:
Status: SUBMITTED
Applied: 9/11/2014 SKH
Approved:
Parcel No: 776190002 Site Address: 79654 MANDARINA,CA
Subdivision: TR 24889
Block:
Lot: AG
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $1,200.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
COCHRAN COMMUNICATION
CONSTRUC
Details: ELECTRICAL CHANGE OUT- (1) 100 AMP METER PEDESTAL. 2013 CALIFORNIA BUILDING CODES.
CATHEDRAL CA
CITY
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
COCHRAN COMMUNICATION
CONSTRUC
36630 CATHEDRAL
CANYON DRIVE
CATHEDRAL CA
CITY
92234
CONTRACTOR
COCHRAN COMMUNICATION
CONSTRUC
36630 CATHEDRAL
CANYON DRIVE
CATHEDRAL CA
CITY
92234
OWNER
CITRUS COURSE HOMEOWNERS ASS
3501 JAMBOREE RD NO
200
NEWPORT CA
BEACH
0
Printed: Thursday, September 11, 2014 10:40:12 AM 1 of 2
SYSTEMS
PARENT PROJECTS
Printed: Thursday, September 11, 2014 10:40:12 AM 2 of 2
SYS TEnAS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
ELECTRICAL FINAL"
CBY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
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
101-0000-42600
0
$23.83
$0.00
EQUIPMENT PC
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:•0
PARENT PROJECTS
Printed: Thursday, September 11, 2014 10:40:12 AM 2 of 2
SYS TEnAS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
ELECTRICAL FINAL"
PARENT PROJECTS
Printed: Thursday, September 11, 2014 10:40:12 AM 2 of 2
SYS TEnAS
(not to scale)
Thomas Guide
849 J-6
COCHRAN COMMUNICATIONS CONSTRUCTION
36-630 Cathedral Canyon Drive
Cathedral City, CA 92234
for
TIME WARNER CABLE
The Citrus
Replace Old CATV 100 Amp Pedestal
Co Ordinate with IID to De Energize Existing 100 Amp Pedestal
Time Warner Cable to Keep System in Operation with the Use of a Generator
City of La Quinta to Inspect Cabinet Grounding
City of La Quinta to Call IID for Same Day Reconnect for New Pedestal
Co ordinate with IID to Re energize New Pedestal
Mandarina
1
;211
cn
0
New 100 Amp CAN Pedestal
79654 Mandarina
MTR # Y164-2038
. .. I Building U Safety Division
-,---- -,- i ......."...." ilding Permit Application and Trading Sheet
Project Address: 274,! - M&ri4.4 le !WA - Owner's Name: TIML ,VVARIYER CA . OZZ ,
Ciry.ST, Zip:
^