ELEC (06-0658)53523 Avenida Martinez
06-0658
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
0.6=000 0.6--8
Property Address:
5.3.5.2.3_VENj D MARTINEZ
APN:
774-131-013-1 -000000-
Application description:
ELECTRICAL
„i Property Zoning:
COVE RESIDENTIAL
Application valuation:
1200
Applicant:
c&ht 4 4 Q"
Architect or Enginee
PIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 ivision 3 of the Business and Professionals Code, and my License is in full force and effect.
License Class: _. "{i ----- License No.: C10 it/se/i/
Date: .Z ntractor:
.OWNER -BUILDER DECLARATION
I hereby affirm under peA it, 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 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
T
i property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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 Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/14/06
Owner:
REDV. AGENCY CITY OF LA QUINTA
78495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
HEGGE ELECTRICAL CONTRACTORS
P.O. BOX 1365
LA QUINTA, CA 92247
WCC: STATE FUND
LiC. No.: C10
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 a ncc policy number are:
Carrier 06111820C19 6,fa/U1/O1/OFiolicyNumber 748171
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.
Z plicant:
WARNING: A URE 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes.
DD int or Agent): _
Application Number . . 06-00000658
Permit ELEC-SERVICE'CHANGE.
Additional desc .
Permit Fee . . . . 33.50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/13/06
Qty Unit Charge Per Extension
BASE FEE' 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE EXISTING 100 AMP PANEL/REPLACE
WITH 200 AMP PANEL.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 33.50 :00 .00 33.50
Plan Check Total .00 .00 .00 .00
Grand Total 33.50 .00 .00 33.50
Vr
LQPERMIT
Bin #
Permik #
0
Project Address:
A. P. Number:
Legal Description:
Contractor: con n
Address: 1
45
City, ST; Zip: ZLvy-1 I[-\ ('r, (>I Q0
Telephone 4 -715-i
State Lic. # : -7119/-71
Arch., Engr., Designer -
Address;
Citv, ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone '# of Contact Person:
# Submittal
Plan Sets
Structural Calcs.
TrussCaics.
Tide 24 61cs.
Flood plain plan
.Grading plan
Subcontactor List
Grant Deed
II.O.A.'Apgroval
IN IIOUSk:_
Planning Approval
Pub. INTs Appr
School Fees
City Of La Quinta
Building & Sa'fetY Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name:
f rn 5
Address:
Cit',, ST, Zip:
C L
Telephoner (og q
Project Descrip!±L e, Chqs7 ...
... ........... ............ ... L U4
MM M # UMMMOM - L01", Ffvwjfflw
X
Total Permit Fees
Construction Type:
0 .
OccupancN•
...........
Pr
P j ect t"
ro (c.rcl,
'pe (circle one): New Add'n Alter Repair Demo
_:
t /150C)
/150c)
# Storie--
# Stories:
9 Unitl:
Estimated Vnl.,, rP;
Estimated Val., or Project
/,,I A
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rec'd
TR-ACKING'
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
-Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2"' Review, read)', for corrections/issue
Electrical
Called Contact Person
Plumbing
Plans picked up
S.N1.1.
Plans resubmitted
Grading
Review, read,, for corr ections/issue
Developer Impact Fee
Called Contact Person
A.I.P.P.
Date of permit issue i
Total Permit Fees