ELEC (14-0456)a .
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000456
-Property Address: 81122 MONARCHOS CIR
APN: 767-320-999-269 -32879 -
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1200
Applican
Architect or Engineer:
4
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.Division 3 of the Business and ProfessieVals Code, and my License is in full force and effect.
License Class: C10 D31 L' ns 980589
Date: Contractor: 7,7/►.
OWNER -B ILDER DECLARATION
I hereby affirm under penalty of per ry at I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busi ss 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).:
(_ 1 1, 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
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_) I am exempt under Sec. . , B.&P.C. for this reason
Date: Owner:
CONSTRUCTION LENDING AGENCY
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-
Owner:
r LENNAR HOMES
980 MONTECITO DR.
CORONA, CA 92879
(951)817-3500
Contractor:
POWER PLUS
1210 REDGUM
ANAHEIM, CA 92806
(714)765-7551
Lic. No.: 980589
VOICE (760) 777-7012
FAX (760) 777=7011
INSPECTIONS (760) 777-7153
STE. 300
f
1
APR 1 201.ra
CITY OF LA Ql1MITA
FINANCE DEP
Date:_ 4/17/14
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 XL SPECIALTY Policy Number CWG7409307
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 sub'ect to the workers' compensation laws of California,
and agree that, if. I should become sub' to the w rs' compensation provisions of Section
.' /�33700 of the Labor Code, I shall fort comp) those provisions.
Y
Date: /jt?R/IApplicant:
WARNING: FAILURE TO SECURE OR RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIJAINV.PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADD( 10 O 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 Ouinta, 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 inform ati is correct. I agree to comply with all
city and county ordinances and state laws relating to building constructi and hereby horize representatives
of this county to nter upon the above-mentioned propert inspec ' purposes.
Date: t Signature (Applicant or Agent): �+
Application Number . . . . .
14.-00000456
Permit . . . ELECTRICAL
2013
Additional desc
Permit Fee. . . 23.83
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 10/14/14
Qty . Unit Charge Per
Extension
1.00 23.8300 EA ELEC
TEMP POWER POLES
23.83
----------------------------------------------------------------------------
Special Notes and Comments
ELECTRICAL - TEMPORARY POWER POLE. 2013
CALIFORNIA BUILDING CODES.
----------------------------------------------------------------------------
Other Fees . . . . . . . .
PLAN CHECK, ELECTRICAL
16.68
PERMIT ISSUANCE M/P/E
90.'57
Fee summary Charged
---------------------------
Paid Credited
--------------------
Due
Permit Fee Total 23.83
----------
.00 .00
23.83
Plan Check Total .00
.00 .00
.00
Other Fee Total 107.25
.00 .00
107.25
Grand Total 131.08
.00 .00
131.08
LQPERP1IT 0
Birt# w
City Of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: �.2 �M+ qXG OS t`.' i
Owner's Name:
A. P. Number:
Address: 440.0 LLQ cjC ; 3 0-a
Legal Description:
City, ST, Zip: COtn C� 2821
8
Contractor: N S
Telephone: s1- i5'0V .....................................::.....
Address: O Qe 'L cqjv.%, )r
Project Description: �� Pes✓t tr'
City, ST, Zip: Z
V G
:.;>:. Telephone: :
��a•'�(v5 • 65l '`>�'s>'�.........
State Lic. # : :a9 City Lib. #.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:Construction
State Lic. #:
Name of Contact Person:
h a tvw� h e i
Type.,,.Occupancy:
Project hP (circle one w Add'n Alter Repair r Dem o
Sq. Ft.: #Stories: #Units:
Telephone # of Contact Person: ID.14 L
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
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:
''" Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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