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BELC2016-0075' 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 �r T4ht 4 4 Qu 14 ro � DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Applicant: SEETHE LIGHT 40840 SANDY GALE LANE UNIT D PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi ns of 9 {commencing with Section 7000) of Division 3 of the Business and1 Pr fessi and my License is in full force and effect. // License Class: C10 License No.: 994560 // I / Dates" f.0y /b Contractor: 49 OWNER -BUILDER Dke- VION v 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 of 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/8/2016 Owner: DERRICK QUARLES o 51835 AVENIDA NAVtARRO c1� LA QUINTA, CA 9225 Sn ?V� "n Contractor: z !t SEE THE LIGHT 40840 SANDY GALE LANE UNIT D PALM DESERT, CA 92211 (760)289-2691 Llc. No.: 994560 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' compen tion, as provided for by Section 3700 of the Labor Code, for the performance of th o or which this permit is issued. JIave and will maintain workers' compensation insurance, as required by Section 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: EXEMPT Policy Number: _. I certify that in the performance of the work for wh' h this p it is issued, I shall not employ any person in any manner so as to become ubject t heFworkers' compensation laws of California, and agree that, if I shoul ecome jest to the workers' compensation provisions of Section 3700 oft �'abor I shall forthwith comply with those provisions. /J Date:0 ©� Applicant: 1 WARNING: FAILURE TO SECURE WORKERS' Cg PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI i AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10000). 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 informatii°f is co I agree to'comply with all city and county ordinances and state laws rel t'iSg to b}� construction, and hereby authorize representatives of this city to enteon the i above-mentioned property for inspection purposes. DatoeptQkf l� Signature (Applicant or Agent) Application Number: BELC2016-0075 Property Address: 51835 AVENIDA NAVARRO APN: 773183015 Application Description: QUARLES / UPGRADE ELECTRIC PANEL FROM 125 TO 200 Property Zoning: Application Valuation: $1,800.00 Applicant: SEETHE LIGHT 40840 SANDY GALE LANE UNIT D PALM DESERT, CA 92211 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisi ns of 9 {commencing with Section 7000) of Division 3 of the Business and1 Pr fessi and my License is in full force and effect. // License Class: C10 License No.: 994560 // I / Dates" f.0y /b Contractor: 49 OWNER -BUILDER Dke- VION v 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 of 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/8/2016 Owner: DERRICK QUARLES o 51835 AVENIDA NAVtARRO c1� LA QUINTA, CA 9225 Sn ?V� "n Contractor: z !t SEE THE LIGHT 40840 SANDY GALE LANE UNIT D PALM DESERT, CA 92211 (760)289-2691 Llc. No.: 994560 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' compen tion, as provided for by Section 3700 of the Labor Code, for the performance of th o or which this permit is issued. JIave and will maintain workers' compensation insurance, as required by Section 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: EXEMPT Policy Number: _. I certify that in the performance of the work for wh' h this p it is issued, I shall not employ any person in any manner so as to become ubject t heFworkers' compensation laws of California, and agree that, if I shoul ecome jest to the workers' compensation provisions of Section 3700 oft �'abor I shall forthwith comply with those provisions. /J Date:0 ©� Applicant: 1 WARNING: FAILURE TO SECURE WORKERS' Cg PENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI i AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($10000). 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 informatii°f is co I agree to'comply with all city and county ordinances and state laws rel t'iSg to b}� construction, and hereby authorize representatives of this city to enteon the i above-mentioned property for inspection purposes. DatoeptQkf l� Signature (Applicant or Agent) Date: 9/8/2016. . Application Number: BELC2016-0075 Owner: Property Address: 51835 AVENIDA NAVARRO DERRICK QUARLES APN: 773183015 51835 AVENIDA NAVARRO Application Description: QUARLES / UPGRADE ELECTRIC PANEL FROM 125 TO 200 LA QUINTA, CA 92253 Property Zoning: aApplication Valuation: $1,800.00 Applicant: Contractor: SEE THE LIGHT SEE THE LIGHT 40840 SANDY GALE LANE UNIT D 40840 SANDY GALE LANE UNIT D PALM DESERT, CA 92211 PALM DESERT,CA 92211 (760)289-2691 ------------------------------------- ----------------------------- Llc. No.: 994560 Detail: ELECTRIC - UPGRADE 125 AMP PANEL TO 200 AMP PANEL. 2013 CALIFORNIA BUILDING CODES. --------------------------- FINANCIAL O• DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION. BSA: $1.00 . DESCRIPTION ACCOUNT CITY AMOUNT SERVICES 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 0 $12.09 Total Paid for ELECTRICAL: $36.26 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE, 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85 I Bin #Qty of La Qu«nto Building &T'Safety Division Permit #I I . - 78-495 Calle Tampico �} Zol�1 La Quinta, CA 92253 - (760) 777-7012 nd Building Permit Application and Tracking Sheet roje�ct�Address: �I r' T per's Name: i "'Al. P. Number: �Addp ress: ��a _jS C vC1Y Legal Description: ��iST, Zi 2 It�tY, P� I ��� 2.S Goiitractor: r' L y .O t lET ele hone• P Address: Z�Qd / � as T, �Z3d/ c � Te -le hone: . P 3 Rioject Description: W State Lic. #:N0 0S V Arch., Engr.; Designer: Address: City, ST, Zip: Telephone: le ne: P 0 ` Cnstruett aneY n Type: Occupancy: : ,. State te Lic.# • a(circle one): New Add'n Alter Repair'ai Project.tYP r Demo 3Name of Contact Person: /(Y( • c,A l r Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: t( jl `stiniated Value of Project: goo. uo N Submittal Req'd APPLICANT: DO. NOT WRITE BELOW THIS LINE Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact person Plan Ciieck Balance. Title 24 Cates. Pians picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for-corrections/issue Electrical SubcontactorUs( Called Contact Person .. Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IiOUSE:- '"! 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