07-3030 (ELEC)P.O. BOX 1504 ^'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
07-00003030
Property Address:
52337 AVENIDA NAVARRO
APN:
773-274-023-4 -000000-
Application description:
ELECTRICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
5800
Applicant Architect or Engineer:
----------------- I
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 Professionals Code, and my License is in full force and effect.
License Class: C10 icense No.: 397002
Date: , / ,? 7 n7Contracto1:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty o p fury 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).:
(_ 1 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 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—) 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
DEEKS DARCY C
52337 AVENIDA NAVARRO
LA QUINTA, CA 92253
Contractor:
COVE ELECTRIC, 'INC.
77824 WILDCAT DRIVE
PALM DESERT, CA 92211
(760)360-0036
Lic. No.: 397002
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1-1/27/07-
WORKER'S
1/27/07
WORKER'S COMPENSATION DECLARA ON�Z
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.prrovided
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 ZENITH INS CO Policy Number 'Z06855503
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 Cod , I shall forthwith omply with those provisions.
Date :��� Applicant:
WARNING: FAILURE TO SECU ORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO IMINAL 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 cPrstruction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for -pection purposes.
Date: ? Signature (Applicant or Agent):
Application Number . . . . . 07-00003030
Permit ELEC-SERVICE CHANGE
Additional desc .
Permit Fee 52.50 Plan Check Fee .00
Issue•Date Valuation . . . . 0
Expiration Date 5/25/08
Qty Unit Charge Per Extension
- BASE FEE 15.00
1.00 37.5000 EA ELEC SVC <=600V/>200A/<=1000A 37.50
---------- -- -
Special Notes and Comments
UPGRADE E -PANEL TO 200 AMPS AND REROUTE
OVERHEAD LINES TO UNDERGROUND.
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 52.50 ..00 .00 52.50
Plan Check Total .00 .00 .00 .00
Grand Total 52.50 .00 .00 52.50
LQPERMIT
Bin #
City of La Quinta
Building U 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:
3 7
Owner's Name:
E
A. P. Number:
Address: -3S 7
Legal Description:
City, ST; Zip: Z .
Contractor:
Telephone: %ZC,-) _
Address: 7 E2 q
Q
Project Description:
City, ST, Zip: n&MIn
Telephone: �,/cl - 61D _ 3
State Lic. # : p
- CSO .
City Lic: #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: P
State Lic. #:
Name of Contact Person:
_
�
Construction Type: Occupancy:
Project type (cucle one): New . Add'n Alter Repair Demo
Sq. Ft::
# Stories:
# Units:
Telephone # of Contact Person: %�� -
- 7.S - 3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted .
Item
Amount
Structural Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy 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