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ELEC (08-1795)P.O. BOX 1504 .78-4.95 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 08-00001795 Property Address: 78444 MILES AVE, APN: 604 -590 -063 - Application description: ELECTRICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: - 1200 Tii(t 4 4Qu«rw BUILDING &'SAFETY -DEPARTMENT . BUILDING PERMIT Owner: LENNAR HOMES 78401 HIGHWAY LA•QUINTA, CA LA QUINTA, ,CA OF CALIFORNIA 111, STE C 92253 - Contractor: Applicant: Architect or Engineer: COCHRAN COMMUNCATION CONST I 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 (760)328-6778 Lic. No.: 478543 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Li nse Class: C7 License No:: 478543 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .rte issued. Date: i0i31 " � ontractor: C141 V 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. Myworkers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt.from the Contractor's State License Law for the Carrier STATE FUND Policy Number 238-0007402-07 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any, construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that'he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of th Labor Code, I shall forthwith coIiith those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by O��/��p any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500):: Dater pplicant: �A 1 _ 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 -WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE -COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building `or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. _ 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 am exempt under Sec. , B.&P.C. for this reason VOICE (760) 77777012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/31/08 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: t" LQPERMIT 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 upo he above-mentioned property forinspection purposes. DX/el f gnature (Applicant or Agentl_:?! Application Number . . . . . 08-00001795 Permit . . . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 33.50 Plan Check Fee .00 Issue Date . . . . Valuation . . 0 Expiration Date 4/29/09 Qty Unit Charge Per Extension BASE FEE 15.00 -1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50, ------------------------------------------------------------------------- Special Notes and Comments REPLACE OLD PEDESTAL WITH NEW 100 AMP METER PEDESTAL 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 LQPERAIIT Miles Ave (not to scale) Thomas Guide 849-G-1 COCHRAN COMMUNICATIONS CONSTRUCTION 36-630 Cathedral Canyon Drive Cathedral City, CA 92234 for TIME WARNER CABLE i 78446 • Existing Irrigation Pedistal IID Transformer Power Supply MTR # AP1 134-1188 UN4707P CATV Pedistal C 78444 Replace Old Electro Cabinet With New Power Supply Coordinate With IID To De -energize And Re-energize New Cabinet Use Generator to Keep Customers in Service l IID Vault I"