06-0880 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00000880
Property Address:
78660 HIGHWAY 111
APN:
643 -220 -001 -
Application description:
ELECTRICAL
Property Zoning:
REGIONAL COMMERCIAL
Application valuation:
1500
Applicant:
N JA
Architect or
T-iht 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
WASHINGTON ADAM PARTNERSHIP
43692 PIASANO PL
TEMECULA, CA 92592
Contractor:
COCKRELL ELECTRIC INC
590 OLEANDER ROAD
PALM SPRINGS, CA 92264
(760)864-6232
Lic. No.: 725720
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/06/06
-------------------------------------------------------------------------------------------------
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 3of the�tB ,sia ss 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
License Class: CIO .� License No.: 725720 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�xC { issued.
�Date 'V (' ontractor: "- ! ,I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
----- - --- r • Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER DECLARATION .
1 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).:
(_ 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 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.). -
(_ 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: ' o
Lender's Address: PJ
LQPERMIT
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 04600095842006
_ 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
37004- the or Code, I shall forthwith comply with those provisions.
— moi_- •
WARNING: FAILURE TO SECURE 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 to building construction, and hereby authorize representatives
of this county to enter upon the above -menu ned pro y for inspection purposes.
06r���
/a�' N signature (Applicant or Agen
LQPERMIT
f--
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Application Number 06-00000880
Permit ELEC-SERVICE CHANGE
Additional desc . .
Permit Fee . . . . 33.50 Plan Check
Fee
.00•
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 9/02/06
Qty Unit Charge Per -
Extension
BASE FEE
15.00
1.00 18.5000,EA ELEC SVC <=600V/<=200A
18.50
-------------------------------------------------=--------------------------
Special Notes and Comments
New Electrical Service being addedd to
unit. with 125A sub -panel being installed
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
f--
•r
•r
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`-------------------- - - ---- MetroScan / Riverside (CA) -------"----- ---
Owner :Washington Adam Partnership Parcel :643 220 0'01
Site :78640 Highway 111 La Quinta 92253 Xfered :013/01/1999
Mail :42620 Caroline Ct #102 Palm Desert Ca 92211 Price
Use :CO2,Com,Shopping Centers Phone.
Bedrm: 'Bath: TotRm: YBs Pool:No B1dgSF: Ac:.39
. i
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Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
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DESERT TANNING II
78-580 HIGHWAY 111
MAIN SWITCHGEAR
1 114" EMT CONDUIT
4 - 91 THHN
PAN EL'A'
REPLACE EXISTING 100 AMP SUB -PANEL
CURRENTLY FED FROM PANEL'A' WITH
NEW 125 AMP PANEL FED FROM MAIN
SWITCHGEAR AND RECONNECT ALL
EXISTING CIRCUITRY
• n
PLEASE PROVIDE NEW ADDRESS
OR DESIGNATION FOR NEW PANEL
Bin # -
-
City of. La Quinta
Building u Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quints, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
0& , tog Q
6
Project Address ct-
Owner's Name:
A. P. Number:
Address:?? 6 ,� 0 /
Legal Description:
City, ST, Zip: 4—
Contractor: �eL u ��rG
s�—f'� (�%ct �.-t9
Telephone:
Project Description:
City, ST, Zip:lflh
Telephone:. -76 el -Z.? 3 3 1
State Lic. # : City Lic. #:
17
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #: :w
Name of Contact Person: +E
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
stimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING .
PERMTI 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'
21" 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 correcti s/issuej
3
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees