The URL can be used to link to this page

06-1382 (ELEC)Ir P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 06-00001382 78720 HIGHWAY 643-220-024-4 ELECTRICAL MEDIUM DENSITY 600 T4ht 4 4-0" 111 -000000 - RES Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ONE ELEVEN LA QUINTA 11c 71084 TAMARISK LANE RANCHO MIRAGE, CA 92270 uciTY-tiOntractor: OLNSOLIDATED CONTRACTING, INC 6!753 ADAMS STREET APRV 6 2006 'QUINTA, CA 92253 L160)771-3345 . No.: 824183 LA QUINTA 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 Pya ssionals Code, and my License is in full force and effect. LicenseCIs: P C8 / License No.: 824183 Date: �` y 6"' Contractor: C OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason ISec. 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 1$5001.: (_ 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 p,ojects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I'am exempt under Sec. , BAP.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: Lender's Address: i LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/05/06 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 STATE FUND Policy Number 1770749 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 be m subject to the workers' compensation laws of California, and agree that, if I should beco sub,ect to the workers' compensation provisions of Section 3700 of the La de, I'shall 1ortrthhwith comply with those provisions. Date:. , . Applicant: i( 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 infor ion is correct. I agree to comply with all city and county ordinances and state laws relating to building constr tion and hereby authorize representatives of this un} �to, a%Hier upon the above-mentioned grope or �nspe tion urposes. Date: �' "/ Signature (Applicant or Agent): / Application Number . . . . . 06-00001382 Permit . . ELEC-TEMPORARY POWER Additional desc . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 10/02/06 Qty Unit Charge Per Extension BASE FEE' 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments . TEMP POWER POLE FOR NEW PETCO STORE Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 • s LQPERMIT - - . 03/28/2006 TUE 13:26 FAX U001/001 Bin # City of La Quanta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building'Permit Application and Tracking Sheet - Permit # `�� ProjectAddress: 2,0 A Owner's Name: �jJC _ ��E>J LA ��A A. P. Number: Address: �(�(� T,��215 l,�gnl� Legal Description: Contractor jjLl �El Address: Ilio f5.3 ADAMS .5Mec-r C.ST, Zip% kgn1GF 0 j4/I IRA gr . CA . qL7�%D Telephone: Project Description: City, ST, Zip: I A QJIOA RzZS3 T4_-' M?jrZA,2,I d Telephone: State Lie. r3. CityLic. #: Arch., Fmgr., Designer.. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lia #: Project type (circle one): New Add'u Alter Repair Demo i Sq. Ft.: # Stories: # Units: Name of Contact Person: -j (LL (�11-I"? Telephone # of Contact Person: -1603 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACIMG , PERMIT FEES Plan Sets Plan Checksubmitted Item Amount Structural Cake. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called. Coutact Person Plan Cheek Balance Energy Cales Plans Mcked up Construction Flood plain plan Plans resubmitted Mechanical' Grading ply .. 2'' Review, ready for currections/issne Electrical Sabcontactor hist Called Contact -Person - Plumbing Grant Deed Plans picked up SMI. 11.0—AL Approval Pians resubmitted Grad�g IN HOUSE.- Review, ready for eorrections/issue Developer Impact Fel Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees