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14-0457 (ELEC)- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Y' i 1, Application Number:. 14<-.000"00-4'5 �I Property Address: ,78.9.2.0—HIGHWAY 111 APN: 643 -080 -049 - Application description: ELECTRICAL Property Zoning: COMMUNITY COMMERCIAL Application valuation: 1200 Tih t 4 4-Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: HOBBY LOBBY 7707 SW 44TH ST OKLAHOMA CITY, OK 73156 (705)745-1100 M VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/17/14 Contractor: App! ant: Architect or Engineer: POWER PLUS 1210 REDGUM --l0 ®� ANAHEIM, CA 928d,1 (714) 765-7551 �j^-- Lic. No.: 980561 o 2 ]4) :..,, - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- _ - - - �n QUINTA- - - - - - - - - - - - - — LICENSED CONTRACTOR'S DECLARATION WORK R QMPEidSATION 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 Profe sionals C 9cityor nse is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided _ Liconsc Class: C10 D31 Li- s09 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: y.Contractor•: _ 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 OWNER -BUILDER N insurance carrier and policy number are: I hereby affirm under penalty of p jur hat I am exempt from theState License Law for the Carrier XL SPECIALTY Policy Number CWG7409307 following reason (Sec. 7031 .5, B ' ess and Professions Code: Anty 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 work ' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthw'tit comply w' ose provisions. 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$ 500).: Date: I—APPlica 1 _ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and s f the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE ?INTEREST, 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 CRI NLTIES 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 (5100,000). IN ADDIT NCOST 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 C 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.). APPLICANT ACKNOWLEDGEMENT 1 _ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I—) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERMIT 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 hereb thorize representatives of this county to enter upon the above-mentioned property for' spectio rposes. Da� Wsi`ur t or Agentl: LQPERMIT Application Number 14-00000457 Permit ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date Valuation• 0 Expiration Date 10/14/14 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 ------------------------------------------------------ Special Special Notes and Comments - ----------- ELECTRICAL - TEMPORARY POWER -POLE. 2013 CALIFORNIA BUILDING CODES. _ ---------------------------------------------------------------------------- Other Fees . . . . . PLAN CHECK, ELECTRICAL 16.68 PERMIT ISSUANCE M/P/E 90.57 Fee summary Charged ---------------'------------ Paid Credited Due Permit Fee Total 23.83 ------------------------------ .00 .00 23.83 Plan Check Total .00 .00 .00 .00 Other Fee Total 107.25 s .00 .00 107.25 Grand Total 131.08 .00 .00 131.08 PRESTs:VUKSIC. ARCHITECTS' "=SANPABLOAVE . SURE 2(D PALM DESERT. CA 92260 760.77 1 .539iT 760.779.5395F ; HOBBY LOBBY ONE ELEVEN LA OUINTA CENTER 46753 ADAMS STREET LAOUINTA CALIFORNIA ® TEMPORARY POWER PLAN FOR REFERENCE ONLY SCALE: 1:40 INSTRUMENTS OF SERVICE fNVb O.(NE9T,AIA (:lGYO g0 ta�M JOdJ. WI0IC. AIA GtBJfO +� � REwsioNs 0 � 211113 ArRnoz.x;a TP 1.1 ' Din #Qty Permit # Project Address: Of La Quinta Building tar• Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet W Owner's Name: b A. P. Number: Address: 1:�--, -C3 -7?- Caw j414 }k S .� Legal Description: T•�-4" JP City, ST, Zip: © Q.M� G v X31 Contractor: . ` S:.>::..;•.;;:.s:•; Telephone:40S.—NG- (its z`=` > ::<:•< •>;:•:: .:>r;:z:: . is> ' .•.-tb Address: j 2 to N,lecot Q8%PrK%1_ �..:. Project Description: { t m ow4r' City, ST, Zip: • vK Telephone: (p�j' .55� -��%>;:;.:.:..:�.;•�.l..:.„;:;:::.,;:::•:;,..::,;. State Lic. # : 0,00 rjin City Lie. #.. Arch., Engr., Designer: Address: City, ST, Zip: . Telephone: P ........................... Construction Type: ,"�Ccupancy: P State to Lic. #: Project type circle tr�'ew Add'n Alter Repair Demo 0 Name of Contact P son:,� Z Telephone # of Contact Person: Sq. Ft.: # Stories: #Units: Estimated Value of Project: / APPLICANT: DO NOT WRITE BELOW THIS LINE P Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction 'Flood plain plan Plans resubmitted Mechanical Grading plan 2°” Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN I10USE: '^' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees h Total Permit Fees