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BELC2014-1054M , arw VOICE (760) 777-7125 78-495 CALLE TAMPICO 4 - LA QUIN ► FAX (760) CALIFORNIA 92253 ( ) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 12/9/2014 Application Number: BELC2014-1054 Owner: Property Address: 79102 LIGA STEPHEN SEHER APN: - 776130001 Property Zoning: Application Valuation: $3,000.00C7rn n Applicant: Contractor: HEGGE ELECTRICAL CONTRCTRS INC HEGGE ELECTRICAL CONTRCTRS IP?C% 83852 AVENUE 45 83852 AVENUE 45 z ry LA QUINTA, CA 92253 LA QUINTA, CA 92253 n n - (760)775-4855 H M z Llc. No.: :LIC -0000218 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 Professions Code, and my License is in full force and effect. License Class: License No.: :LIC -0000218 Date:'� Contractor:_) v v OWNER -BUILDER D/exempt TION I hereby affirm under penalty of perjury that I a 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).: (_) 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.). (_) 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 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 N Lender's Address: 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' comp ti, as provided for by Section 3700 of the Labor Code, for the performance of tr which this permit is issued. 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: _ Policy Number: _ 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 Code, I shall forthwith comply with t�gose rovisions. Date: a / Applicant:- 1 r WARNING: FAILURE TO SECURE WORKERS' CO/AL SATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIENALTIES 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 Building Official 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 city to enter upon the above- mentioned propert for inspection purposes. /^ Date: �� 1 Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY . Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-42403 0 $12.09 $0.00 PAID BY , METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $36.26 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •- M � '• � v, h � i stye+ � .' .,� - VA ,wis s s a * E KM" - IT N.U.MBER Subtype: Status: SUBMITTED Applied: 12/9/2014 SKH Approved: Parcel No: 776130001 Site Address: 79102 LIGA LA QUINTA,CA 92253 Subdivision: TR 24890-6 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: jjP." Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ZIP BELC�20. APPLICANT 1054 83852 AVENUE 45 LA QUINTA Description: PANEL UPGRADE 200 AMP PANEL TO 400 AMP Type: ELECTRICAL Subtype: Status: SUBMITTED Applied: 12/9/2014 SKH Approved: Parcel No: 776130001 Site Address: 79102 LIGA LA QUINTA,CA 92253 Subdivision: TR 24890-6 Block: Lot: 2 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ZIP Details: ELECTRICAL- PANEL UPGRADE 200 AMP PANEL TO 400 AMP. 2013 CALIFORNIA BUILDING CODES. FAX EMAIL Printed: Tuesday, December 09, 2014 1:56:19 PM 1 of 2 Mr SYSTEMS CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT HEGGE ELECTRICAL CONTRCTRS INC 83852 AVENUE 45 LA QUINTA CA 92253 (283)405-3519 CONTRACTOR HEGGE ELECTRICAL CONTRCTRS INC 83852 AVENUE 45 LA QUINTA CA 92253 (283)405-3519 OWNER STEPHEN SEHER 3818 HORSEHEAD BAY DR NW GIG HARBOR WA (283)405-3519 Printed: Tuesday, December 09, 2014 1:56:19 PM 1 of 2 Mr SYSTEMS La u 2"� ]. �*sPx .�p,�>s�- L�� "" � ^raj `^ai, `z- '•s � "g' tSS> �` - - ' • _ Rif■ ■ ■ �� F PAID DATE . _ B .✓ it ■ .. METHOD PAID BY CLTD BY �J� r 101-0000-42403 �• F -� `.'r`Z1 tiitJ �:d' $0.00 o�rYi��Y : DESCRIPTION ACCOUNT QTY AMOUNT, PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SERVICES 101-0000-42403 0 $24.17 $0.00 SERVICES PC 101-0000-42403 0 $12.09 $0.00 Total Paid for ELECTRICAL: $36.26 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 .Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS: $129.11 00 REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED r STATUS REMARKS NOTES DATE Printed: Tuesday, December 09, 2014 1:56:19 PM 2 of 2 V7 lJ srsrEMs I INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED r STATUS REMARKS NOTES DATE Printed: Tuesday, December 09, 2014 1:56:19 PM 2 of 2 V7 lJ srsrEMs Bin # ' Qty of La Quinta. Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ��'�(-%I��- Project Address: it - t o a LQ A Owner's Name: e A. P. Number: Address:10a (,a QA Legal Description: City, ST, Zip: LQ 00k) l 4 Contractor: 'I fT iri � tVl:. tV� Telephone:izE % Address:' 6 3 - CTYDAVC, �/]S Project Description: City, ST, Zip: I 10 (�- 9�Jo V �/1G ei ISL �Gct,5-evvw—G D rr� Cr -0 State Lic. # : -7<4 g 1 t City Lic. #..::: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: - ............................................. Construction Type: Occupancy: State Lic. #: Project tyPe(c (circle one)::N w Add n Repairair Demo Name of Contact Person: �'� Sq. Ft.: 3t �� t # Stories: # Units: Telephone # of Contact Person: -7 ` - a50 - 1 <441 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 Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Pcrso:t Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN IIOUSE:- 'rd 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