BELC2016-001778-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
T'ht 4 lwQulxrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BELC2016-0017 I VIII' VIII IIII IIII
54920 AVENIDA JUAREZ 37
774266009
INSPECTION OF EXISTING CHANGE OUT; 54920 AVENIDA JUAREZ
Applicant:
CURRENT ELECTRICAL
51-735 EISENHOWER DRIVE
LA QUINTA, CA 92253
D Q 0
MAR 0 2 2016
CITY OF LA OUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: C30 ' License No.: 1000855'1 _
Date -C B-2_—IG . Contractor: C.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Lbw 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 7006) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/2/2016
Owner:
MICHAEL TERRY
Contractor:
CURRENT ELECTRICAL
51-735 EISENHOWER DRIVE
LA QUINTA, CA 92253
(760)285-4015
LIC. No.: 1000851
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: 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 those provisions.
Date:�e_3_2^_ fL is`t/ Applicant:
WARNING: FAILURE TO SECURE WORKERS' CO PENSATION 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 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 property for inspection purposes.
Date%Q C. Signature (Applicant or Agen`6
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY AMOUNT
PAID
PAID DATE
* ^•SERVICES
101-0000-42403
0 $24.17
$24.17
3/2/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
CURRENT ELECTRICAL
DEBIT
R13499
.093619
TSA
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SERVICES PC
101-0000-42600
0
$12.09
$12.09
3/2/16
PAID BY
METHOD
RECEIPT #
CHECK #•
CLTD BY +
CURRENT ELECTRICAL
DEBIT
R13499
093619
TSA
Total Paid for ELECTRICAL: $36.26 $36.26
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/2/16
PAID BY
METHOD
RECEIPT .#
CHECK #
CLTD BY
CURRENT ELECTRICAL
DEBIT
R13499
093619
TSA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $128.11 $128.11
Description: INSPECTION OF EXISTING CHANGE OUT; 54920 AVENIDA JUAREZ
Type: ELECTRICAL Subtype:
Status: UNDER REVIEW
Applied: 3/2/2016 TSA
Approved:
Parcel No: 774266009 Site Address: 54920 AVENIDA JUAREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 276
Lot: 16
Issued:
UNIT 25
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: PANEL CHANGE OUT. 2013 CALIFORNIA BUILDING CODE
Printed: Wednesday, March 02, 2016 4:42:50 PM 1 of 2 IrIp'--------
ADDITIOI%AL
SITES
CHRONOLOGY
CONDITIONS,
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
CURRENT ELECTRICAL
51-135 EISENHOWER
LA QUINTA
CA
92253
DRIVE
CONTRACTOR
CURRENT ELECTRICAL
51-735 EISENHOWER
LA QUINTA
CA
92253
DRIVE
OWNER
MICHAEL TERRY
3419 VIA LIDO STE 455
NEWPORT
CA
92253
BEACH
Printed: Wednesday, March 02, 2016 4:42:50 PM 1 of 2 IrIp'--------
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
SERVICES PC
101-0000-42600
0
$12.09
$12.09
3/2/16
R13499
093619
DEBIT
CURRENT ELECTRICAL
TSA
Total Paid for ELECTRICAL: $36.26 $36.26
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
3/2/16
1 R13499
1 093619
DEBIT
CURRENT.ELECTRICAL
I TSA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $128,11 $128.11
INSPECTIONS
SEQIb INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
ELECTRICAL FINAL" AOR 3/3/2016
Printed: Wednesday, March 02, 2016 4:42:50 PM 2 of 2 _
Bin #
City of La Quin to
Building 8£ Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheen
Permit #
a�LC Z p1 lO _
Project Address: 'J
- Z6 UreZ
Owner's Name: I I C
A. P. Number:
Address:
Legal Description: V
City, ST, Zip:
act r
Co ntr o . CV ��-I c.J
n
Telephone:
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Address:_ a5 F %fin v We,� d�
Project Description: I et�
-41
City, ST, Zip: p,, 0,`n-�-- Gr,-- 53
Jrc e a
Telephone: hone —
7� O V5
6
State Lic. # : 1060<551
City Lic #:1631.:::.:,
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
n TYPe:
Construction �. .
Occupancy:an
cy:r
'C Irl
State Lic. #-
ne • NewAn A]ter Repair Demo
Project ecthP (circle o
Name of Contact Person:AtGOn �l'I-(Ci�
Sq. Ft.: 0 0
# Stories: !
# Units: l
Telephone # of Contact Person: 0 — �g 5 — I-10 t 5
Estimated Value of Projec 1
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
PERMIT 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.
Title 24 Cales.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p° 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:-
3'! 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
heck A License - License Detail - Contractors State License Board Page 1 of
S 4 "
Contractor's License Detail for License # 1000851
)ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this
nformation, you should be aware of the following limitations.
CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the
link or button to obtain complaint and/or legal action information.
Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed.
Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration.
Due to workload, there may be relevant information that has not yet been entered onto the Board's license database.
This license is current and active.
All information below should be reviewed.
10 - ELECTRICAL
Business Information
CURRENT ELECTRICAL
51-735 EISENHOWER DRIVE
LA QUINTA, CA 92253
Business Phone Number:(760) 285-4015
Entity
Corporation
Issue Date
02/06/2015
Reissue Date
10/09/2015
Expire Date
10/31/2017
License Status
Classifications
Bonding Information
Contractor's Bond
This license filed a Contractor's Bond with AMERICAN CONTRACTORS INDEMNITY COMPANY.
Bond Number: 100287860
Bond Amount: $15,000
Effective Date: 01/01/2016
Contractor's Bond History
Bond of Qualifying Individual
Thte Responsible Managing Officer (RMO) HATRAK JASON CHRISTOPHER certified that he/she owns 10 percent or more of the
oing stock/
equity of the corporation. A bond of qualifying individual is not required.
Effective Date: 10/09/2015
Workers' Compensation
This license is exempt from having workers compensation insurance; they certified that they have no employees at this time.
Effective Date: 09/30/2015
Expire Date: None
Workers' Compensation History
tps://www2.cslb.ca.gov/OnlineServices/CheckLicenseIlILicenseDetail.aspx?LicNum=1000851 3/2/201
A-1 Cesspool Service, Inc.
P.O. Box 580188, North Palm Springs, CA. 92258 JOB INVOICE
`Since 1959,
(760) 329-6875 Fax (760) 251-3405
State Lie. #265214
www.alcesspool.com
BILL TO
ADDRESS
CITY
JOB ADDR
SERVICE ❑ PUMP SEPTIC TANK HAS SEPTIC TANK BEEN DUG UP? ❑ Yes ❑ No ❑ PMT. ON SITE
REQUESTED ❑ PUMP SEEPAGE PIT AT ITS RISER ❑ OFFICE BILLFNG
OUANT. DES C IPTION OF PRICE AMOUNT
Pumping Fee per 1000 Gallons (or fraction)
Waste Discharge Fee per 1000 Gallons
Locating and Opening Fee (Ihr. Min.)
Out of Area Fee
❑ THE LEACiTING SYSTEM HAS FAILED
❑ THERE IS AN OBSTRUCTION "UPSTREAM" OF THE SEPTIC TANK
It will he necessary to contact a line cleaning company.
❑ WE RECOMMEND MAINTENANCE PUMPING OF THE SEPTIC TANK EVERY
❑ YEAR OTHER YEAR ❑ 2-3 YEARS
To remove built up solids. This will increase the life ofyour ladling system
❑ THIS PUMPING WILL PROVIDE ONLY TEMPORARY RELIEF AND NOT
SOLVE CUSTOMERS SEPTIC PROBLEM BECAUSE OF THE ABOVE.
❑ CUSTOMER HAS BEEN GIVEN AN "EXPLAINATION"PACKET.
A SERVICE CHARGE OF $22 WILL BE DUE
ON ALL RETRUNED CHECKS.
A FINANCE CHARGE OF ] 312% PER MONTH,18%a PER YEAR, WILL BE -
CHARGED ON PAST DUE ACCOUNTS OVER 30 DAYS.
1F PAYMENT IS BY CHECK
DRIVERS LTC. # STATE
I hereby acknowledge the satisfactory completion of the above described work
SIGNATURE u`
i Tutal
Due