06-1656 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Proporty Zoning;
Application valuation:
Applicant:
06-00001656 i.
53110 AVENIDA'RAMIREZ
774 -052 -005 -20' -000000 -
ELECTRICAL
COVE RE2IDENTIAL
1500
Architect or
P
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner.
'JOHANNA ANGELOS
53110 AVENIDA RAMIREZ
LA QUINTA, CA 92253
Contractor:
BAHUER ELECTRIC COMPANY INC`
83037. AVENUE 45, SUITE B
INDIO, CA 92201
(760)863-5569
Lic. No.: 856722
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/26/06
------------------------------- ---------------———---——--
- 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 3 of the Business and Professionals de, 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: C10 c o.: 856722 -
for by Section 3700 of the Labor Code,. for the performance of the work for which this permit is
q/
�C (�
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
ate: ontractor:
Code, for the performance of the work for which this permit is issued. My workers' compensation.
WNER-BUILDER DECLARATION -
insurance carrier and policy number are:
I hereby affirm under penalty er'ur m exempt from the Contractor's State License Law for the
Carrier ALLSTATE INS Policy Number OIKR0031079
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work for which this mit 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 sub' the rk s' co ens ion 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 d become subje to the o ers' o ensatio 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 ode, ha11 forthwI ith th provisio
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).:
Date._ scant:
(_) 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
WARNING: FAILURE TO SEC E WORKER 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 T CRIMIN NALTIES 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 ($100,000). INA TO THE COST 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 CODE, INTEREST, 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.l.
APPLICANT ACKNOWLEDGEMENT
(_ 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,
( - 1 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
'
of La Quinta, its officers, agents and employees for any act or omission related to the work being
Date: Owner:
CONSTRUCTION LENDING AGENCY
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 - .
- performed under or following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work isnot commenced
within 180 days from date of issuance of such permit, or cessations of won 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above infor on is c ct. I a ee to mply, ith all
city and cou ty ordinances and state laws relating Iding constr tion, and reby aut ori epresentatives
of this ' my to enter upon the above-mentioned rope or ins p es. /
7 -
(Applicant or
Application Number . . 06-00001656
Permit ELEC-SERVICE CHANGE
Additional desc .
Permit Fee . . . . 33.50 Plan Check Fee .00
Issue Date . . Valuation 0
Expiration -Date 10/23/06
Qty Unit Charge Per Extension
BASE FEE 15.00,
1.00 18.5000, Ell EL -EC SVC <=600V/<=200A 10.50
----------
Special Notes and Comments
EMERGENCY PANEL CHANGE OUT
Fee summary Charged Paid Credited Due
----------------
Permit Fee Tc --al 33.50 .00 .00 .33.50
Plan Check Total .00 .00 .00 .00
Grand Total 33.50 .00 .00 33.50
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: S-3 — f (O
Owner's Name: w 4ANNA. �4 `► E U
A. P. Number:
Address: S 3 l l o ADEN �� i�4M i�2�z
Legal Description:
City, ST, Zip. 2(�U (U 9Z zcJ 3
Contractor: kj�G CSM N .TNC .
Telephone: 7&0) Z166 —2
Address: Uv j-03% .AVE V S v?-F— 13
Project Description:
City, ST, Zip: ^moi
D V
Telephone: C7
State Lic. # : &7Z Z
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Rol F Occupancy:
State Lic. #:Project
type (circle one): New Add'n Alter a Demo
Name of Contact Person: �O� vC:7 Ativ
Sq. Ft.: 11a6 Q
# Stories:
#Units:
/
Telephone # of Contact Person: �j �� — . 8t0
00
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Req'd
Recd
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
Energy Calcs.
Plans picked up.
Construction
Flood plain plan.
Plans resubmitted
Mechanical
Grading, plan
2' 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 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