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13-0613 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 13-00000613 57928 BARRISTO CIR 762-500-015-14 -32225 - ELECTRICAL LOW DENSITY RESIDENTIAL 1200 Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT ------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm underpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine nd Prof I Code, and my License is in full force and effect. License Class: B f Ins 934711 Date Contractor OWNER -BUILDER DE RATION I hereby affirm under penalty of p ' ry that I am exempt 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).: (_ 1 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.). (� 1 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 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: LQPERMIT Owner: MURRIETA APTS INVESTORS 400 E RINCON STE 105 CORONA, CA 92879 Contractor: M H P BUILDERS INC 3202 W. MARCH LANE, #A STOCKTON, CA 95219 (209)951-6190 Lic. No.: 934711 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 37, LP Date: 5/15/13 MAY 15 2013 CITY OF LA QUINTA FINANCE DEPT. 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 � ssued. _ 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 EVEREST INS Policy Number 7690046121 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 ecome subject to the workers' compensation laws of California, and agree that, if I should be me subject to the workers' compensation provisions of Section 3700 of the Labor Code, I all forth ith comply th those pro isions. D� 0ATO : WARNING: FAILURE TO SECURE WO ERS' C MPENSATION COVER GE 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 stateIthatthe"or is co rect. I agree to comply with all city and county ordinances and state -laws relatingd eby authorize representatives of th//is /ccount;tb enter upon tthe.above-mentionedoDate�- _1 Signorine pplicant or AgenI all Application Number . . . . . 13-00000613 Permit . . . ELEC-TEMPORARY POWER Additional desc . . Permit Fee . . . . 30.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/11/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments TEMPORARY POWER POLE FOR (14) NEW SINGLE FAMILY HOME CONSTRUCTION. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 31.00 .00 .00 31.00 LQPERMIT 2013-09-07 • ® LEGACY HOMES 400 E. RINCON STREET, SUITE 105, CORONA, CALIFORNIA 92879 Of %ci Quthta Building 8f Safety Division P.O. Box 1504,78-495 Calle Tampico 1.a.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # �j' / C� project Address: �� 28:C—F- Owner's Name:. �J/ (/dY/lI pi i A. P. Number. Address: Legal Description:S 3 City, ST, Zip: Contractor. �G�L�C3.� Telephone: Address: Project Description: City, ST, Zip: Bum e -oz d �� Telephone: e,90 >F-40 0State StaLia #: I City Lia #: Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Sobmlttai Plan Sets Req'd Recd TRACKING PERMTPFEES Plan Check submitted, Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Trm Cates. Called Contact Person Plan Check Balance. Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted.. Mecharilcal Giading plan 2'' Review, ready for corrections/issue Electrical Subcoatactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Gradiag IN HOUSE:- Review; ready for eorrection0woe Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees