14-0686 (ELEC)P.O. BOX 1504
78-495, CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1r14-00000686
Property Address:
50630 BREVA
APN:
776 -330 -009 -
Application description:
ELECTRICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
100
4�VOICE (760),777-7012
FAX (760) -777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/23/14
Owner:
RMB CITRUS LLC.
18 PEPPERTREE
ALISO VIEJO, CA 92656
(949)351-4200
Is4 n -�
Contractor: 'r
Applicant: Architect or Engineer: RAFFERTY, MICHAEL u plAy
18 PEPPERTREE MAY 2 3 2011{
ALISO VIEJO, CA 92656 id
(949)351-4200 E.
�� A QJ
Jmv
Lic. No.: 717431 C ��,
-------------------------------------------------------------------------------------------------
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 Bu 'Hess and Prof sto als Code, and my License is in full force and effect.
License CI s: icense No.: 717431
Date: �'� 6nuact.,: W�
0 N BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am x pt 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, 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.).
( 1 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: P Le
LQPERMIT
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 STATE FUND Policy Number 909887414
_ 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 sh uld become su 'ect to the workers' compensation provisions of Section
/ 3700 of the Labor, 00ee,, II/Sft�all fo omply with those provisions.
Date: 29 /7' plicant: Y/ I�Vi`ry
WARNING: FAIR ECURE-WORKERS'� C*iE
ATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALD 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 state that the above information is correct. I agree to comply with all
city and co my ordinances and state laws relating to build fig construc ' n nd hereby authorize representatives
of pis co ty oenter upon a above-mentioned grope r In ec rposes.
Date:J�L'l5 nature (Applicant or Agent):
LQPERMIT
FM
Application Number . . . . . 14-00000686
Permit
ELECTRICAL 2613
Additional desc .
Permit Fee . . .
. 23.83
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . .
. 0
Expiration Date
11/19/14
Qty Unit Charge Per
Extension
1.00 . 23.8300 EA ELEC TEMP
POWER POLES
23.83
----------------------------------------------------------------------------
Special Notes and
Comments
_
ELECTRICAL - TEMP
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
.00 .00
107.25
Grand Total
131.08
.00 .00
131.08
Bin #
Qty Of b Quinta
Building 8I' 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: 50630 4-64,4;7; F U!'
Owner's Name:
A. P. Number: ��� - ��-�3�_�j�l •
Address: ff 6&Jtte/
Legal Description: 5 Y�oa
City, ST, Zip: V1cil; r4ff C
Contractor: t
hone:
Tele ✓�/ L�
P G
v.4..
Address: l0 6 AoAm
Project Description: 74M /Ro, dCv j, 6/1 ' 71/
/
City, ST, Zip: A(Le %L(V ew
Structural Calcs.
Telephone: f
Y
Reviewed, ready for corrections
State Lic. # :
City Lic. #:
Arch., Engr., Designer:
Truss Calcs.
Address:
City, ST, Zip:
Telephone: hone
>s>`>>:
aneY
stru don Type: Occupancy:
:Co
State Lic. #:
Project circle one • New Add, n Alter Repairair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units: .
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Calcs.
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
Plans resubmitted
Mechanical
Grading plan
211 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
rdL.-Ldr
LOT R w M'
m �.
D c •
� - r
_ -- -- — BREvn
m m
N r)
70 Q = a r ��• A .
m
m Q N a
n
CD
�..
.� < L • r�
c (D �.
7
00000
-.000-
i N —
v, Ln Ln
o 0 0 0 0
m
U'i (n O, 01 O`
MO
n
? V W O% 10
0 0
<
D
�
a Z
0 0 0
fir}
-
zp
DDDDD
oZ
za=
zZZzz'.
'
of
v V -I v V
14 V V V V
Y'IMZ
8 y
ui W W W W
W W W W W
N O
•
D
I
CK
imleFTe�o
oZi ��?
CD O O O O
OD
•��, ap
N lO . V
— o 0
A agmo
i—\
N