06-1412 (ELEC)r:
C, - P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning: .
Application valuation:
Applicant:
06-00001412
81471 CARBONERAS
764-200-006-D -3
ELECTRICAL
LOW DENSITY RESIDE
2000.
Architect or
T4ht °f 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS. (760) 777-7153
Date: 4/06/06
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
APR 13 2006
CITY OF LA QUINTA Contractor:
girSCefF71•IE TD DESERT DEVELOPMENT LP
P O BOX 1716
LA QUINTA, CA 92247
(760)771-1941
Lic. No.: 762987
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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 Busines rofessianals Code, A4 my License is i force and effect.
License Class: 8 Lice o. 76298
OWNER -BUILDER DECLARATION j
I hereby affirm under penalty of perjury 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 1, 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:
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 COMPWEST Policy Number CA005001482-001
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 work mpensation provisions of Section
�,l-00 of the Labor Code, I ort w comp) thos provisions.
/Date (/[� Ap ' nt:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 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 anon is correct. o comply with all
city and co my dinances and state laws relating [o ing constructs n, and he authorize presentatives
of this co ty enter upon th above-mentioned operty for inspectio pur es.
DS�j�L nature (Applicant or, gent): %
s
:f
c
LQPERMIT
Application Number . . . . . 06-00001412
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . 33.50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date 10/03/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
7 ----------------------------------------------------------------------
Special Notes.and Comments
200 AMP POWER PEDESTAL
Fee summary Charged
Permit Fee TotLi 33.50
Plan Check Total .00
Grand Total 33.50
Paid Credited Due
.00 .00 23.50
.00 .00 .00
.00 .00 33..50
Bin #
Permit #
tl�
Project Addr 41
City of La Quinta
Building U Safety Division
P.O. Box. 1504, 78-495 Calle Tampico
La Quinta, CA 92253 -.(760) 777-7012
Building Permit Application and Tracking Sheet
CArR&at,flA.S Owner's Name: j 0 0,c- socr AwE�w4c�-'7 ei
k P. Number.
Address: 030 /7/G
Legal Description: —n2 -,e Ej
_3(f, $B _ f
City, ST, Zip: y'21 'je
Contractor: T l) . 0 F -50:V( 0 ;F—Q ^c.o< F,,
Telephone: ? 7 / —/ IF )4/
Address:
Project Description:
City, ST, Zip:
Z 7—
til P ( A
.Telephone: ? 1 / 4 j
tj t. i iE P S'T 41.
Statc Lid. 7
Arch., EW., Designer
City Luc, N: sj
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person: .,t,/ SQ
Construction Type: Occupancy:_
Project type (circle one Ne Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Units:
Telephone # of Contact Person: :7 7 1 —/ c?V / Estimated Value of Projoct:1 ZooO --
APPUCANT: DO NOT MUTE•SELOW THIS UNE
# Submittal Req'd Recd TRACMNG , PERMTT FEES
Plan Sets Plan Check submitted Iters Amount
Structural Calcs.
Reviewed, ready for corrections
Pis n Check Deposit
Truss Cala.
Called Contact Persou
Plan Check Balance
)Energy Calcs-
Plans,pieked.up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plaw
2" Review, ready for eorrectionslissutElectrical
Subcontactor List
Called Contact Person
Plumbing.
Grant Deed
Ptins picked up
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:
3'4 Review, ready for eorrectionslusue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees