06-2400 (ELEC)'N
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
t
Application Number:
('06-00002400 1
Property Address:
81520 CARBONERAS
APN:
764-200-006-30 -316811-
Application description:
ELECTRICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
500
Tit!t 4 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
CORAL OPTION I
79295 RANCHO LA QUINTA DR
LA QUINTA, CA 92253
Contractor:
Applicant: Architect or Engineer: TD DESERT DEVELOPMENT
P O BOX 1716
LA QUINTA, CA 922
(760)771-1941
Lic. No.: 762987
. 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 Business and Professionals Code, and my License is in full force and effect.
License Clatfs: $ �� cense No.: 7M87
Date"e`[ Contractor:
NSR -BUILDER DECLARATION
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 _ 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.).
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/15/06
uN 19 ti��6
---------------- - - - - -- -------- - - - - --
WORKER'S COMPS ATION 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 ubject to the workers' compensation laws of California,
and agree that, if I should b m ubject the worke ompensation provisions of Section
�q� of the Labor Co shall rthwith co IY tho Provisions.
Datd0 Applicant:
WARNING: +AILURE TO SECURE WORKERS' COMPENSATION COVERAG NLAWFUL AND SHALL
SUBJECT AN'EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001. 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 1 have read this application and state that the above information is correct. I agree to comply with all
city and co ty inances and state laws relating to building construction, and hereby authorize representatives
of thCss c/cow ty t enter upon the above-mentioned propert f pection p oses. . �f
(Date`.,C Signature (Applicant or Agent)-
. ----`---�` _ -
I Ci
I 61k
Application Number . . . . . 06-00002400
Permit . . . ELEC-SERVICE
CHANGE
Additional desc .
Permit Fee . . . . 33.50
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
- - Expiration Date 12/12/06
- --
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 18.5000 EA ELEC
SVC <=600V/<=200A
18.50
----------------------------------------------------------------------------
Special Notes and Comments
TEMP POWER PED -200 AMP.
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 33.50
----------
.00
----------
.00
33.50 -
Plan Check Total .00
.00
.00
.00
Grand Total 33.50
.00
.00
33.50
LQPERMIT
06/15/2006 12:05 FAX 760 771 1841
SPARKS CONSTRUCTION
Bin #
City of La Quinta,
Building U Safety Division
P.O. Box. 15040, 78-495 Calle Tampico
Permit #
La Quinta, CA 92253 -.(760) 777-7012
Building Permit Application and Tracldng Sheet
Project Address: Z-0 c -AZ Owner's Nam: '% O 00 S6C>'
A- P. Number.
Address: o p •/71G
Legal Doscription:-71 S 1(r b I— I
5 a
City, ST, Zfp: Ajt f 2 2 jF
Contractor: T 1)
Telephone: 7 7
Project Description:
Address: 0 (21
to
City, ST, Zip:
Tataphcne: �j / f
Mcityo.
State 1,10. t1: 76 2-1,$ 7
#: p 3
Arch.. Bagr., Designs:
Address:
.
City, ST, Zip:
Telephone:
Conshudion Type: Oocapancy,
S%to Lic. #:
Project typo (doclo one):0 Add'n Alter Repair Demo
Name of Contad Person: 'yam .:sem/ J/P*KX51
Sq. FL
#Stories: if units:
Telephone # of ContactPerson: .. Estimatod Value arovod
APPUCANT: DO NOT WiUTE-13E1:0.W THIS UNE
F Submittal Req'd
Reed TRACi�IG _ pgltl►fiIT FELE
Flan Sets
Plan Check submitted Item Amolmt
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit
TrUgs Cala.
Called Contact Person
Pisa Check Balance
Energy Calcs.
Flanr�icked_up
C'oustructlon
Mood plain plan
Plans resubmitted
Mee4anlaa!
Cradiag.ptaa'
2" Review, ready for correctioneasae
Electsticel
5ubcontattor fist
Called Contact Person
Fiumbiag-
Grant Deed
Plans picked up
S.h
&O,A. Approval
Plans resubmitted
Grading
IN HOUSE:-
r"' Review, ready for eorr:eattonslissue
Developer Impact Fee
I7anah;g Approval
Called Contact Person
A.LP.P.
pub. Wks. Appr
Date of perartt issue
School Fees
Total Permit Feer
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