The URL can be used to link to this page

11-1284 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001284 Property Address: 81159 CASPIAN CT APN: 764-280-004-27 -3.5996 - Application description: ELECTRICAL Property Zoning: LOOP DENSITY RESIDENTIAL Application valuation: 7.00 Applicant: T-vf 4 4 Qak- & Architect or Engineer: Pl1A BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: ANDREW 81159 CASPIAN COURT LA QUINTA, CA 92253 Contractor: ARTISTIC LANDSCAPE 78206'VARNER RD', #D PALM DESERT, CA 922 (760)360-1395 . LiC. No.: 379421 VOICE (760) 777-7012 FAX (760) 7774011 INSPECTIONS (760) 777-7153 244 NOV 30 2011 Date: 11/29/11 E) CONTRA R'S D Ti WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury I am licensed un �proviaio _ C e 9 ( mencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division'3 of thABu/and Professi a ode, a y Uc is in II force and effect. I have and will maintain a certificate of consent to seif•insure for workers' compensation, as provided LI��ggqnse class: C27 cense.N 37 4 for by Section 3700 of the Labor'Code, for the performance ofthe work for whichthis. permit is issued. ontractor�I have and will maintain workere' compensation insurance, as required by'Sectio 3700 of the Labs Code, for il'performance o e work.for whieh.this permit is issued. y orkers' compensation OWNER -BUILDER DECLARATION insuranceiorand polio n barare:I hereby affirmunder`penalty of perjury that I am exempt from the Contractor's.State License Law for the Carrier DELOS INS Policy Number 04 12 8 following reason tSec..7031.5, Businessand Professions Code: Any city or county that requires a permit to _ I certify that, in the -perf an of.the work fjj'r which a rmi s I ued Irshall not employ any construct, niter, improve, demolish; or repair any structure, prior to its issuance, also requlres.the applicant for the permit to file asigned statement that he or sheds 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 Itaxempt therefrom and the basis for the alleged exemption. Anyviolation of'Section 7031.5 by any applicant for permit subjects the applicant to a civil penalty of not more than five:hundred dollars ($500).: (_) 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 Lew 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 It 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 am exempt under Sec. , 9.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a. construction, lending 'agency !or the performance of the work for which this permit Is issued (Sec. 3097, Civ. C.). Lender's Name; Lender's Address: LQPEAMIT person in any mei and agree that, it 3700 of the Labc tion laws of California, provisions of Section al; or lican WARNING: FAILU E TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (8100;000). IN.ADDITION TO THE COST OF COMPENSATION, DAMAGES.AS PROVIDED FOR IN SECTION 3708 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 ismade, each person at whose request and for whose benefit work Is performed under or pursuant.to any permit issued as a resuli of this application, the owner, and the applicant, each agrees to, and shell defend, indemnity and hold harmless the City of. La Quints, its officers, agents and employees for any act or omission related to the wor be performed under or following issuance of this permit. 2. Any permit issued as,a result of this application bec as null and void if work is not m ed within 180 days from data of issuance of such r , or. cessao of work 18 do s III subject permit to cancellation. j I certify that 1 have reed this application and state that tit e e Informs a�correct. r co 'ply with all city and untyordinanoes and St a laws relating to i rwnatructi ,arid hereb rep entatives o thi� ou to enter upon th 'a of pro rty or inspectio u A.: /Sign re (Applicant or Agent . Application Number . . . . . 11-00001284 Permit. . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 19.50 Plan Check Fee 4.88 Issue Date . . . Valuation . . 0 Expiration Date . . 5/27/12 Qty Unit Charge Per Extension BASE FEE 15.00 6.00 .7500 PER ELEC DEVICE/F.IXTURE 1ST 20 4:50 ----------------------------------------------------------- - Special Notes and Comments, - ELECTRICAL FOR WATERFALL, MIST SYSTEM & MISCELLANEOUS OUTLETS (6 TOTAL). 2010. CODES.' ------------------------------------------------------------- OtherFees. . . . . . . . . BLDG STDS ADMIN (SB1473) ---- 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 19.50 .00 .00 19.50 Plan Check Total 4.88 .00 .00 4.88 other Fee Total 1.00 .00 .00 1.00 Grand Total 25.38 .00 .00 25.38 LQPERMIT Bin # City Of Q[11t1 Bunding 8z Sdfety Diddon ; P.O. Box 1504, 78-495 Calle Tampico la Qulnta, CA 92253- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ,'(, `1 Project Address: " 6 % 1-571 1 S 0wner's Name: A. P. Number: Address: Cpl S r-17 Legal Description: City, ST, Zip: t �f"'Qtil, Contractor: )batvJp Telephone: Address: 7 , Y Project Description: L 2 G'F City. Vii'. Zip.= �t( -7 Z-4 AA T-5 �C Telephone:17 bd State Lip. # : Z City Lir #;- 0 Arch.. Engr.. Designer. Address: City, ST. Zip: Telephone: Coa4hvction Type: Occupancy: State Lip. #- Pmject.type (cttcle,one): New Add'n Apex Repair Demo Name of Contact Person: Sq. Ft.: # Stories: #'Units: Telephone# of Contact Petsw o 6 Tb Estimated Value of Proj 7 p p APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Ree'd TRACMG PERMIT FEES Plan Sets Pian Check submitted Nit Item Amount Straeturul Cates. Reviewed, ready'for correcdoas Plan Cheek Deponit Truss Cales. Called Contact Person Plan Cheek Balance Tide Caks. Plans picked up Construction Now plain plan Plans resubmitted Mechanical Grading plan r! Review. ready for eorrectioaslissue Metrial u S Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M:I. H.O.A. Approval Plant resubmitted Grading IN HOUSE:- '''.Review, ready for to.. tionarmue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permitissae School Fen Total Permit Fees 2 A U PA kit I V iko C) -0 tz Ila 0- OF J -Mal. k lj\ LV " Cj . ........... ....... N- 00, 31 - )e ON J dfF -ja I J_ a fr, J1 r 4-: 7:1 I e P7 NP on Tv + del F 7 P�l 'jdt 4p . . ................... . - 71