07-1671 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001671
Property Address: 81591 RICOCHET WY
APN: 767-200-999-29 -312021-
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 100
Applicant:
Ihereby affirm under penalty of perjury
Section 7g00) ofgDivision 3 of the Bush
T4t�l
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Architect or Engineer:
0 lA
commencing with
full force and effect.
OWNER -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 ($5001.:
(_) 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.).
(_) 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.I.
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
AL POSTI
81591 RICOCHET WAY
LA QUINTA, CA 92253
(760)777-9920
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
6/07/07
Contractor:
ARTISTIC LANDSCAPE INC.
78206 VARNER RD, #D PMD244
PALM DESERT, CA 92211
(760)360-1395
Lic. No.: 379421
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.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance f he work for which this permit ' issued. My workers' compensation
insurance carrier and poli y tuber are:
Carrier SIRIUS AMERICA 7 T Policy Number lI 1 000546
certify that, in the pert ma a of the wo k for w i h th" r tis issued, I shall not employ any
person in any manne so to becom ubje the rker ' compensation laws of California,
a9d agree that, if I o become su ect to e w r rs' c mpensation provisions of Section
)O}pf th�bor ,6shall fo w mply " h th provisions.
WARRING: 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 issuanc f this permit.
2. Any permit issued as a result of thi plication becomes null and id if work ' n t com enced
within 180 days from date of is ce of such permi or cess ion of wor or 80 d swill subject
permit to cancellation.
I certify that I have read this application ori tate that the ov inform ion is carr t. agree t comply with all
city and county rdinances and state law elating to bui g nstruc n nd h e authoriz representatives
of thj�xpnty tenter upon the abgle tioned prop y r insRpc o purp es
Application Number
07-00001671
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 15.75 Plan Check.Fee
3.94
Issue Date . . . . Valuation . .
. 0
Expiration Date 12/04/07
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
.75
------------------------------------------------------------=---------------
Special Notes and Comments
INSTALL ELECTRICAL LINE TO POWER
COURTYARD FOUNTAIN. UNABLE TO VERIFY
CONSTRUCTION DETAILS OF 12 L.F. 4 -
EQUIPMENT WALL.
Fee summary Charged Paid Credited
-----------------
Due
--------------------------------------
Permit Fee Total 15.75 . .00 .00
7 -
15.75
Plan Check Total 3.94 .00 .00
3.94
Grand Total 19.69 .00 .00
19.69
LQPERMIT
Bin #
City of La . Quinta
Building a Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit. Application. and Tracking Sheet
Permit # ^ 1
1�
Project Address:' fi e
Owger's Name: L p�
A. P. Number.
Address: 5 - LAG fit/
Legal Description:
Contractor: 1 �1 % r
Address: IMJ Z
City, ST, Zip: Qtt�l1 .
Telephone:'''
Project Description: tr0 t L �C I
City, ST, Zip: • B ZZ
Telephone: 60 28 51 g 6 1"
ao 1.OVA, V
State Lic. # Z27 2
City Lie. #:/,:7)
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: im� 4
State Lic. #:'�-' :.. x�i'w � `'�.
�..
Name of Contact Penson:VA. lz� i,t j -1
Construction Type. Occupancy:
Project type (circle one): New Add, n Alter Repair Demo
Sq. Ft:
# `Stories:
# Units:
Telephone # of Contact Person: y95 %
.. . q_ .6 _ ...... ... L%y Z q t
Estimated Value of Project: _ .. .
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan'
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Pians picked up
SALL
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