BELC2015-005244. VOICE (760) 777-7125
78 495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENTINSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/16/2015
Application Number: BELC2015-0052 Owner:.
Property Address: 55700 PINEHURST . BRUCE TITUS `
APN: 775241010 550700,.PI N H U RST
Application Description: REPLACE 400 AMP METER SAME FOR SAME " LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $4,000.00
Applicant:
G & M ELECTRIC OF THE DSRT-INC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
Contractor.
G &'M'ELECTRIC OF THE DSRT INC
0 OUTSIDE•'CITY LIMITS
LA QUINTA, CA 92253
(760)202-7.420
Llc: No.::LIC=0105528
------------------------------------------------1---------------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed un r provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Busine s and Professions Code, . I have and will maintain a; certificate of consent to self -insure fo
and my License is in full force and effect. compensation, as provided•for by Secti6n.3700 of the Labor Code, for the
License Class: _ License No.::LIC-01055 of the work for which this permit is issued..
I have and will maintain -workers' compensation insurance, as r
ate: , / T Contractor: Section 3700 of the Labor Code, for the',performance of the work for which
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:
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 informati is correct.
I agree to comply with all city and county ordinances and s to laws relatin to building
construction, and hereby authoriie.representatives of this ci , to enter upon the above-
entioned property for inspection purposes. I
te: / G Signature (Applicant or Agent): IUI
r workers'
performance
squired
this permit
is1ssued. My workers compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier:— Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in'the.performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business:and Professions Code: Any
shall not employ any person in any manner so as to becom ubject to the workers'
city or county that requires a permit to construct,.alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should come subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Sect' n 3700 of the or Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of.the
comply with those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
of the Business and Professions Code) or,that he or she is exempt therefrom and the
ate: 7 (� (� Applicant:
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for
permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO .
(� I, as owner of the property, or my employees with wages. as their sole
ONE HUNDRED T.HOUSANDZOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State. License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that:
the conditions and restrictions set forth on this application.
he or she did nofbuild or improve for the purpose of sale.).1—Each
personupon.whose behalf this application is made, each person at whose
(� I, as owner of the property, am exclusively contracting with licensed contractors
,request and for whose be`nefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044; Business and Professions Code: The Contractors'
issued -as a result:of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shalt defend, indemnify and hold harmless the City of La Quinta, its officers; agents, and
thereon, and who contracts for the projects with a tontract6r(s) licensed pursuant to
employeee,for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of, this. permit.
(_) I am exempt under Sec. B.&P.C. for this reason
2. Any permitissued as a result of this application becomes null and void if work is
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:
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 informati is correct.
I agree to comply with all city and county ordinances and s to laws relatin to building
construction, and hereby authoriie.representatives of this ci , to enter upon the above-
entioned property for inspection purposes. I
te: / G Signature (Applicant or Agent): IUI
�d 4`n�•:-Y . '- 'Si`Ces:-a,IjiPi'�fefi1 3iaW?Wb -.": Y:73�, t < � 4 , .,Y2 r, 'lF�. 3Y .,.1''L riaJA.iliR7�`hMF%}a4;
vs"` DESCRIPyTIONo� asiz,'' >` s' p ^ qr- „ACCO.IINTr r^'^giQTYAMOUNT PAID{; PAID„7DATE
�O'.f!.�zl.":,. 'c i2_`h'h;;;,r£1"ttir�"S�6�A �'!�:�'A '.'�'."-'YW� k��.t ...A°'�.sti.+4sr'�.'Y'.1's'\':: `.:...NS:i*bt E��.e?: v�..�. 9 ;iES:?Y�.�."��: d�t....,..:':v'hY. '.7.'S7J:tia
BSASSB1473 FEE 101 0000-20306 .:.
0
$1.00 . J $0.00
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Y�y�PAID'BY���yyy -F -i
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'Y , ki.fi,;ti'�4: r+ttti
81 80Y BY
1:Ytt,^ui:rtr..
Total Paid`forBUILDING STANDARDS•ADMINIST•RATION BSA: ' $1.00. $0.00
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`Y"�l,ff'
�,[,,,-+�';r.ACr000NT }4„„I4N,r��a;�AMOUNT
ajj'yN � �i�
,'..:",�y
SERVICES
1010000-42403
0
$24.17 -
$0.00
s �(7�"+ �5=.'t -, h'::''�i,�' � S: f ve4 @»��_^i) ty`e. h.. t• .' '�'n�h. x't �c; '3
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i� � r 55' '"VA.sYf�:ioi'�^. i Sr��l7
a+."F';y �."g"wY''�r.L!5')i�'I f i5".'b.
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'
QTYLMEMO%;
..Y!'�i�.:ln'�ai
MEMOVIOUN
PAID
aFA. `D
SERVICES PC .. _
101 0000=42403 ;
K 0
$12.09
$0.00
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a:s � �+.l,a�.�„ s �-
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METHOD °' ,*�f
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Total Paid forELECTRICAL: $36.26 $0.00
v �j+�3h`f•�:'J.d%SG.�••
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,PAID <
'$�hE+P".6Y.u�t:�tt5'I�:r.'i:
PAID DATE?
PERMIT ISSUANCE
101 0000=42404
0 01.85'
s �� P.AIDs$Y� '�
�'S METHOD i
k "RECEIPTS#
i�tu��s'�,;;tws
H CHECK # c'acLTD�BY
aswc, vw_w.-3,�,.,_�rm
u
.N Total Paid for MIT ISSUANCE $91 85 $0.00.
j .11C • ���� ,
Description: REPLACE 400 AMP METER SAME FOR SAME
Type: ELECTRICAL Subtype: Status: UNDER REVIEW
Applied: 7/16/2015 PJU
Approved:
Parcel No: 775241010 Site Address: 55700 PINEHURST LA QUINTA,CA 92253
Subdivision: TR 21381-1 CM 059/074 SEE ASR MB Block: Lot: 1
Issued:
769/41 FOR CM
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE EXISTINGA 400 AMP METER SAME FOR SAME. 2013 CBC.
Printed: Thursday, July 16, 2015 10:56:37 AM 1 of 2 CRWYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE " 1 NAME �ADDRES51 k ""CITY
:STATE,
ZIP? PHONE `" FAX =''F 'EI111AIL
APPLICANT
G & M ELECTRIC OF THE DSRT INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
G & M ELECTRIC OF THE DSRT INC
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
BRUCE TITUS
550700 PINHURST
LA QUINTA
CA
92253
Printed: Thursday, July 16, 2015 10:56:37 AM 1 of 2 CRWYSTEMS
Printed: Thursday, July 16,2Oz51O:5§:]7AM 2of2 CRWSYSTEMS
INSPECTIONS
PAID
TE-,
RECEI
ELECTRICAL FINAL"
BLD
SERVICES
101-0000-42403
0
$24.17
$0.00
S ERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid forELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $129.11 $0.00
Printed: Thursday, July 16,2Oz51O:5§:]7AM 2of2 CRWSYSTEMS
INSPECTIONS
ELECTRICAL FINAL"
BLD
Printed: Thursday, July 16,2Oz51O:5§:]7AM 2of2 CRWSYSTEMS
Bin #
;.
"`City or La Quinta
Building;8t Safety. Division
P.O Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
Building `Permit ;Application and Tracking Sheet.?
Permit #
--
oject Address:
r —! �� ` $PL!/GE J -17-v5
wner's Name:
A. P. Number: Address: 55-,7DO /��uL AlU/LST
Legal Description: City; ST, Zip: `,A Qt//ivr .. /�lsil 1VL'S%
ontract r. O'n GN► fiC
AICLd
Address: �� S8 i0�,.t �C�:a�AfE LN oject Description: ?4A CG lG f f' T IeV�
City, ST, Zip: �/STH'f.Ddi�lL -.<—,V1 i C., JM,S5711.C_ A AAf 4 i %�'1. P -T £ A L
Telephone: d 42 � .
A' L 0 o .
T GAY
S 7
tate Lic. #:: ,�y 14-56 ity Lic. #.: 01552' f '
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
e one:
P
Cn'tr ucti n TY e: :
P Occupancy: Y
Alter Repair
Demo hPa circle one): New Add'n
State Lic. #•
Name of Contact.Person: Sq. Rt.:
#Stories:
#Units:
Telephone # of Contact Person: stimated Value of Project:
APPLICANT: DO NOT RITE BELOW .TIiIS LINE
#
Submittal
Req'd
Recd
1 TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amou'nt'..
Structural Cales.
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
god 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