BELC2016-0035Tay, 4 4-0amro*
78.495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT -DEPARTMENT
BUILDING PERMIT
Application Number: BELC2016-0035 Owner:
Property Address: 79195 RANCHO LA.QUINTA DR HUGH JONES
APN: 602100003
Application Description: HUGH JONES/ REPLACE ELECTRICAL PANEL , 92253
Property Zoning:
Application Valuation: S7S0.00
VOICE, (760)777-7126
FAX (760) 777-7011
INSPECTIONS (760) 777.7153
Applicant: Contractor:
INDEPENDENT ELECTRIC INDEPENDENT ELECTRIC
82-57S AVENUE 62 82-575 AVENUE 62
THERMAL, CA 92274 THERMAL, CA 92274
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 Olvislon 3 of the Business and Prof ssions
and'my License is in full force and effect.
License Class: C.]0 License No.: 936237 / / �
. OWNER-6ULLDER DECLARATION /
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Ser- 70315, Business and Professions Code: Any
city: or county that requires a permit to construct, after, Improve, demolish, or repair
any structure,,prlor 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 (commending with Section 7000) of Division
3 of the Business and Professlons.Code) or that he or she Is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 70315 by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
(SSW).:
(__}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.).
(_J 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project (Sec. 7044, Buslness and Professions Code: The Contractors'
State license Law does not apply to an owner of property who builds d improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
the Contractors' State Ucense Law.).
(_J 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:
(760)578-4707
lic. No.: 936237
Date: 4/6/2016.
WORKER'S COMPENSATION DECLARATION
i hereby affirm tinder penalty of perjury one. of the following declarations:
_ I have and will maintain a certificate of consenvto self -Insure for workers'
compensation, as'provlded for by Section 3700 of the Labor Code, for the performance
of the work for which this permit is Issued.
_ 1 have and will maintain workers' compensation Insurance, as required by
Section 3100 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:
carder.- Policy Number._
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, IN uld become subject.to the
workers' compensation provisions of Section 3 the bor Code, l ail fo ith'
ceimmply with those provisions. _
DVice` Appllca
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,600). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEYS FEES.
APPUCANT ACKNOWLEDGEMENT
IMPORTANT: Application Is hereby made to the'8ulkfing'Officlalfora 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 resultof thlsapplication , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La.Ctuinta, its officers, agents, and
employees for any actor omission related to the work beingperformed 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 above Information iect
I agree to comply with all city and county ordinances a=9�
relating todl
construction, and hereby authorize representatives.of t
above-mentioned property for inspection purposes.
Dfte. Signature (Applicant or Agent�
�01
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Description: HUGH JONES / REPLACE ELECTRICAL PANEL
Type: ELECTRICAL
Subtype:
Status: UNDER REVIEW
Applied: 4/6/2016 RSE
Approved:
Parcel No: 602100003 Site Address: 79195 RANCHO LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 27840
Block:
Lot: 56
Issued: ,
Lot Sq Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $750.00
Occupancy Type:'
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: ELECTRICAL PANEL CHANGE OUT 200AMP LIKE FOR LIKE. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, April 06, 2016 8:25:15 AM 1 of 2.
SYSTEMS
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INSPECTIONS . . ....
PARENT PROJECTS
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INPORMATION,
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DESCRIPTION..
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-�ACCOU
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Z. -,,PAID,-',,
PAID
ID_ ATE.
;�'RECEIP' 174
I
CHECK #'
METHOD-
PAID -BY
-BY,
4,
SERVICES
101-0000-42403
0
$14.17
$0.00
SERVICES PC
101,0000-42600
0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
s0-00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $129-11 $0.00
INSPECTIONS . . ....
PARENT PROJECTS
Printed: Wednesday, April 06, 2016 8:25:15 AM. 2 of 2 CRWYSTEMS
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ell
FAW'444 F�F,7
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INPORMATION,
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7
ATTACH
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Printed: Wednesday, April 06, 2016 8:25:15 AM. 2 of 2 CRWYSTEMS
Bulkr�pg a. Silky Division .
P.O. Box 1504,78-495 Calle Tampico,
La.Quinta, CA 92253 - (760) 777-7012
35- " Building Permit Application and Tracking Sheet
Permit #
16 —
Project Address.
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'Owner's Name:.K V
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A. P. Number <)r1Z
Legal Descripti 1.10,"
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City, ST, Zip: (,✓, 27 3
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Project Description:
City, ST, Zip: ('o*,Ci,
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State ic. # :
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Arch., Engr., Designer
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Address:
City., ST, Zip:
Telephone:
Slate Lic. #:�`»
Name of Contact Person:
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Construction TyPe:. e d OcattPancy:
Project type (circle one): New Add'n Alter Repair) Demo
Sq. FL: ®,
# Stories: ,
# Units:
Telephone # of Contact Person:
Estimated Value of Project: `� a
# Submittal Req'd
APPLICANT: DO NOT WRITE BELOW THIS UNE
Reed TRACKING PERMIT FEES
Plan Sets
Plan Cheek submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs•
Called Contact Person
Plan Check Balance..
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted, .
Mechanical
Grading plan
2•' Review, ready for correctionVissue
Electrical
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
P1ans.paeked up
S M.L
ILO.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
''d Review; ready for corrections/issue
Developer L•-tpact Fee
Planning Approval.
Called Coutact Person
A:LP.P.
Pub. Wlcs. Appr
Date of permit issue
School Fees
Total Pernit Fees