BELC2016-004978-495 CALLE TAMPICO• C` 0 D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT NS ON•S-(7.60..)- 53
BUILDING PERMIT D nDate: 16
Application Number: BELC2016-0049 Owner: MAY
3 1 2016
3 1/ 16
Property Address: 79750 QUARRY LN QUARRY AT LA UI TA INC
APN: 766050004 1QUARRY , CITYOFLAQUINTA
Application Description: QUARRY / 100 AMP METER PEDESTAL LA QUINTA, CA 1NITYDEVELOPMENTOEPARTMENT
Property Zoning:
Application Valuation: $1,200.00
Applicant:
COCHRAN COMMUNICATION CONSTRUCTION INC
36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY, CA 92234
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 Professions Code,
and my License is in full force and effect.
License Class: C-7 License No.: 478543 /� A
Date: Contractor:
r .-
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
($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 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.).
(_) 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 Na
Lender's
Contractor:
COCHRAN COMMUNICATION CONSTRUCTION INC
36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY, CA 92234
(760)328-6778
Llc. No.: 478543
WORKER'S COMPENSATION DECLARATION•
I hereby affirm under penalty of perjury one of the following declarations: I,
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, ojk for which this permit is issued.
�" cve 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: IPolicy 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, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant:
WARNING: 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 Building Official 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 I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes. Lk _
Date: S� Signature (Applicant or Agent) a
. l
FINANCIAL INFORMATION
DESCRIPTION `4 ACCOUNT s, 4 `,
-: QTY; AMOUNT P.'` PAID
q,
PAID yDATE i
s
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00
5/31/16
Fo-gMETHODx+;RECEIPT,# CHECK# z
CLTDBYr"
,r�s`�PAID:BY T` B
•
COCHRAN COMMUNICATION CONSTRUC CHECK R15894 10906
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:'..$1.00 $1.00
' DESCRIPTION ;s
` 'aACCOUN
QTY
r AMOUNT+-.'"
gPAIDt;, ; #,:,,
PAID DATE
SERVICES
101-0000-42403
0
$24.17
$24.17
5/31/16
PAID BY *
Pf MTIiODy °
-f,Y RECEIPT#
#
CLTD BYE'
.:"
x
$CHECK
COCHRAN COMMUNICATION CONSTRUC
CHECK
R15894
10906
SKH
7.4
Tel
QTY,
AMOUNT' <�
a
1' _ '`"'
PAID DATE,
r".DESCRtPTION'w
>
jPAID
SERVICES PC
101-0000-42600
0
$12.09
$12.09
5/31/16
*{� r tai PAID -6Y F-'
; . ; 4, METHOD`
;`RECEIP,T # r,c
"' # `'
"=CLTD BY '
i
,CHECK
COCHRAN COMMUNICATION CONSTRUC
CHECK
R15894
10906
SKH
.Total Paid for ELECTRICAL: $36.26 $36.26.
�� -,DESCRIPTION `~
" ACCOUNT
`
QTY
.;� AMOUNT ' "
- �4AID
PAIDDATE'
.
I
PERMIT ISSUANCE
101-0000-42404 '
0
$91.85
$91.85
5/31/16
.,t'n=''PAID BY'� J. ,f
METHOD
RECEIPT # p ."s..
CHECK # 6
CLTD
COCHRAN COMMUNICATION CONSTRUC
CHECK
R15894
10906
SKH
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
Description: QUARRY/ 100 AMP METER PEDESTAL
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 5/31/2016 SKH
Approved: 5/31/2016 SKH
Parcel No: 766050004 Site Address: 79750 QUARRY LN LA QUINTA,CA 92253
Subdivision: TR 27728
Block: Lot: 66
Issued:
Lot Sq Ft: .0
Building Sq Ft:0 Zoning:
Finaled:
Valuation: $1,200.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 100AMP METER PEDESTAL. 2013 CALIFORNIA BUILDING CODES.
CONSTRUCTION INC
Printed: Tuesday, May 31, 2016 11:39:09 AM 1 of 2 er
SYSTEMS
CONTACTS
NAME TYPE:
NAME _
ADDRESS1 : _
CITY
STATE ZIP PHONE
FAX EMAIL:.
APPLICANT
COCHRAN COMMUNICATION
36630 CATHEDRAL
CATHEDRAL
CA 92234 (760)340-1312
CONSTRUCTION INC
CANYON DRIVE
CITY
CONTRACTOR
COCHRAN.COMMUNICATION
36630 CATHEDRAL
CATHEDRAL
CA 92234 (760)340-1312
CONSTRUCTION INC
CANYON DRIVE
CITY
OWNER
QUARRY AT LA QUINTA INC
1QUARRY
LA QUINTA
CA 92253 (760)340-1312
Printed: Tuesday, May 31, 2016 11:39:09 AM 1 of 2 er
SYSTEMS
DESCRIPTION
ACCOUNT
CITY
AMOUNT.
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
COCHRAN
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
5/31/16
R15894
10906
CHECK
COMMUNICATION
SKH
CONSTRUC
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
COCHRAN
SERVICES
101-0000-42403
0
$24.17
$24.17
5/31/16
R15894
10906
CHECK
COMMUNICATION
SKH .
CONSTRUC
COCHRAN
SERVICES PC
101-0000-42600
0
$12.09
$12.09
5/31/16
R15894
10906.
CHECK
COMMUNICATION
SKH
CONSTRUC
Total Paid for ELECTRICAL: $36.26 $36.26
COCHRAN
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
5/31/16
R15894
10906
CHECK
COMMUNICATION
SKH
CONSTRUC
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $129.11 $129.11
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, May 31, 2016 11:39:09 AM 2 of 2
SYSTEMS
N
(not to scale)
Thomas Guide
849 F4
COCHRAN COMMUNICATIONS CONSTRUCTION
36-630 Cathedral Canyon Drive
Cathedral City, CA 92234
for
TIME WARNER CABLE
La Quinta
Replace Old CAN 100 Amp Pedestal
Co Ordinate with IID to De Energize Existing 100 Amp Pedestal
Time Warner Cable to Keep System in Operation with the Use of a Generator
City of La Quinta to Inspect Cabinet Grounding
City of La Quinta to Call IID for.Same Day Reconnect for New Pedestal
Co ordinate with IID to Re energize New Pedestal
The Quarry
Parking
Driveway
Remington Dr
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Ex IID Transformer
UN 1090306V
CITY OF LA QUINTA
BUILDINGG& SAFETY DEPT.
P 6� I-1 0 'iY E D
FOR CONSTRUCTION
DATE BY
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