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06-1330 (ELEC)4 P.O. BOX 1504 VOICE (760) 777-7012 114 Q9 78-495 CALLE TAMPICO - FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT' INSPECTIONS (760) 777-7153 - BUILDING PERMIT Date: -3/31/06 Application Number: 06-00001330�`�. Owner: ° Property Address: 58745-QUARRY-RANCH RD - _ ti .- QUARRY RANCH . APN: -766-060-037- - - 41865 BOARDWALK NO 214. Application description: ELECTRICAL PALM DESERT,, CA-92211 Property Zoning: _ _LOW DENSIT_Y-RESIDENTIAL •ti . Application valuation: 2500 " �.� • ,. .. _ .� ' • D - 006 : } �µ- .-. g.. Contractor: Applicant: , Architect or Engineer: HEGGE ELECTRIC, DON PALM 2DESERTRYCAL9221D CI QF1�©gyp?' ' (760)770-0775 ` :Lic. No.. 49194 , - -----=----=------ - - - - -- - - - -- ° — — — — — — — — - — — — — — — . - LICENSED CONTRACTOR'S DECLARATIONWORKER'S COMPENSATION DECLARATION - hereby affirm under penalty of perjury that I am licensed and r provisions of Chapter 9 (commencing with I herebyaffirm under penaltyof perjuryone of the following declarations: Section 7000) of Division 3 of the Bu nes nd Professi nal Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers' compensation, as provided License Class: C10 , pro No.: 491949 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is , issued. Date Contractor: — I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor �-• ^—T —"- Code, for the performance of the work for which this permit is issued. My workers' compensation . OWNER-BUILDER DE • ATION - insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier PREFERRED INS Policy Number WKN1247351 r following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manne s to become subject to the workers' compensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I ould b me subject to he orkers' compensation provisions of Section • ,, License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) nor 3700 of the Labor C e I sha 'North co with those provisions. .r that.he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 .by ---yyy ���/// I sha any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001.: LDat • Applicant: (_) 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVER EIS UNLAWFUL, AND SHALL . Contractors' State License Law does not applyto an owner of property who builds or improves thereon,_ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the -DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - 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.). • APPLICANT ACKNOWLEDGEMENT - (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, ( '• 1 I am exempt under Sec. - , B.&P.C. for this reason ithe 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. ' Date: ..Owner: • \ , 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 0 CONSTRUCTION LENDING AGENCY - • ' permit to -cancellation. ,.' I hereby affirm under penalty of perjury that there is a construction lending agency for,the performance of the I certify that I have read this application and state thtabo rmation is orr t. I agree to comply with allwork for which this permit is issued (Sec. 3097, Civ. C.). - ' �� city and county ordinances and state laws relatirig toction, and her y authorize representativesof this unt to enter upon the above-mentioned proon purp es.Lender's Name:- - e. - Date:Signature (Applicant or AgentLender's Address: - - - - - LQPERMIT LQPERMIT . Application Number . . . . . 06-00001330 Permit . .. . ELEC-MISCELLANEOUS Additional desc . Permit Fee 33.50 Plan Check Fee .00 Issue Date . . . Valuation . . 0 Expiration Date 9/27/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000.EA ET,RC. SVC. <_FnnV/e_q.nnA 18.50 • ---------------------------------------- Special Notes and Comments ----------------- ------------------- 100 AMP POWER PEDASTAL FOR LIGHTING/SECURITY CAMERAS Fee summary Charged Paid Credited Due ' ------------------ ---------- ---------- Permit'Fee Total 33.50 ----------- :00 .00 ---------- 33.50 Plan Check Total .00 .00 .00 00 Grand Total 33.50 .00 .00 33.50 �c LQPERMIT . I -11 Bin # City of La Quinta Building U Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 • Building Permit Application and Tracking Sheet Permit # e Project Address: 7 1/6 Q U S) b Owner's Name: A. P. Number: Address: Legal Description:. City, ST, Zip; Contractor: Telephone: _ Q� Address: �? (p C C Project Description: (- City, ST, Zip: l Q asy Ct�N­ 12-7-1( A L, Telephone: 2-6-2) State Lic. # : C CityLic. #: Arch., Engr., Designer:. Address: City, ST, Zip: Telephone:. ". Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: Z,SOQ J` APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG . 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 Calcs. Plans picked up Construction. Flood plain plan Plans resubmitted Mechanical Grading. plan' 2°" Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- 7rd Review, ready for correctionsrssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees