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BELC2016-004278-495 CALLE TAMPICO C� 0 V VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253. COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Walz. Application Number: BELC2016-0042 - Owner: nA Property Address: �, ,[J •TIME WARS 0 crc�c r�o�.�6P-�i� J1-- I APN: 41725 C00 Application Description: TIME WARNER CABLE/ PEDESTAL PALM DESE , CA 92260 Property Zoning: Application Valuation: $1,200.00 - "--- CITYOF(AQUINTA Applicant: ContractorCQMMUNPDEVELOPMENT DEPARTMENT COCHRAN COMMUNICATION CONSTRUCTION INC COCHRAN COMMUNICATION CONSTRUCTIO C 36630 CATHEDRAL CANYON DRIVE 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 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 �— �Date:� Y— Of- ZL Contractor: 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 ) 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 Add (760)328-6778 Llc. No.: 478543 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 ororkfor which this permit is issued. I have 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:_ 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, 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. 1-1, _ Date: Z,r Signature (Applicant or Agent) t' DESCRIPTION. FINANCIAL •• • ACCOUNT CITY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COCHRAN COMMUNICATION CONSTRUC CHECK R15004 10817 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00' DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE POWER APPARATUS 101-0000-42403 0 $24.17 $24.17 4/25/16 PAID BY. METHOD RECEIPT # _ CHECK # CLTD BY COCHRAN COMMUNICATION CONSTRUC CHECK R15004 10817 RSE DESCRIPTION ACCOUNT CITY ' AMOUNT PAID PAID DATE` POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 4/25/16 PAID BY = " METHOD RECEIPT # CHECK # CLTD BY COCHRAN COMMUNICATION CONSTRUC CHECK R15004 10817 RSE Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT • CITY AMOUNT. PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/25/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY COCHRAN COMMUNICATION CONSTRUC CHECK R15004 10817 RSE Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: TIME WARNER CABLE / PEDESTAL CONDITIONS Type: ELECTRICAL Subtype: Status: APPROVED Applied: 4/25/2016 RSE Approved: 4/25/2016 RSE Parcel No: Site Address: , Subdivision: Block: Lot: 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 APPLICANT Details: 100 AMP METTER PEDESTAL. 2013 CALIFORNIA BUILDING CODES. 36630 CATHEDRAL CHRONOLOGY CONDITIONS CONTACTS .., IVAM� �''� W�, � �� "° 'AbDRE5S1 „„ CITY STATE ZIP PHONE FAX EMAIL APPLICANT COCHRAN COMMUNICATION 36630 CATHEDRAL CATHEDRAL CA 92234 (760)328-6778 CONSTRUCTION INC CANYON DRIVE CITY CONTRACTOR COCHRAN COMMUNICATION 36630 CATHEDRAL CATHEDRAL CA 92234 (760)328-6778 CONSTRUCTION INC CANYON DRIVE CITY Printed: Monday, April 25, 2016 9:11:07 AM 1 of 2 SYSTr: AAS INSPECTIONS ATTACHMENTS Printed: Monday, April 25, 2016 9:11:07 AM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY COCHRAN BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 4/25/16 R15004 10817 CHECK COMMUNICATION RSE CONSTRUC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: -COCHRAN POWER APPARATUS 101-0000-42403 0 $24.17 $24.17 4/25/16 R15004 10817 CHECK COMMUNICATION RSE CONSTRUC COCHRAN POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 4/25/16 R15004 10817 CHECK COMMUNICATION RSE • CONSTRUC Total Paid for ELECTRICAL: $48.34 $48.34 OCHRAN PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/25/16 R15004 10817 CHECK COMMUNICATION CO RSE NSTRUC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $141.19 $141.19 INSPECTIONS ATTACHMENTS Printed: Monday, April 25, 2016 9:11:07 AM 2 of 2 SYSTEMS -Bin # Perm#f I,C.2a..1:6 o b Liz t� Project Address: qro&�-, des(, , A. P. Number. City of La Quinta Building U Safety Division P.O. Box 1504 78-495 Calle Tampico La Quinta, CA 92253 Building Permit Application and Tracking Sheet oak G M owner's Name: TIME W.4fl/YER choLz Address: W/7,?5 C D D fK S T City,ST, zip: P/IL/Y DfSf R T 92ZCO Contractor: CQCLJRA IY Co MN C DNS T > ...... i 'Triss:l Title Z, >.Seltool SIliit$! C3Y.Bn W orke Plaaai Telephone: J1 zo — /Z Project Description: 100 IgMP METE) P,El7f5T,4L Construction Type: ILIA Occupancy- Project ccupancyProject type (circle one):New Add'n Alter Repair • Demo Sq. Ft.. # Stories: # Units: Estimated Value of Project: I2 0 7) ...:BI..::.:::.:::._::::::::.:::::::::::::.:.......:.::::.::::::.::.::::::::.:._:.::.:::.::.............. Ag.: ppr......::.; :.:;::::::: ::..:::.::.::•:•� .;• �;:.:;.;:.;...... bsE� a�#f�;imptctioe:::> :; :;::.; .: ; ; :..::. '�v�#i�ermti T�`cea N RECEIVE® -(not to scale) Thomas Guide APR 2 5 2016 849 H-1 'jUlNTA COCHRAN COMMUNICATIONS CONSTRUCTION COM vi -,; ^; ^�'@��fVT r 36-630 Cathedral Canyon Drive Cathedral City, CA 92234 for TIME WARNER CABLE La Quinta Replace Old CATV 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 C J .O 0 L �` Miles Ave CATV Pedestal New 100 Amp CATV Pedestal Meter # AR1 B4 3362 45005 Coldbrook Ln Sun Brook Ln