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BELC2016-0043- xt 78-495 CALLE TAM PICO D �ItiNNCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BELC2016-0043 43131 CORTE DEL ORO 609610058 TIME WARNER CABLE/ PEDESTAL REPLACEMENT r' $1,200.00 Applicant: COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 • ASR 2 5 2C":o CITY OF LAQUINTA nfit]TAflF 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: Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). 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 (See. 3097, Civ. C.). Lender's Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/25/2016 Owner: TIME WARNER CABLE _. 41725 COOK ST ' PALM DESRT,CA 92260 t Contractor: COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRALCANYON 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 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 a ,ey ork for 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 polity 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: 1/'L-C__A 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. Date: I/r ' 6 Signature (Applicant or Agent) FINANCIAL •• !. DESCRIPTION ACCOUNT QTY 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 R15005 10818 RSE Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION.. ACCOUNT QTY 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 R15005 10818 RSE DESCRIPTION ACCOUNT QTY. 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 R15005 10818 RSE Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY 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 R15005 10818 RSE- Total Paid for PERMIT ISSUANCE: $91.85 $91.85 • ! Description: TIME WARNER CABLE / PEDESTAL REPLACEMENT IVP1'ME IYwE"" � NAME ...... .... " ........ Type: ELECTRICAL Subtype: Status: APPROVED Applied: 4/25/2016 RSE Approved: 4/25/2016 RSE Parcel No: 609610058 Site Address: 43131 CORTE DEL ORO LA QUINTA,CA 92253 Subdivision: TR 29323-3 Block: Lot: 12 Issued: ' Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,200.00 Occupancy Type: Constructiod Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CATHEDRAL CITY Details: 92234 (760)340-1312 OWNER CHRONOLOGY CONDITION§ IVP1'ME IYwE"" � NAME ...... .... " ........ A�DRESSl7CITY STATE ZIP � PHONE � FAX EMAIL APPLICANT' COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRALRAL CANYON DRIVE CA .92234 (760)340-1312 CONTRACTOR COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY CA 92234 (760)340-1312 OWNER TIME WARNER CABLE 41725 COOK ST PALM DESRT CA j 92260 j (760)340-1312 FINANCIAL INFORMATION Printed: Monday, April 25, 2016 9:33:39 AM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY COCHRAN BSAS 561473 FEE 101-0000-20306 0 $1.00 $1.00 4/25/16 R15005 10818 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 R15005 10818 CHECK COMMUNICATION .RSE CONSTRUC COCHRAN POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 4/25/16 R15005 10818 CHECK COMMUNICATION RSE CONSTRUC Total Paid for ELECTRICAL: $48.34 $48.34 COCHRAN PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 4/25/16 R15005 10818 CHECK COMMUNICATION RSE, CONSTRUC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: S14l.i9 5141.19 NAKEN I PRURL I S Printed: Monday, April 25, 2016 9:33:39 AM 2 of 2 SYSTEMS File Edit List Commands Help. uwaARwPuguc SECTOR - ' Plaviune Application Miscellaneous Information Maintenance Application number: 04 00004767 APN: 609-380-997-12 -293233- Address: 43131 CORTE DEL ORO 6/03/0,4111Y 11100. AMP METERPEDESTAL Highlighted 'Code' field indicates the line is not available for List selection. 0 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 Coordinate with IID to Re energize New Pedestal (,atc 4rracc rnrlA + 43131 Corte Del Oro Meter # 164 8206321 ` O CAN Pedestal N Z W ca I (not to scale) o Z O Thomas Guide N j 819 J-6 LULU 3- G LL - COCHRAN COMMUNICATIONS CONSTRUCTION Drive 23— p 36-630 Cathedral Canyon Q Z Cathedral City, CA 92234 for C>� TIME WARNER CABLE La Quinta - Esplanade 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 Coordinate with IID to Re energize New Pedestal (,atc 4rracc rnrlA + 43131 Corte Del Oro Meter # 164 8206321 ` O CAN Pedestal