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BELC2015-003578-495 CALLE TAMPICO D �� VOICE (760) 777-7125 .4 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT j1 ,I Date: 5/5/2015 Application Number: BELC2015-0035 u Owner: Property Address: 46770 CAMEO PALMS DR AIM EVANS APN: 643194003. MAY ®546770 CAMEO PALMS DR Application Description: EVANS RESIDENCE/ELECTRICAL PG ADE 2015 LA QUINTA, CA 92253 Property Zoning: CDM CITYOF(Fi�U(�jTA Application Valuation: $1,200.00 MDNIT DEVE, t QUINTPART MENT Applicant: Contractor: SOUTH - COAST ELECTRIC 'SOUTH - COAST ELECTRIC 52471 AVENIDA MARTINEZ 52471 AVENIDA MARTINEZ LA QUINTA, CA 92253 LA QUINTA, CA 92253 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: C10 License No.:86 6 Date: S — Contracto . 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).: (J 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 Lender's Address: (760)777-2518 Llc. No.: 986346 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: .1 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 work 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 policy number are: Carrier: _ Polity 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. �W,�'—_ 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 beirig 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 ity to enter upon the above- mentioned property for inspection purposes. Dater —k 7 Signature (Applicant or Agent) FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOUTH - COAST ELECTRIC DEBIT R5822 MFA Total Paid'forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $24.17 5/5/15 PAID BY METHOD. RECEIPT`# CHECK # CLTD BY SOUTH - COAST ELECTRIC DEBIT R5822 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-02403 0 $12.09 $12.09 5/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOUTH - COAST ELECTRIC DEBIT R5822 MFA Total Paid forELECTRICAL: $36.26 $36.26 DESCRIPTION ACCOUNT • QTY AMOUNT. PAID .. PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/5/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOUTH - COAST ELECTRIC DEBIT R5822 MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 Description: EVANS RESIDENCE/ELECTRICAL UPGRADE CONDITIONS Type: ELECTRICAL Subtype: Status: ISSUED Applicd: 5/5/2015 MFA Approved: 5/5/2015 MFA Parcel No: 643194003 Site Address: 46770 CAMEO PALMS DR LA QUINTA,CA 92253 Subdivision: TR 2117 Block: Lot: 58 Issued: 5/5/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,200.00 Occupancy Type: Construction Type: Expired: 11/1/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: 200 AMP PANEL UPGRADE 2013 CALIFORNIA BUILDING CODE FAX CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOUTH - COAST ELECTRIC 52471 AVENIDA MARTINEZ LA QUINTA CA 92253 (760)564-4218 CONTRACTOR SOUTH - COAST ELECTRIC 52471 AVENIDA MARTINEZ" LA QUINTA CA 92253 (760)564-4218 OWNER AIM EVANS 46770 CAMEO PALMS DR LA QUINTA CA 92253 (760)564-4218 FINANCIAL INFORMATION Printed: Tuesday, May 05, 2015 2:15:40 PM 1 of 2 SYSTEMS INSPECTIONSTOTALS: SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # 'METHOD PAID BY BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/5/15 R5822 DEBIT SOUTH - COAST MFA ELECTRIC Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: SERVICES 101-0000-42403 0 $24.17 $24.17 5/5/15 R5822 DEBIT SOUTH - COAST MFA ELECTRIC SERVICES PC 101-0000-42403 0 $12.09 $12.09 5/5/15 R5822 DEBIT SOUTH - COAST MFA ELECTRIC Total Paid for ELECTRICAL: $36.26 $36.26 PERMIT ISSUANCE 101-0000-42404T-�0 $91.85 $91.85 5/5/15 RS822 DEBIT SOUTH - COAST MFA ELECTRIC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 $129.11 $129.11 PARENT PROJECTS Printed: Tuesday, May 05, 2015 2:15:40 PM 2 of 2 AJF CMsysiCMs SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" BLD PARENT PROJECTS Printed: Tuesday, May 05, 2015 2:15:40 PM 2 of 2 AJF CMsysiCMs Bin # Qty of La .Quintd Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Lk 61-3 Owner's Name: `` E—v A. P. Number: Address: k—\UA co -o 0.\� , Legal Description: -^P City, ST, Zip: C S Contra ctor• Qq r T e: < Address:�j y tk4 D 'tProject Description: lid ah2` o City, ST, Zip: C� �Z2S Tele h ne: P 0 — 0 5 a State Lic. # : City Lic. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: aneY Construtti n Type: Occupancy: P • Project type (circle one): New Add'n Alter Repairair Demo Name of Contact Person: C9� CDSq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: 7.04b , APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan. 2" Review, ready for.corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub, Wks. Appr Date of permit issue School Fees . Total Permit Fees