06-0929 (ELEC)P.O. BOX 1504 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: C-6-000009291 Owner:
Property Address: 58038 CARMONA CORAL OPTION I
APN: 764-200-006-C -316811--9.2- •929ciRANCHO LA QUINTA DR
Application description: ELECTRICAL A QUI CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL.
Application valuation: 500 MAR 09
1006 ,
Contra for
Applicant: Architect or Engineer: CFTMOF(AQV _ SERT DEVELOPMENT LP
Cp0 BOX1 1716
„ QUINTA, CA 92247
(760) 771-1941
Lic. No.: 762987
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 Professionals Code, and my License is in full force and effect.
License Class: B License No.: 762987
ate: ontractor:
OWNER -BU DER DECLA ION
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 (5500).:
(_ 1 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.).
1 _ 1 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.).
1 _ 1 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 Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/08/06
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 work for which this permit is
issued.
)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 COMPWEST Policy Number CA005001482-001
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 co, m ly with those provisions.
ate, scant:
WARNING:' FAILURE TO SECURE WORKERS' COMPEN ATION CO GE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES P 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 Director of Building and Safety 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
th/is co nt to enter upon above-mentioned property for inspection pu seet ignature (Applicant or Agent):
Application Number . . . . . 06-00000929
Permit . . . ELEC-MISCELLANEOUS
Additional desc
Permit Fee . . . . 33.50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 9/04/06
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A' 18.50
----------------------------------------------------------------------------
Special Notes and Comments
200 AMP METER PEDESTAL ACROSS FROM LOTS
3 & 4 ON CARMONA
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
LQPERMIT
1'5 n
Bin# City of La Quinta,
Building u Safety Division
Permit # P.O. Box. 1504, 78-495 Calle Tampico
n %� La Quanta, CA 92253 -.(760) 777-.7012
d" 38 Building Permit Application and Tracking Sheet
Project Address: 5 G,+/2--fo ,,44 Owner's Name: % 0 0--6soff awF,eod Mcw7
A P. Number: 7 4"( Zo 0 00.(..
Address: lo _Scx 17141
Legal Description:17rLK-7 41 (a $ / —/
City, ST, Zip:f 21 je
Contractor. T 17 . �;✓g�t-T �� —
! �+ (
Telephone: 7 7 / / 9 )41
Address:
Project De=iption:
City, ST, Zip: z Z
�0 /tel T> J��+1• 9,9W OL &WC rf'Q—
Tcicphonc:
State Lie. # : 76 Z4 $ 7 city Lia M: M)
Arch., Eng, Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type. Occupancy;
Project type (circle one Add'a Alga Repair Demo
Name of Contact Person: .s.,/ ,s/>,it /rs
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: :7 7 t — 1141
Estimated Value of Project -0 200. _• oo
APPLICANT: DO NOT WiMBELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG .
PEP14rr FEES
Item Amoant
Plan Sets
Pias Cleck submitted
Structural talcs.
Reviewed, ready for corrections
Plaa Cluck Deposit
Truss Cates.
Called Contact Person
Pias Check Balance
Energy Cala.
Plass.iicked.up
Coastraction
Mechanical
Flood plain plan
Plans resubmitted
Grading. plan
2" Review, ready for corrections/issue
Electrical
Sabcontactor List
Called Contact Person
Plumbing.
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review, ready for eorr:ectionsrusae
Developer Impact Fee
Planuigg Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Feu
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CORAL OPTION I — ANDALUSIA PHASE 1
LOT NUMBERS/ STREET ADDRESS
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