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BELC2016-007078-495 CALLE TAMPICO T 0�Lt D Q.�i LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2016-0070 Property Address: 78770 SANITA DR APN: 604163002 Application Description: PHILLIPS RESIDENCE / ELECTRICAL Property Zoning: Application Valuation: $1,000.00 Applicant: DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY, CA 92284 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.: 879507 l3 ate: —A & egContra'r: 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 ag 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! ole 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 ) 1, 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 Name: Lender's Address: VOICE (760) 77.7-7125 FAX (760) 777-7011 ® n INSPELTI,ONS (760) 777-7153 Da' 8%29/2016 7 PHILLIPS FAMILY PROP YpEVFLQPRENT Contractor: DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY, CA 92284 (760)369-1002 LIC. No.: 879507 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. 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: SENTINEL INSURANCE COMPANY LTD Policy Number: 01WECGC5232 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. �__ 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 entey . the above-mentioned property for inspection purposes. �� „ l Dates_ Signature!(AppliCant or Aget Date: 8/29/2016 Application Number: BELC2016-0070 Owner: Property Address: 78770 SANITA'DR PHILLIPS FAMILY PROP APN: 604163002 78800 AVE 41 Application Description: PHILLIPS RESIDENCE / ELECTRICAL BERMUDA DUNES, CA 92253 Property Zoning: Application Valuation: $1,000.00 Applicant: Contractor: DESERT ELECTRIC DESERT ELECTRIC 55888 YUCCA TRAIL 6 55888 YUCCA TRAIL 6 YUCCA VALLEY, CA 92284 YUCCA VALLEY, CA 92284 (760)369-1002 LIC. No.: 879507 --------------------------------------------------------------------------------------------- Detail: REPLACE 125 AMP MAIN BREAKER. PER 2013 CALIFORNIA BUILDING CODE U m lug 0 . 0 DESCRIPTIONµ ``• :ACCOUNT ' °QTY, AMOUNT ' BSA SB1473FEE ,101-0000-203060 $1.00 Total Paid for BUILDING STANDARDS+ ADMINISTRATION BSA: $1.00. DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $24.17 DESCRIPTION .:.ACCOUNT, ;QTY AMOUNT SERVICES PC 101-0000=42600 ` . ,• 0., $12.09 Total•Paid for ELECTRICAL: $36.26 DESCRIPTION ACCOUNT: QTY ' AMOUNT PERMIT ISSUANCE 101-0' ..'-240..1;'.,' 0 $91.85 :Total Paid for. PERMIT ISSUANCE:.;, $91.85 I -Bin # artybf L a.Q.Uh is . Building &£ Safety Division Permit #f , . 78. -495 -Calle Tampico La Quinta, CA 92253'-.(760.) 777-7012 Building Permit Application and Tracking Sheen Project Address* 7 . 7® SeriJ�fG} 'Owner s Name:. .l 111 S A. P. Number: Address: Legal Description: City, ST, Zip: Contract r o. T hone: r� ele P I Q Address: Crj GLCCGi --r-0,1 r Project Descriptio City, ST, Zip: (%Qt Telephone: t�0IBM. : State Lie. # : Arch.,'Engr., Designer: City Lie. #: Address: City, ST, Zip: Telephone: e one: P Sta to Lic. 4. • ' Name of Contact Person: r' aC` Occupancy: aneYonsfracton Type: PP Ject (circle one • 'New Add'n Alter Repair Demo ty Sq. Ft.` # Stories: # Units: Telephone # of Contact Person: Estimated ;Value of Project:,1 ' APPLICANT: DO, NOT WRITE BELOW THIS LINE IA Submittal Req'd Rec'd T- TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready'for corrections Pian 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. II.O.A. Approval Plans resubmitted r Grading lk ROUSE:- '`9 Review, ready for corrections/issue Dcveloper Impact Fee' Planning Approval Called Contact Person A.I.P.P. Pub. Wks. APPr Date of permit issue School Fees, Total Permit Fees