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14-0615 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 I Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: C-� 14-00000615 55966 PGA BLVD 775 -220 -021 - ELECTRICAL TOURIST COMMERCIAL 1200 Architect or Engineer: Vv BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: CALIFORNIA WEST COMMERCIAL 5927 PRIESTLY DRIVE CARLSBAD, CA 92008 (760) 918-6.768 Contactor: POWER PLUS 1210 REDGUM ANAHEIM, 'CA. 92806 (714) 7`65-7551 Lic. No.: 980589 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/13/14 ----------=-------------------------------------- ' LICENSED CONTRACTOR'S DECLARATION - ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under.penalty of perjury that I am licensed under'provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section_7000) of Division 3 of the Business and Professionals ode, -and my License is in full force and effect. I have and will maintain a certificate,of consent to self -insure for workers' compensation, as provided license Class: C10 D31 ense No.: 980589 - _ for by Section 3700 of the Labor Code; for the performance of the work for which this permit is issued. Date:' 'Contractor: ' _ 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: am exempt.from the Contractor's State License Law for the I hereby affirm under penalty. of peJsand Carrier XL .SPECIALTY _ Policy Number CWG7409307 following reason (Sec. 7031.5, BuProfessions Code:. Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior io its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws Iof California, permit to file a signed statement-thathe or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I.should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of,Division 3 of the Business and Professions Code) or 3700 of the Labor Ceshallth comply jLh those provisions. that he or she is exempt therefrom and.the' basis for the alleged exemption. Any violation of Section 7031.5 bany applicant for a permit subjects the applicant to a civil penaltyof not more than five hundred dollars (5500).: Date:Applicant: f.).l; as owner of the property, or my employees with wages as their sole compensation, will do the work, and Tf.the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE. TO SECURE NSATION"COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRI IND CIVIL FINES UP TO ONE HUNDRED. THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS(S 100,000). IN ADDITIF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or. offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. .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 _) 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.). f—) I am exempt under Sec. , BAP.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 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 andemployees 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 construct , and hereby authorize representatives of this county to enter upon the above-mentioned propert for inspe n purposes Date: Signature (Applicant or Agent): Application Number . . . . . 14-00000615 Permit . . . ELECTRICAL 2013 Additional desc . I.� Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/09/14 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC TEMP POWER POLES 23.83 ---------------------------------------------------------------------------- Special Notes and Comments TEMPORARY POWER POLE FOR CONSTRUCTION (SOUTHERLY SERVICE). PER APPROVED PLAN AND (SOUTHERLY SERVICE). ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 16.68 PERMIT ISSUANCE M/P/E 90.57 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 23.83 .00 .00 23.83 Plan Check Total .00 .00 .00 .00 Other Fee Total 108.25 .00 .00 108.25 Grand Total 132.08 .00 .00 132.08 LQPERMIT Bin # . City of La .Quinta Building tai Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Trackmg°Sheet Permit # Project Address: q g l Vd . Owner's Name: ' A. P. Number: Address:(�j-' 2 St� Legal Description: 4A. 4V CpY64rw(; , City, ST, Zip: Q 20-0 8 . Contractor: Tele hone: Address: 121 p I.1 . (s a A_ cwt 5 Project Description: City, ST, Zip:44A",P�ty, q Z e)(p Telephone: State Lic. # : go City Lic. #.. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: Occupancy:struction Type: State Lic. #: ^itiif;iWi<:✓.:%3;;:i v:!•`:::�Yiir ;;;j ;;::;;: ;:r< ::;:;;;>;:;< f . project type (circle o e ew dd n Alter Repair Demo Name of Contact Person: Tz,htL.AVIeSq. Ft.: # Stories: # Units: Telephone #,of Contact Person: 151 : �a2. 10 7 5161 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES. Plan Sets • Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. 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 IiOUSE:- i '"' 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 - r ... . �- I'. 11,:��I.-, " Al �w-._�r4r,l..�iifi ...", i" "! .. . 11 , / e � 1.,..',!'.�.'.':J- �i L.- N�" 1E * , ��"� ... - I .. 1Y, ik .. ( . , . � a -r, .,I %:, -.. " — \,. , . i �.1i!vj;1!:..:_�.j,.;,', � .,, \11"�\N ./* . �, � " I � , X".". -I, '. � , r; - , �\,�,, ".4 :, �t. , I. � ... ..... / ....... , v _ ." A .. v 1- 11, .... im ... ;;.. , 1 " 'i -.. � , z . F", , , , " - ., . ."': it =ii Li t, + - _R; . ... r- �i- ,J� f 4 1;1i! ,j 1 ­ty'� ;,".A , -, . __ \ , M .. "�;, ,�: ,�.. .. ...�. - :.,. .. . . —, I ,�- I -, K , �,v I I , .;.3..... - I . , ;, , . _ , ;.>X ., 1, � ,��, ,� ,z, 4 I i...".. < / :.�, .I..._... .� _ "I /1-i '. .", - - --i . .. .... ....... f6!..i ... .. .... .... ..... �::. , ,%, \ , '1/1 C� \ \\ I . � �S . 1? /;, .. — ........... I ....... :.,:"- -....,. 11 '. �,�/�) -..� ...... X"