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BELC2015-0059D A, tug. VOICE (760) 777-7125 78 495 CALLE TAMPICO FAX (760) 777-7011 LA^ WNTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/4/2015 Application Number: BELC2015-0059 Owner: Property Address: 77720 CALLE ORIZABA JAMES LEWIS APN: 658260002 77720 CALLE OR.ZABA Application Description: REPLACE EXISITNG ELECTRICAL PANEL LA QUINTA, CA 52253 Property Zoning: Application Valuation: $3,500.00 n 11 Applicant: U qq U Contractor: DESERT ELECTRIC AUG ®`1 201 DESERT ELECTRIC= 55888 YUCCA TRAIL 6 55888 YUCCA TRAIL 6 YUCCA VALLEY, CA 92284 } O (��tNFA YUCCA VALLEY, CA 92284 COriNulNis •• ?Ev,�L04�1-�1 DE4ART�AcNT (760)369-1002 Llc. No.: 879507 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 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 Date: g�{"I� 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),: (_) 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 Na Lender's Address: WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certifica-.e of consent to self -insure for workers' compensation, as provided for by Section 37M 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 perfo mance of the work for which this permit is issued. My workers' compensation insuran=e carrier and policy 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 sc as to become subject to the workers' compensation laws of California, and agree ti -at, 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: 6� Applic WARNING: FAILURE TO SECURE WOR -MPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI+IAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FG.R IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKN C'W LEDG EM ENT IMPORTANT: Application is hereby made to tEe Building Official for a permit subject to the conditions and restrictions set forth on the application. 1. Each person upon whose behalf this applcation is made, each person at whose request and for whose benefit work is perforned under or pursuant to any permit issued as a result of this application , the own=_r, 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 -"he 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 o9 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 ord'nances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes. ��11 Date:9f^ Signature (Applican: or Age FINANCIAL .1• ,Q ` * AMOUNT s� ,t PAID rPAID DESCRIPTION ACCOUNT TY DATE:: f ..r t _ , S x:... __.� »�'! PAID BSAS 561473 FEE 101-0000-20306 0 $1.00 $1.00 8/4/15 BY r I METHOD' `' ' ?` " °RECEIPT # ' j� CHECK # r CLTD BY .4 v� .'.x"l .. x,.:. ,. . •^S:- Y • t �' DESERT ELECTRIC DEBIT R8203 EVA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ' ACCOUNT E r.r k "QTY i' r t AMOUNT ° PAID PAIDhDATE r, :�3•'�.x{r°' 4 -i:¢' .1 4: C t. : a '%s SERVICES 101-0000-42403 ti 0 $24.17 $24.17 8/4/15 -is " METH.OD� a yRECEIPT # >YCHECK # CLTD BY . , <;� �s DESERT ELECTRIC DEBIT R8203 EVA ; �� ' ACCOUNT+ QTY AMOUNT ` ' e PAID x ,PAID DATE ,DESCRIPTION _SERVICES PC 101-0000-42403 0 $12.09 $12.09 8/4/15 r + BY z "r` METHOD ` 'F s f ;RECEIPT # ¢ CHECK # , CLTD BY '; PAID y y �,` ; ` DESERT ELECTRIC DEBIT R8203 EVA Total Paid for ELECTRICAL: $36.26 $36.26 DESCRIPTION 'i,r x t 4 "AMOUNT PAID �� g `Wy PA1D. DATE gas a. ��x r F 1 iIA000UNTQTYa E 6 � . PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 8/4/15 *tear . TPAID BY y;+`, .-� ': METHODS CHECK #k ' E CLTD BYE is s DESERT ELECTRIC DEBIT R8203 EVA Total Paid forPERMIT ISSUANCE: $91.85 $91:85 TOTALS: $129.11 f , Description: REPLACE EXISITNG ELECTRICAL PANEL Type: ELECTRICAL Subtype: Status: UNDER REVIEW. Applied: 8/4/2015 EVA' Approved: Parcel No: 658260002 Site Address: 77720 CALLE ORIZABA LA QUINTA,CA 92253 Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 68 Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: REPLACE EXISTING MAIN 200 AMP ELECTRICAL PANEL WITH SAME (NEW) r�-°+.w+!.•:.:-. .... -. a ...-�� cs- ;.NA11ilE'=TYPE NA. CTY STATE - .. ZIP � ''•`` 1.PHONE v€ wka,F,i AIL'—` ; �_ ,. ,3'F APPLICANT DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY CA 92284 (760)369-8761 CONTRACTOR DESERT ELECTRIC ' 55888 YUCCA TRAIL 6 YUCCA VALLEY CA 92284 (760)369-8761 OWNER JAMES LEWIS 77720 CALLE ORIZABA LA CQUINTA CA 92253 (760)369-8761 .771 € • • • :;•. y "" ,t a..a� 2 r� - E,. :DESCRIPTION ;AccNT,r =:QTY AMOUNT, f #PAID.°,. m PAIDrDATE.. ,.RECEIPT #c CHECK # #METHOD € PAID BY R, � �! � _,•€'�ja ?h 5' fi ", �xp' it .. `_: '$'e4F� 9�"!3'j':vm ..� �� `�..� $� Ya � :� :�' -'cs-" -� d�.� hj � x .� . h d.` �'�ed�^x be S ."'�• . � BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 8/4/15. R8203 DEBIT DESERT ELECTRIC EVA' Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: Printed: Tuesday, August 04, 2015 12:48:01 PM 1 of 2RW SYSTEMS r.. �� � , � a.:. ^�' .. : r: ...E xri. '::.' �`"` -R h" h v, ' ..• :.. i ` , ,AMOUNT T • R eve ,; , ,� ;"'T"' . ;°""` � '".�. ;; � yrs � ._. E' "uy. .. 'g'Cy4'. z RESULT REMARKS NOTES CCQUNT sgTY DATE` DATE PAID PAID DATE' RECEIPT# CHECK H�` ODDESCRIP METIO P`A�IDr BY� f w:'- SERVICES 101-0000-42403 0 $24.17 $24.17 .8/4/15 R8203 DEBIT DESERT ELECTRIC EVA SERVICES PC 101-0000-42403 0 $12.09 $12.09 8/4/15 R8203 DEBIT DESERT ELECTRIC EVA' Total Paid for ELECTRICAL: $36.26 $36.26 PERMIT ISSUANCE 1 101-0000-42404 0 $91.85 1 $91.85 1 8/4/15 1 R8203 DEBIT DESERT ELECTRIC EVA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Printed: Tuesday, August 04, 2015 12:48:01 PM 2 of 2 sysrEMS INSPECTIONS SEQID.$ INSPECTION TYPE= :" INSPECTOR SCHEDULED ,COMPLETED z RESULT REMARKS NOTES DATE` DATE ` a a ELECTRICAL FINAL" BLD Printed: Tuesday, August 04, 2015 12:48:01 PM 2 of 2 sysrEMS a. . rr i c` \ � � .J .'"'.,-✓" .rte t` � I itt ( a. . Bin # City of Lai Quinta Building &r Safety Division P.O. Box 1504, 78-495. Calle Tampico La Quinta, CA 92253 - (760) 777-7012. � Building Permit Application and Tracking.Sheet Permit # g �LtC _01 Project Address: 77 7,20 Owner's Name: SAV%Acs L 3 A. P. Number: Address: % 77x0 • C4 (le a z q b Legal Description: City, ST, Zip: Gsert F ��f c7 7Contractor: Telephone: ,-. I Address: S s 8 $� qlA ee at re: Project Description: OO City, ST, Zip: YLI—ecet vd1 /l CM} u -u -sq MQ stn El-f—CADCOLI�a Telephone: le h . Po (.eD—r 9 O O avr,h State Lic. # : 87950 7 City Lie. #;0103,7 S4, Arch., Engr., Designer: Address: City, ST, Zip: h Telephone: one: <. on C structi n o Type: az P Oecu �c P Y• i . #• State Lc Project type (circle one):: New Ad ' n ' ALe 0 �eplrDemo Name of Contact Person: Fr.4 k LAt r 3e V1 Sq. Ft.: /VA2 # Stories: # Units: Telephone # of Contact Person: '7(� 0 ^ (ib0 —/900 Estimated Value of Project: 3500. APPLICANT: -DO NOT WRITE BELOW THIS LINE tl Submittal Req'd Ree'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Depos;t Truss Calcs. Called Contact Person Plan Check Balan_e Title 24 Calcs. ' Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2.e 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 Impac: Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School fees Total Permit Fees