BELC2014-103078-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/29/2014
Application Number: BELC2014-1030 Owner:
Property Address: 53840 DEL GATO DR DAVID DELLAPENTA
APN: 770370012
Property Zoning:
Application Valuation: O
Applicant: p D ontractor:
LATHROP DEVELOPMENT & CONSTRUC D �O�Q THROP DEVELOPMENT & CONSTRUC
41625 ELECTIC STREET STE H1 4 625 ELECTIC STREET STE H1
PALM DESERT, CA 92260 PZME ., M DESERT, CA 92260
Gy,N OF 4MEN'(�EPPP
�M�UNm0�EC0 044
L16c. No04 8076328
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B License No.: 876328
Date:Contractor:
OWNER -BUILDER DE TION
I hereby affirm under penalty of perjury that I a pt from the Contractor's State
License Law for the following reason (Sec. 7031. , siness and Professions Code: Any
city or county that requires a permit to construc 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
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.).
(_) 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 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 lendingagency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
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
Secti 753.a
00 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: _ 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 so as to become subject to the workers'
compensation laws of California, and agree that, if f should become subject to,the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: Applicant
WARNING: FAILURE TO SECURE WORK RS' OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER T C MINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS $ , 0). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PRO DED FO 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 an elating to building
construction, and hereby authorize represent . of this city to enter u n the bove
mentioned property for inspection purpo .
Date: Signature (Applicant or Agent)
/( C-1 P-1
S.P. BRAY CORPARATION D.B.A POWER PLUS!
ANAHEIM OFFICE:
PERRIS OFFICE:
PALM SPRINGS OFFICE:
1210 N. RED GUM
2750 N. PERRIS AVE
16839 LITTLE MORONGO RD
ANAHEIM, CA 92806
PERRIS, CA 92571
DESERT HOT SPRINGS, CA 92240
OFFICE #:(714)765-7551
OFFICE #:(951)657-0431
OFFICE #:(760)427-7414
FAX #:(714)765-7581
FAX #:(951)657-0441
FAX #:(760)288-2372
STATE LICENSE #: 980589
CLASS: 8 C10, C61/D31
EXPERATION DATE: 1/31/15
WORKERS COMP: XL SPECIALTY INSURANCE COMPANY
POLICY #:
EXPERATION DATE; 3/31/15
STEVEN R BRAY
7732 E. FEILDCREST LANE
ORANGE, CA 92869
PHONE #: 714-639-9660
SSN: 563-90-4176
FED TAX I.D #; 26-4729378
AD.ELANTO-BL-04396
CORONA- 558009
MONTCLAIR-18830
PERPIS- 27353
BANNING- 015331
D.H.5- 5-1775
MORENO VALLEY- 06289
RIVERSIDE -8L.00036090
CHINO- 20552
HEMET- 00012851
MURRIETA- 06268
TEMECULA- 3260
CHINO HIL -5- 2062
HE51PERIA- 0609102
MENIFEE- 035425
COACHELLA- B-980004
HIGHLAND- B-096021
ONTARIO- BL00036090
Description: TEMP POWER - DUE TO FLOOD ACTIVITY
CONDITIONS
Type: ELECTRICAL
Subtype:
Status: SUBMITTED
Applied: 9/29/2014 SKH
Approved:
Parcel No: 770370012 Site Address: 53840 DEL GATO DR LA QUINTA CA 92253
Subdivision: TR 28867
Block:
Lot: 111
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
92260
Details: FLOOD DAMAGE - TEMP POWER POLE. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
LATHROP DEVELOPMENT &
CONSTRUC
41625_ ELECTIC STREET
STE H1
PALM DESERT CA
92260
CONTRACTOR
LATHROP DEVELOPMENT &
CONSTRUC
41625 ELECTIC STREET
STE H1
PALM DESERT CA
92260
OWNER
DAVID DELLAPENTA
Printed: Monday, September 29, 2014 1:29:52 PM 1 of 2 ON
SYSTEMS
IELECTRICAL FINAL** Imo. I I I I
Printed: Monday, September 29, 2014 1:29:52 PM 2 of 2
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Bin #
City of La Quinta
-Building &r Safety Division
Permit #P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 Sheet
Building Permit Application and Tracking
Project Address: Owner's Name:
A. P. Number:
Address:.
Legal Description:
City, ST,
Contractor:
Telephone:
ROMEO
Address:
i
Project Description: pri1j'�--
City, ST, Zip:
Telephone: 260 A-L) 0a 4?��r
NNW
State Lic. #f3
�2_3
City Lie. #..
Arch., Engr., Designer:
5[D-
Address:
4 A
City., ST, Zip:
•-Tr
Telephone:
Construction Type: Occupancy:
State Lic. #-
Project type (circle one): New Add'n Alter Repair Demo
n
Name of Contact Person:
Sq. Ft.: -T#
Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project-
Submittal
APPLICANT: DO NOT WRITE BELOW THIS LINE
Rcqld Rcc1d TRACKNG PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss C21cs.
Called Contact Person
Plan Check Balance.
Title 24 Cala.
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 correctionstissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Scho6l Fccs
Total Permit Fees