06-3725 (ELEC)it
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253'
Application Number: 06-00003725
Property Address: 79653 CIDRA
APN: 772 -180 -056 -
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 400
Applicant:
T449� 4 4v *;L
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/19/06
Owner:
SEAN PHELAN OBRIEN
79653 CIDRA
LA QUINTA, CA 92253
---------------------------------
Architect or Engineer:
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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: License No.:
Date: Contractor:
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).:
1 A) 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' St
License Law does not apply to an owner of
property who builds or improves thereon, and:,hIcon a t f r the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.l.
(_) I am exempt under Sec. , B.&P.C. for this a.
Date: ' - 1)wner.
CONSTRUCTION LEND( NCY
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
Contractor:' Q
Owner ----------------
2006
OF QUINTA
WORKER'S COMPENSATION DECLARATION
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 Policy Number
# I certify that, in the performance of therkA ' which this permit is issued, I shall not employ any
person in any manner so as to eco a je to the workers' compensation laws of California,
and agree th t, if I should bec a N t 't workers' compensation provisions of Section
3_7bor Code, I s I f i comp with those provisions.
Date. p�t ' Applicant:
WARNING: FAILURE TO SECURE WORKERS' COM COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl - 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 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 ofJabove
cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that mati c rest. I agree to comply with all
city and countyordinanc and state laws relating to brio d eby authorize representatives
of this coujQQtQyq�n the above-mentioned propo r o
Signature (Applicant or Agent):
Application Number . . . . . 06-00003725
Permit. . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 16.50 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/17/07
Qty Unit Charge Per Extension
BASE FEE 15.00
2.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 1.50
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Special Notes and Comments
ELECT TO PREFAB BBQ UNIT.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 16.50 .00 .00 16.50
Plan Check Total .00 .00-- .00 .00
Grand Total 16.50 .00 .00 16.50
LQPERMIT
I
Bin #
Permit #
Project Address:
A. P. Number:
Legal Description:
Contractor:
Address:
City, ST, Zip:
Telephone:
State Lie. #
Arch, Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lie. #:
City of La Quinta
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Owner's Name: hG18D LEe"Lo
Address: Cn, v 1� •, �,(�
City, ST, Zip: t ✓1 t'Y� �,
Telephone: _+ -
Project Description:
Lie. #:
Construction Type: Occupancy:
Project type (circle one):. New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Contact Person: Estimated Value of Project: qD0 .
APPUCANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd .: RWd TRACKING, PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ccady for corrections Plan Check Deposit
Truss Cala.
Called Contact Person Plan Check Balance.,
Energy .Cales. •
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading.plan
V Review, ready for correctionsfissue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up
II.O.A. Approval
Plans resubmitted . Grading
IN IIOUSE:
''' Review; ready for correctionsCssue Developer Impact Fee. ;
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
...
Total l!ermit.Fees _:.:..: