BELC2015-006478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
. ,
C 0 D 4 Qu&rcu Q OIC
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COMMUNITY DEVELOPMENT DEPARTMENT 7
777-7125
777-7011
777-7153
BUILDING PERMIT
AUG 17
c
t
2015
D te:
'
/17/2015
Application Number:
BEI- 015=0064
O ner: CITY OF LAQUINTA
Property Address:
APN:
78051 COBALT CIR�1+ELQPMENTOEPARTMENT
604023050
78051 C
Application Description:
SEVASLIAN RESIDENCE/
ELECTRICAL
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
Applicant:
COVE ELECTRIC INC
77824 WILDCAT DRIVE
PALM DESERT, CA 92211
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 f commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: _ License No.: :UC -0000079
Date: Contractor: e6oe 61'e-4 i G
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.).
(_J 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.).
(_J 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
Contractor:
COVE ELECTRIC, INC.
OUTSIDE CITY LIMITS
(760)360-0040
Llc. No.: :LIC -0000079
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: _ Policy Number:
I certify that in the performance of the work for which this permit is issued, 1
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.
r
Date: alrd 15-- 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 . enter n the above-
mentioned property for inspection purposes.
Date: ell Signature (Applicant or Agent .
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNTCITY,
AMOUNT.
PAID
PAID DATE
101-0000-42403
0 $24.17
$24.17
8/17/15
PAIL) BY
METHOD"'
RECEIPT #
CHECK #
CLTD BY
COVE ELECTRIC, INC.
CHECK
MR215
32864.
MFA
DESCRIPTION
:ACCOUNT
QTY
AMOUNT _ ..
PAID
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$12.09
8/17/15
PAID BY ;;
h METHOD
RECEIPT #
CHECK #
CLTD
COVE ELECTRIC, INC.
CHECK
MR215
32864
MFA
Total Paid for ELECTRICAL: $36.26 $36.26
DESCRIPTION
, ACCOUNT
QTY
AMOUNT -
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/17/15
PAID, BY
'METH,OD
x.,
RECEIPT #
CHECK #
CLTD BY
COVE ELECTRIC, INC.
CHECK
MR215
32864
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: SEVASLIAN RESIDENCE / ELECTRICAL
ADDITIONAL
CHRONOLOGY
Type: ELECTRICAL
Subtype:
Status: ISSUED
Applied: 8/17/2015 MFA
Approved: 8/17/2015 MFA
Parcel No: 604023050 Site Address: ,CA
Subdivision: TR 18915
Block:
Lot: 7
Issued: 8/17/2015 MFA
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $0.00
Occupancy Type:
Construction Type:
Expired: 2/13/2016 MFA
No. Buildings: 0
No. Stories: 0
No. Unites: 0
92253 (310)989-8208
Details:
Printed: Monday, August 17, 2015 3:37:42 PM 1 of 2
ADDITIONAL
CHRONOLOGY
CONDITIONS
NAME TYPE
NAME
CONTACTS
ADDRESSI CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
COVE ELECTRIC INC
77824 WILDCAT DRIVE PALM DESERT CA
92211 (310)989-8208
CONTRACTOR
COVE ELECTRIC, INC.
OUTSIDE CITY LIMITS
(310)989-8208
OWNER
NORA SEVASLIAN
78051 COBALT CIR LA QUINTA CA
92253 (310)989-8208
Printed: Monday, August 17, 2015 3:37:42 PM 1 of 2
ATTACHMENTS
Printed: Monday, August 17, 2015 3:37:42 PM 2 of 2 lespw........
CLTD
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY=,
BY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
8/17/15
MR215
32864
CHECK
COVE ELECTRIC, INC.
MFA
Total Paid for PERMIT ISSUANCE: $91.85
$91.85
ATTACHMENTS
Printed: Monday, August 17, 2015 3:37:42 PM 2 of 2 lespw........
Bin #
City of La Quin to
Building 8& Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: 7
r v .
Owner's Name:
A. P. Number:
Address: D co Loa I
City, ST, Zip: 902-63
Legal Description:
Contractor: .
T ele hon
Address: 7 1 r
Project Description:
City, ST, Zip:
C I'
ne•
TelephonM.e:
A6 W 0 0 3L
State Lic. # : 7� Q
City Lic. #;
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone: ne:
.............................
....................
...
nstructi n Type: e: Occu cY:
L
Lic. #:
DemoStato
roJecttY (circle one): New Add'n Alter Re ir
PP
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan 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.
N.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
''° 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 Fces
Total Permit Fees