09-1198 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 09-00001198
Property Address: 51975 AVENIDA JUAREZ
APN: 773-154-023-11 -000000-
Application description: ELECTRICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 250
Tuvl 4 stP Qgmm
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
6wner:
KINSTLER CHARLES
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/20/09
Contractor:
ALPHA ELECTRIC
70855 IRONWOOD DRIVE
RANCHO MIRAGE, CA 92270
(760)275-0578
Lic. No.: 609042
-------------------------------------------------------------------------------------------------
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 Code, 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 License No.: 609042
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
ate: / I P/ ontractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EX MPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions 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 to its issuance, also requires the applicant for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he 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 Code, I shall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
f' 2-0
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (55001.:
ate: Agpkclnt:
(_) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and11
�
the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 CRIMINAL PENALTIES AND 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 ($100,000). IN ADDITION TO THE COST OF 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.).
APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed
1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.)•
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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 county to enter
rj upon the above-mentioned property for inspection purposes. _
Ptfie: " 2C -CA Sure (Applicant or Agent): v
•
LQPERMIT
Application Number .
. . . . 09-00001198
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
.Permit Fee . . . .
15.75 Plan Check Fee
3.94
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
5/19/10
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
--------
.75
--------------
------------------------------------------------------
Special Notes and Comments
REPLACE MAIN BREAKER
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total
15.75 .00 .00
15.75
Plan Check Total
3.94 .00 .00
3.94
Other Fee Total
1.00 .00 .00
1.00
Grand Total
20.69 .00 .00
20.69
RealQuest.com ® - Property List
Page 1 of 1
Home Products Browse By Industry Coverage Training & Tips Live Chat Contact Us
ReaIC uestProfessionar
Map , Subject Multi Subjects
1
Custom Foreclosure I Doc Image r Parcel Map ' My Preferences Help ;
► Start New Search Property List Report Summary
REPORT___ SUMMARY
_
Report Options
Propeny Address: 51975 AVENIDA JUAREZ, LA QUINTA CA 92253-6112
--..._..__....._ ..............................:
(✓; i Property Detail
Owner: KINSTLER CHARLES V & SHIRLEY T
i:`Comparables
APN: 773-154-023
El i Street Map Pius
�.! Transaction History
To view any report component'click on the link below. To view all the requested reports at one
time the 'Generate Reports' button. To
Voluntary Lien
select view reports in Spanish, select your report
language through My Preferences
i Parcel Map
Req uested.Reports; Additional Reports Available:
i_ Flood Map
i Property Detail Comparables
Document Image
Street Map Plus
6 Legal &Vesting with
Transaction History
Transaction History
j Voluntary Lien
rJ Neighborhood Information
t Parcel Map
Foreclosure Solutions
j Flood Map
Foreclosure Activity
I # ? Document Image
Legal & Vesting with Transaction History
AVMs
'AVM Cascade
i i Neighborhood Information
z—. _ _ _ _�___ _. _._ ._. -_-_...s
•' Stand -Alone AVMs
Foreclosure Activity
AVM Cascade
Mortgage Analytics
Stand -Alone AVMs
LoanSafe®
LoanSafe®
C Truel-TVTM
TrueLTVTM
E-1 HistoryPro®
HistoryPro®
HistoryPro Review®
I HistoryPro Review®
i= q PreQualProTM
PreQualProTM
i' IncomePro®
IncomePro®
01Freddie Mac's HVC®
Freddie Mac's HVC®
u-1 .—... _....... ... ....._.....................;
► View Report Usage
Generate Reports,
► Retrieve Saved Parcel Map
About Our Company Contact Us Frequently Asked Questions Sitemap
2009 Copyright First American Core Logic. All Rights Reserved.
Terms Of Use Privacy Policy
http://pro.realquest.com/j sp/rq. j sp?&client=&page=Property_List&action=switch&s=y&r... 11/20/2009
Bin #
City of La 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 #
Project Address:
Owner's Name: _ ` 3 `C �.
A. P. Number:
Address:
l�
Legal Description:.
City, ST, Zip: 7 3
Contractor:
ert ✓
Te
Address:
Project Description:
City, ST, Zip:
hone:
Telephone:
M
State Lic. # : Q C3 Z
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: P
State Lic. #•
Construction • e: Occupancy:
hon TYP ane Y:
Project ec
t hPe (circle one): : New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:.
# Units:
Telephone # of Contact Person:
Estimated Value of Project: ,SQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
1I.
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 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.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" 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