BELC2015-0065.` S
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BELC2015-0065
53671 AVENIDA NAVARRO
774134019
MORRIS MICHEAL PANEL CHi
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
$1,800.00
Applicant:
2 STRONG CONSTRUCTION
P 0 BOX 392
MECCA, CA 92254
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 Professions Code,
and my License is in full force and effect.
f
cense Class: License No.::LIC-763054
ate: O I . I 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 Yb -
permit subjects the applicant to a civil penalty of not more than five hundred dol( rs
($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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/18/2015
Owner:
MICHAEL MORRIS
53671 AVENIDA NAVARRO
LA QUINTA, CA 9253
Contractor: -
2 STRONG CONSTRUCTION
P 0 BOX 392
MECCA, CA 9225E
Llc. No.::LIC-763C54
WORKER'S COMPENSAT.ON 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, 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 I should become subject to the
workers' compensation provisions of Section 3:00 of the Labor Code, I shal , rthwith
comply wit�thj those provisions.
�e: V (�/ f Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMP$NSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0000. INADDITION 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.theBuilding 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 Gty 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 cancellaltion.
I certify that I have read this application and stave 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 city to entPon the above-
mentioned property for inspection purposes. `'
Yate: U Signature (Applicanfor Agen
FINANdALINFORMATION
b ACCOUNT ✓AMOUNT PAID b� PAID DATE
DESCRIPTION g-jR
F `l $ ;a z sQTY
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$0.00
`PAID'BY� b
t"�� METH.OD`vr�wl
RECEIPT#:�'CHECIC#=,.E'CLTDBY;,
y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ;�:. {
`A000UNT
QTYx
AMOUNTf
PAID
PAIQ DATE
Y
r r
.,F < .
SERVICES
101-0000-42403
0
$24.17
$0.00
T S.q
PAID;BY
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i ? METI10Dr
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; 'RECEIPT#
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AMOUNT
PAID'
P AID'DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID-6Y�&J4,RECEIPT#
t_,'-,•
_CHECK
Total Paid for ELECTRICAL: $36.26 $0.00
� ��µDESCRIF ON `
% x ACCOUNT "* +yrt"QTY
AMOUNT : -4' re'
' ���
PAID
PAIgDATE'
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PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00'
r _ - PAID BY y i �A
METHOD 4, * °
!
#�' `
CHECK #
CLTD BY
1
,
:4 ,
.:RECEIPT
a r:
Total Paid for PERMIT ISSUANCE: $91.85- $0.00'
TOTALS:��
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Description: MORRIS MICHEAL PANEL CHANGE OUT 140 TO 220
Type: ELECTRICAL Subtype:
Status: UNDER REVIEW
Applied: 8/18/2015 PJU
Approved:
Parcel No: 774134019 Site Address: 53671 AVENIDA NAVARROLA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 241
Lot: 9
Issued:
UNIT 23
Lot Sq Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $1,800.00 Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0
No. Unites: 0
Details: ELECTRICAL PANEL CHANGE OUT FROM 140 AMP TO 220 AMP PER 2013 CALIFORNIA ELECTRICAL CODE.WILL BE DOING TWO MORE
UNRELATED TRADES NOT NEEDING A PERMIT FOR.
CHRONOLOGY
CONDITIONS
Printed: Tuesday, August 18, 2015 8:58:55 AM 1 of 2
SYSTEMS
SEQID INSP ECTION:TYPE INSPECTOR =-:SCHEDULED COMPLETED. RESULT REMARKS NOTES
DATE: DATE `
ELECTRICAL FINAL" BLD
Printed: Tuesday, August 18, 2015 8:58:55 AM 2 of 2 srsTrnns
Qin #
City of La Q uin to
Building 81- 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: 5
Owner's Name: n8
A. P. Number:
Address: J
Legal Description:
City, ST, Zip: A--4
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Contractor:Telephone:
CV
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6 G
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Address:
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Project Description:
City, ST, Zip:
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C4 r I C
'Telephone:
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State Lie. # :9 (2qq Y
SCity
Lie. #.:
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Arch., Engr., Designer:
7 b36
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Address:
I
City,, ST, Zip:
-
Tele hone:
�on trucn TYPe.
.a . Occu�ancY
Lie. #:
Project -type Pa circle one : New Add'n Alter e
Pai Demo
Name of Contact Person:
RA V
CoS
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:T-Ocs.
Estimated Value of Project: I (�
APPLICANT: DO NOT WRITE BELOW THIS LINE
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Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Delmsit
Truss Cates.
Called Contact Person
Plan Check Bal�nee
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2p' 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:-
3" Review, ready for correctionsrassue
Developer Impa;t Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fe_s