08-1538 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00001538
Property Address:
51775 AVENIDA CORTEZ
APN:
773-152-013-1 -000000-
Application description:
ELECTRICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
1250
Tjht 4 4 a"
Applicant:Architect or Engineer:
6 �C� A -46 --
-----------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I am licensed under provisi ns of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business a d Professionals Code, a my License is in full force and effect.
License Class: C10 Li 717777
Date:19 —9 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 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:
LQPERA11T
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/09/08
Owner:
MARILYN,DONAHUE
51775 AVENIDA CORTEZ
LA QUINTA, CA 92253
D q
Contractor: O
HILL ELECTRIC INCORPORATEDE /�
78670
92253 SUITE #14 ,r v9
LAQUINTA�OQA
Cln
(760)772-1770 ,0F it
Lic. No.: 717777F�NAN6-, re
-----------------------------------------------
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 ENDURANCE REINS Policy Number WEN001460701
_ 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 worker 'compensation laws of California,
and agree that, if I should become subject to the work s' mpensation provisions of Section
3700 of the Labor Cde, hall forthwi h c ly wit h provisions.
Date" -01q Applicant: i
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 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 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 informatio4correc agree to comply withall
city and county ordinances and state laws relating to building construction, thorize representatives
of this oun yto enter porttheabove-mentionedrop yfor'.specti p
Date: ignature (Applicant or Age ti.
Application Number . . . . . 08-00001538
PermitELEC-SERVICE
CHANGE
Additional desc .
Permit Fee . . . . 33.50
Plan Check
Fee
.00
Issue Date ... . . .
Valuation
. . .
. 0
Expiration Date 3/08/09
Qty Unit Charge Per
Extension
BASE
FEE
.15.00
1.00 18.5000 EA ELEC
SVC <=600V/<=200A'
18.50
----------------------------------------------------------------------------
Special Notes and Comments
CHANGE OUT EXISTING 125 AMP PANEL
TO 200
AMP PANEL.
Fee summary Charged
----------
Paid Credited
---------- ----------
Due
----------------- -'---------
Permit Fee Total 33.50
.00
.00
33.50
Plan Check.Total .00
.00
.00
.00
Grand Total 33.50
.00
.00
33.50
LQPERMTT
Bin # City of La Quinta
Building & Safety Division l A
Permit # P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: —� �N.l eZ Owner's Name: ('
CA CDr1A.
P. Number:
Address: —7 ue jdA GY 2-
City, ST, Zip: G� Zz�j
N
Legal Description:
Contractor: 1l�-+-v
i C
�JC,
Telephone:
Address: 120 IAA (
Project Description:
City, ST, Zip:C.l I
q �Z� 3
Gl7'` �
TelephonerX--Ug-070RA
et +o 2(Dlamp
State Lic. # :-71-77-7-7
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: �O # Stories: #Units:
Telephone # of Contact Person: Estimated Value of Project: 17�c) V
APPLICANT: DO NOT WRITE BELOW THIS LINE
q Submittal Req'd Recd 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
Energy Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2" Review, ready for correctionstissue Electrical
Subcoutactor List
Called Contact Person
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
IN HOUSE:-
'"' Review, ready for corrections/issue mpact Fee
Planning Approval
Called Contact Person
LA
Pub. Wks. Appr
Date of permit issue
School Fees
it Fees
f
T H E C I T Y O F
�4t go ■
AL
i
La Quinta
1982- 1992 Ten Cara[ Decade
March 26, 1992
To Whom It May Concern:
The structure located at 51-775 Avenida Cortez is located in
a "X"
flood zone per the F.I.R.M. Community Panel Number 060709
0005 B
for La Quinta.
If you have any.questions, feel free to contact me.
Sincerely,
BUIL ING AND SAFETY -DEPARTMENT
Tom Hartung
Director of Building and Safety
TH:es
LTRTHI2
City of La Quinta
Post Office Box 1504 ♦ 78-105 Calle Estado
La Quinta, California 92253
Phone (619) 564-2246, Fax (619) 564-5617
Design 8 Production: Mark Palmer Design, 619-346-0772
,