The URL can be used to link to this page

BELC2014-103278-495 CALLE TAMPICO D VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/30/2014 Application Number: BELC2014-1032 Owner: Property Address: 79957 INDEPENDENCE WY MONTICELLO HOA APN: 604512008 42335 WASHINGTON ST F427 Application Description: REPLACING ELECTRICAL 100 AMP PEDESTAL PALM DESERT, CA 0 Property Zoning: Application Valuation: $1,700.00 Applicant: Contractor: LONG ELECTRIC, INC. f LONG ELECTRIC, INC. 0 OUTSIDE CITY LIMITS k 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 LA QUINTA, CA 92253 014 (760)568-4750 cITyOFLAQUINTA Llc. No.: :LIC 0000559 ITY DEVELOPMENT DEPARTMENT 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. License Class: License No.: :LIC -0000559 Date: �3�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 allegQfl 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.). (_) 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 Datg�V "- ./ Owner CONSTRUCTION LENDING AGENCY 1 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: 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 w ers' 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 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: I S0 ~ Applicant: ze 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 city to enter upon the above- mentioned property for inspection purposes. Date:. Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY : AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION' ACCOUNT CITY AMOUNT PAID PAID DATE POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:1 0• Description: REPLACING ELECTRICAL 100 AMP PEDESTAL CONDITIONS Type: ELECTRICAL Subtype: Status: SUBMITTED Applied: 9/30/2014 PJU Approved: Parcel No: 604512008 Site Address: 79957 INDEPENDENCE WY,CA Subdivision: TR 24197-4 Block: Lot: E Issued: Lot Sq Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,700.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 (760)200-9520 Details: REPLACING 100 AMP ELECTRICAL AMP PEDESTAL. APPROVED PER AJ CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT LONG ELECTRIC, INC. 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)200-9520 CONTRACTOR LONG ELECTRIC, INC. 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 (760)200-9520 OWNER MONTICELLO HOA 42335 WASHINGTON ST F427 PALM DESERT CA 0 (760)200-9520 Printed: Tuesday, September 30, 2014 10:55:44 AM 1 of 2 CYCTFM C DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE ELECTRICAL FINAL** PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS --j NOTES DATE Printed: Tuesday, September 30, 201410:55:44 AM 2 of 2 BOND INFORMATION ATTACHMENTS Printed: Tuesday, September 30, 201410:55:44 AM 2 of 2 N Bin #City of La Q urn to Building st 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 Namc: j A. P. Number: �� g� Address: Legal Description: U I �� G% ZZ City, ST, Zip: ContractorTelephone: Q — 2.w b `: `• Address: !.o Project Description: City, ST, Zip: Structural Calcs. Telephone: Q _r/ >;<u..::::::.,:._,:,:•:. State Lie. # : , I City Lie."#.. L Arch., Engr., Designer. --��.(C (N �4 SIQ'da'tl �'—�-1. e ,Q , Address:�� ! Vv City., ST, Zip: telephone: Title 24 Cala. Type: Construction OccuPane y pro a circle one): New Add'n Alter Repair Demo J type ) 3tatc Lic. #::«<;:;:;.:<>:;«;`s';;•;_:ry:>'..<>.,: Plans picked upConstruction ,lame of Contact Person: Sq. Ft.: # Stories: It Units: Ccicphone # of Contact Person: Estimated Value of Prcjcct• APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss C21cs. Called Contact Person Plan Check Balance. Title 24 Cala. Plans picked upConstruction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrcctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN IiOUSE:- 3" Review, ready for eorrcctions(ssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 4� —7 1I/ 7-t 13 F