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12-1360 (SPIN)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -12-0 00013 6 0 Property Address: 78495 CALLE TAMPICO LQ ARTS APN: 770-130-001- - - Application description: SPECIAL INSPECTION' Property Zoning: MAJOR COMMUNITY FACILITY Application valuation: 4500. Ap p licant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT _ BUILDING PERMIT �v --------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. License Class: C`10 License No.: 822972 1 -'Date: J 'jam%b _ k 7"' Contractor:' 01—FR-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,.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.). 1 _) 1, 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.). (_) 1 am exempt under Sec. , B.&P.C. for this reason Date: 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: LQPERMIT Owner: CITY OF LA QUINTA C/O AKLUFI & WYSOCKI 3403 10TH ST STE 610 RIVERSIDE, CA 92501 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/16/12 Contractor: D I SOUTH VALLEY ELECTRIC u P.O. BOX 10067 PALM DESERT, CA 92255 NOY 1 g 2012 (760)902-0827 Lic. No.: 822972 CITY OF LA QUINTA ------------------ 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 TWIN CITY FIRE Policy Number 57WECDI4201 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 h II forthwith comply with those provisions. Date: 1 —'U— 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 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 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 upon the above-mentioned propertyfor 'action purposes. Date: f -A-1 -signature (Applicant or Agent): v' Application Number 12-00001360 Permit SPECIAL INSPECTION Additional desc . Permit Fee 100.00 Plan Check Fee .00 Issue Date Valuation . . . . 4500 Expiration Date 5/15/13 Qty Unit Charge Per Extension BASE FEE 100.00 ---------------------------------=-------------------------- Special, Notes and Comments_ ------- --------- SPECIAL'INSPECTION;ELECTRCAL TEMP POWER FOR BLUES AND BREWS AT CIVIC PARK - APPROVED PER B.H. Fee summary Charged Paid Credited Due Permit Fee Total 100.00 .00 .00 100.00. Plan Check Total .00 .00 00' .00 Grand Total 100.00 .00 .00 100.00 Bin.# City of La Q[1` to Buffdirlg 8i Safety Division P.Q. Box I504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit' Application and Tracking Sheet Permit # Project Address: �t v 1 Owner's Name:. C_ 1` : Q - A. P. Number. I q S_ % 4'r' f C!J Address: Legal Description: City, ST, Zip: ( 1 Contractor. S©�j& `�E—� ` Telephone: Address: 1) oO Project Description: City, ST, Zip: P-0 V- t 1 Telephone: City LiC'. #; State Lie. # : —10 - C Arch., Engr., Designer: Address: City., ST, Zip: Telephone: p 'Y • . '1 • � �"� �»4� �'. Construction Type:. Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repan Demo Name of Contact Person:.J E F t— lh_k�c Sq. Ft.:#Scones: # uni4r Telephone # of Contact Person: . 40 l01-' 061-1 Estimated Value of Project: y SUo. eve APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd .'Ree'd TRACKING PERMIT FEES Plan Sets PIan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Pian Check Balance Tide 24 Cates. Pians picked up Constractlea Flood plain plan Plans resubmitted.. Mechanical Grading plan 2i4 Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees