BSPN2015-000778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SOUTH VALLEY ELECTRIC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
c&t(t 4 4 QumZ
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSPN2015-0007
78495 CALLE TAMPICO
770130001
LA QUINTA ARTS FESTIVAL GENERATOR
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 -0105542
® Date: �- 4-I .�� Contractor:' V/4I
OWNER -BUILDER DEC RATION
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 Divisiona
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).:
L_J 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/4/2015
Owner:
CITY OF LA QUINTA
78-495 CALLE TAMPICO
LA QUINTA, CA 92253
Contractor:
SOUTH VALLEY ELECTRIC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA.92253
(760)902-0830
Llc. No.: :LIC -0105542
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: _ 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. o
i
1.
Date: P Applicant:
IF IF I'll
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. '
himself or herself through his or her own employees, provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold , IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(- I I,.as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission.related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
( I I am exempt under Sec. . B.&P.C. for this reason 2. Any permit issued as a result of this application becomes null and void if work is
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 Na
Lender's
0
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 ent r upon the above-
mentioned property for inspection purposes.
Date: u 5_ Signature (Applicant or Agent):
, DESCRIPTION {� � pACCOUNT 4n,, 12 AMOUNT PAID; ' PAID -DATE.
f' _ ; i s
SPECIAL INSPECTION 101-0000-42404 1 $72.52 $0.00
aMETHOD'+ " ,s"Y #x .PT rt " CHECKr#< ` i.CLTDBY~
RECEI
r': f �. `� w._... #"
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION; $72.52 $0.00
TOTALS:00
Description:'LA QUINTA ARTS FESTIVAL GENERATOR
Type: SPECIAL INSPECTION
Subtype: Status: UNDER REVIEW
Applied: 3/4/2015 PJU
Approved: -
Pa'rcel No: 770130001 Site Address: 78495 CALLE TAMPICO LA QUINTACA 92253
subdivision:
Block: Lot:
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0. 00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
L
Details: -SPECIAL INSPECTION FOR LA'QUINTA-ARTS FESTIVAL. THIS PEAMif —NdUfts _4LL TEMPORARY ELECTRIC REQUIRED.2013
CODES.APPROVED PER AJ
CONTACTS
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ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE NAME-e-
APPLICANT
SOUTH VALLEY ELECTRIC
0 OUTSIDE CITY LIMITS LAQUINTA
CA
92253
CONTRACTOR
SOUTH VALLEY ELECTRIC
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
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Printed: Wednesday, Ma�h0�ZO1525U�4Rm 1nf2 .
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BOND
IN'FORMATION
ATTACHMENTS
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CRSYSTEMS
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Building u Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit # nl�
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Project Address: e-7Q�i C Owner's Name:. C v
`L�
A. P. Number. Address:
Legal Description: City, ST, Zip: ; qt\0,, Cfp� 9 D5-
Contractor. ll CRV Cx Telephone:
Address: axox o1c) u Project Description:
City, ST, zip:
r�
Telepha e: _ � ' .,�•. s �;nrr,.,. � �_, . � U � � U.. , t"••��.c�
State Lie. #: City Lie. #;
',v' a_® 0 C,
Arch_ Engr , Designer�—
Address: h 1 ' • `0.�C� F1' "1 C—
City., ST, Zip:
Telephone: ?, Construction Type; . Occupancy:
State Lie. #: Project type (circle one): Now Add'a Alter Repair Demo
Name of Contact Person: l {_� Sq. FL: # Stories: # Units:
Telephone* of Contact Person: 0' _Qlb Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIMG
PERMIT FEES'
Plan Sets
Pian Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit,
Truss Calcs.
Called Contact Person
Plan Check Balance •
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mecbarilcal
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcoutactor ISst
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILOA. Approval
Plans resubmitted
Grading
IN SOUSE:-
''" Review; ready for eorrections/Lssue
Developer Impact Fee
Planning Approval
Called Contact Person
Ad-P.P.
Pub. Wks. Appr
Date of permit issue
School Fees '
Total Permit Fees
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