BELC2014-1060f
^� S
LL
78-495 CALLE TAMPICO t
LA QUINTA, CALIFORNIA A�253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
BELC2014-1060
77322 CALLE TEMECULA
21423 .
REPLACE BREAKER IN PEI
$100.00
Applicant:
COCHRAN COMMUNICATION CONSTRUC
36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY, CA 92234
I a&
Twit 4 _91
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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: C-7 License No.: 478543
Date:12 2 Z 2 ^ / 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).:
( ) 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 ) 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/22/2014
Owner:
TIME WARNER CABLE
41725 COOK ST
PALM DESERT, CA 92260
Contractor:
COCHRAN COMMUNICATION CONSTRUC
36630 CATHEDRAL CANYON DRIVE
CATHEDRAL CITY, CA 92234 .
(760)328-.6778
Llc. No.: 478543
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.
Date: Applicant: ffAy X- =
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/2 ^2Z •/y Signature (Applicant or Agent)
FINANCIAL INFORMATION
t - •DESCRIPTION't
`:g �+f y ACCOUNT' ;5 FQTYp i4MOUNTI�s
1
y' PAID' kPAID DATE.
t r•" wt
•��.
BSAS 561473 FEE 101-0000-20306 0 $1.00
$1.00- 12/22/14
jr sx° PAID BY METHOD, ;` xrRECEIPT #
': CHECK # CLTD BY
COCHRAN COMMUNICATION CONSTRUC CHECK R3271
9795 AZA
Total Paid for BUILDING STANDARDS ADMINISTRATION. BSA °" $1.00 $1:00
DESCRIPTION ' fi
'A00OUNT.
QTY
AMOUNT,sx
PAID,yy�
r, F¢ L
a8 6t .:1
,z -s -«' i4 ;
$l
�• g{PAIDUATE:
nSt'i .rR �E+. LSS'.
i
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
12/22/14-
! r• s r � zt -
PAID BY41 r
c 1- - 1.s
Y,METHOD `#�
r xnx.-cw
'»,~RECEIPT#..r;
CHECK#a
CLTD BYE;
;
COCHRAN COMMUNICATION CONSTRUC .
CHECK
R3271
9795
AZA
a Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
1
•
/
t
R
c
r
Description: REPLACE BREAKER IN PEDESTAL'
` �nNAME” �°:�
Type: ELECTRICAL
Subtype: Status: UNDER REVIEW
Applied: 12/22/2014 AZA
Approved:
_ e
Parcel No: 21423 Site Address: 77322 CALLE TEMECULA LA QUINTA CA 92253 _
Subdivision:
Block: Lot:
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $100.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
COCHRAN COMMUNICATION
CONSTRUC
Details: REPLACE BREAKER IN CABLE PEDESTAL. PER 2013 CALIFORNIA BUILDING CODE
CATHEDRAL
CITY
NANIETYPE„'
` �nNAME” �°:�
my ADDRESSl
CONTACTS
CITY _ ',STATE.
ZIP',,'
t PHONE* ":Q FAX',.
ADDITIONAL
SITES '
COCHRAN COMMUNICATION
CONSTRUC
36630 CATHEDRAL
CANYON DRIVE
CATHEDRAL
CITY
CA,
X92234
'
_ CHRONOLOGY
,
CONTRACTOR
COCHRAN COMMUNICATION
CONSTRUC
CONDITIONS
CATHEDRAL
CITY
CA
NANIETYPE„'
` �nNAME” �°:�
my ADDRESSl
CONTACTS
CITY _ ',STATE.
ZIP',,'
t PHONE* ":Q FAX',.
t *:EMAIL
APPLICANT
COCHRAN COMMUNICATION
CONSTRUC
36630 CATHEDRAL
CANYON DRIVE
CATHEDRAL
CITY
CA,
X92234
'
(760)340-1312
CONTRACTOR
COCHRAN COMMUNICATION
CONSTRUC
36630 CATHEDRAL,
CANYON DRIVE
CATHEDRAL
CITY
CA
92234
(760)340-1312
OWNER
TIME WARNER CABLE
41725 COOK ST
PALM DESERT
CA r
92260
(760)340-1312
DESCRIPTIONS Z,
A� LINT
�Q-775177,71
rt -,-711�
. I
AMOUNT
4, r
,
tfg�—PAID-`—
PAIDDATE
4CH ECK V,
METHOD
046�6i
CLTD'
4,
_El��Jtt:
—:9
4 WWI
COCHRAN
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
12/22/14
R3271
9795
CHECK
COMMUNICATION
AZA
I I
CONSTRUC.
Total Paid fdrBUILDING STANDARDS ADMINISTRATION i
$1.00 i.00
BSA:
COCHRAN
PERMIT ISSUANCE
1.01-0000-42404
0
$91.85.
$91.85
12/22/14
R3271
9795
CHECK
COMMUNICATION
.
-
CONSTRUC
ATotal Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $92.85 $92.95
i
N
(not to scale)
Thomas Guide
879 E-3
COCHRAN COMMUNICATIONS CONSTRUCTION `
36-630 Cathedral Canyon Drive
- Cathedral City, CA 92234
for
TIME WARNER CABLE -
Exist CATv Pedestal Had a New Breaker Installed by Time Warner Cable
IID Requested That"The City.of La Quinta Inspect The New Breaker n
Existing 100 Amp CATV Meter Pedestal
77322 Calle Temecaga
MTR # AR1 B4 703
Calle Temecula
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