The URL can be used to link to this page

06-0906 (ELEC)Tr P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: -06-00000906 79152 TOM`FAZ'I'O`LN—S 766-042-004- - ELECTRICAL LOW DENSITY RESIDENTIAL 200 T,i&t 4 46 a" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT f f] Owner: LOT 10 LLC 78-034 CALLE BARCELONA LA QUINTA, CA 92253 MAR 07 20060 Contractor: 11 OUTDOOR SOLUTIONS INC PfYOFLAQUINTA 78034 CALLE BARCELONA STE C �� I'A LA QUINTA, CA 92253 (760)777-1199 Lic. No.: 853887 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) .777-7153 Date: 3/06/06 - ----------------------------------------------- LICENSED CONTRACTOR'S DECLARATION -- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed der provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the,Busin d Professi a Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided Licari Cl C53 i�nse No.: 853887 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is ((JJ��-�� Date:- ,,7-O Contractor: 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 OWNER- UILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to V I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should oa workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or Vhv%ith 3700 of the Labor Cod , I shly with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by _ Q _ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: -date.,! Applicant: (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND . and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year pf-completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. 'property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_) I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: LQPERMIT 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 informatia s correct. I agree to comply with all city and county ordinances and state laws relating to build��%'�� i9.��nstruction/r�y1,1!'d hereby authorize representatives of this county to enter upon the above-mentioned proper1�7t4r . spwtion pyfposes. Signature (Applicant or, Application Number . . . . . 06-00000906 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 33.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/02/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ---------------------------------------------------------------------------- Special Notes and Comments TEMP POWER PEDESTAL FOR CONSTRUCTION OF SFDS. 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 t. �RMIT Bin # City of La Quinta 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 # Project Address: -� �w �_ Owner's Name: A. P. Number: Address: 18 -03q (fqVP " fi Legal Description:T/A ?7 ?l toi- 10 City, ST, Zip: (,4 (fA %L"3 Contractor: W!'^493fer :�¢cT .�,dslao(� MjmK Telephone: & -711-74MIMI Project Description: Address: -03 �lje City, ST, Zip: ' w1 � mNiet— r Ga�S�Pac , ave Telephone: Xp ,7?— -7y5.5-OO A State Lic. # : City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: P i s �; �H Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 60 - Estimated Value of Proiec APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd _ Rec'd 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"d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Jrd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees