BSPN2016-004078-495 CALLE TAMPICO
LA"QUINTA, CALIFORNIA 92253
Application Number: BSPN2016-0040
Property Address: 79365 TORONJA
APN: 776260041
Application Description: RICHARD GUY/ IID
Property Zoning:
Application Valuation:
Applicant:
COVE ELECTRIC INC
77824 WILDCAT DRIVE
PALM DESERT, CA 92211
4 uudw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Owner:
RICHARD GUY
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
A{S 92253
zJ
MAY 2 d Contractor:
COVE ELECTRIC INC
77824 WILDCAT DRIVE
C,T',OFLq QUIINTA PALM DESERT, CA 92211
Cpm q1-Ty-DEVELOPMENTDEPART
_ (760)360-0036
Llc. No.: 397002
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: C10� License No.: 397002
'Date "'. 2`f contractor ~�0et�1r irk^
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 li
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
Date: 5/24/2016
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 wok 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. r,
Date: - 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 her 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. 1
oe
Date: --Signature (Applicant or Agent).
fbESCRIPTION"'`er.?a;�`ACC.OUNT
I QTY AMOUNT_:�PAlD PAID�DATE,-
. ,..> . ��_.• _
•:. .
SPECIAL INSPECTION
101-0000-42404 0 $72.52 , $72.52 5/24/16 -
'PAID:BY.
x.°t` 1w LTD BM`
w,,<., :..�
:'.'METHOD° :,:�s
COVE ELECTRIC INC.
CHECK 1115725 33383 RSE
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 - $72.52
��.,DESCRIPTION
ACCOUNT��aAMOUNTPAID.DATE:.
wM�1'
ATION
fbESCRIPTION"'`er.?a;�`ACC.OUNT
I QTY AMOUNT_:�PAlD PAID�DATE,-
. ,..> . ��_.• _
•:. .
SPECIAL INSPECTION
101-0000-42404 0 $72.52 , $72.52 5/24/16 -
'PAID:BY.
x.°t` 1w LTD BM`
w,,<., :..�
:'.'METHOD° :,:�s
COVE ELECTRIC INC.
CHECK 1115725 33383 RSE
Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 - $72.52
��.,DESCRIPTION
ACCOUNT��aAMOUNTPAID.DATE:.
�€ =
F
..
SERVICES
101-0000-42403
0
$24.17
$24.17
5/24/16
A PAID:BY��ts"yMETHOD
`�
}}
CHECK#�`'+CLT,D$BY{
»Fz
�fRECEIRT#
COVE ELECTRIC INC
CHECK
1115731•
33384.
RSE
-� x ` `• DESCRIPTION �
,ACCOUNT6
AMOUNTfK s
PAID";'
PAID DATEt
�
,
r
SERVICES PC
101-0000-42600
0
.$12.09
$12.09
5/24/16 .
°�
�s "METHOD
w xPAIDBYfi
COVE ELECTRIC INC -
CHECK
R15731 '°
33384
RSE
'Total Paid for ELECTRICAL: y $36.26 $36.26 t '
DESCRIPTION n
_' ` r r x ACCOUNT
TY
AMOUNTA �r
' ' zPAIU r � '
PAID DATE
€ .
_ .ems.
v '~Q
."
w
PERMIT ISSUANCE ' y'
101-0000-42404
0
ti $19.33
$19.33
5/24/16
METHOD..
RE
CHECK # ii4:
CLTD BY-
s.
"sr _r.;
:CEIPT
COVE ELECTRIC INC
CHECK
R15731
33384
RSE
-Total Paid for PERMIT ISSUANCE: $19.33 $19.33
TOTALS:
•
l
Description: RICHARD GUY / IID RELEASE
Type: ELECTRICAL
Subtype:
Status: UNDER REVIEW
Applied: 5/24/2016 RSE
Approved:
Parcel No: 776260041 Site Address: 79365 TORONJA LA QUINTA,CA 92253 , _
Subdivision: TR 28797
Block:
Lot: 41
Issued:
Lot Sq Ft:'O
Building Scl Ft: 0
Zoning: 1�
Finaled:
Valuation: $0.00
Occupancy Type:
Constructiori Type:
Expired:
No. Buildings: 0 - ,
No. Stories: 0
No. Unites: 0
Details: SWITCH OUT 200 AMP ELECTRICAL PANEL. 2013 CALIFORNIA BUILDING CODES
ADDITIONAL SITES,F,',
f. ��,..,..u4• 4l :!r'f"f ini�.., f1...'l �,. ! 4"iii i '��i� n,ri i I. 144....! d
-
' 11
CONDITIONS ,.
- x m �.. ,�.,. __._ T _ . w . _
'
�QN ACTS .. ,�..
.... ...
DESCRIPTION ,
........ . ...........
% ACCOUNTi��,
ry
QTY
-AMOUNT—�
7z!� mK�T"f
""'2 PAID"
PAID DATE.
opT4
:j
�IMETHOD
.. . ......... . . ....
TY, �Wo
m
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
SPECIAL INSPECTION
101-0000-42404
0'
$72.52
$72.52
5/24/16
R15725
3338*3 -
CHECK
COVE ELECTRIC INC
-RSE
Total Paid for'COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72.52
:SERVICES
101-0000-42403
0
$24.17
-$24.17
5/24/16
111.5731
-33384
CHECK
COVE ELECTRIC INC
RSE
SERVICES PC
1011-0000-42600
0
$12.09
$12.09
,5(24/16
1115731
33384
CHECK
COVE ELECTRIC INC
RSE
Total Paid for ELECTRICAL: $36.26 .$36.26
'PERMIT ISSUANCE
101-0000-42404
0-
$19J3
T $19.33
S/24/16
RiS731
33384
CHECK
COVE ELECTRIC IN c7
RSE
Total Paid for PERMIT ISSUANCE: $19.33 $19.33
..... .... ..
... .......
INSPECTIONS�" . .... .... .......... . .......
...............
........... ...........
�-RET URNE
STA
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
'REVIEW77E�'
REVIEWER . SENT. DATE i
DATE;-_,�z
Its
[-.1�,1a.1LIE
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VA
Bin #City
Permit-#
Project Address:
0C) f D
J�
of La. Quin' to
Building & Safety Division
78-495Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
. .N Owner's Name:' ^ , a✓ t/'ci
A. P. Number:
Address: a "
Legal Description:City,
ST; Zip:L. crz2F
ntra r:
Co ct 0
c G
T h n D
ele o
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Address: _ 0
i I CA
Project Description: tre
City,.ST,Zip: OCIYh
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Sw 111¢ r L2 Ot/t
Telephone: -
�a O
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S�rr Y`e a
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CiLie.StateLic.#:
.. - er,ek
Arch., Engr., Designer:
Address:
City., ST, Zip: .
h
Telephone:
one:
aneY
Can traction Type: Occupancy:
:
State Lic.
P'tYPe (circle one • New Add'
n AJectIter em 0
Name of Contact Person:Sq.
Ft.: T#
Stories.:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT -WRITE BELOW THIS LINE
Y
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 Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction '
Flood_ plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical '
Subeontactor List
Called Contact Person.
Plumbing '
Grant Deed
Plans picked up
S.M.I.
li.O.A.'ApprovaI
Plans resubmitted
Grading
IN HOUSE:-
'rd. Review, ready for corrcctionsrissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,'
Total Permit Fees
i
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