14-0265 (ELEC)P.O. BOX 1504
*495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14"00000265
Property Address: 78512 TALKING ROCK TURN
APN: 1 770 -260 -026 -
Application description: ELECTRICAL
Property Zoning:
Application valuation: 4000
Applicant:
Architect or Engineer:
fG�ftrGV `'�
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
TRADITION CLUB ASSOC
78505 52ND AVE'
LA QUINTA, CA'92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
.ELITE POWER PLUS
81746 OLEA AVENUE n
INDIO, CA 92201 ! > i7'A9/j
(760) 650-2060
Lic. No.: 954181 F� f��-p>u A
Date: 3/12/14
-------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
-----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury tha 'censed nder 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 s and P fessi als 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
License CI s: 10 License No.: 954181
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
n v
issued.
Date: Contractor:
_ 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 -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury at I am exempt from the Contractor's State License Law for the
NORGUARD INS Policy Number JAWC444008
following reason (Sec. 7031. Busines and Professions Code: Any city or county that requires a permit to
_Carrier
_ 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 ome subject 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' "come ubject to a workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor Code, I all fo wi mply with those provisions.
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)•:
? '
Date: V Applicant:
1 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 WORK S' 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 ENALTIES 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 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.). _
APPLICANT ACKNOWLEDGEMENT
(_ 1 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. , BAP.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 a e infor ation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildi g constru on, a hereby authorize representatives
of this coup ygto , nter upon the above-mentioned property r inspe ion poses.
Date: 9 Y Signature (Applicant or Agent): -
r Application Number . . . . . 14-00000265
Permit ELECTRICAL 2013
Additional desc .
'Permit Fee . 23.83 Plan Check.Fee .
.00
Issue Date . . . Valuation . . .
. 0
Expiration Date 9/08/14
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC SERVICES
----------------------------------------------------------------------------
23.83
Special Notes and Comments
NEW POWER PEDESTAL FOR DRIVING RANGE
AREA APPROVED PER JJ 2013 CODES.
------------------ ---------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
-1.00
PLAN -CHECK, ELECTRICAL
-23.83
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid Credited
------------------------------
Due, '
---------------------------
Permit Fee Total 23.83 .00 .00
23.83
Plan Check Total .00 .00 .00
1.00
Other Fee Total 115.40 .00 .00
115.40
Grand Total 139.23 .00 .00
139.23
LQPERMIT
Bin #
City of La Quinta
Building &r SafetyDivision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit'#
Project Address: -/Z T� 1.7v�.y
Owner's Name:
A. P. Number: 7 �0 Z66- OZ(
Address:
Legal Description:
City, ST, Zip: .^elf2
Contractor:t otv A61-r
telephone: ?,/,07Z3
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Address: 2 L/ly Q/�� G
Project Description:c W c
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City, ST, Zip: •- '7� W
Te 1 a hone•
P /- 0 � .l-G-ZO�C�
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r L�4
State Lic.
City Lic. W.:
Arch., Engr., Designer:
Address:
City,, ST, Zip:
Telephone:
e one:
P
tructi n TY
e•Cons Occupancy:
P •
State Lic. #:>:;;........
Project type (circle one): New Add'n Alter Repair Demo
erson: is
Name of Contact Person--Tim—.-
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: OGQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
Recd
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
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' 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
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