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05-3713 (ELEC)z P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: 0.500003713 78591 TALKING—ROCK TURN 770-300-031- - - ELECTRICAL LOW DENSITY RESIDENTIAL 100.0 . " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: FA MOSSIMO GIANULLI D78591 TALKING ROCK TURN LA QUINTA, CA 92253G 2 3 200590( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-715"3 Date: 8/23/05 CITYF QUINTA FINANCE DEPT. Contractor: Applicant: Architect or En . ginee TUSCAN CANYONS DEVELOPMENT INC. P O BOX 3139 PALM DESERT, CA 92261 (760)774-7321 Lic. No.: 825410 LICENSED CONTRACTOR'S DECLARATION 'WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed 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 Business and Professio Is Co e, my License is in full force and effect. 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License ass: Licen 825410 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is l w !� 2Z O`"Contt issued. 41 �D�5 racto _ - 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 r^ WN -BUILDER DECLARATION insurance carrier and policy number are: " I hereby affirm under= of perj th axe t from the Contractor's State License Law for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec. 7031.5, Business and Profess s Code: Any city or county that requires a permit to 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 stru ture, prior to its issuance, also requires the applicant for the _ e orkers' compensation laws of California, person in any manner so as to become subjejVework 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 and agree that, if I ould a ome subject to s' mpensation provisions of Section I 37 0 of the Lebo od , 1 II fort `{(�it1hh coith h 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) nae.. ) ((( Ar /V`�M 1 _ I 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.). (_ 11, 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.). - ( 1 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 Name: _ Lender's Address: LQPERMIT WARNING: FAILURE TO SECURE VIRKEPENS ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PE SAN IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIO O THE -COST OFCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COD , INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety 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 Orrect. I a ee to comply with all city and county ordinances and state laws relating toA ilding nstruction, a areut a ize representatives of thi count to enter upon the above-mentioned pr, r f i spa tion urp sby Dab ,nW� Signature (Applicant-or-Agent)1 T Application Number . . . . . •05-00003713 Permit . . . ELEC-TEMPORARY POWER Additional desc . Permit Fee . . . . 30.00 Plan Check Fee.00 Issue Date Valuation .. 0 Expiration Date 2/19/06 Qty Unit Charge Per Extension BASE FEE. 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments Fire Damage temporary power for landscape & pool maintenance. Fee summary Charged ----------------- Paid Credited Due -------.--- ---------- Permit Fee Total 30.00 ----------- ---------- .00 .00 30..00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 CITY OF LA QUINTA SUB -CONTRACTOR LIS � J�-�94ERMIT NUMBER OWNER 1100!AaD JOB ADDRESSGAN-MW BUILDER - �� I _ This form shall be posted on the job with the Building Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance L, I b I ted b a licant' "On File" is not an acceptable response. of building permit. For each applicable trade, all information a oust a comp e requested w m :.... State Contractor's License Classification License Number Exp. Date (e.g. A, B, C 8) (xxxxxx) (xx/xx/xx) y pp .. Workers Com ensation Insurance `:' r Carrier Name Policy Number Exp. Date (e.g. State Furid, CalComp) (Format Varies) (xxlxx/xx) City. Business. License: 's .: License Number Exp. Date (xxxx) (xx/xx/xx) Trade / Classification Contractor Company Name EARTHWORK (C-12) :.; "j"�f- CONCRETE (C-8) �c1•-� FRAMING .(C-5) STRUCT. STEEL (C-51) L—W _i0rr4' MASONRY (C•29) .PLUMBING (C-36) LATH; PLASTER (C-35) $0(601z' DRYWALL (C-9) .:..; HVAC (C-20) ..:: ;: `:...: QjW4 E 0:�Z— -/ta,�- G 012, 'FUt7 WG VtJ yS3`�35� tZ 3� u 3 3� �ELECTRICAI. (C-10)�,: ,.- SHEET METAL (C'43) FLOORING (C_15): >': ,' : ►.�(� GLAZING (C-17)'.: INSULATION (C-2).: SEWAGE DISP: (C-42) . < PAINTING IC -33) yes IPA I�-n CERAMIC TILE (C-54) q/l� 1�lJtV�IJi CABINETS (C-6) C� 5 FENCING (C-13) ur LANDSCAPING (C=27) °!: ... AG*_ POOL (C-53) Auk LA's► �""5