BELC2015-005178495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property.Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
DESERT ELITE ELECTRIC
P 0 BOX 2513
PALM DESERT, CA 92260
4 4v uu�1w.
COMMUNITY DEVELOPMENT DEPARTMENT
BELC2015-0051
79345 STONEGATE
776040015
RELOCATE 70AMP SUB PANEL
$1,500.00
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: C10 License No.: 1000013
Date: / Contract'o
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 Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/6/2015
Owner:
DOUG BOONE
79345 STONE GATE
LA QUINTA, CA 92253
Contractor:
DESERT ELITE ELECTRIC .
P 0 BOX 2513
PALM DESERT, CA 92260
(760)851-9542 .
Llc. No.: 1000013
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 fwith
comply with those provisions. yl�
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 thea b
mentioned property for inspection purposes.
Date: Signature (Applicant or Ag t):
FINANCIAC INFORMATION
bESCRIPTION ? 'A�.
r
i` A tACCOUNT QTY' AMOUNT Y PAID PAID;DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
,
#g"c PAIDRBY "
?EMETHODs ' f *��RECEIPTE# Eiy ` CHECK #
CLTD BY
g
, ! .
*;
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA. $1.00 $0.00
_.,. 'DESCRIPTION ff,
'' ACCOUNT]
QTY
PAIEO�,�,
DATE
M v YAMOUNT
(PAID
OTHER ELECTRICAL EQUIPMENT
101-0000-42403
0
$24.17
$0.00
PAID r
hr: METHOD a s m 4'
RECEIPT # °x'7'''CHECI(#
x
CLTD BY
,BYi r
x 4
4 ''4: ACCOUNTs ;�
QTY<y
`g
PAID*
;PAID`DATE':
T tiOESCRIPTION
x
"AMOUNT
Vt."
OTHER ELECTRICAL EQUIPMENT PC
101-0000-42600
0
$24.17
$0.00
" i
PAID. BY {'` '
a METIiOD'y * ;
� 'yRECE1PT # � jr.�i
' � CHECK #
:.:
Total Paid for ELECTRICAL: $48.34. $0.00
ACCOUNTQTY
AMOUNT a,
PAID "
PAID'DATE�
y;DESCRIP.TION,"
=
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
r v PAID; BY. �.SkME
METHOD
RECEIPT #rk�s.CHECK
# R
CLTU BY.
.c
y li r R
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
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Bin #
City of La Quinta.
Building 8T Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012.
bo 5-J-- Building Permit Application and Tracking Sheet
Permit #
& a 1 -
Project Address:�`[jN r
(?L
Owner's Name: �OJ ObC`1
A. P. Number:
Address: 'I
Legal Description:
Contractor: - x�
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City, ST, Zip: ✓
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Telephone: ><<
Address- q 63
Project Description: �� beca�'b2 l b.»;:<:
City, ST, Zip: 1i�1 Ccs 22 io
Telephone: hone•
State Lic. # Jp (>O() I
City Lic. #;.7(p 2_cj c1
Arch., Engr., Designer:
l V'\
Address:
City., ST, Zip:
Telephone:
Con tr ucti n TY Pe. AOc Occupancy:()aneY
EL ft�c : Lu
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State Lic. #•
Pro'e e
ct cir le
c one : New dd'
J tYP � ) e A n Altere e P air Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
k
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit ,
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
21" 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:-
3" Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Description: RELOCATE 70AMP SUB PANEL
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 7/6/2015 EVA
Approved: 7/6/2015 EVA
Parcel No: 776040015 Site Address: 79345 STONEGATELA QUINTA,CA 92253
Subdivision: TR 26524
Block: Lot: 37
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: RELOCATE 70 AMP SUB PANEL 3 FEET FROM EXISTING GAS METTER
�,.
CONDITIONS
Printed: Monday, July 06, 20151:39:30 PM 1 of 2
SYSTEMS
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SEQID INSPECTION:TYPE INSPECTOR,�.i SCHEDULED COMPLETED RESULT :: REMARKS NOTES
DATE DATE
ELECTRICAL FINAL” BLD
Printed: Monday, July 06, 2015 1:39:30 PM 2 of 2 sysrcias
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"s„PAID .,
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DESCRIPTION
ry p f ACCOUNT n
, QTY r
;AMOUNT
PAID �::
PAID: DATE
RECEIPT #
CHECK,# »
.METHOD
BY
r
< $.1
.FT. $ R t
OTHER ELECTRICAL
101-0000-42403
0
$24.17
$0.00
EQUIPMENT
OTHER ELECTRICAL
101-0000-42600
0
$24.17.
$0.00
EQUIPMENT PC
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0.
$91.85
$0.00
Total P2irl fnrPFRMIT ISVANCE: OL95 $0.00
TO� ��
SEQID INSPECTION:TYPE INSPECTOR,�.i SCHEDULED COMPLETED RESULT :: REMARKS NOTES
DATE DATE
ELECTRICAL FINAL” BLD
Printed: Monday, July 06, 2015 1:39:30 PM 2 of 2 sysrcias