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BELC2015-0015D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Dater 2/19/2015 Owner: ARGUILLE RESIDENCE 78760 SUNBROOK EJJII LA QUINTA, CA 92253 Applicant: U FEB Y 9 2015 u Contractor: RANGEL INC RANGEL INC CITY OF LA WINTA P 0 BOX 14427 P 0 BOX 14427 COMMUNITyDEVELOPMENipEpgRTMENT PALM DESERT, CA 92255 PALM DESERT, CA 92255 (760)360-7377 LIc. No.: 753548 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th Busi ess and Pr ssi ns Code, and my License is in full force and effect. I License Class: License No.: 753548 Date: r Contractor: 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 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 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: 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 wor fo which this permit is issued, I shall not employ any person in any manner so as to eco a subjec o the workers' compensation laws of California, and agree that, if sho d beco a ubject to the workers' compensation provisions of Section 3700 oft Labo Co e, I shall forthwith comply with t ose pr visions. Date: T 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 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 ififorr ation is correct. I agree to comply with all city and county ordinances and state aws 7lating to building construction, and hereby authorize representatives of this ci toe er upo a above - /mentioned rope for - spection purposes. Date: 1� S Signature (Applicant or Agent): 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 _ Application Number:. BELC2015-0015 Property Address: 78760 SUNBROOK LN LN APN: 604293006 Application Description: BREAKER CH Property Zoning: nI Application Valuation: $300.00 ��'� D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Dater 2/19/2015 Owner: ARGUILLE RESIDENCE 78760 SUNBROOK EJJII LA QUINTA, CA 92253 Applicant: U FEB Y 9 2015 u Contractor: RANGEL INC RANGEL INC CITY OF LA WINTA P 0 BOX 14427 P 0 BOX 14427 COMMUNITyDEVELOPMENipEpgRTMENT PALM DESERT, CA 92255 PALM DESERT, CA 92255 (760)360-7377 LIc. No.: 753548 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licens nder provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th Busi ess and Pr ssi ns Code, and my License is in full force and effect. I License Class: License No.: 753548 Date: r Contractor: 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 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 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: 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 wor fo which this permit is issued, I shall not employ any person in any manner so as to eco a subjec o the workers' compensation laws of California, and agree that, if sho d beco a ubject to the workers' compensation provisions of Section 3700 oft Labo Co e, I shall forthwith comply with t ose pr visions. Date: T 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 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 ififorr ation is correct. I agree to comply with all city and county ordinances and state aws 7lating to building construction, and hereby authorize representatives of this ci toe er upo a above - /mentioned rope for - spection purposes. Date: 1� S Signature (Applicant or Agent): FINANCIAL •• • _ , '" f+ DESCRIPTION }'ACCOUNT :; QTY AMOUNT r ' PAID PAID DATE' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 +,PA(D BY '�' ,+.�. "� -METHOD•:RECEIPT.# '. CHECK.# CLTD'BY-^` 4 Total Paid for BUILDING STANDARDS ADMINISTRATION BSP $1.00 $0.00 ACCOUNT j =+ QTY'. is " 'AMOUNT ; PAID. ' PAID DATE POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 a ;."P' ,„ AID BY -4. METHOD , - • s ry t' �.r RECEIPT # F • - n •• � 61- ECK # - CLTDBY.”, DESCRIPTION _; ,' . ,.. . = ACCOUNT t ; QTYAMOUNT .'�r . -.= PAID; rF ' PAID DATE POWER APPARATUS PC 101-0000-42600 )0 $24.17 $0.00 PAID BY ' „ ; ". , , ': y METHOD a r RECEIPT # '•tt :CHECK # r CLTD BY: Total Paid for ELECTRICAL: $48.34 $0.00 :w,1 sDESCRIPTION ACCOUNT rit CITY fi' AMOUNT, ^ ,"� ^ $;PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 PAID BY F METHOD ^.. 'RECEIPT•# C ' .. CHECK.# . CLTD:BY,. . Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •0 71 i ` t r . Description: BREAKER CHANGE CHAMGE OUT CONTACTS Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 2/19/2015 PJU Approved: Parcel No: 604293006 Site Address: 78760 SUNBROOK LN LN LA QUINTA,CA 92253 Subdivision: TR 23995-1 - Block: Lot: 37 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 r-- Zoning: Finaled: Valuation: $300.00 Occupancy Type: Construction.Type: Expired: No. Buildings: 0 No. Stories: 0 No.'Unites: 0 CA 92253 Details: BREAKER BURNED NEED METER REMOVED TO REPAIR BREAKER 2013 CALIFORNIA ELECTRICAL CODES. ADDITIONAL SITES CHRONOLOGY rnNnITInNct Printed: Thursday, February 19, 2015 10:26:04 AM 1 -of 2 CRWlYSTEMS CONTACTS NAME;TYPE s fr.-'NAMEi'. �'' z�z-. ._1..'.-, •_.<? �- ._:. ADDRESS1 + CITY Vis �.. r"STATE,, ZIP'S- PHONE. FAX f EMAIL APPLICANT RANGEL INC P 0 BOX 14427 PALM DESERT CA 92255 CONTRACTOR RANGEL INC P 0 BOX 14427 PALM DESERT CA 92255 - OWNER ARGUILLE RESIDENCE 78760 SUNBROOK LA QUINTA CA 92253 Printed: Thursday, February 19, 2015 10:26:04 AM 1 -of 2 CRWlYSTEMS DESCRIPTION - ACCOUNT .' =CITY' AMOUNT PAID w - . DATE DATE RECEIPT.# CHECK#,j METHOD ?-PAID BY` ,PAIDDATE POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Printed: Thursday, February 19, 2015 10:26:04 AM 2 of 2 CEVL7 srsreMs INSPECTIONS k6l) • INSPECTION TYPE' r ; INSPECTORSCHEDULED COMPLETED ;RESULT, REMARKS NOTES w - . DATE DATE • INFORMATION ELECTRICAL FINAL" Printed: Thursday, February 19, 2015 10:26:04 AM 2 of 2 CEVL7 srsreMs BOND INFORMATION ATTACHMENTS Printed: Thursday, February 19, 2015 10:26:04 AM 2 of 2 CEVL7 srsreMs Bin'N ;. f Cray of -La - Q urn to . Building 8i: Safety Division P.O. Box 1.504, 78-495 Calle Tampico . La Quints,CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: 7 6-- %w 'Owner's Name: A. P. Number: Address: 7 P— —7d'd .90AlYOP 0 K . Legal Description: City, ST, Zip: Qv, Contractor c QON f! ' C N Telephone: Address: 7 H Project Description: City, ST, Zip: • (wp? ° Telephone: �67 . o State Lic. # : C-'U�/ CityLic. #; C - t /4?4Z,9' , Arch., Engr., Designer: t; .3P// Address: City., ST, Zip: Telephone:hone. Occupancy: Construction n TYPe• : State Lic. #: Project type (circle one): New Add n Altcr Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person:' Estimated Value of Project: co APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd . Reel& TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Pian Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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 IIOUSE:- Review, ready for corrcctionstissue Developer Impact Fee Planning Approval' Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees