The URL can be used to link to this page

09-0020 (ELEC)P.O.. BOX 1504 78-495 CALLE TAMPICO LA .QUINTA, CALIFORNIA 92253 Application Number: 09 -00000020 - Property Address: 1525,69 AVENIDA VALLEJO APN: 773-292-015-3 -000000- Application description: ELECTRICAL ` Property Zoning: COVE RESIDENTIAL Application valuation: 1500 T4tyl . 440uhi&, BUILDING & SAFETY DEPARTMENT - Architect or Engineer: BUILDING PERMIT ---------------------------------------------- ----- LIC ENSED��yyCON'T/RA 'S DECLARATION I hereby affirm under penalty of perjury that I am 'c�nsc finder provisions of Chapter 9 (commencing with Section? 0 1 of Division 3 of the Business an ofes nals Code, and my License is in full force and effect. . License la C10 License No.: 794758 Date: V or: - 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 statgment 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 ownr 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.). ' (_ 1 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.). 1 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Ol Date: 1/08/09 Owner: RYAN BRYL 52569 AVENIDA VALLE LA QUINTA, CA 9225 ✓�� 0 IJ 1y�� ' Contractor. ADOBE ELECTRIC 68805 PEREZ ROAD STE G-70 CATHEDRAL CITY, CA 92234 (760)202-0300 Lic. No.: 794758- ------------------ 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 EXEMPT Policy Number EXEMPT 1 certify that, in the performance of the wor for which this permit is issued, I shall not employ any person in any manner so as to become to the orkers' compensation laws of California, and agree that, if I should become s Oct to thew kers' compensation provisions of Section 3700 of the La Code, I s�t� f .thw th c mply ith those provisions. Do • D N NG? FAILURE TO URE O SECR ERS' 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 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 andhold 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 aqqd void if work is not commenced within 180 days from date of issuance of such pe it, or ces�i3tion of work for 180 days will subject permit to cancellation. If I certify that I have read this application and state that the a infor n is correct. I agree to comply with all city and conn 9 ordinances an tate laws relating�i'Buil onstr ion, and ereby authorize representatives of t/hist° t to nter upo he above-mentioned pro l10/91 io �ses. - atPl e: r ignature (Ap�n�Ifea oyP:gentl' LQPERMTT Application Number 09-00000020 Permit ELEC-SERVICE CHANGE Additional desc . Permit Fee . . . 33.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . 0 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=6OOV/<=200A 18.50 . ---------------------------------------- ----------------------------------- Special Notes and Comments REMOVE & REPLACE 100 AMP METER PANEL ---------------------------------------------------------------------------- Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 33.50 .00 .00 33.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 34.50 .00 .00 34.50 c: Bin # City of La Quinta Building U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # lT Project Address: Owner's Name: s A. P. Number: Address: Legal Description: City, ST, Zip: J Contractor: khose- Telephone: `71.1l - q2z ._/t/A-1% AN --M' Address: ��9 +-��-1- •&ce L -4 e -e( Project Description: City, ST, Zip: C1 ►1J: l� L23 ��er: L_� /'�^2� �'f/� — Telephone: ZQ L- o-3 c) t) -:.a Re . laclot) A --V. State Lic. # : (` it •- -7Q Y 7a City Lic. #: Arch., Engr., Designer: �,2-►�-¢ Address: City, ST, Zip: Telephone: = _- Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter epai Demo Name of Contact Person: Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: ZO L — U .S Ott Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # 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 Energy Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"" Review, ready for correctionstiissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed 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