The URL can be used to link to this page

BELC2015-0005•r , 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: COMMUNITY DEVELOPMENT DEPARTMENT L•11114 IZ[CI9:I ►�•AW1 BELC2015-0005 43420 CROISETTE CT 609052002 MOVE EXISTING POLE FROM LOT 19 TO 17 AND ADD SUB LOT 8 $1,245.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/22/2015 Owner: ADOM VENTURES 77-682 COUNTRY CLUB DR. STE A3 PALM DESERT, CA 92211 1 �n 0 N Applicant: Contractor: S R BRAY LLC DBA POWER PLUS S R BRAY LLC DBA POWER PLUS all. 1210 N RED GUM STREET 1210 N RED GUM STREET ANAHEIM, CA 92806 ANAHEIM, CA 92806 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: B. C10, D31 License No.: 980589 Daa;:�Contractor a �� IiCdl�� 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.). (_J 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. Q. Lender's Lender's (714)507-1881 Llc. No:: 980589 w 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 thew rk 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 forthwith comply with those provisions. Date: 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 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 the above- mentioned property for inspection purposes. Date: 87[/ Lzr Signature (Applicant or Agent): 44, 1 Rental Terms: y6-Yonths SHEPARD LANE X DARE Y RD 14 t _ _ I fµ"O _ 1 -i 330.' P.E=.T22.< , { P.EQi21.8 P.E�121.5 —'P.E=121.0 •RE+T20.5 P.E�120� j R�E.e119.6 ;�fPE=1�19`I C 1 PA O*j ^ •f 1 ,'., •..,•;::;�,.� I- � . - iiil {ii4 !li{ ,% _ li { �{lid.'. •:�� .i-�'.� p � ' , rpt ¢qct a rwra f j i ' IL . . . . . . . . . . . . -0 ILZ UAW \ 1-� _lam —� _ _ s°a'• � __ .�. �itl/�• �sli. w �, P.E.9122.2. .,tom / • / ,•'X `' .'_'`-� 4� mfr ( ;! ;-... .il •� '' ir... 1 ' �,:..' {. •�: 1". 7 — �.• sit!( I P,Eg721:8 .� RE.•I?LS �.ei2i2 {I t.. P.Ea120.8; III P.E�1f0.3 ,Pf'=119.8' t 4• !.:� cP•F•=119;1' 4 II P x � - -- -- -__.arts � � �-.._...-._ ..• .>d - - - Cff1 Vas ,, A. 1 tl 1 BUILDING & SAFETY DEPT. AR I I�� 1, Pj`j, `1 F" 7-7 T7, � DESCRIPTION FINANCIAL INFORMATION ACCOUNT'' QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION `'. ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $48.34 $0.00 PAID BY,:METHOD .. ;RECEIPT #, CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $33.84 $0.00 PAID BY METHOD .. RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $82.18 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT -PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 Description: MOVE EXISTING POLE FROM LOT 19 TO 17 AND ADD SUB LOT 8 Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 1/22/2015 SKH Approved: Parcel No: 609052002 Site Address: 43420 CROISETTE CT LA QUINTA,CA 92253 Subdivision: Block: Lot:4 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,245.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: ELECTRICAL -RELOCATE EXISTING MAIN SERVICE FROM LOT 19 TO LOT 17(43420 CROISETTE) ADDING NEW SUB PANEL TO END OF LINE. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT S R BRAY LLC DBA POWER PLUS 1210 N RED GUM ANAHEIM CA 92806 (760)200-5989 STREET CONTRACTOR S R BRAY LLC DBA POWER PLUS 1210 N RED GUM ANAHEIM' CA 92806 (760)200-5989 STREET OWNER ADOM VENTURES 77-682 COUNTRY CLUB PALM DESERT CA 92211 (760)200-5989 DR. STE A3 Printed: Thursday, January 22, 2015 2:23:25 PM 1 of 2 FLJ RJ SYSTEMS Printed: Thursday, January 22, 2015 2:23:25 PM 2 of 2 CSYS7ENiS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: TEMP POWER SERVICE 101-0000-42403 0 $48.34 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $33.84 $0.00 PC Total PaidforELECTRICAL: $82.18 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE ELECTRICAL FINAL*" Printed: Thursday, January 22, 2015 2:23:25 PM 2 of 2 CSYS7ENiS Bin # " City of La Quin to . Building 8t• Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico . La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: �3 � wner'sNamc: A. P. Number: Address: '3o— b7 E)41G Ctf t;-(-4 Pte_ U / Legal Description: City, ST, Zip: 2 t2 �� L p,2C? Telephone: :.:. Address: �� S % 2-1D/ AJ V �� 6� S7 Project Description: o� City, ST, Zip:.. ed % /P. ' State Lic. # : bs City Lie. M.Zli Arch., Engr.,-Designer: ®rC Q Address: City., ST, Zip: Telephone: .::.. . Construction Type: Occupancy: State Lie. #. Repairai r Demo tlPc (circle one),: New Addtn Alter. Name of Contact Person: le r 7-J Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: � 0 - / Estimated Value of Project: 2'`43, o_ce— tJ Submittal Rcq'd APPLICANT: DO NOT WRITE BELOW THIS LINE Rcc'd 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 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"' Review, ready for corrections/issue Electrical Subcontac(or List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. N.O.A. Approval Plans resubmitted Grading M HOUSE:- ""Reyiew, ready for eorrcctionsrissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Datc of permit issue School Fccs Total Permit Fees