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BSPN2014-002178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: ' Application Description: Property Zoning: Application Valuation: Tit(t 4 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSPN2014-0021 51300 CALLE HUENEME 770164005 SPECIAL INSPECTION FOR IID RELEASE Applicant: MARTINEZ ELECTRIC 31040 AVENIDA LA GAVIOTA CATHEDRAL CITY, CA 92234 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/15/2014 \ Owner: PHIL GERTSMAN 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.: 866958 // Date: 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 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 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 Lender's Contractor: MARTINEZ ELECTRIC 31040 AVE NIDA LA GAVIOTA CATHEDRAL CITY, CA 92234 (760)880-1960 Llc. No.: 866958 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 th qr which this permit is issued. ave 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. r; 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 la s relating to building construction, and hereby authorize representatives of thrcio en r upon a above- mentioned property for inspection purposes. Date: Signature (Applicant or Agent): f a° Permit Detail5 PERMIT NUMBER City OfNa Quinta BSPN20141002.1 Description: SPECIAL INSPECTION FOR IID RELEASE Type: SPECIAL INSPECTION Subtype: Status: SUBMITTED Applied: 8/15/2014 SKH Approved: Parcel No: 770164005 Site Address: 51300 CALLE HUENEME LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 2 Block: 4 Lot: 20 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: SPECIAL INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES. Process 5_ummary� R: ty_ s.:..:T, :. ��..': >:,y . �ff.s u} w.�. PC ,z.S.,..k�'Y...- ..Ia.<:s.ST':'t3. ..c ..aY... ._� ,.,:-- f.S���..w� ",. s..-;:E:::z h: 4`0 ,s,,i R.....vf,..-t.. ,ac ,.n}•.e €�' �t. '�^{��-i... CH•N-Y-O. IOGYJ' csi;:>:cJ- 5 t5 RO. :r%'1'r ''+.+,. F�wy i's 1� �... Y,y4 Y ': J•y�+Y P&. y�..£i^ 'E a_ <r� ;4�t. %z6:! R.Fx= Ay. ,s -z + f ,�; :. 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I fi ` NTACTS ` �Y �W _ . .: tom. , _ ; SCO ,z _ it APPLICANT MARTINEZ ELECTRIC •• AVENIDA LA CATHEDRAL �® GAVIOTA CITY • •MARTINEZ ELECTRIC 31040 AVENIDA LA CATHEDRAL �® GAVIOTA 481 W 23RD AVE FINANCIAL INFORMATION �T Permit Det0aiI PERMIT NUMBER City, of La Quinta BSPN201'4-002.1 r.• flTi 1 SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES CLTD DESCRIPTION ACCOUNT QTY AMOUNT FINAL" PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY SPECIAL INSPECTION 1 101-0000-42404 1 $71.50 $71.50 8/15/14 R711 CASH MARTINEZ ELECTRIC SKH Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $71.50 $71.50 ',f x Y,- dy •'.` •• k t }l y i. -� .. -. yi v<}„ .,,,t '1:i:,'; ';.i ,r' a y:.�, h2LT �'. c: - r.• flTi 1 SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES DATE DATE FINAL" W Printed: Friday, August 15, 2014 2:38:58 PM 2 of 2 t7LJ U LJ V SYSTEMS Description: SPECIAL INSPECTION FOR IID RELEASE CONDITIONS Type: SPECIAL INSPECTION Subtype: Status: SUBMITTED Applied: 8/15/2014 SKH Approved: Parcel No: 770164005 Site Address: 51300 CALLE HUENEME LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 2 Block: 4 Lot: 20 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: SPECIAL INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT MARTINEZ ELECTRIC 31040 AVENIDA LA GAVIOTA CATHEDRAL CITY CA 92234 CONTRACTOR MARTINEZ ELECTRIC 31040 AVENIDA LA GAVIOTA CATHEDRAL CITY CA 92234 OWNER PHIL GERTSMAN 481 W 23RD AVE VANCOUVER BC CANADA VST HS 92253 Printed: Friday, August 15, 2014 2:38:58 PM 1 of 2 NAAF SYSTEMS C Bin # Qty of La Quinto Building 8t: Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit# Project Address: / — Ga U �- Owtier's Name: e17 A. P. Number: Address: Legal Description: City, ST, Zip: -( 'Contract or: ., l: Z r N Tele hone: � ,Addiess" t - 5 9b Vold6412zProject Description: City, ST, Zip:JJ LrYQ a / c Telephone-0_ State Lic. # : • ! g City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: a Li c. State L c. #: ProJ'e t �Pe (circle le ne : New Add'n Alter Repairair Demo 0 Name of Contact Person: Sq. Ft.:#Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. 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 correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' 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: SPECIAL INSPECTION FOR IID RELEASE Type: SPECIAL INSPECTION Subtype: Status: SUBMITTED Applied: 8/15/2014 SKH Approved: Parcel No: 770164005 Site Address: 51300 CALLE HUENEME LA QUINTA,CA 92253 Subdivision: DESERT CLUB TR UNIT 2 Block: 4 Lot: 20 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: SPECIAL INSPECTION FOR IID RELEASE. THIS PERMIT IS NOT FOR WORK. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES CONDITIONS. Printed: Friday, August 15, 2014 2:38:58 PM 1 of 2 SYSTEMS ..