05-2834 (ELEC)-(Z�
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT .
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
05-00002834'l.- Owner:
48784 LEGACY DR� D CENTEX HOMES
'658=130=011-1_ ---31379 - 2275 CORPORATE CIR #230
ELECTRICAL HENDERSON, NV 89074
LOW DENSITY RESIDENTIAL _ jUL 112005
1200
cr'IFY �� � �urt��n
FMANC� ®Eh'1: Contractor:
Architect or Engineer: COCHRAN COMMUNCATION CONST INC
36630 CATHEDRAL CYN DR
CATHEDRAL CITY, CA 92234•
(760)328-67,78
LiC. No..:: 478543
--------------------------------------------------
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 Professionals Code, -and my License is in full force and effect.
License Class: C7 LicenseNo.: 478543
,Bate: —It -0 C ctor:
/ 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 ISec. 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).:
(_ 1 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.). -
1 _ 1 1, 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 contractors) licensed
pursuant to the Contractors' State License Law.).
I—) 1 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: rrX`
LQPERMIT
r
Date: 7/11/05
-----------------------------------------------
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 STATE FUND Policy Number 04600082625
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 forth 'th comply with those provisions.
ate:76 � scant:
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 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 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 county to enteron the above-mentioned property for inspection purpose
Date: ature (Applicant or Agentl:
Application Number . . . . . 05-00002834
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 33.50
Plan Check
-Fee
.00
Issue Date . . . ..
Valuation
. .
. 0
Expiration Date 1/07/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 18.5000 EA ELEC
SVC <=60OV/<=200A
18.50
----------------------------------------------------------------------------
Special Notes and Comments
100 AMP METER PEDESTAL
Fee summary Charged
-----------------
Paid Credited
Due
--------------------
Permit Fee Total 33.50
----------
.00
----------
.00
33.50
Plan Check Total .'00
.00
.00
.00
Grand Total 33.50
.00
.00
33.50
LQPERMIT
IN
(not to scale)
Thomas Guide
849-E-5
COCHRAN COMMUNICATIONS CONSTRUCTION
36-630 Cathedral Canyon Drive
Cathedral City, CA 92234
for
TIME WARNER CABLE
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Coache//a D
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City of La Quinta
Building 81 Safety Division
P.O. Box 1504
78-495 Calle Tampico
La Quinta, CA 92253
Building Permit Application and Tracking Sheet
Owner's Name: T1114L Wfitiffi CAO IZ
Address:
w4kegs,
. .... ......
. ............
Telephone:
Project Description:
Yoo 14MF ME T,-r.S FEZ2fST,4L
Construction Type: "/I Occupancy: A/A
Project type (circle one):�Add'n Alter Repair -Demo
Sq. Ft.. I . # Stories: I # Units:
Estimated Value of Project: I2 Q D pe>
-- �9
663 � �-+O/1a 11 � ^, -�COvu 48709 19 48665
' 48596 48708 18 13 48661
II 19 48704 13 6 P 4867.3 9 11
48716 11 C 48681• 4866
I r �-3 48700 87J 2 013)
CO.
12 0' _ 11
19 �0 48721 8677 I
I 48644 486968692 13 14 48717 ✓ \48729 � ��O / // x'10
3705 1 1
85 8 48640 8688 14 48724 48725 \ / / /� / / / / 48694�(��2
1
II 5 P 48720 11 / OgP 8652 18 30' 65 �g2 I48690
-� 48648 12 _
a —10,
06g 48684 �` 482 8 13 $ ZO 8777 N
75' v -8 �QOg2 4 676 48680 \a . 2 11 11 5
18 9 4876 48773 o
8
8 48672 20 48737 13 $ 4876
' 48668 30' 1 a 18 48733 48 48757 20 I i 48720
48660 3p $
33 20 � 48664 15 r
12 I 8656 8 9 _ _ � 487 5r 11 12 48745 48753
I
48736 48741 48749 I / 48724
1 ` i
15 x'15 48748 / 110' 18
a i 7 / 6P 48744 17 10
0
\� / 48756 EEO 5-2 O:B
19
48785 8 548764 48752 / 48768 13
60 48760 Et 48772
4878 11 ` \\ ` , 487 19 �oOP� NO 30' 17
18
72
12 9 W8 80 48768 14 � 48800 P
A
877 19—
i�/ 5' 14
P
L
48809 11 00520b ® / 48812 70 14
19 48813, 21
+ ( / / 48808 48804 16
12
4 05 r r ` \\�9�� / % -� 54 gt'�� 1 � 884
48816 19
48801 t
\ 0 14 48800
r r SET LEVEL: SA ` 1` �- � \�?�� `
285
f �\
SET LEVEL- SA L005206A 4 A
965 SA LE -3 12003 �� ` 1 14
1005206 3 20 48788 40' P
p y
4.5 8 14 48,796 48776
SA -3 MOD 11918 L0052B 86V/1 20 45' 9 PS \ \ -8 48792 48784 487 0
48867 \ �O
13 18 33 46 17 48863 < 19 19
L00526 87VIT 21 Q°3\ 14 16
25
LQ0526 9
36 48875 °
s
L . 30 46 8 0 48871 1 \ \ ` 9 /
38