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13-0938 (ELEC)P.O. BOX 1504 �^� !/ ,�� VOICE 760 777-7012 78-495 CALLE TAMPICO' ' - r - FAX (760) 777-7011. , LA QUINTA, CALIFORNIA 92253 p k' BUILDING &SAFETY DEPARTMENT _, - O (760) 777-7153 BUILDING PERMIT r- .•: o �^ v ,^ Application Number: 1- a r .7/29/13 c 3-00000938. { + Owner: , y PropertyAddress: ' —78270 -WINTER COVE CT -SPEER JUL 2 9' 2013 y�y, - SPEER RESIDENCE APN:' 770-031-023-24 -28019 = •'�� - 78270 WINTERS COV ¢ " 'Application description: ELECTRICAL- w LA QUINTA, CA 922 3r CITY �F LA - U1 TA Property Zoning: MEDIUM DENSITY RES F11dANCEDEPT Application valuation: 2380 _ Contractor: Applicant: `�1 % A ' Architect or En ineer. r SOUTHERN COMMUNITY ELECTRIC , , •y* 74355 OLD PROSPECTOR TRAIL PALM DESERT, CA 92260 7 6 1 S n 704 - T >. �Li6.)N ..3708886 ' 0 0 ;r C ` `---�- ---------- - - - - ---•------------------------------------------- -- -- -- 1- ------------� -- — -� ' _ '^ x q l •' ' LICENSED CONTRACTOR'S DECLARATION - - ` .y + '-.,. WORKER'S COMPENSATION DECLARATION - `� �' . +_r c j •' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with + I hereby affirm under penalty of perjury one of the following declarations: u • Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. �. _ I have and will maintain a certificate of.consent to self -insure for workers' compensation, as provided - - License Class: C10 License No.: • 708886 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _issued. - ' Dat 7 �`W�-15Confrac '� ,//�, - _ 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 OWNER -BUILDER DECLARATION - • insurance carrier and policy number are: •'I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the .:� - - Carrier EXEMPT Policy Number EXEMPT y following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any ' --_ construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires the applicant for the t -person in any manner so as to become subject to the workers'•compensation laws of California„ t, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State --� and agree that, if I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or r-- 3700 of the Labor Code, I shall forthwith comply with those provisions., that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by. 4 ;yi �• _ ,' - ?;+ . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001: ` �.r'�^" Date: a aq— 13.Applicant:"- (_ 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 f ` •' WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - r Contractors' State License Law does not apply to an owner of property who builds or improves thereon, ' SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN • 'i improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. s w ; _ 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.). - APPLICANT ACKNOWLEDGEMENT (_ 1 1, as owner of the property, am exclusively contracting with licensed contractors toconstructthe project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the _ 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of _ conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for f_. ,, ��• •* , .+ pursuant to the Contractors' State License Law.). " - - ? ,, whose benefit work is performed under or pursuant to any permit issued as a result of this application, lr... •r• '`y+ ( 1 I am exempt under Sec. , B.&P.C. for. this reason_ •,theowner; and the applicant, each agrees to, and shall defend; indemnify and hold harmless the City t ^ __ ''� -2r,_ - ` a • - - ' - + - •=# :.F °� "Of La Quinta, its officers; agents and employees for any actor omission related to the work being,' ?� � �• "5 ,t •.+ - • -- - - - - ' • -'; •_ performed under or following issuance of this permit. 'L r Date: Owner: - 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: CONSTRUCTION LENDING AGENCY _;+ r `. a - permit to cancellation. n ' - I hereby affirm under penalty of perjury that there is•a construction lending agency for the performance of the - s I certify that I have read this application and state that the above information is correct. I agree to comply with all',ti.; - _ y - work for which this permit is issued (Sec. 3097, Civ. C.I. ti - . city and county ordinances and state laws relating to building construction, and hereby authorize representatives `• -of this county to enter upon the above-mentioned. rope or inspection purposes. t P "Lender's Name: - ~ - � . � � -.t . � • , • - hr =Date: -Signature_ (Applicant or Agent): rLender's Address: LQPERMIT .. - - �. - - a .f r .• ,; ' IT Application Number . . . . . 13-00000938 Permit ELECTRICAL -2013 - Additional desc Permit Fee 23.83 Plan Check Fee 00 Issue Date Valuation . . . . 0 Expiration Date 1/25/14, 'Qty. Unit Charge Per Extension 1..00 .23.8300 EA ELEC SERVICES 23.83 Special Notes and Comments UPGRADE MAN PANEL FROM 100 AMP PANEL TO A 200 AMP PANEL 2010 CBC APPROVEDJ.J. July 29, 2013 9:37:12 AM pjuarez. ------------------------------------------------------------ -- Other Fees . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK,•ELECTRICAL 11.92 - PERMIT.ISSUANCE M/P/E 90.57 Fee summary Charged Paid Credited Due Permit Fee Total 23.83 .00 .00 23.83 Plan Check Total .00" .00 .'00 .00 Other Fee Total 103.49 .00 .00 103.49 Grand.Total ` 127.32 .00 .00 127.32 • LQPERMIT Bin # Qty of La Qulnta Building &r 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: 7$3,70 L4 -r G Owner's Name: A. P. Number: Address: 74b 21.-70 VM9 Oxr, CQqS;; . Cr Legal Description: City, ST, Zip: Contractor: .�cy'�vYjU .�� TC.�L hone: telephone: Address: 7�a U C7— Project Description: City, ST, Zip: 6M2D IZ Tele h ne. pone: 60- 7 ...City r4 � evi DU � qq�� oo State Lic. # : T� S.� U l7 Lic. #. C / 1�q Roo R.,1402 P#*T' Arch., Engr., Designer:��s��j.. Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: :. Name of Contact Person: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories`. # Units: Telephone # of Contact Person: Estimated Value of Project: vZ . 13180 dC7 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'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 21" 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 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