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BELC2014-102078-495 CALLE TAMPICO i� 4 40" � LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 4-LiZ1 Applic 'fin Number: BEc,1G14-1020 � D Property Address: 50225 WOODMERE APN: 776020022 SEP 11 2014 Application Description: TEMP POWER FOR NEW CONSTRU ION Property Zoning: CITY OF LA QUINTA Application Valuation: $3,500.00 COMMUNITY DEVELOPMENT DEPARTMENT Applicant: DIAMOND POWER SERVICES INC 0 OUTSIDE CITY LIMITS LA QUINTA, CA 92253 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: License No.: :LIC -0108801 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).: (_) 1, 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. C.). Lender's Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/11/2014 Owner: LOGAN HUBBARD 435 E MOUNTAIN ST GLENDALE, CA 0 Contractor: DIAMOND POWER SERVICES INC 000TSIDE CITY L MITS LA QUINTA, CA 91253 (760)290-3330 LIC. No.::LIC-0108801 WORKER'S COMPENSA710N DECLARATION I hereby affirm under penalty of perjury one o-thefollowing 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: Policy Number: _ I certify that in the performance ofthe 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 E-700 of the Labor Code, I shall forthwith comply with those provisions. ��— c Date: C1 ti 3r} Appant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIAAL 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 ACKNC'WLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on the 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 =he work being performed under or following issuance of this permit. 2. Any permit issued as a result of this appfcation becomes null and void if work is not commenced within 180 days from date o� 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 -tate that the above information is correct. I agree to comply with all city and county orcinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned property for inspection purposes - i 9 u 1 Date: Signature (Applicart or Agent): � # - City of La Quinta Building 8'r Safety Division P.O. Box 1504, 78-495 Calle Tampico. b La Quints,. CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # -� � C(C Project Address: 5 02-wcca fpm Owner's Name: A. P. Number: Address: .50)22 S LJCe Legal Description: City, ST, Zip: C .A x1225 3 ntrac Co tor: �0. �a IoW 5�;� el h -S T c ne: by o 7 b - P lop l i i <. Address: $07 lYi i Description: City, ST, Zip: ��� a« t CA g206 JProject p`c- 100 - o Telephone: -760--7L44--71 9 I Gw State Lic. # : 90'e-23441 City Lie. k Arch., Engr., Designer: Address: City., ST, Zip: epne: Telephone: 0 <z>"w^>:<<<:>:=s<:. <<>•><.:::%::::>>:i:<• :.:-r;>:::.,<-:<->:<;-:;<�;;;-;;-;�:,.<-::::s;;.: Construction P cY: Type: Occu a.-t YP Project type (circle one): New Add'n Ater Repair Demo State Lic. #• • Name of Contact Person: ` C ` Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: CI-S-1- $ - g(oZs Estimated Value of Project: -3S'C©. (gyp APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cluck Deponit 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 correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.0-A. Approval Plans resubmitted Grading IN IiOUSE:- ''" Review, ready for correctionsfissue Developer Impar_ Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees FINANCIAL INFORMATION DESCRIPTION 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 forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # _ CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.68 $0.00 PAID BY METHOD RECEIPT # _ CHECK # CLTD BY Total Paid for ELECTRICAL: $40.51 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forPERMIT ISSUANCE: $90.57 $0.00 TOTALS:i 00 Description: TEMP POWER FOR NEW CONSTRUCTION Type: ELECTRICAL Subtype: Status: APPROVED Applied: 9/11/2014 MFA Approved: 9/11/2014 MFA Parcel No: 776020022 Site Address: 50225 WOODMERE LA QUINTA,CA 92253 Subdivision: TR 26524 Block: Lot: 33 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INSTALL TEMP POWER POLE 100 AMP FOR NEW CONSTRUCTION NAME Printed: Thursday, September 11, 2014 12:32:29 PM 1 of 2 CN?WsYSTIMS ADDITIONAL CHRONOLOGY NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT DIAMOND POWER SERVICES INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 CONTRACTOR DIAMOND POWER SERVICES INC 0 OUTSIDE CITY LIMITS LA QUINTA CA 92253 OWNER LOGAN HUBBARD 435 E MOUNTAIN ST GLENDALE CA 0 Printed: Thursday, September 11, 2014 12:32:29 PM 1 of 2 CN?WsYSTIMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.68 $0.00 PC Total Paid forELECTRICAL: $40.51 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:$0.00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES ELECTRICAL FINAL" Printed: Thursday, September 11, 2014 12:32:29 PM 2 of 2 ,. ` SYSTEMS