BELC2014-1029apply 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.).
(__).l 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:
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 apcilicationis made, each person at whose
request and for whose benefit work is perfumed 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 tie City of La Quinta; its officers, agents, and
employees for any act or omissiori'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 Df issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county o dinances and state laws relating to building
construction, and hereby authorize representative f this city to enter upon the abo e.
mentioned property for ins ction purpose
Date: �47--"/'/ Signature(Applicant Ag
Llc. No.: 34769.
-----------------------------------------------------------------------------------------------
> LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and.Professions Code,
_ I have and will maintain a certifiote of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3:00 of the Labor Code, for the performance
4 � a -- -
VOICE (760) 777-7125
8-4 I
78-495 CALLE TAM
9 PCO
1%Iave and will maintain workers'compensation insurance, as required by
Date: _Contractor: - (�� Ci
-
,
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 -
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
BUILDING PERMIT
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
�BELC2014-1029
- city or county that requires a permit to construct, alter, improve, demolish, or repair
Date:9/29/2014
Application Number:
Owner:
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
Property Address: 53305 AVE NIDA VILLA
MARLENE BRIBYEES
�J
APN: 774093015.
24365 EL TOR FD B
permit subjects the applicant to a civil penalty of not more than five hundred dollars
Application Description: REPLACE 2001AMP PANEL
LAGUNA, CA 92637
�-
Property Zoning:
ONE HUNDRED THOUSAND DOLLARS ($100,700). IN ADDITION TO THE COST OF
o N
Application Valuation: $2,200.00
f
LU
Sa
LL OO
Applicant: -
Contractor:
ca( a- W
EAGLE CONSTRUCTION
EAGLE CONSTRJCTION
v cWi�
31855 DATE PALM DRIVE
31855 DATE PALM DRIVE
SUITE 3-500
(SUITE 3-500
CATHEDRAL CITY, CA 92234
CATHEDRAL CITY, CA 92234
(760)285-4959
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.).
(__).l 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:
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 apcilicationis made, each person at whose
request and for whose benefit work is perfumed 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 tie City of La Quinta; its officers, agents, and
employees for any act or omissiori'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 Df issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county o dinances and state laws relating to building
construction, and hereby authorize representative f this city to enter upon the abo e.
mentioned property for ins ction purpose
Date: �47--"/'/ Signature(Applicant Ag
Llc. No.: 34769.
-----------------------------------------------------------------------------------------------
> LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and.Professions Code,
_ I have and will maintain a certifiote of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3:00 of the Labor Code, for the performance
License Classi B License No.: 347697A
f thew rkfor which this permit is issued.
(—�
�/ection
1%Iave and will maintain workers'compensation insurance, as required by
Date: _Contractor: - (�� Ci
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:
OWNER -BUILDER DECLARATION
Carrier: _ Policy Number: _
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
Icertify that in the performance :)f the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner :o as to become subject to the workers'
- city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree .hat, if I should become subject to the
any structure, prior to its issuance, also.requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
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
comply with those provisions.
Ln
of the Business and Professions Code) or that he or she is exempt therefrom and the
Date:' C Applicant:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO.CRIMINAL PENALTIES AND CIVIL FINES UP TO
(1 I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,700). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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.).
(__).l 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:
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 apcilicationis made, each person at whose
request and for whose benefit work is perfumed 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 tie City of La Quinta; its officers, agents, and
employees for any act or omissiori'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 Df issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county o dinances and state laws relating to building
construction, and hereby authorize representative f this city to enter upon the abo e.
mentioned property for ins ction purpose
Date: �47--"/'/ Signature(Applicant Ag
FINANCIAL
`"DESCRIP.TION . �+ "*� •
rr=? A000UNT'PAID'
c, 'PAID DATE.
i
,
BSAS SB1473 FEE
101-0000-20306
0 1$1.00
$0.00
t ' s T PAID BY �r ,^Yr ';
�� iMETHOD, a r, �zr
Yar t • RECEIPT # r **
w CLTD BY. .
^ ,` d �,
r ,
•CHECK#
'Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
e r�sf)ESCRIPTION r. :'.. -:"x
.T`A000UNT ti
}�
QTY
'''AMOUNT .
r:'., PAID,PAID�DATE
SERVICES
101-0000-42403
0$24.17
$0.00
�. �L PAID BY," :.
mac..
METHOD r'.
�. ,
�r RECEIPT# +'rte
..- CHECK#.+, "'
` .CLTD BY
r
`z aDESCRIP710N
PAID, ;:
PAID DATE
axw
' SERVICES PC
101-0000-42403'
0
$12.09
$0.00
P PAID;BY " ' * ;'
c -; ' METHOD 4i_
RECEIPT #
CHECK # S``'
CLTD BY
.6'•
.r[
_ :i
r .a.
Total Paid for ELECTRICAL: $36.26 $0.00
DESCRIPTION `'_ V.:'...T
'� ;ACUNT CO
1QTY
AMOUNT.,
j PAID ' F'
PAID:DATE
_fir;
PERMIT ISSUANCE
101-0000-42404 ,
0 '.
$91.85
$0.00
i PAID, BY �� "f K
r=METHOD
;. RECEIPT# vi
r` CHECK#`r".
16TDBY
•
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: REPLACE 200 AMP PANEL
Type: ELECTRICAL Subtype:
'Status: APPROVED
Applied: 9/29/2014 SKH
Approved: 9/29/2014 SKH
Parcel No: 774093015 Site Address: 53305 AVENIDA VILLA LA QUINTA,CA 92253.
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 213
Lot: 3 - —
Issued: -
UNIT 20 r
Lot Sq Ft: 0 •Building Sq Ft: 0
Zoning:
Finaled: r -
Valuation: $2,200.00 Occupancy Type: ,
Construction Type:
Expired:
No. Buildings: 0 — No. Stories: 0 z
No. Unites: 0 ,
Details: ELECTRICAL -REPLACE (1) 200 AMP PANEL. 2013 CALIFORNIA BUILDING CODES.
K
ADDITIONAL
CHRONOLOGY
CONDITIONS
^0'
` CONTACTS
t �.^s' -:.� "".._
`-,NAME-TYPE < . a . » :.NAME f)` a a •" ADDRESS1 ? Cl , - STATE "ZIPS PHONE'S r FAX } r;EMAIL -
APPLICANT EAGLE CONSTRUCTION 31855 DATE PALM CATHEDRAL CA 92234 =
DRIVE CITY
• CONTRACTOR EAGLE rnNtTRi,irrinN 31855 DATF, PALM CATHEDRAL - CA,. 92234 `
r
DRIVE CITY
OWNER MARLENE BRIBYEES 24365 EL TOR RD B LAGUNA'- CA 92637
FINANCIAL INFORMATION
rZT-'
++.ill «- y "- . r .. - • r
(� - Printed': Monday, September 29, 2014 8:36:59 AM' 1 of 2 0TWYSTEMS
OF
DESCRIPTION:
ACCOUNT'.
-,QTY,�
AMOUNT
INFORMATION
PAID DATE,
RkEIP�f'#`,
Ck
-CHECK #,,
METHOD,
17'
PAID BY
�CILTD
rp 1,1&�
BYBSAS
SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
T_ $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $129.11 $0.00
I iNqpFrTlf)Nc%
:SEQID INSPECTION -TYPE -INSPECTOR -SCHEDULED
COMPLETED I -,RESULT REMARKS,.-.,-. NOTES
IF
DATE .1 , I , -. I
DATE
ELECTRICAL FINAL"
PARENT PROJECTS
REVIEWS
NOTES
DATE'
-,STATUS
a.
RETURNED,, - � ., r -,
,4 F�4 51e � - [i� ' REMARKS,
REVIEW TYPEREVIEWEli. SENT -DATE DUE DATE L , ::
Printed: Monday, September 29, 2014 8:36:59 AM f 2 of 2 c
ARWSYSTEMS
BOND
INFORMATION
a
"M ATTACHMENTS
Printed: Monday, September 29, 2014 8:36:59 AM f 2 of 2 c
ARWSYSTEMS
APPLICANT: DO NOT WRITE BELOW THIS LINE
if
Submittal
Bin #
City of La Quinta
Building 8r Safety Division 1a
P.O. Box 1504,78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking -Sheet
Permit #
PERMIT FEES.
Project Address: 3t%`J UC% ,l
Owner's Namc: y� Y� w4a /� pf / Qp2�
A. P. Number:
Address: 17
Legal Description:City,
ST, Zip:
Contractor 7/1 !�
Telephone:
>
...........:.
Address: V � - ,p n a.,
Project Description:
City, ST, Zip: ✓ / l s�i
G��N�Y ::::,1(0D
TeleP hon
Called Contact Person
State Lic. # : -- 3.el76
City L,ie. M. /013 7b
,
Arch., Engr., Designer:
Title 24 Gla.
Address:
Plans picked up
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 0 PU ),e A
Sq. Ft.:
# Stories: -
# Units: r .
Telephone .# of Contact Person: 6 - %
Estimated Value of Project: p� 00•
Electrical
APPLICANT: DO NOT WRITE BELOW THIS LINE
if
Submittal
Rcq'd
Rcc'd
TRACKNG
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Dcoosit
Truss Cala.
Called Contact Person
Plan'Check MC.ance _
Title 24 Gla.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
5.
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`d Review, ready for eorrcctions(ssue
Developer Imlact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
-
Total Permit Res