08-1142 (ELEC)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011•.
LA QUINTA; CALIFORNIA 92253 * ' BUILDING & SAFETY'DEPARTMENT INSPECTIONS (760) 777-7153
. BUILDING PERMIT
is Date: 7/03/08
Application Number: 08-00001142— Owner. U
` Property Address: 51931- AVENIDA VILLA JIM LOWE ' h
APN: 773-182-020-8 -0000070- 51931 AVENIDA VILLA
Application description: ELECTRICAL LA QUINTA, CA 92253 S/r
Property Zoning: _ COVE RESIDENTIAL (760)77S-3042 ^
pr.!i mien :oluotion: 3000
Contractor.
Applicant: Architect or Engineer: HEGGE ELECTRICAL CONTRCTRS INC CFOFpNi
83852 AVENUE 45
���✓ t' INDIO, CA 92201
(760)775-4855
Lic. No.: 748171
- LICENSED CONTRACTOR'S DECLARATION .` WORKER'S COMPENSATION DECLARATION
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:
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.: 748171. J for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�7�" issued.
Da e' Contractor:" l'� E �o% �. E L.- •�(C.► _ 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 INS CO OF WEST Policy Number WSD216218301
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 person in any manner so as to become subject to the workers' compensation laws of California,
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 3700 of the labor Code, I shall forthwith'comply with thos provisi ns.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �f �r3
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: f1 _ Date: ( 3 -.VTC ;_Applicant: _
(_ 1 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE IS UNLAWFUL, AND SHALL
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
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.
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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the 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 -
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, -
(_ ) lam exempt under. Sec. , B.&P.C. for this reason - - - the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
- of La Quinta, its officers, agehts and employees for any act or omission related to the work being
performed under or following issuance of this permit. -
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 - - - permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.) - city and county ordinances and state laws relating to building construction, and hereby aut orize representatives
of this county to enter upon the above-mentioned property for inspection pur oses. ,
Lender's Name: o -
-Date: Signature (Applicant or Agent):
Lender's Address:
LQPERMIT
Application Number -.08-00001142
Permit .. ELEC-SERVICE
CHANGE
Additional deso .
- Permit•Fee :` 33.50
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 0
Expiration Date 12/30/08'
Qty Unit Charge Per;
Extension
BASE
FEE
15.00
1.00 '18.5000 EA ELEC'SVC
<=600V/<=200A
18.50
_ Special Notes and Comments
• _ PANEL SERVICE CHANGE 100 AMP TO 100
AMP
METER PANEL
.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
LQPER1N4IT
_ ,
,
Electrical Contractors, 83852 • • CA 92201 760-775-4&55•1 4:
t.
r
Lic '#748171
M4y-29, 2008
To III) Power Department
s ' ' Re: 51931 'Avenida Villa..
'La Quinta Ca r f +;: y•t
+':Hegge`Electrical Goritractors; Inc. went out to the above addiess:'to do:'an estimate for a
paneEchange The -service .is overhead and we are requesting to keep the service• change '
r K overhead. It -would be ver costly `to go"underground and Would be an`extreme financial
r burden on:the homeowners. If you Have any questions please feel free'to"cbin:act meat
760'775-48,55�fr'm 7:30 A.,M-. to.4:30 P.M -
Thank YOU
.M-Thank;you
ti , ,. w' •^ ' r, _ - f +7 .A is .•.' Y
Tereasa Delomba " 4
-Service,Manager!
F f.
.`. .k y S it ,•t i .t'+ 2 .. r:a - `L" .. r •, —, it
a EGGE-
f
SERVICE CHANGE CITY PERMIT INF® FORM
Homeowner Name.-
-Service
ame -Service Change Address �� C 1, C 1`J 1 ap� V e 1
Phone #
Date of Service ChangeO� "I "
Type of Service Change From 0 �ZS ta�A
Underground overhead
He.gge Electrical Contractors Lie. # t 748111.
City Business Lie. #'s .
La Quibta 218
..Indio 08-00000532-
Palm
8-00000532Palm Desert 06-00004302
• Rancho Mirage ' 19978-1206
,A
Cat City 006197
Palm' Springs 20001704
Desert ]Slot Springs 4763
Coachella B-040154
Bin #t
City of La Qulllta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Perrtiit ##
Project Address: 5 (� 3 ( V C-AD 1 )A,
Owner's Namc:
A. P. Number:
Address: rj 1 q /
3 1 A *J E h i>
Legal Description:
City, ST, Zip: G�
Contractor.
Telephone: -7-7
�. ..
Address: 8 3" 85
Project Description:
City, ST, Zip: �� �o t
/
Z�. l
Telephone:•t`( '7 _ ,4j ss
--.�
t, 0
State Lic. #_:
City Lie. C
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New AdYn Alter Repair Demo
Name of Contact Person: 51bw
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: p�
APPLICANT: DO NOT WRITE BELOW THIS LINE
1/
Submittal
Req'd
Recd
TRACKING
PER HT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Chet& Deposit
Truss Calcs.
Called Contact Person
Plan Cheek Balance
Energy Ca1cs.
Plans picked up
Construcion
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
Rcvicw,. ready for correclionsfissuc
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Dale of permit issue
Scliool Fees
—
----
— ------ --- ... _ _ _.
Total rerrait Fees