BELC2014-1046D' � � VOICE.(760) 777-7125
78-495 CALLE TAMPICO FAX (760) 777-7011
LA' QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSP,ECTIONS,(760) 777-7153
BUILDING PERMIT
Date: 11/19/2014
Application Number: BELC20141046' Owner:
Property Address: 78252: HACIENDA LA QUINTA TIMOTHY OKEEFE
APN: 646280003 78252 HACIENDA
Application Description:, CHANGE OUT 200 AMP
Property Zoning:
Application Valuation: $2,500.00
Applicant:
D C ELECTRIC SERVICES
O OUTSIDE CITY LIMITS
LA QUINTA; CA.92253
NOV 19 2014
CITY OF LA QUINTA
LICENSED CONTRACTOR'S.DECLARATION
I hereby affirm under penaltyof perjury that'lamflicensed under provisions of Chapter
9>{commencing with Section 70001 of`Division3 of the,Business and Professions Code,
and my License ion full force and effect.
License Class: _ LIcense.NO.::U -000 1 /
ate: Contractor:.
OWNER -BUILDER DECLARATION
I hereby:affirm under.penalty of perjury that I am exempt from the Contractor's5tate
Ucense.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.requiresthe applicant for the permit to file:a
signed statementAhat he or she is licensed pursuantto the provisions.of the
Contractor's State 1ceme Law (Chapter 9 (commencing with Section 7000) of Divisione�
of the Businessland 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
permit.subjectsthe applicant to a civil penalty of not more thanfive.hundred dollars
($500),:
(J I, as owner of the property,;or my employees with wages as their sole.
compensation, will,do the work, and the structure Isnot intended or offere0orsale.
(Sec. 7044, Business and Professlons:Code: The Contractors' State License. Law does not
apply tolan owner of property who builds or Improves thereon, and who does the work
himself or herself through his or her own employees,iprovided that the Improvements
are not intended or offered!for sale. If; however; the,building,or improvementis sold
within one;year of completion,'the owner -builder will,have the burden of proving that
he orshe did noYbuild.or improve for the purpose of sale;).
( )!I, as owner of the,property, arn'exclusivelylcontracting with licensed contractors
to construct the project. (Sec. 7044, Businessend Professions Code: The Contractors'
State. L'icense:Law;does not applyto;an,ownerof, property who buildsor improves
thereon, and who contracts for the projectswltKa contractor(s) Ilcensed.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 permits Issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LA QUINTA, CA 92253
Contractor:
D C ELECTRIC SERVICES
O.OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)775-3070
Llc. No.::LIC-0003165
WORKER'S COMPENSATION, DECLARATION
I hereby affirm under penalty of,pedury one of the following declarations:,
I have and.will maintain a certificate of consent to self-insurefor workers'
compensation, as provided for by'Section 3700:of the Labor Code, forthe performance
of the workfor whichxhis:permit is,issued..
I have and will maintain workers' compensation dnsurance, as required by
e—dlMr-3-700 of the: Labor Code;.for the performance of the,.workfor which this permit
Is Issued. My workers: compensation insurance.carrier and policy number are:
Carrier:_ Policy Number: _
I certify that inthe, performance of the work for which this.permitis issued, I
shall.not- employ, any person in any manner so as,to become subject to the workers'
compensation laws of California, and agreeahat, if l•.should become subjectto the
workers' compensationprovitions of Section of the Labor Code,.I shall forthwith
comply. with t ose pr visions.
Safe: Applicant
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,.
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,Bullding Official for a:permltsubjectto
the conditions and restrictions set forth onthisapplication.
1. Each person upon -whose; behalf this!application is made, each person at whose
request and for, Whose benefit work'is performed underorpursuant to any permit
Issued asa result;ofthis application , the owner, and the applicant, each agrees to„and.
shall defend, indemnify and' hold rharmless the,City of La Ouinta, its officers, agents, and
employees for any act or omission related. to the work being performed under or
following issuance ofthis permit.
2. Any permit issued. as a.result of this application becomes null and if Work is
notcommenced within 180 days from date ofissuance.of-such permit„or cessation of
work for 180 days"will subject permit o,cancellation.
I certify that l have read this application and state that the above.: information is correct:
I agree to comply with all.city and county ordinancesandstate-laws relating to building
construction,,and hereby authorize.representatives of this city to. ter upon the abovem
mentioned property or inspection purposes.
pate ) / Signature (Applicant or Agent):
DESCRIPTION
ACCOUNT -
' ACCOUNT •
'4TY
AMOUNT: _
PAID PAID DATE
BSAS SB1473 FEE
101-0000-20306'
101-0000-42403
0
$1.00
$6.00
$91.85
PAID`sBY
METHOD
RECEIPT
RECEIPT # -
CHECK #
CLTD BY
Total.Paid forBU1LDINGSTANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIP fIONs .,
' ACCOUNT •
,. QTY"
- AMOUNT'
PAID:
PAID DATE
SERVICES
101-0000-42403
0
'$24.17
$0.00
$91.85
PA_D'BY' . "
... METHOD .
RECEIPT
,CHECK # -,
CLTD BY
RECEIPT #
CHECK'#'
CCTD`BY '
- ,:'DI?SCRIPTLON,' ..
ACCOUNT
QTY'
AMOUNT
'PAID
PAID !DATE,
SERVICES PC
101-0000-42403
0
$12.09
$0.00
= = PAID: BY
- METHOD'::RECEIPT''tt
CHECK# '
CLTD'BY-
Total Paid for ELECTRICAL•,
$36.26
$0.60
DESCRIPTION; .~ y
ACCOUNT,4T
Y-
AMOUNT`
PAID
PAID, DATE
PERMIT ISSUANCE
101.70000-42404
0
$91.85
$0.00
- _PAID` BY
METHOD:
`y
RECEIPT #
CHECK'#'
CCTD`BY '
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
Description: CHANGE OUT 200 AMP
Type: ELECTRICAL
Subtype: Status: SUBMITTED
Applied: 11/19%2014 PJU
Approved:
Parcel No:.646280003 Site Address: 78252 HACIENDA LA QUINTA LA QUINTA,CA 922S3
Subdivision: TR,8792-1 & INT. IN COMMON AREA Block: Lot: 15
Issued:
Lot Sq Ft::O
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,500:00
Occupancy Type: Construction Type:'
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
D C ELECTRIC SERVICES
Details: CHANGE OUT 200 AMP EXISTING WITH NEW100 AMP METER MAIN PANEL SAME FOR SAME. 2013 CALIFORNIA ELECTRICAL CODES.
ADDITIONAL SITES
Printed: Wednesday, November 19, 20141:55:35 PM
1of2
CSYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
ILAMETYPE = NAME,ADDRESSI
yr,
��. CITY.. a STATE,;
ZIP' " PHONE;, =
APPLICANT
D C ELECTRIC SERVICES
0 OUTSIDE CITY LIMITS LA QUINTA
CA
92253
CONTRACTOR
D C ELECTRIC SERVICES
0 OUTSIDE CITY LIMITS LA-QUINTA
CA
92253
OWNER-
TIMOTHY OKEEFE
78252 HACIENDA
LA QUINTA
CA
92253
PAID,PAID
•
DATE:
uTo
RECEIPT# CHECK:# . METHOD PAID BY '
BY
FINANCIAL••
`DESCRIPTION „ ;ACCOUNT 4N AMOUNT
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00
BSA:
$0:00
Printed: Wednesday, November 19, 20141:55:35 PM
1of2
CSYSTEMS
DESCRIPTION
ACCOUNT
QTY
s_
AMOUNT
� PAID, +
PAID�DATE
,RECEIPT#
CHECK #
METHOD-
PAID BY ;-
"
BY
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid forELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE:
10140000-42404
0
$91.85
$0.00
Total PaidforPERM1T ISSUANCE: $91.85 $0.00
TOTALS: $129.11 00
PARENT PROJECTS
Printed: Wednesday, November 19,20141:55:35 PM 2 of 2 C
SY57EM5
Bin #City Of bQ'ainta
-Building &r Safety Division
Permit # P.O. Box 1504, 7B-4;95 Calle Tampico .
La Quinta, CA 922.53 - (760) 777-7012
r Building Permit Application and Tracking Sheet
Project Address: 71 ' 5 R Ai WD* Owner's Name: T • OwEEFE
A. P.,Numbei
Address:
Legal: Description-
City, ST, Zip: Q 1A I GA- Ct
Contractor•L�� 1
l
Telephone:
s v
Address:' Q: ULl
1Li.
Project Description:
City, ST, Zip: K) ,'V -
Telephone: 0— 520-14
�
State UQ #:
City Lac. #z
— ri Oa ul i
Arch., Engr., Designer
S ✓t/l
Address:
DIZ e eT 1
City, ST, Zip:
Telephone:
, v
Co astruction•Type:� Ocatpancy:
State Lic. #:
Project type (circle one): Now Add'n Alter Repair Demo
Name of Contact Person .
Sq. FL:
#Stories:
# Units:
Telephone #,of Contact Person:
F.stimatcd Value of Proj m
APPLICANT: DO NOT WRITE BELOW TNIS LINE
tl
Submittal
11c4'd
Recd
TRACKING
_PERM.IT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Ptaa Chcck Deposit
Truss Caia:
Called ContactTerson
Plan Check.Ralaacc_
Title 24 Cala:
Plans picked up
Construction'
Flood plain plan
Plans resubmitted
fNechoulcal
Grading plan
2'' Reviewready for correctionsrssue
Electrical
Subcontactor Ust
Called ContactTerson
Plumbing
Grant.Dccd
Plans ,picked up
S IYLI.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correctionstiissue
Developer Impact Tee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Schodl Fees
Total Permit .Fea