06-2513 (ELEC)4 P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-701.1
LA Q.UINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS. (760) 777-7153
BUILDING PERMIT
Application Numbers
Property Address:
APNs
Application description:
.� Property Zoning:
Application valuations
06-00002513
78370 HERITAGE WY
6:43-170-999-38 =31348
ELECTRICAL
LOW DENSITY RESIDENTIAL
2500
Applicant: Architect or Engineer:'
LICENSED CONTRACTOR'S DECLARATION
Lhereby affirm:undevpenalty otpedury,that:l am:licensed under provisions of Chapter 91commencing with
Section, 7000) of Division 3,'ofthe, Business and Professionals Code; and; my [License, is in full force and effect.
# License Class: C10 Ucense:No;: 824331
Date&a& Contracto . � -
OW BUILIER DECLARATION
I hereby affirm under penalty abperjurythat I sm,exempt;from the Contractor's State License: Law for the
following reason (Secs 7031.6; Business;and Professions,Code .Any city ovcounty that requires a permit to
construct, after; improve demolish, or repair' any structure, prior touts issuance, also requires trio 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 (Chapters9 (commencing with Secti6n.7000) of Division 3 of,the Business and Professions Code) or
that hs or she is Lexempt therefrom and the basis for thwallegedfekemption. Any violation of -Section 7031:6.by
any:applicantfor a permit. subjects the applicant to a civil penalty of, not more than five hundred dollars (8600).:
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 Profession>Code: The
Contractors' State License L.ew'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`employses, provided that the
improvements are not intended or, offered for sale. ff,�however, the.building,or improvement is sold within
ons year of,.corimpletion, the owner -builder will have,tfwburden:of proving_ that he or she did notibuild:or
improve for the,purpose,of,sale.).
I, as owner of the property, am'exclusively;corrtracting-with licensed contractors to construct the project (Sec: -
7044, Business and Professions,Code:, The Contractors' State;Liioense Law does novapplyto an owner of
property who builds orimproves thereon,.and who contractsfor the projects..with.a contractor(s)licensed
pursuant to the, Contractors' State License Law.).
I I I em exempt under. Sec. , BIAP.C: for this reason,
Date: Owner:.
CONSTRUCTION LENDING'AOENCY
I hereby affirm; under penalty of periury'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.Namw
Lender's : Address:
LQPERMIT
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 2:0.0
LA QUINTA, CA 9225.3
Contractor:
DESERT POWER
1999 S NAVAJO DRIVE
PALM SPRINGS,. CA _92264
(760)327-8851
Lid'. No.: 824337
WORKEWS'COMPENSATION DECLARATION
I hereby effirm under penalty of perjury one of the following -declarations:
I have and will maintain a certificate of: consent to setf-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' compensatiominsurance, as required by Section 3700 ofthe Labor
Code; for the,performance of the -work for which'this permit is issued. My,workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the performance of, the work for which this permit is;issued, I shell not employ any
person inanymanner so as to'become'subject to the :workers' compensation laws of,C8lifdrnia;
and agreerthat, if I,should become subjectto the workers' compensation provisions of Section
3700 ofthe Labor. forthw' pI Itb W provisions.
Data: 4—jVAJ�, Applicant:
WARNING: FAILURE TO SEC E WORKERS' COMP TION COVERAGE IS UNLAWFUL, AND, SHALL
SUBJECT AN, EMPLOYER TO CRIMINAL PENALTIES, AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS It, 00 000): IN ADDITION TO THE COST' OPCOMPENSATION; DAMAGES AS PROVIDED FOR R IN
SECTION370f3 OF -THE LABOR'CODE,ATEREST; AND ATTORNEY'S', FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT' Application is,hereby made to the Director of'Building and Safety for a'permit subject to the
conditions;and restrictionsiset.forth on this application.
1. Each,person upon whose behalf this applicatiowis made, each person at whose request and for
whose benefit work.is performed under -or pursuarrtto;any permit issued as,a result of this application,
the owner ,;and the:applicant, each.agrees to; and shall defend indemnifyand hold;narmless the City
of le Quints, its officers; agents and employees for an actor omission related to the work being
performed underorfollowing issuance of this permit.
2. Any, permitissued as a%result of this application;becomes null and void d work isnot commenced
within 180 days from;datk_of:issuanceof such permit; or cessation of work for 1,80 days will;subject
permit to. cancellation.
I certify thatYhave read,this application and state that the above information is correct. I agree to comply with all
city and county ordinances and,state laws relating to building construction, and herebyauthbrize represeritatiVes
. of this country to enter upon the;above-mentioned prope brepeeti. urposes.
Dater `dp I` Signature, (Applicant or Agent):
Application Number 06-00002513
Permit ELEC=TEMPORARY POWER
Additional de_sc .
Permit Fee . . . . 30.00
Plan Check Fee
.0,0
Issue Date . . . .
Valuation
0
Expiration -Date 12/21/06
Unit Charge Per
Extension
.Qty
BASE
FEE
15.00
1.00 15.0000 EA ELEC
TEMPORARY POWER POLE
•15.0:0
-----------------------------------------------------------------------
Special Notes and Comments
special
----------- -- -----------------
.200 AMP TEMP POWER POLE.
Fee summary Charged
Paid Credited
Due
Permit Fee Total, 30.00
00 00
30.00
Plan Check Total .00
.00 .00
00
Grand .Total -30.00
.00 .00
30.00
LQPEUAH
Bin #
G o La Quanta
Building.& Safety Division
P.O. Box 1504,78-495 Calle Tampico
La Quinta, CA 92253; - (760) 777-7012
-Building Permit.Application and Tracking Sheet
Permit # l
13 •
v
Project Address: '•?
Owner's Name: Plod1 ✓
A. P. Number: IV
Address: 0 37� t �C
Legal Description:
City, ST, Zip:
Contractor.
Telephone:
Address. -'1 t
Project Description: ��A Ji/(c o/
City, ST, Zip:..
Telephone: S' �•
Statetic. # : CityLic. #:
Arch.,;F. V. Designer:
Address:
City,, ST,.Zip:
Telephone;
State Lica;#:
Construction Type: Occupancy:
Project type (circle one): New Ad&n Alter Repair Demo
Name of Contact Person:
Sq.. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Fstimatod Value:of.Project: QU
APPLICANT: DO NOT WRITE':BELOW THIS LINE
Req'd
Reed
TRACKING -
PERMIT FEES
FN
FSubmittalf
Plan Check submitted
Item
Amount
l Cala.
Reviewed, ready for corrections
Plan•Cheek Deposit
Truss Cafes.
Called ContackPerson
Plan Check Balance
Energy Cafes.
Plans, tricked up
Construction.
Floodplain plan.
Plans resubmitted
Mechanical
Grading plane
V Review, ready for'eorrectioos/issae
Electrical
SubcontactorUst .
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval.!
Plans resubmitted
Grading
IN HOUSE:
'^' Review, ready for eorrections/issue-
Developer Impact Fce,
Planning Approval
Called Contact Person
A.LP.P>
Pub.. Wks. App r
Date of permit issue
School Fees
Total Permit Fees