07-2900 (ELEC)P.O. BOX 1504 •
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00002.900
Property. Address: 4749A DUNE PALMS RD
APN: 600 -020 -012 -
Application description: ELECTRICAL
Property Zoning: COMMERCIAL PARK
Application valuation:. 4995
Applicant: Architect or Engineer:
49"
.t 4 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of"perjury'that I am licensed under provisions:of'Chapter'9 (commencing with
Section 7000) Division 3 of the Business and Professionals Code; and "my License is in full force end effect.
;Ucensee C B C10 D31 License No.: 523596
: ll Con or
OWNER -BUILDER DECLARATION
I hereby affirm un er penalty of perjury that I am exempt.from the:Contractorts.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 provisionsof 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 permitsubjects the applicantao a civil penalty of not more than five hundred dollars (9500).:
(_) 1, es;owner of the property,, or myemployees with wages as
their sole compensation;. will do the work,. and .00
the structure isnot intended or offered for sale�(Sec. 7044,, Business and Professions'Code: The
Contractors' State License Law does not -apply to an owner of propertywho 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.).
(_) 1 -as owner of the property, am exclusivelycontracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply town owner of
property who builds- or improves thereon,.and who contracts for the projects with a coritractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ 1 I am exempt•under;Sec. , B:6P:C. for this reason
Date:, Owner:
CONSTRUCTION LENDING AGENCY
herebyaffirm under penalty of perjury that.thereis a construction lending agency forthe performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
LA QUINTA REDEVELOPMENT AGCY."
78495 CALLE TAMPICO
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/06/07
Contractor: / Wt. d
POWER PLUS TEMP UTILITY SERV%
10 0 5 N. EDWARD CT (� ASO
ANAHEIM, CA 92806
(714)764-0020 9 >
Lic. No.: .523596%�y�,� �`oo/
---------------------------------------------.--" —
WORKER'S COMPENSATION DECLARATION �`'
I hereby affirm under penalty of perjury 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, 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 OLD REPUBLIC Policy Number AlCW37450700
_ I certify that; in;the performance of the work for which this permit is issued, 1 shall notemploy 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
3700 of the Labor hall forthwith comply with those provisions.
ate: >? 1 $ cant
WARNING: FAILURE TO.S RE WORKER 'COMPENSATION COVERAGE($ UNLAWF,UL,,AND SHALL
SUBJECT _AN.EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($1'00,000). IN ADDITION TO THE`COST OF COMPENSATION, DAMAOES'AS PROVIDED FOR IN
SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of,Building and Safety for permit subject to the
conditions and restrictions set forth an this application.
1. ,Each -person upon whose behalf this application is-made,.each person.at,whose request and for
whose benefit work iii 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 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 ISO days from date of issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I: certify that,I have read this application andstate.that the above information is correct. I agree to comply with all
city and co my ordinances and state laws relating to building construction, and hereby authorize representatives
of.thisy to enter upon the bove-mentioned proper r inspection purposes.
ate: Tnt
ature (Applicant or Ag
Application Number . . . . . 07-00002900
Permit . . . ELEC-TEMPORARY POWER
Additional desc_ . .
Permit Fee . . . . 37.50
Pian Check Fee
.00
Issue Date
Valuation . . .
.. 0
Expiration Date 5/04/08
Qty Unit Charge. Per
Extension
BASE
FEE
15.00
1...00 15.0000 EA ELEC
TEMPORARY POWER POLE_
115.00
1.0.0 7.5000 EA ELEC
:TEMP SUB POLE
7.50
Special Notes and Comments
--------------------------
--------
1 TEMP POWER POLE, .1 SUB POLE &
5 BARE
POLES TO POWER CONST. TRAILER @
DUNE
PALMS NEIGHBORHOOD PROJECT
Fee summary Charged
Paid Credited
Due
- -------- --------------------
Permit ,Fee 'Total 37.50
----- ----- ----------
.00 .00
37.50
Plan Check Total .00
.00 .00
.010
Grand Total. 37:.50
.00 .00
37.50
LQPERMrf
10!28!2007 10:33 0167353575
STRATZ PERMIT PAGE 03/16
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See below for Finance Revenue Codes
OF9¢ ENCROACHMENT PERMIT
PUBLIC WORKS CONSTRUCTION
For the construction of public or private curbs, driveways, pavements, sidewalks, parking' lots, sewers, water mains and other like public
works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS.
Subdivision Improvement Permit - Class III
Minor Improvement Permit Class IV
DATE -.October 29, 2007
LOCATION OF CONSTRUCTION (Street address or Description).: CVHC - Dune Palms Neighborhood SDP 2006-857; NW Comer Of Dune
Palm & Ave 48
PURPOSE OF CONSTRUCTION: Temporary Power Crossing Dune Palms
DESCRIPTION OF .CONSTRUCTION: Temporary Power For Dune Palms Neighborhood Trailer
DIMENSION OFINSTALLATION OR REMOVAL: 110'Of Aerial.Electrical Cable, 30.' Poles; ,22' Clearance
APPROXIMATE TIME WHEN: WORK WILL BEGIN:November 5, 2007 TIME OF COMPLETION:November 6, 2007
ESTIMATED CONSTRUCTION COST: $3,000.00 (Including removal of all' obstruction, materials, and debris, backfilling,
compaction and placing permanent resurfacing and/or replacing improvements)
COMMENTS:
In _consideration of the granting of this permit, the applicant hereby agrees to:
Indemnify, defend and save the City,', its authorized agents, officers, representatives and employees, harmless from and against any
and rail penalties, liabilities or loss resulting from claims or court action and arising out of any accident, loss or damage to persons or
property happening or, occurring as a proximate result of any work undertaken under the permit granted pursuant to this application.
Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started.at (760) 777-
7097. '
Comply with all applicable City Ordinances, the terms and.conditions. of the permit and. all applicable rules and- regulations of the City
of La Quinta and to pay for any additional replacement necessary -as the result of this work.
Signature of Applicant or Agent
Brown Construction --Steve Schnierer 1465 Enterprise Blvd. W. Sacramento, CA 95691 (818) 612-7050
Name of Applicant (please print) Business Address Telephone No.
Power Plus 2750 N. Perris Blvd. Perris, CA 92571 (951) 657-0431
Name of Contractor and Job Foreman -Business Address . Telephone No.
Contractor's License No.
Applicant's Insurance Company
FEES:
Minor Improvement Permit - Class IV
Finance Revenue Code.
Inspection Fee E_1
Permit Fee E-1
A* -Built Deposit E—A
Cesh Deposit -Surety Bond, E_B
if required
TQTAL
0
City Business License No.
Number
3% of estimated construction costs
3% of estimated construction costs
See attached schedule
$0 P RMIT NO.7190
$100.00 DATE APPROVED: NOVS7 Zeetl
$0 EXPIRATION DATE: ,()9261 2_DO
$100.00. ' I Administrative Authority
OE
0
Bin #
City of La Quinta
Building at Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
cr
Project Address:
Owner's Name: &Ck.3
A. P. Number:
Address: I i4 (aS F—,%*et r 1 �lvd
Legal:Description:
City, ST, Zip: U), Qc CA 9Sio9I
Contractor: ,�- 71 v S
Telephone:
Address: 2%SO N tbrri S va-
Project Description: 1 Tem oWec 1Poke Zoogtr,�
City, ST, Zip:CA 9 Z.S-7 (
5v 6 e rye oAGS — I�o�rat-
Telephone: C?S1 „ (oS'7-o 3 i
State Lie. # : �j(o City Lie. #:
l70►.� m S e t
Arch., Engr., Designer:
Address:
City, "ST, Zip:
Telephone:
State'Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq.Tt.: # Stories: # Units:
Name:of Contact Person:�rr a og
Telephone # of Contact Person:
Estimated Value of Project: q S
APPLICANT: DO NOT'WRITE' BELOW THIS LINE
Req'd -
Reed
TRACKING
PERMIT FEES
ff*Subnmdtt,a1
Plan Checksubmitted
Item
Amountl
Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cake.
Called Contact Person
Plan Check Balance
Energy Calcs.
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 Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN. HOUSE:-
''' Review, readyfor correctioneissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP:P.
Pub. Wks. Appr
Date of permit issue
School Fees
TotalTermit Fees