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08-1955 (ELEC)P.O.. BOX 1504 78-495 CALLE TAMPICO LA QUINTAi CALIFORNIA 92253 Application. Number: 08-00001955 Property Address: 477.50 EISENHOWER DR. APN: 646-1.50 0.3'0- - Application description: ELECTRICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 0 Ta�/444umz Applicant:, Architect or Engineer: 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) of Division 3 of the+.Businer and Professionals Code, and my License is in full force and effect. License Class: C10, A 1. A License No.: 924667 Date: M-15_00 Contractor: OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractor'S State License Law for, the following. reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires•a permitto construct,: alter, improve, demolish, orsepair 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 provisions of 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 .Jorthe alleged exemption. Any violation of Section 7031.5 by any applicant,for a permit subjects the applicant to a civil penalty of notmore than five hundred dollars 195001.: 1—) I, 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. 70", Businessland Professions Code: The Contractors' State License Law 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 employees, provided that the improvements are not intended or offered.for sale. If, howeveri 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—) I, as owner of the property, am exclusively contracting with licensed contractors to, construct the project (Sec. 70", 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 wcontractor(s) licensed pursuant to the Contractors' State License.law.). 1 _ 1 I am exemptunderSec. B.&P.C. for this reason Owner: CONSTRUCTIONLENDING AGENCY I hereby affirm'underpenalty 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: LQPERMIT Owner: LORENZ ROBERT A C/O ROBERT LORENZ 2728 LINCOLN ST EVANSTON, I -L 60201 Contractor: KANTER ELECTRIC 26568 VALLE HEIGHTS HEMET, CA 9,2544 (6-19)519-0680 Lic..No,.: 924667 VOICE (760) 777-7012 FAX (760) 777-701.1 INSPECTIONS (760) 777-7153 Date: 12/15/08 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 -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 wili maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work:forwhich this permit is issued. Myworkers' compensation insuranoe,cairierand policy number are: Carrier EXEMPT Policy Number EXEMPT I certify that, in the performance.of the work for which this permit is issued, I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of California, and agree that, if,I s ul become subject to the workers' compensation provisions of Section 3700_ of the' Labor C de I sh II forthwith comply with those provisions. Data: ".1115-uP5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS,UNLAWFUL; AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000).. IN ADDITION TO THECOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3,706 OF THE LABOR CODE, INTEREST, 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 restrictions set forth on.this application. 1-. Each person upon, whose behalfthisapplication is made, each person at whose request and for whose benefit work is,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 resuit.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 permit to: cancellation. I certify that Ihave -read this application andstetethat t ab a information is correct. I agree to comply with all city and county ordinances and state laws relating to buil i ru ion, and hereby authorize representatives of this county to enter upon. the above-mentioned,prope 'ins ion purposes. Date: &&16. Signature (Applicant or Agent): Application Number . . . . . 08--00001955 Permit . . . ELEC-SERVICE CHANGE Additional desc . . Permit Fee . . . . 33.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/13/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC.SVC <=600V/<=200A 18.50 ------------------------------------------------ ----------------------------------- Special Notes and Comments 200AMP SERVICE CHANGE OUT - REPLACING ZINSCO SERVICE PANEL. 2007 CALIFORNIA ELECTRICAL CODE.. December 15, 2008 10:08:43 AM AORTEGA 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 LQPExnnr Bin # Clty of La Quints Building u Safety Division P.O. Box 1504, 78=495 Cale Tampico La Quinta, CA-92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 4. 1, Project Address: .7.i7g4WhAWpa VIZ Owner's Name: A. P. Number: Address: 'y 750 Legal Description: City, ST, Zip: U)WT y, Contractor: hikymg, &Tg1.6 Telephone: Address: 2/656 • n Rd Project Description: City, ST, Zip:Hfc A-,/ +�i I rl A/! &- OW /7; Xle.- tt Telephone: ._ J� State Lic. # : C I0 �©�f � —l�sa+D O L-D'Qli�y XA11 (.Li City Lie. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Occupancy: State Lic. #: Projecttype (circle one<:g Add'n Alter Repair Demo Name of Contact Person:S SqFtmv�u. FG: #Stories: #Units: Telephone # of Contact Person: % Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CAlcs: Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan CheckiBalance Energy Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A.-Approval Plans resubmitted Grading INHOUSE:- ''' Review, ready for correctioneissue Developer ImpactFee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees