BELC2015-008078-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BELC2015-0080
Property Address: 47820 EISENHOWER DR
AP,N:
Application Description
Property Zoning:
Application Valuation:
646150034
FAIRWAY VILLAS HOA
$800.00
Applicant:
DRIVEN ELECTRIC INC
72078 CORPORATE WAY-STE 104
THOUSAND PALMS, CA 92276
LICENSED CONTRACTOR'S
I hereby, affirm under penalty of perjury that.l am
9 {commencing with Sectiom7000) of Division 3
and my'License is in fullforce and effect.
LicensetlassrClO License No.: 881 5
�D te: a=2`a ^1' S ntractor.
D `Et/
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
406 2
13320.EL P—W
PALIvI'DESERT,
Contractor:
DRIVEN ELECTRICINC
VOICE (760) 777-7125
FAX (760) 777-7011
TIONS (760)777-7153
72078 CORPORATE WAY STE 104
THOUSAND PALMS, CA 92276
(760)343-3222
Llc. No.. 881356
- - - f -------------------- ---- - - - - - - - - - - - - - - - - - - --- ---------
.
-- - - - - -
of Chapter
ons Code,
lihereby affirm under penalty of perjury that.1 anfexempt: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,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 provisions of the
Contractor's State License Law (Chapter9 (commencing, with Section 7000) of Division 3
of the,Business and Professions Code) or that hesor she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora
permit subjects the applicant to a civil penalty of not more than five 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 structureis not intended•orofferedforsale.
(Sec. 7044, Business and 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, however,the building or improvement is sold
within one year of completion, the owner -builder will have the burden of proving that
heorshedid not build or improve for thepurposeof sale.).
(J I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, 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 pro1eets with a contractors) licensed pursuant to
the Contractors' State LicenseLaw.).
(_i I am exempt under See. _ B.&P.C. for this
Owner:
WORKER'S COMPENSATION DECLARATION
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 LaborCode, for the performance
of the work for which this permits issued.
(have and will maintain workers compensation insurance, as required by
Section 3700 of the Labor Code; for the, performance of the .work for w ich this permit
is issued. My workers' compensation insurance'carrier and poli 7UZ r are:
Carrier:_ Policy Number.I certify that in the performance of the work for h' : t;rmit is issued, I
shall not'employ any. person In any manner sons t ec a bject o the workers'
compensation laws of California, and agree that,' com subjectto the
workers' compensation provisions:of Section37 e r de; I shall forthwith
comply with those provisions:
Ap�ilicant• ��
WARNING: FAILURE -TO SECURE WORKERS' COMPEMATION 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 THE COST OF
COMPENSATION, DAMAGES,AS PROVIDED FOR IN SECTION, 3706 OF THE:LABOR CODE,
INTEREST, AND ATTORNEY'S'FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT:Appllcation is hereby made to the Building, Official for permit subject to
the, conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and,for whose benefit work is performed under or pursuant to any permit
issued as a resultof 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 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I havefead this application and state that the above information is
CONSTRUCTION LENDING AGENCY I agree to comply with all cnyand county ordinances and state laws r atin to
I hereby affirm,under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this citya u th
the performance of the work for which this permit is issued (Sec.•3097; Civ. C.). - mentioned property for inspection purposes. /
Lender's Name: { pllcpj)jor`Ag�en
Lender's Address:
Description: FAIRWAY VILLAS HOA
Type: ELECTRICAL
Subtype:
Status: ISSUED
Applied: 8/28/2015 MFA
Approved: -8/28/2015 MFA
Parcel No: 646150034 Site Address: 47820 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: TR 3578
Block:
Lot: 11
Issued: 8/28/2015 MFA
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $800.00
Occupancy Type:
Construction Type:
Expired: 2/24/2016 MFA
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: REPLACE 100 AMP METER PANEL WITH LIKE FOR LIKE
FINANCIAL INFORMATION
Printed: Friday, August 28, 2015 11:_04:28 AM 1 of 2
SYSTEMS
Printed: Friday, August 28, 2015 11:04:28 AM 2 of 2
SYSTEMS
'a HOME
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City of, La QLdhta
P.a Bmr 1504, 76495 Cage Tampka
La.Q(M4, CA 92253 -:(760) 777,7012
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Telephone:
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