05-2283 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
05-00002283
Property Address:
48655 EISENHOWER DR
APN:
658-140--999- =29436
Application description:
ELECTRICAL
Property Zoning:
LOW DENSITY ENT IA
Application valuation:
2 (�
Applicant: G A ct or Engineer:
1A
-
BUILDING & SAFETY DEPARTMENT
BUILDING` PERMIT
------------`---------------------- -- ---- - - - - -- - - - - -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my. License ;sin full force acid effect.
License Cla : B License No.: 701039
/ Date: ontractor: e-
OWNER43UILDER DECLARATION
I•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.end Professions Code: Any city or county that -requires a,parmit to
construct, alter, improve, demolish, or repair any structure; prior to its issuance, also requires_the applicant for the
permit to file esigned statement that'he or she is licensed pursuant to the,provisions of the Contractor's State
License Law (Chapter 9 (commencing with.Section 7600) of DMsion 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 permit subjects the applicant to,a civil penalty"of"not more than five hundred dollars ($6001)::
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•forsale (Sec. 7044, Business and Professions Code: The
Contractors' State License Law does not apply to an owner of property who ,buikfs 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.).
(_) I, as owner of the property, am:exclusively contracting with licensed contractors to construct the project (Sec.
704¢, Business and Professions Coda: 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 a contractor(s) licensed
pursuant to the Contractors' State License L.aw.).
f _ 1 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 permit is issued ISec. 3097, Civ. C.I.
Lender's Name:
Lender's Address:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)' 777-7153
Date: 6/10/05
Owner:
IVANHOE LA QUINTA COVE
C/O R BARRY MCCOMIC
7979 IVANHOE AVE STE 550
LA JOLLA, CA 92037
Contractor:
TRANS WEST HOUSING, INC.
99.6'8 HIBERT STREET, STE #102
SAN DIEGO., CA 92.131
(858;)653-3003
Lic. No.: 701039
------------------
WORKER'S° COMPENSATION DECLARATION
1 hereby affirm under penalty of perjuryone of: the.following declarations:
_ I havwand 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 forwhich this permit is
_Vissued.
I 'have `and will maintain %workers' compensation insurance, as required by Section 3700 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 STATE FUND Policy Number 1648813
_ I certify that, in the performance of the work for which this permit is'issued, 1 shall not employ any
person in any manner so as to becomesubject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3300 of the Labor Code, I shall forthwcomply w' h those provisions;.
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 (5100,000)'. 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 Director of Building and Safety for a 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 permibissuad 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 Quima, 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 and stawthat the above information is correct. I agree to comply with all
'city and county ordinances arta state laws relating to building construction, and hereby authorize representatives
of this coyflky t9'e'nter upon t-above•mentionedIprgperty• r inspe • purposes
Date 5eture (Applicant or Agent): ` �1�
Application Number . . . . . 08-00002.283
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 33.50
Plan Check Fee
.00
Issue Date . . .
Valuation . . .
. 0
Expiration Date 12/07/05
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00 18.5000 EA :ELEC
SVC <.=600V/<=200A
18.50
----------------------- ---------
Special Notes and Comments
-- -
200 AMP IRRIGATION PEDESTAL
Fee summary Charged
Paid Credited
Due
Permit Fee Total 33.50
.00 .00
3.3.50
Plan Check Total .00
.0.0 .00
.00
Grand Total 33.50
.00 .00
33.50
LQPERMff
01/13/2005
THU 16:01 FAX 760 777 7112 Bldg & Saftey
Q1001/001
Bin #
Cityof La Qui= • .
Builcring-BT Safety Division 1
P.O. Box 1'504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: — �� ,�
Owner's Name: '
A. P. Number
PQ
Address:a.
Legal Description: 029
Contractor:
Address:
City; STZip:� Q
Telephone: 77 IMM�
ProjecrDescription:
City, ST, Zip:
46
Telephone:
State Lic. # : Q City'Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
State Lic. M. :,,, ,.,..
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle, one): New Add'n Alter Repair Demo
Sq. Ft: # Stories: # Units:
Telephone # of Contact Person: % --Q 3041
Estimated Value of Project 0•
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACEING
PERMIT FLES
Plan.Sets
Plan Check submitted
Item
.Amount
Structural Calm
Reviewed, ready for corrections
Pian Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Titte 24 Calrs.
Plans picked up.
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2' Review„ready for correctionsriissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
&M.I.
IMA. Approval
Plans resubmitted
Grading
IN HOUSE:-
'Review, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.M.P..
Pub. Wks. Appr
Date of permit.issue
School Fees
Total Permit Fees