Loading...
05-2460 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05-00002460 Property Address: 51605 EISENHOWER DR APN: 773-134-016-4 -000000- Application description: ELECTRICAL Property Zoning: COVE RESIDENTIAL Application valuation: 400 Applicant: T4ht 4 4 Q" / Architect or Engineer BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION . I hereby affirm under penalty of perjury thatI a 'can d u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a P ofe lona Code, and my License is in full force and effect. License Class: C10 ense No.: 387369 / Da ontractor. OWNER -BUILDER 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 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 (Chapter 9 (commencing with Section 70001 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ I 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. 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 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. 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 projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) 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 peimit is issued (Sec. 3097, Civ. C:). Lender's Name: , l Lender's Address: Iy LQPERMIT Owner: BARBARA LEAKE 51605 EISENHOWER DRIVE LA QUINTA, CA 92253 Contractor: WYNDHAM ELECTRIC 44486 ACACIA DRIVE PALM DESERT, CA 92260 (760)220-9442 Lic. No.: 387369 VOICE (760) 777-7012 . FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/20/05 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 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 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 b c m subject to the workers' compensation laws of California, and agree that, if I s c e u ect to he workers' compensation provisions of Section 3700 of the Lab Code, I s I f t it y with those provisions. pplicant: WARNING: FAILURE TO SECURE WORKERS' COM EN A I COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CI L 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 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 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 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 have read this application and state tnve ' mo n is c «act. I agree to comply with all city and county ordinances and state laws'relating tc stru do and by authorize representatives of this county to enter upon eabove-mentioned p spec o urpo (Applicant or Agent) Application Number . . 05-00002460 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.75 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 12/17/05 Qty Unit Charge Per Extension BASE FEE" 15.00 1.00 .7500 PER ELEC.DEVICE/FIXTURE 1ST 20 .75 Fee"summary. Charged ---------- Paid Credited -------------------- Due --------------------------- Permit Fee Total 15.75 .00 .00 15.75 Plan Check Total .00 .00 .00 .00 Grand Total 15.75 .00 .00 15.75 LQPERAIIT Bin # City of La Quinta Building sz Safety. Division Pennit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and7racking Sheet IProject Address: Owner's Name: A. P. Number:- " Address: .Legal,Description: City, ST, Zip: Contractor: Telephone: Address: T k Project Description: City, ST,ZipeV,Jm1, /.his ( -- ,i a h1-7 Telephone: State Lic. # : qlm Arch., Engr., Designer: Address: " City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: Telephone # of Contact I �r 16 I City Lic. #: Z—O Construction Type: Occupancy: Project type (circle one): New. Add'n Alter Repair Demo Sq; Fl.: #Stories: # Units: Estimated Value of Project: APPLICANT: # Submittal Rtq'd Rec'd DO NOT WRITE BELOW THIS LINE TRACKING PERMIT VEES Plait Sets Plan Check submitted Item Amount Structuril Calcs. Reviewed, ready for corrections Plan Check Deposit Truss'Calcs. Called Contact Person Plan Check Balance Title 24 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.t\l.l. 1I.O.A. Approval Plans. resubmitted Grading IN IIOUSE:- Review, ready for corrcetionslissue' Developer Impact Fee Planning Approval Called Contac( Person AJ.P.P. Pub. Wks. Appr Date of permit -issue School Fees - Total Permit Fees • Y _ RE00R0INO RI:GUEV EO BY Recording requested by e A UNION LAND TITLE COMPANY ' t� az v AND e,Maw neaoeoeo 11e1L To M.�. r Ned Zubic self 1171 Cherry Apt E sedoreM Glendale, Ca. 91202 rr a L J wa Tex WAnMt*U to• r � Same as above '*' Nwn + Sans@ i"wa L J aaos isw a roe um @sus ssoomm use s rant a e. FIM%ersigned grantors) declare(sk tary transfer tax Is S puted on full value of property conveyed, or Q( ) computed on full value lose value of liens and encumbrancep remandU at time of sale. ( ) Unincorporated area: (X) City of FOR A VALUAl1L8 CONSWERAIRON, trsoeipt of which b baeby'acksw+rl dSvi, Jay Trubee and June Trubee, husband and wife hereby GRANT(S) to ' Ned Zubeic, a married man as his sole and separate property and Jadranka Borqudan, a single woman as joint tenants the following described real property in the e. � k ' C� �� �`^•"�� County of Riverside , State of California: Lots 3 and 4, in Block 115 of Santa Carmelite at vale La Quinta Unit No. 12 as per map recorded in Book pages 79-80 of taps in the office of'the County Recorder of said Cc un y \ Dated: September 22,p_1989 STATE Or CALIFORNIA � cou or f{Lu-0e Id -e 11S On 0=3640ba; C11 before me, a Notary Public RU.for u State personally appeared 611A�Q•� 'T u (known to me) (or proved tome on the bash of atisfsetM evide-±) to beft parson whose name IS - subscribed to the within ieutrument ant acknowiedpd that — - executed the same. WITNESS my hs .int oflic al. i 1 NOW fhs@a a sw1wl _ Jay T ube TITrubee' rr@@r@rnrnxss@.@ss pIIOMC SIX J NIE HARDING � rlaNctrva CtorrE tN Att7EtI11Dt OOteltr lily 600011@11160 ttP 91K 1,1"1 IVM am M drAm "WW No 6 Title Order No. Escrow or Loan No,