05-5198 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:05-0000-51.98
_
Property Address:
53940 EISENHOWER DR
APN:
774-171-010-15 -
Application description:
ELECTRICAL
Property Zoning:
COVE RESIDENTIAL
Application valuation:
700
Applicant: Architect or
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
qtr
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 Divisjo3 the Business and Professionals Code, and my License is in ful force aqd effect.
License Class: - - - - License No.: C10 ��%� / % /
Date � (, Contractor—. �%U��
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 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 permit subjects the applicant to a civil penalty of not more'than five hundred dollars ($500).:
(_ 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. 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.).
(_ I 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 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 (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/28/05
Owner:
LA QUINTA REDEVELOPMENT AGENCY
P O BOX 1504
LA QUINTA, CA 92253
u
r�r5
Contractor:
HEGGE ELECTRICAL CONTRACTORS
P.O. BOX 1365
- - LA QUINTA, CA 92247
WCC: STATE FUND
Lic. No.: CIO
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.
1 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 046111832005 01/01/06olicyNumber 748171
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 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 Code, I shall forthwith comply with 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 ($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 ISO days will subject
permit to cancellation.
I certify that I have read this application and state that the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon the above-mentioned property for inspection purposes.
Date: /4 3 ----Signature (Applicant or -Agent ��
Application Number . . . . . 05-00005198
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 21.00
Plan Check Fee
5.25
Issue Date . . . .
Valuation . . .
.
0
Expiration Date 5/27/06
Qty Unit Charge Per
Extension
BASE
FEE
15.00
8.00 .7500 PER ELEC
DEVICE/FIXTURE 1ST 20
6.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD 4 JUNCTION BOXES FOR CEILING
FANS &
SWITCHES.
Fee summary Charged
Paid Credited
Due
Permit Fee Total 21.00
.00 00
21.00
Plan Check Total 5.25
.00 .00
5.25
Grand Total 26.25
.00 .00
26.25
'
0
LQPERMIT
.71
Bin #
Permit #
Projcct Address:559 4 olI)l,uw
— —
City o( La- Qurnta
Building ZZ S.-fm DWsion
P.O. Box 1504, 78-k9; Calle Tampico
b Quinta, CA 42253 - (760) 777-7012
Building Permit ADpii-2tion and Tracking Sheet
0".'='s Namt: �� P
A. P. 1`lumber.
Address: k-- Se n oLJer
Legal Description:
eCiry, ST. Zip: vI ZZ5
Contractor: He e Electrical Contractor
FTelephone: 5 q — L41 D `"I
Address: PO Box 1365
City, ST, Zip: La Quinta, CA 92253
Projcct Description: -f-h P
r i
Telephone: 7.7 5- 4 8 5 5
': r
Statc Lic. 48171City
Lic. #:0 0 21 8
A,ch., Engr., Designer.
Address:
City- ST, Zip:
%
Telephone:
State Lic. #:
R�wr_',. '' ::;:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft:. Q
ft Stories: # Units:
A
Telephone # of Contact Person:
—L41 d
stirnated Valuc of Project: 7 0Q, 1)0
N Submittal Req'd
APPLICANT: DO NOT WRITE BELOW THIS UNE
Ree'd TRACKING PERMIT FEES
Plan Sets
Plaa Check submitted
Item Amount
Structural Gsles
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calm
Plans picked up
Construction
Flood plain pita
Grading plait
Plans resubmitted
I'' Review, ready for eorrectionslssue
hlechanical
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.)tt.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:.
" Review, ready for eorteetionslssve
Developer Impact Fce
Planning Approval
Called Contact Person
A.I.P.p.
Pub. Wks Appr
Date of permit issue
School Fees
Total Permit Fees
— TI 'n /nT /nn
HEGCE ELECTRIC INC.
CUSTOMER LEAD SHEET
CUST0NJER'S NAl�2E: DATE: i 1 057
CUSTOMER'S ADDRESS:
C'39q D _Fl5�e.h,knt apr1.
rJ�.
�o
BILLING ADDRESS:
GATED COMMUNITY: Q a
NEAREST CROSS STREET: Lock-- e�y -\ L, p' f
CUSTOMER'S PHONE: 6-6 �I+� �. 1 CELL:
FAX: E-MAIL:
ARE YOU A FIRST TIME CUSTOMER? YES O
JOB DESCRIPTIPN:
SPECIAL INSTRUCTIONS:
ASSIGNED ELECTRICIAN:�l;Cxxt V l C( o
SCHEDULE DATE: 12-9'j'ROO TIME: -7 :CSU A
HOW WERE YOU REFERRED TO US? PAPER DESERT PAGES VERIZON TRUCKS
OTHER
SERVICE CALL RATES -BASED ON TIME + MATERIAL.
SERVICE CALL $50.00
HOURLY RATE $60.00 / $75.00 SAT APPT HOURLY RATE FOR ADDITIONAL MAN $35.00
ER4ERGENCY CALL RATES ARE AS FOLLOWS:
SERVICE CALL • $75.00 SERVICE CALL 375.00 SERVICE CALL $100.00
HOURLY RATE $60.00 HOURLY RATE 575.00 HOURLY RATE $85.00
WITHIN BUSINESS HOURS HOURS 2:30-5:OOPM AFTER S:OOPM
ALL SERVICE WORK IS C.O.D.
WE ACCEPT MASTERCARD, VISA, AMERICAN EXPRESS, DISCOVER
11/18/2005 12:02 7605640344 LA QUINTA PALMS PAGE 01
La. Quinta Palms Real Estate Co.
51001 Eisenhower Drive
La Quinta, CA 92253
760-564-4104
DATE PRINTED: 11/1.8/05
WORK ORDER k: 759
Unit (D 39
DATE REPORTED: 11/18/05
DATE ASSIGNED: 1.1/1.8/05
ASSIGNED TO: Hegge Electrical Contractors, Inc. CONTACT: Vacant - Kev at office
760%775-4855 Pax: 760/775-4854 PHONE:
Po Box .1365 ADDRESS: 53940 Eisenhower Drive
La Quiota, CA .92253 La Quinta, CA 92253
PROBLEM: Please give us an estimate for installing J -Boxes in 3 bedrooms and 1 -hiving room. Please be sure to include any
city Permits that are required.
DATE COMPLETED: COMPLETED BY:
COMMENTS: Please fax me an estimate. Thsnks, Rachel