06-1153 (ELEC)_
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: _-06.-00001153 --�
Property Address:
79065 VIA CARMEL
APN:
646 -400 -038 -
Application description:
ELECTRICAL
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1500
Applicant:
T&�/ °F 4 Q"
Architect or Engineer:
BUILDING& SAFETY DEPARTMENT
BUILDING PERMIT
0
MAR 212006
CrrYof LAQUINTA
Owner:
ARTHUR CHAPMAN
79-065 VIA CARMEL
4217 LOMA ROSADA
LA QUINTA, CA 92253
Contractor:
MOREL ELECTRIC
35 VISTARA DRIVE
RANCHO MIRAGE, CA 92270
(760)320-7758
Lic. No.: 419390
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/21/06
- LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Lice a Class: C10 License N 419390
- for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Contractor:
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
10,J certify that, in the performance of the work for which this permit is issued, I. shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant -for the
person in any manner so as to become subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I should become subject to the workers' compensation provisions of Section
' 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
- 3700 of the La r Code, I sh I forthwith comp) with those p visions.
77 C ,�,./p�I ,, /%/� 1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$5001.:
te;.J� �v plicant: �oY—�'�—�rp l�t�y
(_ 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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to,an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO'CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.). -
1 1 I am exempt under Sec. , B.&P.C. for this reason
Date: 3 —2 /77!(X 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
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 that the above information is correct. I agree to comply with all
city and county ordinances ands to laws relating to building construction, and hereby authorize representatives
of this county to center upon above-mentioned property for in ection purposes
Sidnature (Applicant or Agent):
Application. Number 06-00001153
Permit . . . ELEC-SERVICE
CHANGE
• Additional desc .
• Permit Feel . . . . 33.50
Plan Check
Fee
.DO
Issue Date . . . .
Valuation
0
Expiration Date .' 9/17/06
Qty Unit Charge Per.,
Extension
BASE
FEE
15.00
1.00 18.5000 EA ELEC
SVC <=60OV/<=200A
18.50
Special Notes and Comments
'Special
-
-------------
ELECTRICAL SERVICE UPGRADE FROM 225
AMPS TO 400 AMP SERVICE
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
Bin
City 0 aQuinta ;.
,. Building 8L Safety. Division
,. P.O.Box, 78-4.$Calle Tampico'.,
Permit #''
Plan CheckDeposit
I.a7777012
'Quirta, CA 92253 -:(760)
Budding Permit Application<and Tracking Sheet
,
Project Address. — ��j5 �t `_`
-Owner's Name:
A. P. Number: i t
Address v '7-7 1-0
Legal Description:
•S3
,.
City, ST, Zip: � j •• uwL
Contractor: �.'' �''
Telephone: O -777. —
Address. �.., -S VisJ(A Vi~ -
Project Description: - f; •' w `'
City, ST,'•Zip: P,�k� jAlv /1/U U
Telephone: 7.��:--v3 f -�C�
Constructim
►G. !�f li[Ge [ '�
State Lic. # "!'3 `� � City Lic. #:
k � ' 40 4i l
Arch., Engr., Designer: t
r
Address:
City, ST, Zip:'
r
Telephone:
Construction Type: Occupancy:
State Lic. #:'` , , '` ' `
"
Project type (circle one): New Add'n '.Alter Repair' Demo
Name of Contact Person:'
Sq: Ft.: ., '
# Stories: "
# Units: z •
Telephone # of Contact Person:�60 - f3 l 7 3 CO
Estimated Value of Project:.,,SG.a '
APPLICANT: DO NOT WRITE BELOW THIS LINE-
_
# "
Submittal
Req'd .
, Recd
TRACKING.
PERMIT FEES
"Electrical
Plan Sets +
'
Plan Check submitted
.' •
Item „ + +;
re 'Amount -
-Called Contact Person .' i .:
Plumbing
r t •
'
Grant Deed
Structural-C.alcs. _
Reviewed, ready for corrections .
Plan CheckDeposit
r,
Truss Caks.
c t -
Called'Contact'Person
Plan CheckBalance' i
N
Energy. Calcs.
y •.
Plans picked up
Constructim
q
"
Flood plain plan
: ` "
�"
Plans resubmitted K F
+
Mechanical
_
.Grading.
plan
;
2": Review, ready for corrections/issue`
''
"Electrical
.:
'
Subcontactor List ,
.
-Called Contact Person .' i .:
Plumbing
r t •
'
Grant Deed
Plans picked up
S.M.I.
4 Fi
- -
b.
6a.
H.O.A. Approval
Plans resubmitted " r
Grading
IN HOUSE:
�''� Review, ready for corrections/issue-
•, I
Developer.inpact Fee
7 •
h`.::
,.
e
Planning Approval
Called Contact Person . ` '
' '
A.LP.P..
Pub. Wks. App!
Date of permit issue
.Y j1
v, .r.. , ,,
-School Fees
Total Perm:itFees,
sem` i
IV
„ � � i• „r �7 � s:' +
44 i,