The URL can be used to link to this page

05-3618 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 05-00003618 81770 VIA LA SERENA 767-200-011-17 -318742- ELECTRICAL LOW DENSITY RESIDENTIAL 500 Architect or Engi IJJA BUILDING & SAFETY DEPARTMENT BUILDING PERMIT D L AUG 12100 5 CITY OF LA of llur. -------------------------------------------------- UCEN SED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: B License No.: 352047 ,,,�aate: 12 tractor. 0 ER -BUILDER DE RATION I hereby affirm under penalty of perjury that I am exempt from the C ntractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: A 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 1, 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 _ 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 contractors) 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: Q Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/12/05 Owner: TAYLOR WOODROW HOMES, INC 15 CUSHING IRVINE, CA 92618 IContractor: TAYLOR WOODROW HOMES INC 15 CUSHING IRVINE, CA 92618 .(760)275-0598 Lic. No.: 352047 ------------------ 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 LIBERTY MUTUAL Policy Number WA765D283614055 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 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 forthwit comply with those provisions. 0 pplicant: WARNING: FAILURE TO SECURE WO KERS' COM NSATION COVERA IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATI - N, 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 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 forinspectionpur se . a ;,nature (Applicant or Agent) Application Number . . . . . 05-00003618 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 127.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/08/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00 13.00 7.5000 EA ELEC TEMP SUB POLE 97.50 ---------------------.----'--------------------------------------------------- Speciai Notes &fta l:6iYMentg 2ND TEMP POWER POLE & 13 SUB POLES ALONG NORTH END OF PROPERTY, SERVING PHASES 1-3. Fee summary Charged Paid Credited ------------------------------------- Due -------------------- Permit Fee Total 127.50 .00 .00 127.50 Plan Check Total .00 .00 .00 .00 Grand Total 127.50 .00 .00 127.50 LQPERMIT Bin # City of La Quinta Building at Safety Divisicn Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit APPlicadon and Tracking Sheet Project Address: cR— O%„ter's Name: A. P. Number: ?6 — 2fild — (l Address: /5 x x A X X Legal Description: 3187 Contractor: � Address: LU City, ST, Zip: Telephonce 6O 7 —� State Lic. tl Arch., Engr., Designer: Address: A X City. ST. Zip: Telephone: State Lic. Name of Contact Person: Telephone # of Contact Person: 0 Submittal Plan Sets Structural Cala. Truss Calcs. Energy Calcs. Flood plain plan Grading plan Subcontactor List Grant Dced H.O.A. Approval IN HOUSE: - Planning Approval Pub. Wks. Appr School Fees 'd R — ft�lit J l r City. ST. Zip: c �� ,�,le Telcphonc: — 'Project Description: —"-lz— City Lic. t!:. 179 I Construction Type: Occupancy Project type (circle one): Wcw Add'n Alter Repair Demo Sq. Ft.: q stories: N Units: —� stimated Value of Proiect. APPLICANT: DO NOT WRITE BELOW THIS LINE Recd TRACKINC PERMIT FEES Plan Check submitted Item Amount Reviewed, ready for corrections Plan Check Deposit Called Contact Person ( Plan Check Balance Plans picked up Construction Plans resubmitted Mechanical 2- Review, ready for corrections/issue ;Electrical Called Contact Person Plumbing Plans picked up' 5.111.1. Plans resubmitted Grading 3" Review, ready for correctionslssue Developer Impact Fee Called Contact Person A.1.P.P. Date of permit issue Total Permit Fees