BELC2014-102478-495 CA LLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BELC2014-1024
Property Address:
80759 AVENUE 52
APN:
777130017
Application Description:
MADISON / 100 AMP PEDESTAL
Property Zoning:
5a
Application Valuation:
$35,000.00
Applicant:
HIDEAWAY HOMEOWNERS ASSN
300 S GRAND AVE NO 2200
LOS ANGELES, CA 0
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 Division 3 of the Business and Professions Code,
and my License is in full force and effect.
LicenseClass: B License No.: 915336
Date: [/ 7 —7 —/ Contractor:�b�
`
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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
HIDEAWAY HOMEOW
300 S GRAND AVE.NO
LOS ANGELES, CA 0
Contractor:
DISCOVERY BUILDERS
14605 N 73RD STREET
SCOTTSDALE, AZ 8526
(480)624-5200
Llc. No.: 915336
Date: 12/7/2015
N
14
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
HIDEAWAY HOMEOW
300 S GRAND AVE.NO
LOS ANGELES, CA 0
Contractor:
DISCOVERY BUILDERS
14605 N 73RD STREET
SCOTTSDALE, AZ 8526
(480)624-5200
Llc. No.: 915336
Date: 12/7/2015
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. 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
oft work for which this permit is issued.
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: _ Polity Number:
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 forthwith
comply/with those provisions.
Date: ` r Applicant:
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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_J I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. . COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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: ----1=) � h—
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
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 city to enter upon the
above-mentioned property for inspection purposes.
Date 7 J` . Signature (Applicant or Agent):
FOR MAT 1.0.N.*;;.,�.
rOh AEY--I', D.jxil;Di4 A.Tf E.
'A
RPP
,:.4-..�,W UN
BSAS SB1473 FEE 101-0000-20306
0 $2.00 $0.00.
�P.t "L� � � � �� � �^Y�. b� �4X !
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DwBY.€ �:. i .*'�Zx;'`",'
�',REGEIPT #�_ CHECK CLTD BY
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Total Paid, for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
. kvg i
DESCRIPTIONS YACCOUNTS4f�QTYAMOUNr�
drr .� i m +tire E*x' .,
5£�, "�:''..t'fl. xS. "i
S.hlb k'{ xzti x
PAIDc
.. D
'PAI
x. Y
ax
sDATE
SERVICES
101-0000-42403
0
$24.17
$0.00
W > -i.
BYE I'- A
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? 'CHECK'#
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'PAID
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:, i., ,RECEIPTS#r
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DESCRIPTION>
'ACCOUNT
OU
QTLY
AMOUNT
,,+;-5''ct
PAID ��
-,�.•"'.. L?:.
PAID DATE
y...
s 41
sjr
x...�:
SERVICES PC
.101-0000=42403
0
$12.09
$0:00
i .fit.SKgPolet ..'E'. SE'...r :'.'Fi .E;'XYT
�.,'bµ„g°f Y'g'":<g:
_,Y"°.€'nbjyp;ER9�IEG+S"Ex°nhPg»X`.�iv�.%ii
TXH��P�C1iECK
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z'K METHODYiS��$:e
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#CLTD#B;Y;
Total Paid for ELECTRICAL: $36.26 $0.00
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ESCRIPTION x
ACCOUNT. cx
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PAID DATE
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PERMIT ISSUANCE
10170000-42404
0
$91.85
$0.00
PAID'BY
METHOD. S
€X`
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#t
x lv
Oxy RECEIPT # �`+ E
CHECK
CLTD BY
". Total Paid for PERMIT ISSUANCE: $91:85 $0:00
Tb0.110 00
Description: MADISON / 100 AMP PEDESTAL
ADDITIONAL
Type: ELECTRICAL
Subtype:
Status: APPROVED
Applied: 9/15/2014 KHE
Approved: 9/23/2014 SKH
Parcel No: 777130011 Site Address: 80759 AVENUE 52 LA QUINTA,CA 92253
Subdivision: TR 29894-2
Block:
Lot: B
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $35,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
ZIP PHONE
Details: ELEC. SERVICE ONLY .
EMAIL
APPLICANT
HIDEAWAY HOMEOWNERS ASSN
FINANCIAL INFORMATION
Printed: Monday, December 07, 2015 10:38:36 AM . 1 of 2
sysTrms
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL KAY HENSEL
9/15/2014
9/15/2014
CONDITIONS
NAME.TYPE
NAME
ADDRESSI
CONTACTS
CITY .
STATE
ZIP PHONE
FAX
EMAIL
APPLICANT
HIDEAWAY HOMEOWNERS ASSN
300 S GRAND AVE NO
2200
LOS ANGELES
CA
0
CONTRACTOR
-DISCOVERY BUILDERS CALIFORNIA
INC DBA DB
14605 N 73RD STREET
SCOTTSDALE
AZ
85260
SBIRDWELL@DISCOVE
RYLANDCO.COM
OWNER
HIDEAWAY HOMEOWNERS ASSN
300 S GRAND AVE NO
2200
LOS ANGELES
CA
0
771
FINANCIAL INFORMATION
Printed: Monday, December 07, 2015 10:38:36 AM . 1 of 2
sysTrms
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
1 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2,00
$0.00
BSA:
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0'
$12.09
$0.00
Total Paid for ELECTRICAL:
$36.26
$0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91,85
$0.00
TOTALS:
$130,11
00
INSPECTIONS
SEQID INSPECTION TYPE ...'-INSPECTOR "_
SCHEDULED COMPLETED RESULT REMARKS =NOTES
DATE
DATE
ELECTRICAL FINAL"
PARENT PROJECTS
ATTACHMENTS .. ..
Printed: Monday, December 07, 2015 10:38:36 AM 2 of 2
SYSTEMS
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VICINITY MAP
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AVE 52
`GONOUITt MIRE'NOTES.
I
r IMPERIAL IRRIGATION DISTRICT
N
�CUSTOMERtINSTALL°(ONE) 3"
3
-40-
�
°
�
1201 40V ` � -
� ■
IP
._.... .. ...
VIA SAVONA „
.. W1 ... ...
... ...
... ....ABC... ..
,_..--�..:-.'
-,...��.
NOTE TO CUSTOMER:
PLEASE CONTACT IID INSPECTOR PRIOR
1 inch = 100 feet
TO UNDERMINING ENERGIZE STRUCTURE.
0-"77 V .. _. .
760-398-5828
PLEASE HAVE ADDRESS AND SERVICE
`GONOUITt MIRE'NOTES.
I
r IMPERIAL IRRIGATION DISTRICT
N
�CUSTOMERtINSTALL°(ONE) 3"
3
40�PVC.CONDUITu(110;)'
_'SPK
r11D INL iAPA 111. 120 0
'i P, JF, EC jSERVICE;(1307 .
NOTE TO CUSTOMER:
PLEASE CONTACT IID INSPECTOR PRIOR
1 inch = 100 feet
TO UNDERMINING ENERGIZE STRUCTURE.
SUB: JEFFERSON CKT N170
760-398-5828
PLEASE HAVE ADDRESS AND SERVICE
THE HIDEAWAY CLUB
NOTIFICATION NUMBER AT HAND.
80769 VIA SAVONA
LA QUINTA, CA 92253
SERVICE LAYOUT
SERVICE NOTIFICATION:4018561
I SERVICE ORDER:60095681
DRAWN BY:LMARRUJp
I DATE: 0511812015
C,
1
Qin #City . of La Q uin to .
Building U Safety Division
Permit # 78-495 Calle Tampico
'(2G2v1 10 La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:I Owner's Name:
A. P. Numbg: 0057
Address:
Legal Description:
City, ST, Zip: L�
ntr
o act r•
C o. 5
ITelephone:I
7CVaa
Address: J5
5Z
Project Description:
City, ST, Zip: ,�i,
rz..
P Z/``,,
T ele hone: [ 25 2(J
State Lic. # :41S- 3
S
City Lic.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
ancY
Occupancy:
.Constiucti n TYPe•
air Demo
Project P (circlele ne • New A dd'n Alter Repair
Lic. #:
......................................................
Name of Contact Person:
Sq. Ft.:#Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cafes.
Called Contact Person
Plan Check Balance
Title 24 Cafes.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2nd Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked 'up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
RCVie\Y, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees
Bin A
v
Building & Safety DkWon
P.O. Box' 1504, 78-495 Calle Tampico
La Quints, CA 92253 r (760) 777-7012
Building Permit Application and Tracking Sheet
,,k Owner's Name:
Permit #
.Project Address: �;
A. P. Number: "7 —1
Address: 6 t� S '� 3� —CA ,
7Dcscdp1fiion:City,STZip:
[tAddrcss:
SCof+s�I¢. A F5,Z 6 6
Telephone: y $ 0 6� Sz OO
Project Description: Qp i �- 1-e5 r-),4 an
City. ST, zip:
C on *rol S Jwu W a- J�or GVW D
Telephone:
: y l jso 10.x, oil I v P11 i n5 c le.0 a�+;<<I I y
City Lie. #: co') a o v a IV -P, Gid 'I Qa- x
State Lie. # :
Arch., ngr. Designer o� a power
Address: zyy o- Q. lo. ae-1 c. c.On^e-c 'on f�� vGlve Con►+-ol� fePlc.e�,»a,
City, ST: Zip:Ana 0i IIS �,A i� 5 W 0.11 a. a Pel Vak-�- (� Val'. - e
Telephone: (ce 4 9 4 5 — 0111 Dion Type- T occupancy. NOfJE
State Lie. #:C 513ojed type (circle one): New Add'n les Repair Demo
Name of Contact Person:. n " 11 Sq. Ft: —1 d O # Stories: # Units: (�
:Telephone # of Contact Person: 41 Q 03nQljl zxj. .04 Estimated Value of Ptojed: A� ,Z 1 1 / 000
APPLICANT: 90K NOT WRITE BELOW THIS UNE
# Sabmittal Req'd Reed TRACMNG PERMIT REFS
Pian Sets
Pta.-hoeksubmitted 7 5 Item Amount
Structural Cale:.
owed, ready for correction Plan ChecicDeposit
Truss Caics.
Calkd Contact Penou Plan Cheek Balance
Title 24 Cala.
Plans picked xp Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"` Review, ready for corrects a c{ 2. FJcetNea{
Subcontactor List
Called Contact Person Q Plumbing
Grant Deed
Plans picked up SMI.
R.O.& Approval
Plans resubmitted- Grading
IN! HOUSE--
''i Review, ready for correctionsrrssne Developer Impact Fee
Planning Appr ai
Called Contact Person A.LP.P.
Pub. Wks. pr
Date of permit Issue
School F cs
Total Permit Fees