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BELC2015-010778-495 CALLE TAMPICO D wMICl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2015-0107 Owner: Property Address: 49020 CEDROS CIR CIR GEORGE HONU APN: 646210014 49020 CEDROS Application Description: HONUNG / UPGRADE PANEL FROM 100AMP-200AMP LA QUINTA, CA Property Zoning: Application Valuation: $3,500.00 Applicant: DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY, CA 92284 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. License Class: CSO License No.: 879507 Date: 2 Contractor 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: () 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, 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 permit is issued (Sec. 3097, Civ. C.). Lender's Lender's Add Contractor: DESERT ELECTRIC 55888 YUCCA TRE YUCCA VALLEY, C, (760)369-1002 Lit. No.: 879507 16 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/8/2015 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' compensa ion, as provided for by Section 3700 of the Labor Code, for the performance of tr37OO which this permit is issued. ve and will maintain workers' compensation insurance, as required by S f theLabor 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 wit those provisions. Date: (Z O Applic t: WARNING: FAILURE TO SECURE WO ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta; its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date.of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: Signature (Applicant or Agen I/ 2s _ t -.� ,s ..-�. - s a - -�a a,� - � 9��}fs�,'��"�`��"�`h�`-� '��'�,,.��" sa �,x � s ;,�� x��: .:F` � ._a�tc��.�.£ . t�-.F,��. ,:.�, :,�-�, '� � �, x5s s a�:•- �' u x:{�- DESCRIPTION ACCOUNT QTY 4,tia�$ f ry4AMOUNT,PAID x�FNPAIDDATE BSASSB1473•FEE 101-000020306 0: $1.00 $0.00 f r,ei RECEIPT#a CHECK # CLTD BY ; PAIDBY �z-t r>' x >,�� METIODa� ..sFgkd _.vX d. Q y Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 .$0.00" t :.: G ACCOUNT 5'....s-�^%zrw,.E;S,,�f y� AMOUNTS f,�u,.y`YT:: Y€ r',"<. r:3 PAID DATE' -DESCRIPTION_ -z F, �S.t'i f ,d QTLY> PAID, SERVICES 101-0000-42403 0. $24.17 $0.00 ! k :. ,� 7.., +q PAID.BY 'Y ✓ $ Y 5 ibtd f$'t�i' d%?Sy.'�,Geb h° f?, METHOD$ t uC :.>'w p� _f' �` RECEIPT # CHECK #CLTD BY _,. , 4„ t4 .�'' X Z DEESCRIPTION > E•.3ta" kyy '.s!°.:6{ "f(i:i AAS" f; r✓ '� CZTYfAMOUNT� XJ.s- ':$.'.`f"'C„ Sd'.f DATE S; s rtiff Yp sACCOUNT PAID ,PAID �.�.. SERVICES PC 101-0000-42600 0 $12.09 $0.00 � 9'+iW�aKS t.Ki'^i'b,i D BY PAIlt rY.NNXu�.,+,� C vIIly "t3;u METHOD CHECKS# �CLTD�BY AN. QHSfl t. 9�;r�RECEIP3T#:; __. `� �. Total Paid.for ELECTRICAL: $36.26 $0.00 DESCRIPTION4'. � iACCOUNT TY F � WOUNT � PAID i, PAID'DATE � - PERMIT ISSUANCE . 101-0000-42404 0 $91.85 $0.00 PAID BY 4 y p w.:j+T ^ C 5X SE r METHOD>srCLTD RECEIPT# BY vIPM }. Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:e ee Description: HONU.NG / UPGRADE PANEL FROM 100AMP-200AMP Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 12/8/2015 SKH Approved: Parcel No: 646210014 Site Address: 49020 CEDROS CIR CIR LA QUINTA,CA 92253 Subdivision: Block: Lot:1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 92284 Details:. ELECTRICAL.- UPGRAGE PANEL FROM 100AMP TO 200AMP. 2013 CALIFORNIA BUILDING CODES. DESERT ELECTRIC ADDITIONAL SITES 7 CHRONOLOGY Printed: Tuesday, December 08, 2015 4:14:27 PM 1 of 2' Cff? srs7r•Ms • NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL J APPLICANT DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY CA 92284 CONTRACTOR DESERT ELECTRIC 55888 YUCCA TRAIL 6 YUCCA VALLEY CA 92284 OWNER GEORGE HONUNG 49020 CEDROS CIR LA QUINTA CA .92253 Printed: Tuesday, December 08, 2015 4:14:27 PM 1 of 2' Cff? srs7r•Ms DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY SERVICES 101-0000-42403 0 $24.17 $0.00 SERVICES PC 101-0000-42600 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:00 BOND INFORMATION ATTACHMENTS Printed: Tuesday, December 08, 2015 4:14:27 PM 2 of 2 r SYS TEti1S Bin # .0ty of La Quinto . Building 8t Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 �� Building Permit Application and Tracking Sheet Permit # '��C2� �� Project Address: YQOaO C.2 deoS C 1, . Owner's Name: &,ec 2 14-e> yI u yl A. P_ Number: Address: q 90 �O C -e caro S C e. Legal Description: City, ST, Zip: (,q Qk A a C a 9 as 53 Contractor: r act o. (-.�CIc Telephone:h e: � �— 3 sv a3— Address: 5 �ucta —fit l 3k Project Description: - City, ST, Zip: `LIC (JotL(4--/ CIS 921618`i u ��IM is #1442 tylouo flecict C. Telephone: L q136 (off - t� a a f aoo State Lic. # : $74 $0 % City Lie. #.: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: one: ................................................... c • e:COccupancy: ons ructlo TYP State Lic. Project (circle one • Neww Add'n A]ter air Demo Name of Contact Person: LUkCSe Y-1 Sq. Ft.: 2(' # Stories: l # Units: Telephone # of Contact Person: 7&0 " 1e W —1 q 00 Estimated Value of Project: SCJ APPLICANT: DO NOT WRITE BELOW THIS LINE ' # Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance. Title 24 Calcs. 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 Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees