05-3337 (ELEC)_� .:moi
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 _
Application Number:
Property Address:
APN:
Application description
Property Zoning: ' .
Application valuation:
Applicant:
t-_-05-_-000_03337_----
�56982FVILLAGE—DR
764 -060 -004 -
ELECTRICAL
LOW DENSITY RESIDENTIAI
2000
Architect or
P11
•4 ���1NIN
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
BIRDIE HOMES
30.0 E. STATE ST. STE. 100
REDLANDS, CA 92373
Contractor:.
LONG ELECTRIC, INC.
P.O. BOX 901
LA QUINTA, CA 92253
(760)568-4753
Lic. No.: 521931
VOICE .(760) 777-7612
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:
8/09/05
LICENSED CONTRACTOR'S DECLARATION -
WORKER'S COMPENSATION DECLARATION
I hereby affirmunder 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
license Class: C10 License No.: 521931
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is.
O , ^
Date: Cr - ractor. �-' - �-�.• _
` / issued.
�4J 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 CLARENDON Policy Number 04KR0025253
following reason (Sec. 7031.5, Business and Professions Code: Any;city or county thatrequires a permit to
_ I 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
-' 3700 of the Labor Code, I shall forthwjtjr comply provisions.
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).:.
,with _those
p !`/.SCA^`2:�ClM
Date: 3 "1 �'i•0S plicant: � 4�
• (_) 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
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 ($100,000). 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 _ 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:
CONSTRUCTION LENDING AGENCY
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 permitsubject 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 rnmmrnrr:ri _ - -
within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject .
permit to cancellation.
1 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 gdrboses.
Date: S f0 '0j_ nature (Applicant or Agent): \ �Q/Y1•L /1..��.t
Application Number .. . . . . 05-00003337
Permit . . . ELEC-MISCELLANEOUS
Additional desc .
Permit Fee 33.50. Plan •Check Fee
.00 -
'. Issue DateValuation
0
-Expiration Date 2/05/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 18.5000.EA ELEC SVC,<=600V/<=200A
18.50
---------------------------------------.-------.----------------
Special Notes and Comments
METER PEDESTAL TO SERVICE SECURITY GATE
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