06-1993 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00001993
Property Address:
80867 VISTA BONITA TR
APN:
777-040-020- -
Application description:
ELECTRICAL
Property Zoning:
VERY LOW DENSITY RES
Application valuation:
500
Applicant:
Tiht 4 4 Q"
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that l 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: C20 -C10 License No.: 286936
Date:5//a/0 Contractor:
OWNER-BUILDER�OEnCfTION
I hereby affirm under penalty of perjury that I am exempt from thrState 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_) 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 completioh, 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 Name:
Lender's Address:
LQPERMIT
Owner:
WAGNER WEST TRUST
78735 DULCE DEL MAR
LA QUINTA, CA 92253
Contractor:
CAVANAUGH ELECTRIC
83231 HIGHWAY 111
INDIO, CA 92201
(760)347-3608
Lic. No.: 286936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/12/06
MAY 1 2 2006
CITY OF l 91�17iA
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 STATE FUND Policy Number 0004779-2006
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
8q3700 of the Labor Code, I shat forthwith comply with those provisions.
Date v J ' Applicant: *0_,
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE 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 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 for'i pection purposes.
Date ishWo6 " Signature (Applicant or Agent):
Application Number .
. . . . 06-00001993
Permit . . .
ELEC-SERVICE
CHANGE
Additional desc .
Permit Fee
33.50
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
11/08/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 18.5000
EA ELEC
SVC <=600V/<=200A
18.50
Permit . . .
ELEC-TEMPORARY POWER
Additional desc . .
Permit Fee . .
22.50
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
11/08/06
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 7.5000
EA ELEC
TEMP SUB POLE
7.50
-------------------------- --------------------------------------------------
Special Notes and Comments
REMOUNT EXISTING 100
AMP ELECTRICAL
SERVICE & PUMP PANEL
AT EXISTING
WELL
SITE.
Fee summary Charged
-------------------------------------
Paid Credited
--------------------
Due
Permit Fee Total
56.00
.00
.00
56.00
Plan Check Total
.00
.00
.00
..00
Grand Total
56.00
.00
.00
56.00
LQPERMIT
——— — — — — ——
c' a4o.s2 ,�i — — — — — PRIVATEgREM
e1e.e0
21
/ 1.90 AC ; 0
,.7s AC
/ 2 • ,a s^"
2
2.02 ACO•�00,�
2.11 AC N m $
19
1.79 AC i6 2.09 AC m
/ m $4 18
.$ mM e
/ t.lezze so e r
1.99 AC m
FENARA 1 b
Al P
u �`mB.6e l-113.62 50.45 3 -
/ P 17
2.09 AC
d
p O O N b
O iL
4 2.14 AC 1.86 AC 14�'� � �i+ O
v� I6 ti E n
2.19 AC t
g,
yea 7 2.14 AC Me 03 O
O
28024 ]]020 100.9] u % (� r
1.99 AC15 C L,/)
a �
2.07 AC v
tt�.41 f'*l
s
o � 3209e I
� O
2.03 AC 14
»e.3a ;
m
O u 2.02 AC
l0 N
y o3 2.04 AC
J a(o� °•n42
. 10
IO 8 13
O
r r ,2.09 AC 13
ari
� 2.06 AC
8 I I
]62.)7 341,06
6
p a u a
12
o b it "g3030 12 ti
1.73 AC 2.27 AC
L � r
a32e S ". azzea
LOT A r9 zme
E99E9e� g —AVE-
---�- — —
N00 46 E
---� — — — — — — -� a V
CD .L V
V
o ti 9
O
07 13 I" 200' .p
\ ANGLE = 90
= M E T R O SCA N P ROP E 'R T .Y PR O F I L E=
Riverside (CA)
****************************************************************************************
*
*
*
* <<< OWNERSHIP INFORMATION >>>
*
*
*
* Parcel Number :777 040 020 S: T: R: Q:
* Ref Parcel # :000 000 000 Pos Interest:
* Owner Name :Stipkovich Trust
* CoOwner
* Site Address :80865 Vista Bonita Trl La Quinta 92253
* Mail Address :57845 S Valley Ln La Quinta Ca 92253
* Telephone :Owner: Tenant:
*
*
*
* «< SALES AND LOAN INFORMATION >>>
*
*
*
* Transferred :10/19/2004 Loan Amount
* Document # :825414 Lender
* Sale Price Loan Type
* Deed Type :Grant Deed Interest Rate
* % Owned :100 Vesting Type :Trust\trustee
*
*
*
*
*
* <<< ASSESSMENT AND TAX INFORMATION >>>
*
*
*
* Land :$334,000 Exempt Type
* Structure Exempt Amount
* Other Tax Rate Area :20-056
* Total :$334,000 Taxes :$3,692.42
* Improved
*
*
*
* <<< PROPERTY DESCRIPTION >>>
*
*
* Map Grid :5470 C7
*
* Census :Tract:456.03 Block:5
* Land Use :Y02 Vacant,Desert Land
* Legal :2.11 ACRES IN LOT 20 MB 166/095 TR
* :21176
*
* Sub/Plat :Tr 21176
*
* Book :166 Page:95
*
*
*
* <<< PROPERTY CHARACTERISTICS >>>
*
* Bedrooms Stories YearBuilt: AgPreserve
* BathFull Units MiscImprv:No
* Bath3Qtr Bldg SgFt: Street :Unpaved ADDITIONAL
* BathHalf Gar SgFt Waterfrnt:
* Fireplce :No Gar Type Elect Svc:Available RmAddtns :No
* Cntrl Ht :No Lot Acres:2.09 Gas Svc :Available RmAddSF
* CntrlA/C :No Lot SgFt :91,040 WaterSrce:Available AddGarType
* Pool :No Roof Type: SewerType:Available OthrPkng
*
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*
Information compiled from various sources. Real Estate Solutions makes no representations
or warranties as to the accuracy or completeness of information contained in this report.
Bin #
& City of La Quinta
Building a Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #.
Project Address: Lo f _-70 La 6?v %NfA- Rol- &M-�
Owner's Name: Nl hAaQl .1 • Abgner and ukide 0. V*;
A. P. Number: 17'77- 040 _ 020 V ,'VA 9.111f. ;1A.74
Address: %g —,73,5- Dal c e aa/ /y r
Legal Description: TowNSh /p. 6S Ranj,— %E Sed 4 .
City, ST, Zip: L a u /n f- C A. 9.2,?63
Contractor: C'd 1/q�%�n�UcJl�, ��e �/7 G
Telephone:
Address: g3 =23
Project Description: 6 f eX lS T/
city, ST, zip: Zh /O) CA .2-;201
Telephone:
s1a recd 1v ,r 1 o ✓e r
State Lic. # : Qe69.36 City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Svh
Telephone:
State Lic. #:
Name of Contact Person: RP6(
Construction Type: Occupancy:
Project type (circle one): New Addfn Alter Repair Demo
[Sq.
Ft.:
# Stories:
# Units:
Telephone # of Contact Person: '16 6 5`Z8— D/
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed; ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading. plan
2°" 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