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BELC2016-000778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&t�p 4 4 Qum& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2016-0007 Property Address: 78315 CRESTVIEW-TER APN: 643193018 Application Description: LANFRIED / UPGRADE 100 AMP PANEL TO 200 AMP PANEL Property Zoning: Application Valuation: $2,800.00 Applicant: PRECISION POWER ELECTRIC 45798 CIMARRON ROAD INDIO, CA 92201 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: CIO , License No.: 853071 Date �l *l+ L / l L Contractors ` 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (1 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: fhe 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 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 Lender's Address: 11111111111111111111 66 Owner: SKIP LANFRIED 78315 CRESTVIEW DI LA QUINTA, CA 9225, VOICE(760)777- 7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: PRECISION POWER E 45798 CIMARRON R( INDIO, CA 92201 (760)574-8417 Llc. No.: 853071 Date: 1/27/2016 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 ,Sion 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 thoseprovisions. Date: 764P Applicant:' WARNING: FAILURE TO SECURE WORKERS' 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: t Signature (Applicant or Aged fes' FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID "` PAID DATE. BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD. RECEIPT # ". ," CHECK.# CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SERVICES 101-0000-42403 0 $24.17 $0.00 -PAID BY METHOD' RECEIPT # CHECK # CLTD BY DESCRIPTION . ACCOUNTQTY AMOUNT PAID PAID DATE SERVICES PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD. RECEIPT # , CHECK # CLTD BY Total Paid for ELECTRICAL: $36.26 $0.00 DESCRIPTION • ACCOUNTCIT1f AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTO BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: LANFRIED / UPGRADE 100 AMP PANEL TO 200 AMP -PANEL CONDITIONS Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 1/27/2016 SKH Approved: Parcel No: 643193018 Site Address: 78315 CRESTVIEW TER LA QUINTA,CA 92253 Subdivision: TR 2117 Block- Lott 32 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 PHONE Details: ELECTRICAL -PANEL UPGRADE TO 200 AMP. 2013 CALIFORNIA BUILDING CODES. EMAIL - CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL - APPLICANT PRECISION POWER ELECTRIC 45798 CIMARRON ROAD INDIO CA 92201 (949)813-2755 CONTRACTOR PRECISION POWER ELECTRIC 45798 CIMARRON ROAD INDIO CA 92201 (949)813-2755 OWNER SKIP LANFRIED 78315 CRESTVIEW DR LA QUINTA CA 92253 1 (949)813-2755 FINANCIAL INFORMATION Printed: Wednesday, January 27, 2016 9:06:43 AM 1 of 2 SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD BY CLTD BY BSAS.SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION. $1.00 $0.00 BSA: 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 INSPECTIONS Printed: Wednesday, January 27, 2016 9:06:43 AM 2 of 2 V? SYSTEMS Bin # Permit 9{ Project Address: 7 .J S7 City of. La Barn to Guildinv 8T Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Per t Application and Tracking Sheet + 1 ' wner's Name: S r A. P. Number: Address: T Lc al Description: City, ST, Zip: doy wCµ. C'._- 2253 tractor: n Telephone:, Address: &I•S 751- LI Y47-zo1J 7—.D roject Description: City, ST, Zip: ( P V10 CA- `t2Z0 I v 100 Telephone:- 7 fA S_ I 9 tate Lic. It : Arch., Engr., Designer: City Lie. #: Address: City, ST, Zip: ne: Telephone: o e ic. #- State L S Name of Contact Person: aneY Construction TYPe: Occupancy: ProJ'ect type (circle 1eone)- New Add'n Alter Repairair Demo f Sq. Ft.: # Stories: # Units: 'elephone # of Contact Person: 760 S ( 7 mated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Rcq'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Chcck Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 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 Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit issue Schodl Fees, r Total Permit Pees