BELC2015-005878-495 CALLE TAMPICO D �.�i 09&rcv
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BELC2015-0058
Property Address:
49475 VISTA LUNA
APN:
602280048
Application Description:.
ELECTRICALINSTAL SUB PANEL
Property Zoning:
Application Valuation:
$1,100.00
Applicant:
PF,L
HEGGE ELECTRICAL CONTRACTORS I
83852 AVE 45
® 2U15
INDIO, CA 92201
CfTY OF LA QUINTA
COMMUNITYDEVELOPMENTDEPARTMENT
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:ppl0 License No.: 748171
Date: C7 6 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 Divisio
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; applicant fq a
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 owri 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, 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
orthe performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/30/2015
Owner:
ROBERT BRANDT
49475 VISTA LUNA
LA QUINTA, CA 92253
Contractor:
HEGGE ELECTRICAL CONTRACTORS 1
83852 AVE 45
INDIO, CA 92201
(760)775-4855
Llc. No.: 748171
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: _ Policy 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 t oseprovisions.
Date: U �� 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 roperty for inspection purposes.
Date: d Signature (Applicant or A
FINANCIAL INFORMATION
'" ",DESCRIPTIONACCOUNT{'t:%AMO UNT :. } PAID c,
PAID DATE
."'
BSAS SB1473 FEE 101-0000-20306
0. $1.00 $0.00
BY _ ,a � METHOD '
#� CHECK # CLTD BY:
;PAID, ,
,RECEIPT rj;. ,
�_ ''h
1 _,r, 'S a', ,. y_
1. ..
z Total Paid forB'UILDING STANDARDS ADMINISTRATION BSA $1.00 ` $0.00
DESCRIPTION r. + i'
'' . ` ACCOUNT%, i"
QTY
AMOUNT'-
PAID.,
PAID DATE`
r
"? APPLIANCES, RES
101-0000-42403
=. 0
$12.09
$0.00
+PAI D`BY r'
METHOD
RECEIPT #'
CHECK #
CLTD BY
f DESCRIPTION'- 1
ACCOUNT+ k
QTY,
- =AMOUNT• .e 2
PAID ,'
PAID DATE`
APPLIANCES, RES PC
101-0000-42600
0
$12.09
$0.00, y
h w PAID BY re f•
s ;'', METH OD�.
s =yf ;
" #
RECEIPT
,CHECK #" c r
CLTD BY,
" Total Paid for ELECTRICAL: - $24.18 $0.00'
f5 .
' 'xDESCRIPTION.h;
ACCO `
"
PAID DATE,4
PERMIT ISSUANCE
101-0000-42404 " .
y 0 ' $91.85"
$0.00
'-'-,PA 'ID:BY ,' r ?'
�.., METHOD _ .' -, o ;
` RECEIPT # '
�, CHECK #'
CLTD BYf
Total Paid for PERMIT ISSUANCE: = $91.85 $0.00
TOTALS:• • •-
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Description: ELECTRICALINSTAL SUB PANEL
Type: ELECTRICAL
Subtype:
Status: UNDER REVIEW -
Applied: 7/30/2015 PJU '
Approved:
Parcel No: 602280048 Site Address: 49475 VISTA LUNA LA QUINTA,CA 92253
Subdivision: TR 29457-4v
Block:
Lot: 3
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled: -
Valuation: $1,100.00
Occupancy Type:
Construction Type:.
Expired:
No. Buildings: 0
No. Stories: 0
-No. Unites: 0
'CITY` ``
Details: INSTALL 240V 50 50 AMP DEDICATED CIRCUIT WITH 4 PRONG RECEPTICLE IN GARAGE FOR CDHARGING TESTA .2013 CEC
ADDITIONAL
Printed: Thursday, July 30, 2015.12:27:23 PM 1 of 2 srsreMs
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE > . NAME t
' 'ADDRESSl
'CITY` ``
STATE
Zll?
PHONE' ` FAX i EMAIL °
, 5"
APPLICANT
HEGGE ELECTRICAL CONTRACTORS 1
83852 AVE 45
INDIO
-CA
92201
(630)569-2000
CONTRACTOR
HEGGE ELECTRICAL CONTRACTORS 1
j 83852 AVE 45
INDIO
CA
92201
(630)569-2000
`
OWNER
ROBERT BRANDT
49475 VISTA LUNA-
LA QUINTA
CA
92253
(630)569-2000
Printed: Thursday, July 30, 2015.12:27:23 PM 1 of 2 srsreMs
' ..
^
77
FLTD
QTY
APPLIANCES, RES
101-0000-42403
0
$12.09
$0.00
-APPLIANCES, RES PC
101-0000-42600
0
$12.09
$0.00
Total Paid forELECTRICAL: $24.18 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
' ..
^
Bin #
Permit #
Project Address:
City of -La Quinta.,
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking -Sheet
Owner's Name:�n
A. P. Number:
Address: 4q4—)'J- V,94'a l Una'
Legal Description:
City, ST, Zip: f o a� Zs 3
Contractor. �
Telephone•
Address: �
Project Description:
City, ST, Zip:
2�1
'� 0 ,
Telephone:
'"'�`f'ac'><'�:s>%rte '
C �Q
Statc Lic. #f :
City Lic. #;
Arch., Engr., Designer:Q
,
Address:
City, ST, Zip:
Telephone:,;
>:; N „a ;<;>;_•: ;:;>.;::>:'<:<`:>:>::=:=.<:<z ,
<. :; > . <::;,: ':•:;-s..
Construction Type:. Occupancy:
State Lic #: %
x
Project type (circle one): New . Add'n Alter Repair Demo
Name of Contact Pcrson:
(
Sq: FL:
# Stories:
# Units:
Telephone #,of Contact Person: ` �')S s
fistinatcd Value.of:Projcct:
,
.NOT.RITE.BEI OW T141S-LINE
APP-ICANT:.DOIN
#
Submittal
Rcq'd _
Rec'd
TRACiC1T(G
P•E RMIT FEFS.
Platt Scts
Plan Check submitted
Item
Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit.
Truss Cala..
Called Contact Person
Plan Check Balance.
Title 14 Cala.
Plans pidccd up
Construction
Flood plain plan
Plans resubmitted
Mechanical_
Grading plan
1°" Review, ready for correctionsrssue
Electrical ,
Subeontactor.List
'Called Contact Person
Plumbing
Grant Deed
Plans picked up
S;iv1.L . "
H.O.A.' Appro,val
Plans resubmitted
Grading
IN HOUSE:-
':q Rcylew, ready for corrcctionslissuc
])evcloperImpact.Fce
Planning Approval
Called Contact Person
`A I PB `': '• " -
Pub. Wks. Appr.
Date of permit issue
School Fccs
Total.Pcrmit'Fees
i a+
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�{ 3,78 495'Calle�Tampico La Qulnta, Cal forma ,92253'
'Qs,'�or � ��' �' -(760) 777=7000 : ,� •� v , –
rY _ = CERTIFICATES
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NO:N-TRANSFERAyByy�LE1511'ry'1
it ...,f'!�F N%Y4iA F�Iir. - - -
BUSINE5S"LOCATION -- Dear Business Owner: —=
Y
OUTSIDE ,CITY LIMITS Please be aware that issuance of a business license by the City does not authorize you to
conduct businessin a building or tenant space that has not been approved for occupancy
_ = , by the Building and Safety Depa ent. if you have any questions regarding this issue; or
if you are -not= UWAf a CerUflsaMMOtcupancy has been ssue_d for yo y�}place of �.. s
i business,_please EQnt ct Bwl rn aQ§pfety at (760)777, ' y z MW '�
$USIN'ES"S. NAME _ HEGGE ELECTRI"CAL" CONTRURS'INC The Licensee aarrre7 hereir�aving paid to the City of La Quinta:alhfees required; license
is hereby granted said licensee to transact the business herein set forth, for the period
1�.:.
x BUSINESS•ADDRESS "'83852°AVENIDA`45 stated; in conformity::�wltFi the Provisions of Ordinance No. 2 of this City.•This Licensee is
• I NDIO 'CA` 92201 issued.without verfrcation thaf'tf a licensee is sub)ect to -or exempt from licensing by the
shy, sz _ _ State of Californ�
4+`rr LIC`O'
OQ'0218BUSINESS!;,LIC,'!N10:
_
OB'CO
>CLASSIFIC"TION. SNTRACTOR
— .
FINANCE DIRECTOR EXPIRATION' -DATE: 10/312015
2�
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0� LO
f
95tandard 14-50 Receptical Install
'y ❑Standard 50 Amp Charcgmcg Station In5tall
X�2 Pole 50 Amp Breaker w/ 6/3 Cu Romex (m wall) he Gee Electrical ContractOr5 Inc.
iv. Gee
OF LA `N
- ❑ 2 Pole 50 Amp Breaker. w/3#6 Cu + I #8 Grid 3/4" Conduitl- �UItVTA3 852 Ave. 45' -
BUILDING & SAFETY DEPTInd , Ca. 92201
❑ 2 Pole 50 Amp Breaker w/ Combination Of Romex � Conduit 'Lic 748171
❑ Exi5tin6j Service 200 Amps APPROVED
❑ Ex15ting 5ervice 400 Amps FOR CONST \UCTION
Denotes Outlet or Charging Station Location I DAT_ %f
i
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