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08-1459 (ELEC)t. -. P.O. BOX 1504 78-495 CALLE TAMPICO . LA QUINTA, CALIFORNIA 92253 Application Number: 08="000014 9 A9494 Property Address: VISTA LUNA- 1 APN: --- 602 -180=999 -B -294574 - Application description: ELECTRICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 Applicant: T4ht 4 4a" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: T D DESERT DEV f ` f P O BOX 1716 LA QUINTA, CA 92253. �D 4 Contractor: TD DESERT DEVELOPMENT LPi VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: ' 8/22/08 SEP 12 2008 IDII � P O BOX 1716 . t Ull OF LA QUINTA, CA 92247 F1P1ANCE DEPT, (760)77 ' Lic. No.. .: 762 762987 • LICENSED CONTRACTOR'S DECLARATION - - WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with 1 hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, 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 CIas B Lice No.: 62987 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate B jr�• ntractor: 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 OW - UILDER DECLARATION - S insurance carrier and policy number are: ^ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State Lic nse Law for the Carrier COMPWEST INS CO Policy Number CA005001482004 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that'requires 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' compensationlaws 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 became subject to th s' compensation provisions of Section • - - License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of th abor Cod forthwith ply with t ose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by !f // - any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Da¢e-i� pplicant: (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - - L R - - ` the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAIE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWF L, 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 HUN RED 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 S 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.) (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the. project ISec. .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 contractorls) licensed pursuant to the Contractors' State License Law.). (_ 1 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 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 Eays 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 cou ordinances and state laws relating to building construction, and hereby authorize representatives �Df. this co ty t enter upo eabove-mentioned propert ins ction purposes. nature (Applicant or Agent): Application Number . . . . . 08-00001459 Permit . . . ELEC-MISCELLANEOUS Additional desc Permit Fee . . 33.50 Plan Check Fee .00 Issue Date . . . . Valuation •. . . 0 Expiration Date 2/18/09 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 ---------------------------------- --------- 7 --------------------------------- ---------------------------------------- Special Special Notes and Comments 200 AMP POWER PEDESTAL FOR HOA USE 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. LQPERMIT _.. - r 1 F IN THE CITY OF LA QUINTA, CALIFORNIA TRACT ' 2945'7-4 wweaOlupID m+lmms ADDRESS MAP �-- I sn vicmm MAP Nr5 ,+ IDT"r + - • • S IDT 9 74Crr0 1076 .. j,. • y ',: .. _ /; *, �. - tar a * - 99-595 ., .' � `• •. � _ `19-435, /,' / X19'495 99.555. 19'515' 41395 " — ----- -- r6ss:exwe n2 a Ir -1----- �- " cc o ' - •84000 p0010pB0100 08/21/2008 15:35 FAX Bin # Permit #I Lk l Project A rens: A P- Num [a 002 City of W Qu no. Building a Safety Division P•O. BOX. 1504, 78-49S Calle Tampico 1.a Quinta, CA 922.53 -,(760) 777-7012 building Permit ApPlicadon and Tracking Sheet &Lt►N•/k Owner's Nance: %O �S rr slio,•� Address o o Gsc- Contractor: ( , _ t ty, 0• L4p: Tr' 2 ? -le �cS T�� ~�� 7- . %� Tclebhoen• 'iii �r��9/I. oAddress: ZLa 6 Lig' City U- Arch., Fivy Deslgaw . Address: city, ST, zap: Telephone: State 1~ia #:Z. Name of Contact Person: Telephone # ofContact pemn. b 1 Submittal Plat Sets st vaWal cidcs. 11•tms Cam Energy Gies, Flood plain plan Gradlug. plan Subcontactor We Grant Deed H.O.A. Approval iN HOUSE;- Plannipg Approval Pub. Wks. Appy School Fees PrOi-A Description: MP r - A psi 'Ptq£s-r.4cr- Consr<uGi on Type Oxupancy; �ject type (wrote oneNe Add'n Atter Rapalr Demo Sq' F•= # Stories: Units: 1✓Akwgod Value of pro)�ct f�w-, o` �'PLICANT: DO NOT WkUE•BELOW THIS UNE RWt► TRACE3NO Plan Checlr spbinittcd Reelctred, ready for corrections CLUed Cuntict Person Plans picked, no plans resubmitted ZM Review, ready for correctioasgMe Cslled Contact person PrsaS picked up Platts resubmitted Rcvina, ready for cor:t:ecdonsrssue Caked Contact Person Date orpermit issac Autount Plan Check Deposit Pilo Check Balance Coastruedon Mechanical Mectrical Plumbing. S.M.i. Gradidg Devdopct Ympact 1~'ec , "P.P. Total Permit Fees