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BELC2015-0096 New Electical MeterADDITIONAL SITES CHRONOLOGY CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT PAULA ZIEGLER LADEDA 55075 MONROE LA QUINTA CA 92253 CONTRACTOR MDC CONSTRUCTION 68135 BELLA VISTA ROAD CATHEDRAL CITY CA 92234 OWNER MARK LADEDA 55075 MONROE ST LA QUINTA CA 92253 CONDITIONS Description: ZIEGLER LADEDA / INSTALL ELECTRICAL PANEL Type: ELECTRICAL Subtype: Status: FINALED Applied: 10/19/2015 SKH Parcel No: 767580013 Site Address: 55075 MONROE ST ST LA QUINTA,CA 92253 Approved: 10/19/2015 SGU Subdivision: Block: Lot: Issued: 10/19/2015 SGU Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 9/25/2020 AOR Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INSTALL NEW 600AMP ELECTRICAL METER. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION Printed: Monday, April 26, 2021 9:23:06 AM 1 of 2 Permit Details City of La Quinta PERMIT NUMBER BELC2015-0096 ATTACHMENTS BOND INFORMATION INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES TEMP USE OF PERM PWR KKI 10/27/2015 10/27/2015 APPROVED FINAL**JFU 9/25/2020 9/25/2020 APPROVED SEE BSPN2020-0015 FOR INSPECTION INFORMATION. REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES PARENT PROJECTS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #CHECK #METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/19/15 R10100 CASH PAULA ZIEGLER LADEDA SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 POWER APPARATUS 101-0000-42403 0 $24.17 $24.17 10/19/15 R10097 2291 CHECK PAULA ZIEGLER LADEDA SKH POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 10/19/15 R10097 2291 CHECK PAULA ZIEGLER LADEDA SKH Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 10/19/15 R10097 2291 CHECK PAULA ZIEGLER LADEDA SKH Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS:$141.19 $141.19 Printed: Monday, April 26, 2021 9:23:06 AM 2 of 2 Permit Details City of La Quinta PERMIT NUMBER BELC2015-0096 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT I I'llll'llll'111 ILII 44 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BELC2015-0096 Owner: Property Address: 55075 MONROE ST ST MARK LADEDA APN: 767580013 55075 MONROE ST Application Description: ZIEGLER LADEDA / INSTALL ELECTRICAL PANEL LA QUINTA, CA 92253 Property Zoning: Application Valuation: $2,000.00 ____ P[O Applicant: C T 19 2015 ] Contractor: PAULA ZIEGLER LADEDA MDC CONSTRUCTION 55075 MONROE — -- -- — 68135 BELLA VISTA ROAD LA QUINTA, CA 92253 CIWOFLAQUINTA COMMUNITY DEVELOPMENT DEPARTMENT CATHEDRAL CITY, CA 92234 (760)559-4535 Llc. No.: 657940 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: C333, B License No.: 657 40 Date: i ID_ , \ ' (c� 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 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 completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (_ 11, 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 contractors) licensed pursuant to the Contractors' State License Law.). 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 Name: Lender's Addre: Date: 10/19/2015 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. �Thave 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 3798 Qf the Labor Code, I shall forthwith comply with those provisions. A Date: 1 0 — kc� — 1- 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 a ter upon the above-mentioned property for inspection purposes. Date: \ 0— A Signature (Applicant or Agent): FINANCIAL •1• DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/19/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY PAULA ZIEGLER LADEDA CASH R10100 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE POWER APPARATUS 101-0000-42403 0 $24.17 $24.17 10/19/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY PAULA ZIEGLER LADEDA CHECK R10097 2291 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 10/19/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY PAULA ZIEGLER LADEDA CHECK R10097 2291 SKH Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 10/19/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY PAULA ZIEGLER LADEDA CHECK R10097 2291 SKH Total Paid for PERMIT ISSUANCE: $91.85 $91.85 • 1 Vv 0 06. C V •1111'� T9 r.- Y. �m.' OF't ... , ...- Description: ZIEGLER LADEDA / INSTALL ELECTRICAL PANEL Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 10/19/2015 SKH Approved: Parcel No: 767580013 Site Address: 55075 MONROE ST ST LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: INSTALL NEW 600AMP ELECTRICAL METER. 2013 CALIFORNIA BUILDING CODES. t._.... ., . F.INANCIA l F RMATION Printed: Monday, October 19, 2015 11:49:06 AM 1 of 2 fJ Li SYSTEMS Permit Details PERMIT NUMBER ~ City of La Quinta BELL -20115-0096 r:: INSPECTIONS 3 Printed: Monday, October 19, 2015 11:49:06 AM 2 of 2 Cff& SYS iEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/19/15 R10100 CASH PAULA ZIEGLER SKH LADEDA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: POWER APPARATUS 101-0000-42403 0 $24.17 $24.17 10/19/15 R10097 2291 CHECK PAULA ZIEGLER SKH LADEDA POWER APPARATUS PC 101-0000-42600 0 $24.17 $24.17 10/19/15 R10097 2291 CHECK PAULA ZIEGLER SKH LADEDA Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-424040 $91.85 $91.85 10/19/15 R10097 2291 CHECK PAULA ZIEGLER SKH LADEDA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: 14 r:: INSPECTIONS 3 Printed: Monday, October 19, 2015 11:49:06 AM 2 of 2 Cff& SYS iEMS Bin # Qty of La Quihta Building &• 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:; Owner's-Name:P � . a - A. P. Number: Address: C� e Legal Description: City, ST, Zip: Contractor: .::.::..:.........:.. T ele hone: _ . Address: Project Description:, City, ST, Zip: 1 Telephone: State Lic. # : City Lic. 4: Arch., Engr., Designer: Address: City., ST, Zip: Telephone:hone:Occupancy:*o tructio n Type:. e: State L ic. # Project type (circle one): New Ad d'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: "APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount. Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. 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 Subcontact'or List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. Ii.O.A. Approval Plans resubmitted Grading IN ROUSE:- 3"! 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