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BSPN2016-002278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tay °& 4 Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSPN2016-0022 Property Address: 43644 W PARKWAY ESPLANADE APN: 609590024 Application Description: BEINFIELD / SPECIAL INSPECTION ELECRICAL Property Zoning: . Application Valuation: Applicant: BRADLEY ELECTRIC INC 42215 WASHINGTON STREET SUITE A381 PALM DESERT, CA 92211 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: License No.: _ Date. 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 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: 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 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: i immemi i�mmo moss emmi 15 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/24/2016. Owner: DONNA BEINFIELD 43644 W PARKWAY ESPLANADE LA QUINTA, CA 92253 ContractorfFn� a 0 FEB 2 3 2016 ` CfTYQFLAQUINTA Uc. No.: COMMUN,TYDEVEH0PMENTDEPAFYRW- WORKER'S COMPENSATION DECLARATION Iherelfhaffirm under penalty of perjury one of the following declarations: ka�j 12 I have and will maintain a certificate of consent to self -insure for workers' com nsation, as provided for by Section 3700 of the Labor Code, for the performance ofk for which this permit is issued. 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 carnerand oliYhthiis u , are: Carrier: _ Polity Number: 'r I certify that in the performance of the w k for whipe . is issued, I shall not employ any person in any manner so as to be orae subject to the w�rkers' compensation laws of California, and agree that, if I shou become subject t the workers' compensation provisions of Sectio 37�7`�00�0 of the -La rC-ode-,-I-shall orthwith comply with tho a provisions. ��"1' � Date:' 6 Applican WARNING: FAILURE TO SECURE ORKERS' COMPENSATION GO EV RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY TO CRIMINAL .ENACTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS �f00,000). 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 sye permit, cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that th above information) s correct. I agree to comply with all city and county ordinances ands to laws relating tb� building construction, and hereby authorize representatives ` is ci to enter upon e above- enti ned property for inspection purpos s. Dater CJ Signature (Applicantor) f DESCRIPTION , • FINANCIAL •• '' .;ACCOUNT • QTY"; ° >' AMOUNT, PAID . ` PAI D,DATE SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 2/24/16 'PAID BY ., ...'�' a `METHOD E. RECEIPT #`� ` CHECK # CLTDBYg. BRADLEY ELECTRIC INC CHECK R13240 40694 RSE Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72.52'. Description: BEINFIELD / SPECIAL INSPECTION ELECRICAL CONDITIONS Type: SPECIAL INSPECTION Subtype: Status: UNDER REVIEW Applied: 2/24/2016 RSE Approved: Parcel No: 609590024 Site Address: 43644 W PARKWAY ESPLANADE LA.QUINTA,CA 92253 Subdivision: TR 29323-1 Block: Lot: 42 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 OWNER Details: SPECIAL INSPECTION ELECTRICAL RELEASE. 2013 CALIFORNIA BUILDING CODES. 43644 W PARKWAY ESPLANADE CHRONOLOGY CONDITIONS CLTD. CONTACTS PAID PAID DATE RECEIPT # CHECK #, ! METHOD PAID BY NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT BRADLEY ELECTRIC INC 42215 WASHINGTON STREET PALM DESERT CA 92211 (760)694-7877 OWNER DONNA BEINFIELD 43644 W PARKWAY ESPLANADE LA QUINTA CA 92253 (760)694-7877 FINANCIAL INFORMATION CLTD. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #, ! METHOD PAID BY BY SPECIAL INSPECTION 101-0000-42404 0 $72.52 $72.52 2/24/16 R13240 40694 CHECK BRADLE NECLECTRIC RSE Total Paid for COMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72,52 Printed: Wednesday, February 24, 2016 3:02:57 PM 1 of 2 SYSTEMS T. Permit Details PERMIT NUMBER City of La Quinta BSPN2016*0022 ,. PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Wednesday, February 24, 2016 3:02:57 PM 2 of 2 CRW.IYSTEMS Bin # City of La Quit ! to Building a Safety Division d Z7i 78-495 Calle Tampico La Quints, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # S p N 2,0) �- Project Address:-' Ll Owner's Name: ' A. P. Number: Address: Legal Description: City, ST, Zip:kA Contractor: / YTle h one: Address: /—1bi/�� Project Description: / City, ST, Zip. &A) u . Tele hone: /' 4 P C u. G <:•;;:..� :7 Z ale i ic. # : 5 / City Lie. #: o�� is LP�� C� �.� ►4 C Arch., Engr., Designer: Address: City, ST, Zip: Telephone: e one: • ............................................ ......... Con tructi n T Occupancy: s o YPe• P Y ie. #: S Lie. Project type Pe �cirete one • Nev Add'n Alter Repair u D e mo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: J Estimated Value of Proje 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"d 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 DOUSE:- Jrd 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