BELC2015-0091Property Zoning:
Application Valuation: $500.00
Applicant:
S R BRAY LLC DBA POWER PLUS
1210 N RED GUM STREET
ANAHEIM, CA 92806
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: B. C10, D31 License No.: 980589
Date: to —7-13r- Cori ctor: =:: �
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).:
(_) 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.).
( ) 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 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:
11111111111111111111
39
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Contractor:
S R BRAY LLC DBA POW
1210 N RED GUM STREI
ANAHEIM, CA 92806
(714)507-1881
Llc. No.: 980589
Date: 10/7/2015
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.
V-1—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. M�Y orkgrs-'� mpensation insurance carrier and policy number are:
Carrie��-J� �c�'I�ldmber: CC -0 74'0'1307() 3/3/�/(e
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 those provisions.
Date: 110-7-15-
►� 7_�
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.
10--7 -✓1-
Date: Signature (Applicant or Agene.
C�
78-495 CALLE TAMPICO
0 V
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
SCANNED
BUILDING PERMIT
Application Number:
BELC2015-0091
Owner:
Property Address:
56231 PLATINUM WY
CAL WEST CONSTR
APN:
775220021
5927 PRIESTLY DR.
Application Description:
HACIENDAS /TEMP POWER 200 AMP
CARLSBAD, CA 920
Property Zoning:
Application Valuation: $500.00
Applicant:
S R BRAY LLC DBA POWER PLUS
1210 N RED GUM STREET
ANAHEIM, CA 92806
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: B. C10, D31 License No.: 980589
Date: to —7-13r- Cori ctor: =:: �
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).:
(_) 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.).
( ) 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 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:
11111111111111111111
39
VOICE (760) 777-7125
FAX (760)777-7011
INSPECTIONS (760) 777-7153
Contractor:
S R BRAY LLC DBA POW
1210 N RED GUM STREI
ANAHEIM, CA 92806
(714)507-1881
Llc. No.: 980589
Date: 10/7/2015
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.
V-1—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. M�Y orkgrs-'� mpensation insurance carrier and policy number are:
Carrie��-J� �c�'I�ldmber: CC -0 74'0'1307() 3/3/�/(e
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 those provisions.
Date: 110-7-15-
►� 7_�
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.
10--7 -✓1-
Date: Signature (Applicant or Agene.
DESCRIPTION
FINANCIAL INFORMATION
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
kPAID.DATE
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
r RECEIPT .#
CHECK # .
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE PC
101-0000-42600
0
$16.92
$0.00
PAID BY
(METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $41.09 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
T. PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
Description: HACIENDAS / TEMP POWER 200 AMP
ADDITIONAL
LHKONULUGY
Type: ELECTRICAL
Subtype: Status: UNDER REVIEW
Applied: 10/7/2015 SKH
Approved:
Parcel No: 775220021 Site Address: 56231 PLATINUM WY LA QUINTA,CA 92253
Subdivision: PM 20426
Block: Lot: 6
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $500.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
1210 N RED GUM ANAHEIM
STREET
Details: ELECTRICAL -TEMPORARY POWER POLE 200 AMP. 2013 CALIFORNIA BUILDING CODES.
Printed: Wednesday, October 07, 2015 11:05:43 AM 1 of 2 C
SYSTEMS
ADDITIONAL
LHKONULUGY
CONDITIONS
NAME TYPE
NAME
CONTACTS
ADDRESSI CITY
STATE ZIP PHONE
FAX
EMAIL
APPLICANT•
S R BRAY LLC DBA POWER PLUS
1210 N RED GUM ANAHEIM
STREET
CA 92806 (714)507-1881
CONTRACTOR
S R BRAY LLC DBA POWER PLUS
1210 N RED GUM ANAHEIM
STREET
CA 92806 (714)507-1881
OWNER
CAL WEST CONSTRUCTION
5927 PRIESTLY DR. STE CARLSBAD
#100
CA 92008 (714)507-1881
Printed: Wednesday, October 07, 2015 11:05:43 AM 1 of 2 C
SYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID 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:
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
TEMP POWER SERVICE
101-0000-42600
0
$16.92
$0.00
PC
Total Paid for ELECTRICAL: $41.09 $0.00
PERMIT ISSUANCE
101-0000-42404
0.
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•4 $0,00
Printed: Wednesday, October 07, 2015 11:05:43 AM 2 of 2
srsrrnns
13in �t
Permit
Project Address:
City of La Quinta
Buifdinn 8i; Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
ONner'S Name: CAL.1-;e-5%" 6
A. P. Number:
Address: 5'12 7/NGS--M V. 5-,-6 /bo
Legal Description:
City, ST, Zip:(ZA9ZUp�
Contractor: p141L c
,
Tele hone:% - '11&-6 /0&,
Address: )&6 A/, X�6eh
Project Description: /NS7qLL Dec ZPaDii L//'
City, ST, Zip:
Tcl h nc:
e o 7 .S
P y �oS s
...city
0 f.
P r
7� 7t�ttcT
_
State Lie. #: X76 "s8`j�KCaLDN
Lie. 4:.
.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Constructionructi n Type Occupancy:
State Lie. #
Project type (circle one): Ad d'n Alter Repair Demo
Name of Contact Person: /L!/!!,e
A,cee
Sq. Ft.:
#Stories:
#Units:
Telephone # of Contact Person:
Estimated Value of Project: r Sb0 . t)Q
APPLICANT: DO NOT WRITE BELOW THIS LINE
9
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cales.
Plans picked up
Construction '
Flood plain plan .
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for correctionsfissue
Electrical
Subconfaetor List
Called Contact Person
Plumbing
Grant Dccd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'"' Review, ready for correctionstssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \Vks. Appr
Date of permit issue
School Fees,
Total Permit Fees
f
J
R -ab nwn Uj
LOT NCA5e- Cl
.,;ZIA-w,e ut s. -e-
Job. -269039
Rental Terms: 6 -Months
,
,
,
,
,
,
,
,
` 4
THE W A m
\( A
,11 \IL
PGA BL VD X JA CK NICKLA US
a
wM
PHASE
1
LOT NUMBERS TOTAL
,..-
V48 -V57 10
2
V44 -V47, V58 -V60 7
3
V36 -V43 8
4
V61 -V64, V82 -V84, V87 -V8 10
5
V76 -V81 6
6
V69 -V75 7
7
V65 -V68, V86 -V87 6
8
V29 -V35 7
9
V12 -V19 8
10
V23 -V28 I 6
11
V5 -V11 7
12
V1 -V4, V20 -V22 7
13
V90 -V91, V96-VIOO 7
TRIAL IOU
THE HACIENDASm
PHASE
LOT NUMBERS
TOTAL
MODELS
129-130
2
1
101-1077`
6
2
98-100, 108-110
6
3
94-97, 111-113
7
4
91-93, 114-116
6
5
87-90, 117
5
6
1 85-86, 118-120
5
7
82-84, 121-122
5
8
78-81, 123
5
9
75-77, 124-126
6
10
tl65-66
67-72
73 74 127&130
6
6
0\
THE ESTATES T
PHASE
LOT NUMBERS
TOTAL
MODELS
62-63
2
1
33-38
6
2
30-32, 39-40
5
3
27-29, 41-43
6
4
23-26, u-45
6
5
20-22, 46-48
6
6
1 16-19, 49-50
6
7
14-15, 51-54
6
B
11-13, 55-58
7
9
10
4-10
1-3 56-60, 61&64
7
7
IUTAL b4
Do
I
CALIFORNIA WEST CONSTRUCTION, INC------ _
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CALIFORNIA WEST CONSTRUCTION, INC------ _
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