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BELC2016-000978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&tw4lwQular COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2016-0009 Property Address: 59702 SEVILLE APN: 764710020 Application Description: TD DESERT DEVELOPMENT / 100 AMP PEDESTAL Property Zoning: Application Valuation: $1,750.00 Applicant: SPARKS CONSTRUCTION INC 81570 CARBONERAS LA QUINTA, CA 92253 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 License No.: 674074 Date: Contractor: l OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t Cont actor's State License Law for the following reason (Sec. 7031.5, Business and ofes ' m 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.). ( ) 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 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 Na Lender's Address: 11111111111111111111 08 Owner: T D DESERT DEV 81570 CARBON ERAS LA QUINTA, CA 0 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/3/2016 a� t� Contractor:` SPARKS CONSTRUCTION INCrs r 81570 CARBONERAS LA QUINTA, CA 92253 (760)777-1776 Llc. No.: 674074 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. Y ,' 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. 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 those provisions. Date: ��/_� Applicant: WARNING: FAILURE �T�O�SECURE WORKERS' COMPENSATI&OV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADE 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. Date: Signature (Applicant or Agent): FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY 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 PAID DATE APPLIANCES, NON -RES 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE APPLIANCES, NON -RES PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD . RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT CITY AMOUNT 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 • • •• p Permit Details PERMIT NUMBER City of La Quinta BELG2016=006 i =9 Description: TD DESERT DEVELOPMENT / 100 AMP PEDESTAL Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 2/2/2016 SKH Approved: Parcel No: 764710020 Site Address: 59702 SEVILLE LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: Q Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CA Details: 100 AMP POWER PEDESTAL. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL SITES Printed: Wednesday, February 03, 2016 8:28:36 AM 1 of 2 MAJIF CRKW CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY tSTATE ZIP PHONE FAX EMAIL APPLICANT SPARKS CONSTRUCTION INC 81570 CARBONERAS LA QUINTA CA 92253. CONTRACTOR SPARKS CONSTRUCTION INC 81570 CARBONERAS LA QUINTA CA 92253 OWNER T D DESERT DEV 81570 CARBONERAS LA QUINTA CA 0 Printed: Wednesday, February 03, 2016 8:28:36 AM 1 of 2 MAJIF CRKW Printed: Wednesday, February 03, 2016 8:28:36 AM 2 of 2 WwSY57EM5 _ CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY APPLIANCES, NON -RES 101-0000-42403 0 $24.17 $0.00 APPLIANCES, NON -RES 101-0000-42600 0 $24.17 $0.00 PC Total Paid for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•0 Printed: Wednesday, February 03, 2016 8:28:36 AM 2 of 2 WwSY57EM5 „• . Bina Qty Of QLi Who Building a Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # I��.C2011rr' Project Address: 54j'1p'Z Sell I.�� Owner's Name: t D.(gesrrDe„ao :[(* 4 -Ce A. P. Number. -7(04” 140 O j�p Address: 8 ( 5" C> � L Legal Description 316$ r - 3 ' �-o+ P " City, ST, Zip: Le, Contractor. Telephone: �(po 'Z `l `Z t 0 , Address: & (E -7O (� osq er nepS Project Description: City, ST, Zip: . 0.1 11,.� L' 1 ZZS 3 n 0o A M o u�i!/ � ec/ 0s.s JQ Telephone:`j(oo T11 kcoo I State Lic. # : '76, Lie'. #< `i9 ?J' 111.11c Arch, Engr., Designer. Address: City, ST, Zip: Telephone:. Y ' :a State Lic. #: ;� ,a , . cv Construction Type: Occupancy: Pru }ed type (circle one): ew Add'n Alter Repair Demo Name of Contact Person: ks Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: rl 6 o 4 O 6 'v Estimated Value of Project:* 1j 7 5 o APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance. Title 24 Calcs. Plans picked up Contraction Flood plain plan Plan resubmitted Mechanical Grading plan 2'! Review, ready for correctiouslissue Electrical Subeontaetor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plan resubmitted Grading IN ROUSE:- '"' Review, ready for eorreetionfissue Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees - AMENDMENT NO.2 TRACT 31681-3 WE ADDRESS MAP F - A SUBDIVISION OF A PORTION OF E U2 OF SECTION 27, TOWNSHIP D SOUTH, RANGE 7 EAST, S.B.M. 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