Loading...
BELC2016-000378-495 CALLE TAMPICO Ct a U �IUCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2016-0003 Property Address: 53521 AVENIDA VELASCO APN: 774124026 Application Description: SPRUEILL RESIDENCE / ELECTRICAL CHANGE OUT Property Zoning: Application Valuation: Applicant: ICON CONSTRUCTION & DESIGN 425 EAST ARROW HIGHWAY STE 707 GLENDORA, CA 91740 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.: 998378 Date: ` Contractor: OWNER -BUILDER DEC RATION 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.). ( ) 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 Name: Lender's Address: Owner: NOELLE SPRUEILL , 92253 11111111111111111111 64 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 •Date:' 1/15/2016 JAN 15 2016 CITY CF LA QUINTA Contractor: COMMUNITY DEVELOPMENT DEPART."ENT ICON CONSTRUCTION & DESIGN 425 EAST ARROW HIGHWAY STE 707 GLENDORA, CA 91740 (626)253-0592 Llc. No.: 998378 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. _ 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 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: !c Applicant: WARNING: FAILURE TO SECURE WORKERS MPENSATION 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 ent r upon the above-/enToned p/roperty for inspection purposes. Date:� G Signature (Applicant or Agent): ��� rDESCRIPxTION `. '�` ACCOUNT NCITY AMOUNT PA D� PAIpjD E SERVICES 101-0000-42403 0. $24.17 $24.17 1/15/16 �� r PAIDBY� fHOIJRECEIPT ����.�,k' CFIECK # CL DBY g`' ICON CONSTRUCTION & DESIGN DEBIT R12163 MFA ," ti xI O x• x �* � � � m DESCRIPTION; " x, ` ACCOUN�Ty�_(�� TY AMOUNT . � a ?A D � SPA D DATE x (,X�.93£+'15:i " � t1�G'•u.M+'S vSk� �s�"�Y.'+�k;�'.' ..+ iv�:i',; .�"w ✓�S�X.. � � �fF.".4G�'Y''a..:`. `. �n�.i�i SERVICES PC 101-000042600 0 $12.09 $12.09 1/15/16 � �'��ck� `THOD >"&`Urh.c5` i$ r��kLIE TD ID"BYd 'M # Ht3"'Yri;: ;,,-CL ICON CONSTRUCTION & DESIGN DEBIT R12163 " .. MFA Total Paid for ELECTRICAL: $36.26 $36.26 �. DESCRIPTION ANN, - r :,I• �atE� ��. ACCOUNT QTY �iG.?:'`:'•L�.'�,�. �y7 � x�� *r AMOUNT ^H^±%:FXsiN.,ik.. PAID LPAIDIDA, �' w �z .,v: Y`.�f i. k..:' ✓ . ... i +i. Sv,.. :._,. .:+y .�>, w `.^ PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/15/16 � PAID'BY �� METHODS ,� RECE T1i� ..., IP �� H C s#LT C - D BYE '�vv s x,,.,Y. ,. 5 ! ':.„✓ r. :. T' ..+ a;V..„� '[.�".�?�3�5_`',.- Y'.,ffi-'6itM1`"k9:' �� ah rvi i �+i aL ri�A!a�.:�n $.�X'+ti. �Y`i'11:1,Y:`itFiS.Ki ;� ICON CONSTRUCTION & DESIGN DEBIT 912163 MFA Total Paid for'PERMIT ISSUANCE: $91.85 $91.85 • Description: SPRUEILL RESIDENCE / ELECTRICAL CHANGE OUT CONDITIONS NAME TYPE Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 1/15/2016 MFA Approved: Parcel No: 774124026 Site Address: 53521 AVENIDA VELASCO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 229 Lot: 2 Issued: UNIT 22 ICON CONSTRUCTION & DESIGN 425 EAST ARROW HIGHWAY STE 707 Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 425 EAST ARROW HIGHWAY STE 707 Details: PANEL CHANGE OUT 200 AMP PER 2013 CALIFORNIA BUILDING CODE CA z CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT ICON CONSTRUCTION & DESIGN 425 EAST ARROW HIGHWAY STE 707 GLENDORA CA 91740 CONTRACTOR ICON CONSTRUCTION & DESIGN 425 EAST ARROW HIGHWAY STE 707 GLENDORA CA 91740 OWNER NOELLE SPRUEILL 92253 1 771 Printed: Friday, January 15, 2016 9:32:48 AM 1 of 2 SYSTEMS OL 0n OZ Cs�f OF'n'�'v� INSPECTIONS Printed: Friday, January 15, 2016 9:32:48 AM 2 of 2 SYS7ENIS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY SERVICES PC 101-0000-42600 0 $12.09 $12.09 1/15/16 R12163 DEBIT ICON CONSTRUCTION MFA & DESIGN Total Paid for ELECTRICAL: $36.26 $36.26 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 1/15/16 R12163 DEBIT ICON CONSTRUCTION MFA & DESIGN Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: INSPECTIONS Printed: Friday, January 15, 2016 9:32:48 AM 2 of 2 SYS7ENIS _13tH #City of La Quinta Guifding 8i- Safety Division n d U 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit 4{ aoQ �j Project Address: 3 V V,51-4s co Owner's Name: , of 4 A-P. Number: Address: S S Legal Description: City, ST, Zip: ZZ-T 3 tract r: (r U S / Telephone:nc:Co - G �•S Address: FAMOAI Hwy A -70- Project Description: City, ST, Zip: C��n/Gb cfi %/ ya G Se Telephone: 8 Stale Lic. # : City Lie. #: Arch., Gngr., Designer: Address: City, ST, Zip: Telephone: Occupancy: Construction truction TY P e: . #• Project ect type (circle1e one): New Add'n Alter Demo Name of Contact Person: /V IGL Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: J/ 2-5-3 0 5f z Estimated Value of Project: �, O D v , ©°J APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Iter Amount ' Structural Calcs. 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 2nd Review, ready for corrections/issue Electrical . Subcontaelor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- 'rd Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Tees