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13-0696 (ELEC)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000696 Property Address: 79845 HIGHWAY 111 STE 104 APN: 600-020-034- - - Application description: ELECTRICAL Property Zoning: COMMERCIAL PARK Application valuation: 800 Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION 1 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 Professionals Code, and my License is in full force and effect. L- 'Class: C10-A-B ,� e License No.: 85046 Date: 10 — 3^ 1 Contractro� J - 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 ISec. 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 _ 1 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.). 1 _) 1, as owner of the property,..am exclusively contracting with licensed contractors to construct the project ISec. 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.). l 1 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: I,QPE%NI IT Owner: P 6 K PORTFOLIO KDP, LLC 23 CORPORATE PLZ STE 247 NEWPORT BEACH, CA 92660 Contractor: D BERGELECTRIC CORP PO BOX 45029 LOS ANGELES, CA 9 (310)337-1377 LiC. No.: 85046 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/03/13 e D JUN 03 2013 OF LA 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 "If -insure for workers' compensotion, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is Aissued. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor I Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier TRVL INS Policy Number. VTC2JUB494 _ 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 �/�' 13700 of the Lab 'orr�CodI shall forthwith comply with those provisions. Date: l0 ^ 3' U 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 Director of Building and Safety 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 1 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 county to enter upon the above-mentioned;pertor inspecStion pure to.. 3-13• Signature (Applicant or Agent) V LQPERA1IT Application Number . . . . . 13-00000696 Permit ELECTRICAL 2013 Additional desc . Permit Fee 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . " 0 Expiration Date . . 11/30/13 Qty Unit Charge Per Extension 1.00''. 23.8300 LS ELEC DEVICES, FIRST 20 23.83 ---------------------------------------------------------------------------- Special Notes and Comments ELECTRICAL - INSTALL (1) 20A - 120 VOLT RECEPTACLE. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PERMIT ISSUANCE M/P/E 90.57 Fee summary Charged Paid Credited Due Permit Fee Total 23.83 .00 .00 23.83 Plan Check Total .00 .00 .00 .00 Other Fee Total 115.40 .00 .00 115.40 Grand Total 139.23 .00 .00 .139.23 0 Bin, # Permit # Q Project Address: "J q C1W Of %7 Quin' to Building 8r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet ((�Owner's Name: . i�iv �. b \to. VIDT. L� A. P. Number. Address: Z3 cc?Y,77-0 L Vii Legal Description: Contractor. (-0-e 6Vz., � City, ST, Zip: eA g1WD Telephone: Address: '%A - Vf- vxy Project Description: V t l�V' . , City, STZip:(i"�Cbr, s 7TH Telephone: 9 k (,p (p 3to-1 SFO State Lic. 4: S O� City Lia #; Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lie. #: _ Construction Type:. pancy: �• 3 type (circle one): New Add'n Alter Repair Demo Sq. Ft. # Stories:#Units: Name of Contact Person: Lel ., I ),C,"A Telephone # of Contact Person: 'w 1 JOZ Estimated Value of Project: ls'� N Submittal Req'd APPLICANT: DO NOT WRITE BELOW THIS UNE Recd TRACIMG PERMIT FEES Plan Sets Plan Check submittedItem Amount Strgctural Cates. Reviewed, ready for corrections Plan Check Deposit. Truss Calci. Called Contact Person Pian Check Balance Title 24 Cafes. Pians picked up Construction Flood plain plan Plans resubmitted Meehan" Grading plan V Reviewi ready for correctionstissue Electrical Subcoutactor List Called Contact Person Plumbing . Grant Deed Plans picked up S M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''` Review; ready for eorrectionsAssue Developer Impact Fee Planning Approval Called Cot►tact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees U i j r t�' - w! �! \ 6 2 3 5 ElQTy.I a - 1 0 0 7 EXISTING STORAGE RACK(S) TO BE fl O RELOCATED EXISTING CORK BOARD `tt ��.�f177JLjU� �TO BE RELOCATED nr o �J LEGEND YM ITEMS TOREMAIN NEW ITEMS RELOCATED ITEMS REMOVED ITEMS STORAGE RACK COUNT DESCRIPTION EXISTING PROPOSED IWX36'STORAGE RACK 7 7 SSV TSIMPLE N 7- r-1 w N > Yu c' U f y 00 EQUIPMENT / MILLWORK REMOVED DESCRIPTION 01 AS BUILT PLAN 0­sy EHS N.T.S. ....... ............. • �� 0 CITY OF LA QUINTA Lj BUILDING & SAFETY DEPT. r------- > • APPROVED FOR CONSTRUCTION / DASHED LINE , DAT BY �� • (j r REPRESENTS EQUIPMENT _ ® ' PATH OF TRAVEL n .syr 2 4 6 v r--------------- 1 3 5 cw .0 27" SINGLE DOOR B-19 ❑ t� fI FREEZER }In o o +84' -- —I Ti I a \���--)''-----��111 u - — 7 0 o PANEL -A PANEL•B I RELOCATED CORK L7 � BOARD(S) AS SHOWN 1 I771�� � NOTEn �. ALL EXPOSED ELECTRICAL SHALL BE RUN IN X" EMT. WITH 3 #12 CONDUCTORS. RELOCATED ABOVE CEILING SHALL BE 1212 MC CABLE u 30 AMP CIRCUITS SHALL BE #10 AWG. - STORAGERACK(S) . +- H a :E w w Y Q < a w > _ � Q Q n a Z L) > O cl) v' Q EQUIPMENT./ MILLWORK ADDED OTT. DESCRIPTION FINISH 1 TRUE FREEZER. MODEL: T-23F-RH/LH STAR. LEFT HAND DOOR SWING. - _ P.pjpq Numbs! DAV13001.0 srreNumoer 14277 02 PROPOSED PLAN N. S.