BSPN2018-000478-49.5.GAU.E_TAMPJf.O _ D VOICE (760) 777-7125
LA C2UINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 2/8/2018
Permit Type/Subtype:
SPECIAL INSPECTION/
Owner:
Application Number:
BSPN2018-0004
AARON MILLER
Property Address:
J
53200 AVE NIDA ALVARADO
10 PROSA
APN:
774044010
IRVINE, CA 92253
Application Description:
VERTICAL INVESTMENTS / MAIN BREAKER CHANGEOUT
Property Zoning:
Application Valuation:
$300.00
a
Applicant:
D
Contractor:
HOWELL'S ELECTRIC INC
0 8 ?018
HOWELL'S ELECTRIC INC
P O BOX 7254
FEB
P O BOX 7254
LA QUINTA, CA 92248
OLAnUINTA
rrF
LA QUINTA,. CA 92248-
,j1Y
DEPM111111
commuµ11YDEVELOPMENf
(760)360-8782
Llc. No.: 597452
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: CS License No.: 5974
Date: 01- Contractor:
OWNER-BUILDE D ATION
I hereby affirm under penalty of perjury that m 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 Division3 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).:
(_J 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.).
(� 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.).
U 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:
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 th work 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 carrier and policy number are:
Carrier: PREFERRED EMPLOYERS INSURANCE COMPANY Policy Number:
WKN1361559
_ 1 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 Cod Js hall forthwith
comply with those p ovisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKE OMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO INAL 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
mentioned propegry for inspection purposes.
Date: Signature (Applicant or Age
F
Date: 2/8/2018
Application • Number:
BSPN2018-0004
Owner:
Propert�f'A cress:
"53200 AVENIDA ALVARADO
AARON MILLER F
APN:
774044010
10 PROSA
Application Description:
VERTICAL INVESTMENTS/ MAIN BREAKER CHANGEOUT
IRVINE, CA 92253
Property Zoning:
Application Valuation:
$300.00
Applicant:
Contractor:
HOWELL'S ELECTRIC INC
HOWELL'S ELECTRIC INC
P 0 BOX 7254
P 0 BOX 7254
LA QUINTA, CA.92248
LA QUINTA, CA 92248
(760)360-8782
------------------------------------------•--------------------------------------------------
Llc. No.:.597452
Detail: SPECIAL INSPECTION
FOR (1) MAIN BREAKER CHANGEOUT. PER 2016 CALIFORNIA ELECTRICAL CODE
i
.DESCRIPTION
FINANCIAL INFORMATION
ACCOUNTQTY
AMOUNT'
SPECIAL INSPECTION
101-0000-42404 0
$78.02
Total Paid for.COMPLIANCE SURVEY/SPECIAL INSPECTION:
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:•
{
1
/;' ♦
PERMIT # —000 LY
PLAN LOCATION:
Project Address: '
Pro ect Descri tion: Pool, Remodel, Add't, Elect, Plumb Mech
APN th �—
a -P 1A
Patio/Porch SF
Email:
75kFApplicant Name: 02
State Lic: City Bus Lic:
Address: 3c-:;Irs CT
State Lic: CityBus Lic:
City' ST, Zip: Z Z�
Telephone: ILOQ" �3S 3
Email:
6.l Com
Valuation of Project $
Contractor Name:
New SFD Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
#Units:
Email:
State Lic: CityBus Lic:
Property Owner's Name: VW -4—,•-4_ v
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000