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BELC2017-001578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 AGI MENT DEPARTMENT rim Application Number: BELC2017-0015 ? ' In h 1 Property Address: 80420 AVENUE 52 APN: 777030024 O U!1! Oil}'h Application Description: PRICES NURSERY & GARDEN },� PP ' U p � AFIv(!l/L'�Q Property Zoning: OP4, ! Application Valuation: $500.00 �rl.!�' ,r Applicant: LONG ELECTRIC INC 42280 BEACON HILL PALM DESERT, CA 92211 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: C10 -1 License No.: 521931 ��-;Z /Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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.). (_J•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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:. 2/21/2017 Owner: PRICES NURSERY & GARDEN SUPP , 92253 Contractor: LONG ELECTRIC INC 42280 BEACON HI' -L PALM DESERT, CA92211 (760)568-4753 Llc. No.: 521931 WORKER'S COMPENSATI :)N DECLARATION I hereby affirm under penalty of perjury one of :he following declarations: I have and will maintain a certificateof consent to self -insure for workers' compensation, as provided for by Section 3700.:)f 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: BENCHMARK INSURANCE COMPANY Policy Number: CST5008992 _ 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 3770 of the Labor Code, I shall forthwith comply with those provisions. / -•v--Z 17 Date:' ant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000k. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR dV SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNO%ALEDGEMENT. 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 Cty 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 applicaflon 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 cancellarion. I certify that I have read this application and stat? 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 purpo. es. Date: Z -u r 40Signature (AAO"_pplicant o Agent): Date: 2/21/2017 Application Number: BELC2017-0015 Owner: Property Address: 80420 AVENUE 52 PRICES NURSERY .1 GARDEN SUPP APN: 777030024 Application Description: PRICE'S NURSERY & GARDEN 92253 Property Zoning: Application Valuation: $500.00 Applicant: Contractor: LONG ELECTRIC INC LONG ELECTRIC INC 42280 BEACON HILL 42280 BEACON HI'_L PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)568-4753 -------------------------------.---------- ----------------------------------------- Llc: No.: 521931 Detail: REPLACE SUB PANEL. - PER 2016 CALIFORNIA BUILDING CODE ---------- . •' • DESCRIPTION . ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 1 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT D.TY AMOUNT SERVICES 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC 101-0000-42600 0 $12.67 Total Paid for ELECTFICAL: $38.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 U I ML3; ?ivu.zl Bin # Permit ;' Project Address L1oZ Cit`/ of La Q uin to Building 87- Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-701,2 Building Permit Application and Tracking Sheet Owner's Name: A. P. Number: Address: Legal Description: City, ST, Zip: Contra tor /vT T G Telephone: 3 Z .. .L Z Address: �Z fCrj,�! �� Project Description: City, ST, Zip: 1A te4lJVA5( ' — - -- Telephone: �. — � y s State Lic. # : City Laic. #; Arch.,'Engr., Designer:. Address: City, ST, Zip: Telephone: a� cY. Con traction Type: Occupancy: State Lic # circle one New Add'n A-ter Repairair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone #.of Contact Person: Estimated Value of Project: ( / APPLICANT: DO. NOT WRITE BELOW THIS LINE N Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Catcs. Reviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Terson Plan Check Balan._e. Title 24 Calcs. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical Grading plan 2" Revicw, ready forcorrcctions/issue Electrical . SubcontaetorList Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review,`ready•for correctionstissue Developer Impacl Fee Planning Approval- Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, 1 Total Permit Fees