BELC2017-009878=495 CALLE TAMPICO
.LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application. Description:
Property Zoning:
Application Valuation:
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
ELECTRICAL/
BELC2017-0098
80736 BELLERIVE
775360005
RHODES / ELECTRICAL PANEL CHANGE OUT
$2,500.00
Applicant:
COVE ELECTRIC INC
77-971 WILDCAT DRIVE SUITE F
PALM DESERT, CA 92211
OCT 31 2017
I CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/31/2017
Owner:
JESSE RHODES
Contractor:
COVE ELECTRIC INC
77-971 WILDC=AT DRIVE SUITE F
PALM DESERT, CA 92211
(760)360-0036
Llc. No.: 397002
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 .
I hereby affirm under penalty of perjury one of the following declarations:
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and
_ I have and will maintain a certifi:ate of consent to self -insure for workers'
my License is in full force and effect.
compensation, as provided for by Section =700 of the Labor Code, for the performance
License Class: C10 License No.:.397002
oft work r which this permit is issued.
j
! 1 have and will maintain workers compensation insurance, as required by
n /
!Da e: W ( l . Con�tre�to�� -�v`��
Sect on"i700 of the Labor Code, for the peiformance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION
Carrier: INSURANCE COMPANY OF THE WET Policy Number: WSD5005043
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair any
compensation laws of California, and agree that, if l should become subject to the
structure, prior to its issuance, also requires the applicant for the permit to file a signed
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
statement that he or she is licensed pursuant to the provisions of the Contractor's State
comply with those provisions. t
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
pate: ( !r/ Apple .
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).:
WARNING: FAILURE TO SECURE WORKERS"COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($10[,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED =0R IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACkNOWLEDdEMENT
within one year of completion, the owner -builder will have the burden of proving that he
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
() I, as owner of the property, am exclusively contracting with licensed contractors to
1. Each person upon whose behalf this application is made, each person at whose
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
request and for whose benefit work is performed under or pursuant to any permit issued
License Law does not apply to an owner of property who builds or improves thereon,
as a result of this application , the owner, and the applicant, each agrees to, and shall
and who contracts for the projects with a contractor(s) licensed pursuant to the
defend, indemnify and hold harmless the C ty of La Quinta, its officers, agents, and
Contractors' State License Law.).
employees for any act or omission related b the work being performed under or
I am exempt under Sec. . B.&P.C. for this reason
following issuance of this permit.
2. Any permit issued as a result of this apolication becomes null and void if work is not
commenced within 180 days from date of i,:suance of such permit, or cessation of work
Date: Owner:
for 180 days will subject permit to cancella:ion.
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 certify that I have read this application arn9 state that the above information is correct.
I agree to comply with all city and county o-dinances and s to laws relating to building
construction, and hereby authorize representativ s a r upon the above-
mentioned pr pert for inspection purpos6.
Date? %� / Sign tApplicant or Agent-):
Date: 10/31/2017
.Application Number:
BELC2017-0098
Owner:
Property Address:
80736 BELLERIVE
JESSE RHODES
APN:
775360005
Property Zoning:
Application Valuation:
$2,500.00
Applicant:
Contractor:
COVE ELECTRIC INC
COVE ELECTRIC INC
77-971 WILDCAT DRIVE SUITE
F
77-971 WILDCAT DRIVE SUITE F
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)360-00316
Llc. No.: 397002
Detail: 225A ELECTRICAL
SERVICE.CHANGE OUT [225A EXISTING) THIS PERMIT DOES NOT INCLUDE RELOCATION OF EQUIPMENT. 2016 CALIFORNIA
BUILDING CODES.
5
DESCRIPTION'ACCOUNT
QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid -for BUILDING STANDARDS ADMINISTRATION BSA- • $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$2,37
Total Paid for Credit Card Fee: $2.77
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES
101-0000-42403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.00
Total Paid for EUCTRICAL: $39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$98.83
Total Paid for PERMIT ISSUANCE: $98.83
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
.$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
.0 •
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
Bin. #
QtV Of Lei QUin to
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
84
Project Address: O - C,� 2:1,a
Owner's Name:. SS e
A. P. Number:
Address:
Legal Description:
Contractor•V {
City, ST, Zip:
Telephone: v
Address: q7/
Project Description: wA(D>/ V
City, ST, Zip:
% 2-M
OLA k 2
Telephone: 3 0 O :.2 s
s� .Q-
State Lie. #: 3 2 City Lie'. #:
a e. v
Asch., Engr., Designer.
Address:
City, ST, Zip:
--
Telephone: � t' ': '
State Lic. #:MEM .
Name of Contact Person: J U 5T i O
Construction Type: S,FK Omupancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: U) 2-7Z 3
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING PERMIT FEES-
EESPlan
PfauSets
Plan Check submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check 3alance
Title 24 Coles.
Plans picked up
Constructio`
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
tad Review, ready for corrections%issue
Electrical
Subeouractor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'`" Review; ready for corrections/issue
Developer Lnpaet Fee
Planning Approval.
Called Contact Person
Pub. Wks. Appr
Date of permit issue
Schooi Fees
Total Perout Fees