BELC2018-002978-495 CALLE TAMPICO � D
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: ELECTRICAL/
Application Number: BELC2018-0029
Property Address: 49806 COACHELLA DR
APN: 646250016
Application Description: BOORGEOIS / PANEL UPGRADE
Property Zoning:
Application Valuation:
Applicant: D
SUPERIOR ELECTRIC MAR U 7 2018
0 OUTSIDE CITY LIMITS DD
LA QUINTA, CA 92253
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT
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: License No.: :LIC -0102387
Date: % 8 Contr-.acto :
OWNER- DE 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 Coritractor'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 ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/7/2018
Owner:
PAUL BOORGEGIS
49806 COACHEL.LA DR
LA QUINTA, CA 32253
Contractor:
SUPERIOR ELECTRIC
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(760)578-8540
Llc. No.: :LIC -0102387
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one or the following declarations:
-I have and will maintain a certificat � of consent to self -insure for workers'
compensation, as provided for by Section 370-) of the Labor Code, for the performance
of the work for which this permit is issued.
.A"I have and will maintain workers' ccmpensation 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 =arrier and policy number are:
Carr'er:._ Policy Number: _
ertify that In the performance of she work for which this permit is issued, I
t 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 2700 of the Labor Code, I shall forthwith
comply with those provisions.
Da e 3 / Appli
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIM111AL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOt IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNCWLEDGEMENT
IMPORTANT: Application is hereby made to tl-9 Building Official for a permit subject to
the conditions and restrictions set forth on thi: 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 -he 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 appliotiori 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 cancellatior.
I certify that I have read this application and st ate that the above information is correct.
I agree to comply with all city and county ordir ances and state laws relating to building
construction, and -hereby authorize representa=fives of this city to enter upon the above-
mentioned property for inspection purposes.
DDaate;i, Z i Sig-afure.(Applicant or Agent):
FA
Date: 3/7/2018
Application Number:
BELC2018-0029
Owner:
Property Address:
49806 COACHELLA DR .
PAUL BOORGECIS
APN:
646250016
49806 COACHELLA DR
Application Description:
BOORGEOIS / PANEL UPGRADE
LA QUINTA, CA 32253
Property Zoning:
Application Valuation:
Applicant:
Contractor:
SUPERIOR ELECTRIC
SUPERIOR ELECTRIC
0 OUTSIDE CITY LIMITS
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)578-8540
Llc. No.: :LIC -0102387
-----------.----------------------------------------------------------------------------'-----
Detail: UPGRADE 100 AMP MAIN PANEL TO 200 AMP PER 2016 CALIFORNIA BUILDING CODES
FA
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INFORMATION
ACCOUNT
QTY
AMOUNT.
FINANCIAL
DESCRIPTION
SERVICES
101-0000-42403
0
$26.0.1
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.00
Total Paid for. ELEC-RICAL: $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
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PERMIT #G��
Address: -.27 3 r•
PLAN LOCATION:.
City, St, Zip rN J/o �) ?ORst v
Project Address: G QG C �A J
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
Email: Ar 4q"7 rG A8 . ±�W
ire
Fire Sprinklers SF
State Lic:(f _gyp 8 okenCity Bus Lic:
04,+# N 10.4 Ale
State Lic: City Bus Lic:
Applicant Name:
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of ProjectV-
uo
Contractor Name:,72 G
-New SFD Construction:
Address: -.27 3 r•
Conditioned Space SF
City, St, Zip rN J/o �) ?ORst v
Garage SF
Telephone: &v,
Patio/Porch SF
Email: Ar 4q"7 rG A8 . ±�W
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Fire Sprinklers SF
State Lic:(f _gyp 8 okenCity Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: g V1
New Commercial / Tenant Improvements:
Address: V? 4016 C� ��1��9
Total Building SF
City, ST, Zip a6l)X I 9pa,J-3
Construction Type: Occupancy:
Telephone.
Email_
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
' %
OFFICE USE ONLY
Submittal ~ i
�' Req'd
-Rec'd
-
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
_
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License'