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BELC2018-0031I t l 1' - ] 4 Qum& 7.$-495`CAllf fTl1�lIPICO 4 � C ` D LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: DRIVEN ELECTRIC INC ELECTRICAL/ BELC2018-0031 78625 DULCE DEL MAR LAKE LA QUINTA / PEDESTAL CHANGEOUT / 100 AMP $500.00 72078 CORPORATE WAY STE 105 THOUSAND PALMS, CA 92276 VOICE (760) 777-7125 FAX (760) 777-70.11 INSPECTIONS (760) 777-7153 Owner: LAKE LA QUINTA 42635 MELANIE.PLACE STE 103 PALM DESERT, CA 92211 L/ v D Contractor: MAR 1 2018DRIVEN ELECTRIC INC 0 72078 CORPORATE WAY. STE 105 CITY OF LA QUINTA THOUSAND PALMS, CA 92276 DESIGN AND DEVELOPMENT DEPARTMENT (760)343-3222 LIC. No.: 881356 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 Q License No.: 881356 ilk / Date: 7 L 1�+ Contractor: �il v'� Wv 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 (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.). (_J 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 thaYthere 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: Date: 3/8/2018 WORKER'S COMPENSATION DECLARATION 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, s provided for by Section 3700 of the Labor Code, for the performance Df the w r r 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 polity number are: Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9215852 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner soas to11hould ecome subject to the workers' compensation laws of California, and agree th,�( t if become subject to the workers' compensation provisions of Section70,thelaborlCode, I shall forthwith comply with those provisions. �/ �/ A Date: (IL 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 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 ab a information is correct. I agree to comply with all city and county ordinances and sta a IavA relating'to building construction, and hereby authorize representatives of this ci oter upon the es above-mentioned property for inspection purposes. k f Date: L 06 Signature (Applicant or Agent) Date: 3/8/2018 .;Appliyatioa�hlumber::;;; . ;`!8EiC2018-0(131 Owner: Property Address: 78625 DULCE DEL MAR LAKE LA QUINTA APN: 42635 MELANIE P' -ACE STE 103 Application Description: LAKE LA QUINTA / PEDESTAL CHANGEOUT/ 100 AMP PALM DESERT, CA 92211 Property Zoning: Application Valuation: $500.00 Applicant: Contractor:. DRIVEN ELECTRIC INC DRIVEN ELECTRIC INC 72078 CORPORATE WAY STE 105 72078 CORPORATE WAY STE 105 THOUSAND PALMS, CA 92276 THOUSAND PALMS, CA 92276 (760)343-3222 Llc. No.: 881356 --------------------------------- Detail: REPLACE EXISTING HOA ELECTRIC METER PEDESTAL. LIKE FOR LIKE -120/240V 100AMP. SERVICING HOA LIGHTING AND IRRIGATION CLOCK ONLY. PER 2016 CALIFORNIA ELECTRICAL CODE. r` FINANCIAL INFORMATION '': ti.';`.":!'zsDESCRI1xLlON" ACCOUNT QTY AMOUNT BSAS 581473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.01 DESCRIPTION ACCOUNT iQTY AMOUNT SERVICES PC 101-0000-42600 0 $13.00 Total Paid for ELECTRICAL: $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 Contractor Name:. F-� V PERMIT # PLAN LOCATION: Project Address: f Project Description: Pool, Remodel, _4dd't, Elect, Plumb,lVlech APN #: `� WX tXi4l (i =-f .6lecktc me -ler Garage SF 41s -Val S -(-6r Applicant Name: .� \, I Z ©2 0 � m_ 5ery u Address:'6zz©�4Gi S HoA 1v4 \rel bion City, ST, Zip: ✓ c�4 &Z7 Telephone: 2722 Email: %,� , / Valuation of Project $ Contractor Name:. F-� V �G 0 C, New SFD Construction: Address: 72079 &.4/ Conditioned Space SF City, St, Zip U: Z Garage SF Telephone: 1013 Patio/Porch SF Email: 45n cWVmdA %G, CO/W Fire Sprinklers SF [State Lic: t35� City Bus Lic: State Lic: City Bus Lic: Arch/Eng-Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Construction.Type: Oc:upancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: New Commercial / Tenant Improvements: Address: LAkee LA Cutik �kC>�, ege� Resb�+ 4. Total Building SF _ City, ST, Zip y2-(Q?>5 ftek1 pt1(e %kfR G�e k 03 Construction.Type: Oc:upancy: Telephone: V.9-yM eS,er+ CPt 42,S k i Email: 760'_ 78495 CALLE TAMPICO LA'QUINTA, CA 9N53 760-777-7000 G o lelMa 9 pi� M i ilp't 1 T ri 110o'! P Tip. R III" , ... . ...... i in 'm a M, m Z, ...... . . . . . k, 7, T 21M M 71 �"g Ml SM, IR 111i giyij _7( I�UR H '7111 mtii m1.iH1!,2.*�,,,LT' grgia Avenue 47 venue 47 47 Avenue 47 Avenue 47 !P.1 �T M I . . . . . g mi NO 11D ty it `R gv 4 kc" r, gag';, OR R T Im ..M rj gy ygi iij, ig PmKM1e,V8C8110 R, gg ­gg- ga MMNMIM�,. N I! 'N_ ; "ZO Nr N. Ph N? qglw, 'g1p, g -A - , ...... . ...... M`iJIRNI!jp�igo u; 0. ®R pg W QT PRI iy:�: UN, Y ......... . . . . . . . . fli POP` VU, Oil, 'I",, ggm Aiil V til . .... 'Gt�"j o"W"I'm it, r V, V Triw:i W ­430's -i'M !ig . ". I ; , l — — Nil� x!1E,4 N 1; , , ! KI R IM lw� Eli 3 a gig �gg gm IN' 1 orl Na' 21 Qi gig p li! �g MR" -V I"R zg 'it. M a , I g, RM Inmi , k, V '. VK AT ni, M ...... ..... Map data @2018 Google 50 ft -DeL bf I 3/6/2018,-2:16 PM w , S (;ATR OWNER LAKE LA QUINTA HOA 42-635 MELANIE PLACE STE 103 PALM DESERT, CA 92211 -' c\n HOA.HOUSE'METER ~ METER # 13413243 —51, a 47030 VIA LORCA w , S (;ATR OWNER LAKE LA QUINTA HOA 42-635 MELANIE PLACE STE 103 PALM DESERT, CA 92211 -'