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BELC2017-006078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: 4.4�� T4tyl 4 � (u DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT BELC2017-0060 44125 GOLDENROD CIR 604081011 FOX / 22KW BACK UP GENERATOR AT NORTH SIDE Y $4,500.00 Applicant: DAVID WILLIAM BATES 68270 DINAH SHORE DRIVE #B CATHEDRAL CITY, CA 92234 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/6/2017 ner: FO !II 44122}5�GO DE D JUL 0.6LUl� A,' 22 3 ')ESIGNAND pl kW T Y L QUINT DAVIrgoto[ISI jj��%%TES 68270 DINA ORE DRIVE #B CATHEDRAL CITY, CA 92234 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: B License No.: 913908 . �t--ftr.jContractor: 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 ag 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.). (_) 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: (760)449-1311 Llc. No.: 913908 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 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: EXEMPT Policy Number: _ 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 hat, if I should become subject to the workers' compensation provisions of Se ion 3 of the Labor Code, I shall forthwith comply with t��t,ose provisions. /_ / _ Date: 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'tf 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 of this city to enter upon the above -mention property for inspection p plit. urposes. Date: igriattxe4Apnt or Agents Application Number: BELC2017-0060 Property Address: 44125 GOLDENROD CIR APN: 604081011 Application Description: FOX / 22KW BACK UP GENERATOR AT NORTH SIDE YARD Property Zoning: Application Valuation: $4,500.00 Applicant: DAVID WILLIAM BATES 68270 DINAH SHORE DRIVE #B CATHEDRAL CITY, CA 92234 Owner: RISA FOX 44125 GOLDENROD LA QUINTA, CA 92253 Contractor: DAVID WILLIAM BATES '68270 DINAH SHORE DRIVE #B CATHEDRAL CITY, CA 92234 Date: 7/6/2017 (760)449-1311 Llc. No.: 913908 --------------------------------------------------------------------------------------------- Detail: 22KW EMERGENCY BACK-UP GENERATOR (OPTIONAL STANDBY SYSTEM) W/ AUTOMATIC TRANSFER SWITCH AT NORTH SIDE YARD ("GENERAC GUARDIAN 22KW"). NATURAL GAS FUEL, #2 AWG CONDUCTORS --LINE SIDE TAP TO SERVICE ENTRANCE CONDUCTORS PER PRODUCT LISTING, AND ALL APPLICABLE SIGNAGE. 2016 CALIFORNIA BUILDING AND'ELECTRICAL CODES. FINANCIAL INFORMATION • {. 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 POWER APPARATUS 101-0000-42403 0 $25.33, DESCRIPTION ACCOUNT QTY AMOUNT POWER APPARATUS PC 101-0000-42600 0 $25.33 Total Paid for ELECTRICAL: $50.66 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 Bin # City of La Quinta Building &r Safety Division 78-495 Calle Tampico La Quinta, CA 92253.- (760) 777-7012 Building Permit Application and Tracking Sheet Permit # . Project Address: G' ,� ��`��• Owner's Name:LY �LC-5 rAtC .A. P. Number: Address: S_ Legal Description:City, ST, Zip dQ UO�r 4 + �ZL Contractor. A01111,111) //U l�� telephone:hone: s — a Address: 6,` 8 `� °, 4 Project Description: City, ST, Zip<:fA%f'4,fXe 619-Y 44023'� Telephone: - Q. State Lic. #: " 1 City Lic. #:Q /rQ Arch., Engr., Designer. Address: City, ST, Zip: Telephone: Construction TyP e: Occupancy': State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: 40xC11fJ �� ± Sq. FL: # Stories: # Units: Telephone # of Contact Person: 6'O ti /,3./ Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person _ Plan Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up' S.M.I. H.O.A: Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees d. 4' OL 146 it, ` it t 1 *l q i .01 1 —125 oLD�p-ova g�c. Zoe? - oa 60 - - 4'' • � �` t ._ rr S CITY OF LA QUINTA _ ° >y - z Kr i • ♦ 4 y • �. 'r BUILDING & SAFETY DEPT. E aY APPROVED FOR CONSTRUCTION DATE? 76Y ?AfjE0 _ `/ .� � moo. �; � "� ♦ v _ ' e ` _ e ♦ . . Oji ' � a - - • '� t .. ,' , GENERATOR MUST BE LOCATED A MINIMUM OF 18" FROM BUILDING/STRUCTURE PER, MANUFACTURER'S SPECIFICATIONS. y -GENERATOR MAY NOT BE LOCATED WITHIN 5'(60") OF AN OPENING TO THE DWELLING. • ^ 42 AWG CONDUCTORS RATED FOR WET LOCATIONS IN APPROVED CONDUIT TO BE UTILIZED'. -A SIGN SHALL BE.PLACED AT THE SERVICE ENTRANCE EQUIPMENT THAT INDICATES THE TYPE AND LOCATION OF ON-SITE OPTIONAL STANDBY POWER SOURCES. (NO SPECIFIC WORDING ` REQUIRED). -A SIGN CONTAINING THE FOLLOWING VERBIAGE SHALL BE INSTALLED AT,THE SERVICE EQUIPMENT: 7MAcFi Fil-off o r, m o- 92 :o 0 t�' 0 game ,