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BELC2016-005178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 . a& Quiftro. Tit9v 4 -911 1 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 7/6/2016 Application Number: BELC2016-0051 Owner: Property Address: 81655 MACBETH ST KEITH WILEY APN: 767800064 81655 MCBETH ST Application Description: WILEY /INSTALL (1) 240V 50AMP DEDICATED CIRCUIT AT GARAGE LA QUINTA, CA 92253 Property Zoning: Application Valuation: $425.00 Applicant: Contractor: HEGGE ELECTRICAL CONTRACTORS INC HEGGE ELECTRICAL CONTRACTORS INC 83852 AVE 45 83852 AVE 45 INDIO, CA 92201 INDIO, CA 92201 (760)775-4855 Llc. No.: 748171 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 License No.: 748171 Date: Contractor: 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).: . ( ) 1, as owner of the property, or my employees with wages as their sole compensation, will c1b 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 Name: Lender's Address: 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. 1 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:_ 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: Applicant: • r 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 atwhose 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 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 purposes. Date: Signature (Applicant or Agent): FINANCIAL •• • DESCRIPTION `QTY AMOUNT `:F :"PAID l PAID DATE,' BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/6/16 PAIDYBY'" + V41 METHOD w �, �°; RECEIPT # .;` CHECK # s .w CLTD BY Y=- �e 201606 Sherryl Hegge CREDIT WEB855 ECON 5560171926 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: , $1.00 $1.00 i. �-,_",DESCRIPTION:- =_` ACCOUNT ' n ~ x ' QTY !t, AMOUNT, PAID PAID I .DATE Credit Card Fee 101-0000-43505 0 $2.57 $2.57, 6/6/16 p,' � t'' _ : =' METHOD:", ,f ''RECEIPT # ` i - 'CHECK # "- CLTD BY' 2016060556 171926 Sherryl Hegge CREDIT WEB855 ECON Total Paid for Credit Card Fee: $2.57 $2.57 DESCRIPTION F ; T <� `' ACCOUNT QT, ` : < AMOUNT:3' ' z PAID PAID. DATE a�. _ ; ,iW, , APPLIANCES, RES 101-0000-42403 0 $12.09 $12.09 6/6/16 'PAID BYE , . f METHOD 4>' '� b 'RECEIPT #; CHECK # s BY •x :i F .CLTD 201606 Sherryl Hegge CREDIT WEB855 ECON 5560171926 DESCRIPTION* , ACCOUNTa:` "QTY, t ? PAID PAID DATE r 'AfV10UNT APPLIANCES, RES PC 101-0000-42600' 0 $12.09 $12.09 6/6/16 �.PAIDfiBY vb METFIOD = ` i ,:RECEIPT # x g CHECK # k k ;CLTD BY t :. _; x i. 2016060556 171926 Sherryl Hegge CREDIT WEB855 ECON Total Paid for ELECTRICAL: $24.18 $24.18 ^t DESCRIP=TION' = r ". ACCOUNT;.'. e QTY AMOUNT ``' F PAID,DATE „ � ;PAID „.R .PERMIT ISSUANCE 101-0000-4240.4 0 $91.85 $91.85 6/6/16 METHOD''", �` RECEIPT#'' �" gCHECK# CLTD"BY}" `jPAID:BY _ cs . 2016060620171926 Sherryl Hegge CREDIT WEB855 ECON 556 'Total Paid for PERMIT ISSUANCE: $91.85 " $91.85 - TOTALS: .0 $119.60 Description: WILEY / INSTALL (1) 240V SOAMP DEDICATED CIRCUIT AT GARAGE Type: ELECTRICAL (WEB) Subtype: Status: FINALED Applied: 6/2/2016 ECON Approved: 6/6/2016 A'OR Parcel No: 767800064 Site Address:.81655 MACBETH ST LA QUINTA,CA 92253 Subdivision: TR 32879 Block. Lot: 139 Issued: 6/6/2016 ECON Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled:• 6/13/2016 jfu Valuation: $425.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 • No. Unites: 0 ACTION DATE„ Details: INSTALL (1) 240V 50AMP DEDICATED CIRCUIT AT GARAGE FOR VEHICLE CHARGING. 2013 CALIFORNIA BUILDING CODES. < 7 0. --4 Applied to Approved ,Approved to Issued ,:4 Issued to Finaled <: ". FINANCIAL INFORMATION Printed:. Wednesday, July 06, 2016 11:26:50 AM 1 of 3 SYSTEMS Id ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAMEr ACTION DATE„ COMPLETION DATE NOTES , E-MAIL AJ ORTEGA 6/6/2016 6/6/2016 EMAIL SENT TO APPLICANT THAT PLANS ARE APPROVED AND READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE - •, --NAME: ADDRESSi CITY ! STATE' ZIP PHONE FAX` - EMAIL l APPLICANT HEGGE ELECTRICAL CONTRACTORS 83852 AVE 45 INDIO CA 92201 (760)775-4855 SHERRYL@HEGGEELEC INC TRICAL.COM CONTRACTOR HEGGE ELECTRICAL CONTRACTORS 83852 AVE 45 INDIO CA 92201 (760)775-4855 SHERRYL@HEGGEELEC INC TRICAL.COM OWNER KEITH WILEY 81655 MCBETH ST LA QUINTA CA 92253 (760)775-4855 ". FINANCIAL INFORMATION Printed:. Wednesday, July 06, 2016 11:26:50 AM 1 of 3 SYSTEMS Id 7 .777 7 'T, 777177---7T77-- 'PAID "iAll) CLTD DESCRIPTION,;, ACCOUNT AMO LINT RECEIPT #' CHECK # METHOD BY f B . Y, 201606062 BSAS SB1473 FEE 101-0000-20306 01 $1.00 $1.00 6/6/16- WEB855 017192655 CREDIT Sherryl Hegge ECON 6 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 201606062 Credit Card Fee 101-0000-43505 0� $2.S7EBB $2.S7 6/6/16 W 55 017192655 CREDIT Sherryl Hegge ECON 6 Total Paid for Credit Card Fee: $2.57 $2.57 201606062 APPLIANCES, RES. 101-0000-42403 0 $12.09 $12.09 6/6/16 WEB855 017192655 CREDIT Sherr'yl Hegge ECON 6 201606062 APPLIANCES, RES PC 101-0000-42600 0 $12.09 $12.09 6/6/16 WEB855 017192655 CREDIT Sherryl Hegge ECON A 6 Total Paid for ELECTRICAL: $24.18* $24.18 PERMIT ISSUANCE 101-0000-42404.- 0 $91.85 $91.8S 6/6/16 WEB8SS 1.201606062 017192655 CREDIT . Sherryl Hegge' ECON Total Paid for PERMIT ISSUANCE: $91.85 $91.85 Printed: Wednesday, July 06, 2016 11:26:50 AM 2 of 3 Printed. Wednesday, July 06, 2016 11:26:50 AM 3 of 3 SYSTEMS Y. 6/9/2016 2:28 PM HEGGE ELECTRICAL CONTRACTORS INC Contact Name: HEGGE ELECTRICAL CONTRACTORS INC DISAPPROVE eTRAKiT Inspection Site Address: 81655 MACBETH ST FINAL** JFU 6/10/2016 6/10/2016 D- Request Phone:7607754855 e-Mail:.SHERRYL@HEGGEELECTRICAL.COM -REMOVE DEADFRONT TO VERIFY CONDUCTOR SIZING/TYPE.-LABEL OCPD AT MAIN SERVICE PANEL. Victor 760-501-5077, H/0 FINAL** JFU 6/13/2016 6/13/2016 APPROVED 510-719-3417 PARENT ..• REVIEWS �.. d< 3..' RETURNED STATUS, REMARKS r z `, REVIEW TYPE ,$ REVIEWER SENT DATE• DUE DATE a w,�..�;x-'v �- a k •: r- ,.�, � _ m„- ��, .., . ,� ....•, � ,� �. _.DATE � ,d� •�; d _a `� �.-�:° �' �= z � � :� m � ... �..* •� �� �'` -&. . row, 1ST BLDG NS - AJ.ORTEGA 6/2/2016 6/3/2016 6/6/2016 APPROVED ETRAKIT (1 DAY) :• •• • :Attachment Type '; ,� ;CREATED. , •OWNER DESCRIPTION PATHNAME x i f. SUBbIR ETRAKIT ENABLED 6j: BELC2016-0051- PLAN PLAN WITH LOAD WITH LOAD DOC 6/6/2016 AJ ORTEGA CALCULATION 1 CALCULATION (APPROVED) (APPROVED).pdf BELC2016-0051- IST L 1ST SUBMITTAL PLAN DOC , - 6/2/2016 EtrakitContractor SUBMITTAL PLAN WITH 1 WITH CALCULATION CALCULATION.pdf Printed. Wednesday, July 06, 2016 11:26:50 AM 3 of 3 SYSTEMS Y.