BELC2018-001878-495 CALLE TAMPICO
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LA WNTA,MALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant: .
HOWELL'S ELECTRIC INC
P 0 BOX 7254
LA QUINTA, CA 92248
ELECTRICAL/
BELC2018-0018
52190 AVENIDA VILLA
773234010
IID RELEASE
FEB 13 2018
C11Y OF LA QUINTA
DESIGN AND DEVELORAENT 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: C30 ;, License No.: 597452
Date: ContractWam
OWNER-ION
1 hereby affirm under penalty of perjufrom 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 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'
- r
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: 2/13/2018
Owner:
VERTICAL INVESTMENTS
Contractor:
HOWELL'S ELECTRIC INC
P 0 BOX 7254
LA QUINTA, CA 92248
(760)360-8782
Llc. No.: 597452
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 th r or which this permit is issued.
have and will maintain workers' compensation insurance, as required by
Se O.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: PREFERRED EMPLOYERS INSURANCE COMPANY . Policy Number:
_ I certify that in'the performance of the work for which this permit is issued, l
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:
WARNING: FAI RE TO SECURE WOR C MPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER T 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 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 to enter upo, t above-
mentioned property or inspection purposes.
Date: 3 13k Signature (Applicant or Agent):
Date: 2/13/2018
' Application Number: BELC2018-0018
Owner:
Properfiy'Address a=s;-' 32190 AVENIDA.VILLA
VERTICAL INVESTMENTS
APN: 773234010 .
Application Description: IID RELEASE
Property Zoning:
Application Valuation:
Applicant:
Contractor:
HOWELL'S ELECTRIC INC
HOWELL'S ELECTRIC INC
P O BOX 7254
P 0 BOX 7254
LA QUINTA, CA 92248
LA.QUINTA, CA 92248
(760)360-8782
Llc: No.: 597452
Detail: IID RELEASE FAULTY 220 TO HVAC WAS REPLACED'
'
FINANCIAL
—DESCRIPTION
•• •
ACCOUNT QTY
F AMOUNT
PERMIT ISSUANCE
101-0000-42404 01
$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
1 U I AL3: ,�11s.2S3
0
-!'
PERMIT #,QLR
Address: px.3-
Conditioned Space SF
.,
PLAN LOCATION:
y
Project Address: A 1 o V J i D>- Vii (4
V ` ►1
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
State Lic: City City Bus Lic:
2713 Vo 1 " .
Applicant Name:
F
Address Or
City, ST, Zip:. �� CA
Telephone:
Email: b IN te o . co
Valuation of Project $
Contractor Name: I
"New SFD Construction:
Address: px.3-
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Porch SF
Email:
Fire Sprinklers SF 1
State Lic: City City Bus Lic:
r
I
Arch/Eng Name:
Construction Type: f Occupancy:
Address:
Grading:
City, St, Zip
i
Telephone:
Bedrooms:
Stories:
# Units: {
Email:
State Lic:, City Bus Lic:
Property Owner's Name:
New Commercial /Tenant Improvements:
Address:
Total - Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
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Submittal " ` '
Req'd _
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Plan Sets
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Structural Calcs,
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Truss Calcs .
Title 24 Calcs..
Soils Report
Grading Plan (PM 10)
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Landscape Plan
Subcontractor List '
Grant Deed
HOA Approval
School Fees
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Burrtec Debris Plan
Planning approval, -
Public Works -approval
Fire approval
City Business License
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