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BURL2018-002378-495 CALLE TAMPICO c 0 D ei6P Qu,!A& LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL- UTILITY (IID) RELEASE (WEB)/ Application Number: BURL2018-0023 Property Address: 51385 EISENHOWER APN: 773091019 Application Description: PHILLIPS / PANEL MAINTENANCE INSPECTION Property Zoning: Application Valuation: Applicant: rr�Y� STEVEN PHILLIPS fJ�" �.� 51385 EISENHOWER DR LA QUINTA, CA 92253 SEP 2 0 2018 CMOFLAQUWA LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 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) o1 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 appiIca nt to a civil penalty of not more than five hundred dollars A 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-bulider wfll have the burden of proving that he 9,r she did not build or improve for the purpose of sale.). I, as owner of the property, am exclusively contracting with licensed contractors onstruct the project. (Sec.7044, 8usiness 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 th Contractors' State License Law.). I am exempt under Sec. B.&P.C. for this reason l 1 20 f W1, 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/20/2018 Owner: STEVEN PHILLIPS 51385 EISENHOWER DR LA QUINTA, CA 92253 Contractor: OWNER BUILDER Llc. No.: 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: Policy Number: _ I certlfy that. in the performance of the work for which this permit is issued, I sh mploy 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. 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 applicatlon, 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 :onstruction, and hereby authorize representatives of this city to enter upon the above -mentioned property for inspection purposes. 7�r ZO (Applicant or Agent): Application Number: Property Address: APN: Application Description- Property Zoning: Application Valuation: Applicant: STEVEN PHILLIPS 51385 EISENHOWER DR LA QUINTA, CA 92253 BURL2018-0023 51385 EISENHOWER 773091019 PHILLIPS / PANEL MAINTENANCE INSPECTION Owner: STEVEN PHILLIPS 51385 EISENHOWER DR LA QUINTA, CA 92253 Contractor: OWNER BUILDER Date: 9/20/2018 , Llc. No.: Detail: SPECIAL INSPECTION FOR III) RELEASE MAINTENANCE OF PANEL WIRING NO UPGRADES. PER J016 CALIFORNIA BUILDING CODES. Total Paid for ELECTRICAL - UTILITY RELEASE: $78.02 TOTALS: $78.02 0'a 4 PERMIT # IU ���I $ 002„3 PLAN LOCATION: Project DesedwPool, Remodel, Add't, Elect, Plumb, Mech APN #: Lw 144 ©v ' Applicant Name: �eV� ��.�� 1;4 L— Lam" 1 Address: City, ST, Zip: Telephone: Email: Valuation of Project $ Contractor Name: New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: ��ertY Owner's Name:. ew Commercial /Tenant Improvements: Address: Total Building SF City, ST, Zip Construction Type: Occupancy: n Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd -Rec'd Plan Sets Structural Calcs Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License