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BELC2018-011778-495 CALLE TAMPICO 4 141�/ LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2018-0117 Property Address: 54835 DAMASCUS DR APN: 767790058 Application Description: GRIFFIN RANCH / TEMP POWER POLE Property Zoning: Application Valuation: $1,500.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/12/2018 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Applicant: Contractor: JOEL GARCIA - S R BRAY LLC DBA POWER PLUS S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET D 1210 N RED GUM STREET ANAHEIM, CA 92806 ANAHEIM, CA 92806 DEC 12 2018 (714)507-1881 CITY OF LA QUINTA DD Llc. No.: 980589 DESIGN & DEVELOPMENT DEPARTMENT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 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.: 980589 QjW Contraclpaw-_- OWNER-BulkaDECLARATION 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.). (_) 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 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, asprovlded for by Section 3700 of the Labor Code, for the performance of the war 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: FEDERAL INSURANCE Wt4E8bIIY, Policy Number: 54309652 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. ri -.� `r` Date. '—L­?-Appll 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 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 n the above - mentioned property for inspection purposes. D'a e� i 1 L Signature rAgent� ��_ Date:-,' • 12%12/2018 Application Number: BELC2018-0117 Property Address: 54835 DAMASCUS DR APN: 767790058 Application Description GRIFFIN RANCH / TEMP POWER POLE Property Zoning: Application Valuation: $1,500.00 Applicant: JOEL GARCIA - S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: 5 R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 (714)507-1881 Llc. No.: 980589 -------------------------------------------------------------------------------------------- Detail: NEW TEMP POWER POLE 100 AMP. HOOK UP T.O CARSON BOX. PER 2016 CALIFORNIA BUILDING CODES 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 TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 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 c4a 62w-�tra PERMIT# T'5ELC2Oi� PLAN LOCATION: Project Address: Sj �A M �SL�J� Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: 00 A 1 e— Applicant Name: ��� 0.�� C (P — I e ✓S Address: City, ST, Zip: Telephone: OtS 1 3 5- Email: J a rcAc- Valuation of Project $ Contractor Name:OLIJCIr � New SFD Construction: Address: 2 I O U-lV\ Sit- Conditioned Space SF City, St, ZipA Garage SF Telephone: { — 3 5 3— Patio/Porch _ SF Email: G Gi r u, LC) w us, Fire Sprinkle SF State Lic: (� ' 1 City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: #Units: Email:. State Lic: City Bus Lic: 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 Goggle Maps Storm Cat Ct La Quinta Storm Cat Ct b�Stolt•Of/ 7 AFTfcOJ5 4AA4A*TckS BP Storm Cat Ct Goy_ gle Storm Cat Ct ADA v O v d 3 v Map data 02018 Google 20 ft \ •� - - y»eas 01 aiay adhi O WT —51 ON • . ■ ■ s - t •y J 7 i \ • • w • i ' `• j II i ` ■ S Sla n ON �MD ON • T. a • t sPafoy ON •' + : ► . e, nS luared ON �. ■ ' • .. a '• :rl 8S00&U9L=NdV K \ ' Nasn:)swmasms • f• 133Nvd . NWIH9 Viol ` ,1 LN.i IWp1- aJ_ LS W4'd , T3'JHVd - ,� krh?*i l"I ? -Id 5-1-6u3 Jql WP-S y -Wo] IS'd, n+ j drysa`'5W-'Id 01 1 dM ONLNOt • - Jd w M •5 � �x�a -Sol --gAqcl.3 :: - r')1 pu,Ri —.N s^mn",A v al�nrx:i i% r dlaH SIO0J S J!JOAe3 —A 7I03 all3 x m Google Maps La Quinta Storm Cat Ct Storm Cat Ct Storm Cat Ct Storm Cat Ct v 6 \f" Or ` ry v r` 3 N fl 4 rD to v m Google d N v Map data @2018 Google 20 ft, PERMIT INSPECTION HISTORY REPORT (BELC2018-0117) FOR CITY OF LA QUINTA Electrical 12/05/2018Application Date:Permit Type:767790058Parcel Electrical 12/12/2018Work Class:Issue Date:54835 DAMASCUS DR LA QUINTA, CA 92253 Address: Expired 06/15/2019Expiration Date:Status:Description:GRIFFIN RANCH / TEMP POWER POLE *** NEW TEMP POWER POLE 100 AMP. HOOK UP TO CARSON BOX. PER 2016 CALIFORNIA BUILDING CODES Owner:Contractor:Applicant:IOTA GRIFFIN SR BRAY LLC POWER PLUS SR BRAY LLC POWER PLUS Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 12/17/2018 Temporary Power DCL:181214043544 3415 Approved AJ Ortega No Complete 78-495 Calle Tampico Page 1 of 1October 08, 2024