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
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PERMIT# T'5ELC2Oi�
PLAN LOCATION:
Project Address: Sj �A M �SL�J�
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
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Applicant Name: ��� 0.��
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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
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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
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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