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BELC2018-009878-495 CALLE TAMPICO T4tv/ D if+V LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2018-0098 Property Address: 52693 AVENIDA OBREGON APN: 773284022 Application Description: CHURCHMAN / 200A ELECTRICAL SERVICE CHANGE OUT Property Zoning: Application Valuation: $2,500.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: CHURCHMAN, BREANNA 52693 AVD OBREGON LA QUINTA, CA 92253 Applicant: Contractor: COVE ELECTRIC INC D + COVE ELECTRIC INC 77-971 WILDCAT DRIVE SUITE F 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 yy 7nn 1 OCT 1 � L.0� PALM DESERT, CA 92211 1q d �pp i`I 11 ) (760)360-0036 01YOFLAOR �• Llc. No.: 397002 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: C10 License No.: 397002 Date: _Wplli is Contracto 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).: (_) 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: Date: 10/16/2018 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 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 ex for which this permit is issued. f-• x 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: INSURANCE COMPANY OF THE WEST Policy Number: MDSOD5043DS` 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. o r _ A Date: Applicant: 'V uV 1_ ' I 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 ssued 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 iot commenced within 180 days from date of issuance of such permit, or cessation of Nork for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter up the Lender's Name: above -mentioned property for inspection purposes. Lender's Address: Date: Signature (Applicant or Agent): Date: 10/16/2018 Application Number: BELC2018-0098 Property Address: 52693 AVENIDA OBREGON APN: 773284022 Application Description: CHURCHMAN / 200A ELECTRICAL SERVICE CHANGE OUT Property Zoning: Application Valuation: $2,500.00 Applicant: COVE ELECTRIC INC 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 Owner: CHURCHMAN, BREANNA 52693 AVD OBREGON LA QUINTA, CA 92253 Contractor: COVE ELECTRIC INC 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 (760)360-0036 Llc. No.: 397002 Detail: 200A ELECTRICAL SERVICE CHANGE OUT [125A EXISTING] THIS PERMIT INCLUDES RELOCATION OF EQUIPMENT. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 0 $13.34 Total Paid for ELECTRICAL: $40.02 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 1 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 T. f Bar-;Zols - 00 t8 t CA nr OF w a � BUILDING DIVISION REVIEWED FOR 'M 52493 NV'U. OBgFc,400 G my / 3 T Project Address: 5—Z E q 3 Ave Q 6 Raio l APN #: 1i � Q J to A--., Cry, Applicant Name: p St✓ �-G t �- Address: PERMIT h' -BG f.— (rV (8 � 4C4 1Tf PLAN LOCATION: Project Description:: Pool, Remodel, Add't, Elect, Plumb, Mech A-o ZG�]►�t�1�P City, ST, Zip: Telephone: d 0 0 © �, Email: Y lL t &6 CIA Valuation of Project S Property Owner's Name: Oku (f I PA ,-., Ok Address: 5 Z 6q. City, ST; Zip La Q t .2Z Telephone: j k Lf vl 5— Email: C com 7v��1 New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 ■• � Fad •arr���� �S/ OFFICE USE ONLY Submittal Req'd •Req'd Plan Sets Structural Cales Truss Cales 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 Madison Hale From: Sent: To: Subject: Attachments: Chris McIntire Cove Electric, Inc. Begin forwarded message: Chris McIntire Wednesday, October 10, 2018 2:11 PM Madison Hale Fwd: Waiver granted-52693 Ave Obregon, La Quinta, CA ATT00001.htm; Plan 52693 Avenida Obregon.pdf; ATT00002.htm From: Breanna Churchman <cnb6447 mail.com> Date: October 9, 2018 at 3:07:49 PM PDT To: emeintire@coveclectric.com Subject: Fwd: Waiver granted-52693 Ave Obregon, La Quinta, CA ---------- Forwarded message --------- From: James Wiatrak"wiatrak la uintaca. pv> Date: Wed, Jun 27, 2018, 3:29 PM Subject: Waiver granted-52693 Ave Obregon, La Quinta, CA To: Breanna Churchman <cnb6447@7a g_maiLcom> Cc: AJ Ortega <Aortega a,laquintaca�ov>, Aaron Hickson <ahickson a�la uintaca ay> Ms. Churchman, After considering the information and photographs that you have provided, should you decide to move forward with the upgrade and relocation of your service panel to the location shown on your drawing, we will waive the underground electrical lateral installation required under La Quinta Municipal Code, title 8, section 8.03.020. Keep in mind, this waiver Wphes only to the location of the new service as you have depicted in your drawing, and provided that this location is also acceptable to IID and is in compliance with the California Electrical Code requirements for an overhead service entrance. If you choose to change the location from the drawing submitted, you will need to submit a new drawing and request another waiver for this installation. You may wish to take a copy of this email with you to our HUB when obtaining your permit. FxI Let me know if you should have any further questions in this matter. Regards, James "JW" Wiatrak, CBO, CASP Building Official Design & Development Department City of La Quinta 78495 Calle Tampico c La Quinta. CA 92253 Ph, 760.777.7023 'Wiatrak rule uintaca. ov �'wiatrak c la uintaca. ov> Cc: Bcc: Date: Tue, 26 Jun 2018 20:06:16 +0000 Subject: Fwd: Plan 52693 Avenida Obregon Drawing ---------- Forwarded message --------- From: Valley Wide Electric <teresad0623 icloud.com> Date: Tue, Jun 26, 2018, 11:57 AM Subject: Plan 52693 Avenida Obregon To: <Cnb6447 c mail.com> Sent from my iPad Forwarded message ---------- From: Breanna Churchman <cnb6447@gmaii.com> To: James Wiatrak 2