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BELC2018-010178-495 CALLE TAMPICO D� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/23/2018 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: BRYAN BABCOCK 49499 EISENHOWER DR LA QUINTA, CA 92253 ELECTRICAL/ Owner: BELC2018-0101 LA QUINTA RESORT 49499 EISENHOWER DR 49499 EISENHOWER DR. 658190012 LA QUINTA, CA 92253 LA QUINTA RESORT / G.E SWITCH BOARD 1600 AMP CHANGEOUT $10,000.00 Contractor: M G CONSTRUCTION & ELECTRIC INC OCT 2 3 2018 73804 DINAH SHORE DRIVE PALM DESERT, CA 92201 CITY OF LA QUINTA 6 DESIGN & DEVELOPMENT DEPARTMENT (760)770-569 LIc. No.: 756964 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.: OWNER-eUILDER 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 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 N Lender's Add 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 thg w9 rk for which this permit is issued. AP1aveandwill maintain workers' compensation insurance, as required by Se tan 00 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: DEPARTMENT QF INDUSTRIAL ATI Policy Number: 4503-074 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 su ' ct to the workers' compensation provisions of Section 3700 of th�f she r th comply with thosytprovikris. � / WARNINGf FAILURE TO SECURE WORKERS' C&EMPrNSATION 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 ert[er up the above - mentioned proper • for nspection purposes, oltwl ignature (AOpliCan t or Agent]: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: BRYAN BABCOCK 49499 EISENHOWER DR LA QUINTA, CA 92253 BELC2018-0101 49499 EISENHOWER DR 658190012 LA QUINTA RESORT / G.E SWITCH BOARD 1600 AMP CHANGEOUT $10,000.00 Date: "9/23./2.018 Owner: LA QUINTA RESORT 49499 EISENHOWER DR. LA QUINTA, CA 92253 Contractor: M G CONSTRUCTION & ELECTRIC INC 73804 DINAH SHORE DRIVE PALM DESERT, CA,92201 (760)770-5696 Llc. No.: 754764 ------------•----------------------- - ---i---------------------------------------------- - - - - -- Detail: REPLACE EXISTING 1600 AMP OVERCURRENT DEVIWN.ExISITIAld SWITCH GEAR. NO OTHER CHANGES OR MODIFICATIONS. PER 2016 CALIFORNIA ELECTRICAL CODE. DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 1 $3.06 Total Paid for Credit Card Fee: $3.06 Total Paid for ELECTRICAL: $53.36 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 K1 tev PERMIT #61ELL .- (a f —GF.M nf,b, DGSFiFCrN—W PLAN LOCATION; Project Address: P]roo.icct Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Applicant Name: , C� Address: �)q— 6 City, ST, Zip: L-0. Telephone: Email: {Z�, aluation of Project $ 10 o0oa ° �V,r1 Contractor Name: (� J 1G New SFD Construction: Address: ag (�a�m � onone Conditioned Space SF p City, St, Zip CMn a�,l'�C tiara e g SF Patio/Porch SF Telephone: 7 �o 9 G Email: PA(t1 1��G � nG , LD✓✓1 Fire Sprinklers SF P State Lic: "�� L City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: /1�'% Property Owner's Name: �� Spry New Commercial / Tenant Improvements: Address: li�C�, �� Iii� S Total Building SF City, ST, Zip �a 0,, 6--4 �s3 Construction Type: Occupancy: Telephone: -7_ — t _ [Email: I ` a a C vUA �raS�o�i �0M 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