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BELC2019-0005
78-495 CALLE TAMPICO c% D 4 Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2019-0005 Property Address: 81491 ULRICH DR APN: 764280043 Application Description: SPECTRUM / REPLACE 100AMP PETER PEDESTAL Property Zoning: Application Valuation: $1,200.00 Applicant: / � PAUL BOZARTH - COCHRAN COMMUNICATION CONSTRU I ]RN I C L�� 36630 CATHEDRAL CANYON DRIVE JpN 1 8 2019 CATHEDRAL CITY, CA 92234 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENI LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. I� n License Class: C-7 License No.: 478543 I Ijf Date: f 11 SContractor: 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: 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 Wane:_ Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/17/2019 Owner: TLQPARTNERS 1600 N LA HABRA HILLS DR LA HABRA, CA 0 Contractor: COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 (760)328-6778 Llc. No.: 478543 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' comps sation, as provided for by Section 3700 of the Labor Code, for the performance of pork For which this permit is issued. F ! 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: 5028908 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, 1 shcLow become subject to the workers' compensation provisions of Section 37 of e b C de, I shall forthwith comply wi h tt�hole provisions. Date: Y ■ Applicant: _ 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 I s re ing r building construction, and hereby authorize representatives of this city nt r on e above--mg jnftiso ed property for inspection purposes. Date:I ` Y 11 Signature (Applicant or Agent): Date: a/17/2Q19 Application Number: BELC2019-0005 Property Address: 81491 ULRICH DR APN: 764280043 Application Description: SPECTRUM / REPLACE 100AMP PETER PEDESTAL Property Zoning: Application Valuation: $1,200.00 Applicant: PAUL BOZARTH - COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 Detail: CHANGE OUT - (1) 100AMP CAT- V METER PEDESTAL. 2016 CALIFORNIA BUILDING CODES. Owner: TLQ PARTNERS 1600 N LA HABRA HILLS DR LA HABRA, CA 0 Contractor: COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 (760)328-6778 Llc. No.: 478543 DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 p $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES 101-0000-42403 p $26.68 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 p $13.34 Total Paid for ELECTRICAL: $40.02 DESCRIPTION EHACCOUENT CITY AMOUNT PERMIT ISSUANCE 0000-04p $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION EEACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 0000-42416 EE $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE E502-00E00-43E611 F 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 81491 ULRICH DR. METER# 1 B4B-206044 GENERAL NOTES REPLACE OLD CAN 100 AMP PEDESTAL. COORDINATE WITH IID TO DE —ENERGIZE EXISTING 100 AMP METER PEDESTAL. SPECTRUM TO KEEP SYSTEM IN OPERATION WITH GENERATOR. CITY OF LA QUINTA TO INSPECT NEW CABINET GROUND, AND TO CALL IID FOR SAME DAY RECONNECT FOR NEW PEDESTAL. Underground Service Alert F RE y Call: TOLL FREE «I S 1 1 www.ca I I&I.conn TWO WORKING DAYS BEFORE YOU DIG ❑V NEW CAN VAULT © EXISTING CATV VAULT ® VEW CAN PEDESTAL EXISTING CATV PEDESTAL ❑T EXISTING TELCO VAULT EXISTING CATV RISER 0 NEW CATV RISER pp EXISTING STORAGE LOOP CKD NEW STORAGE LOOP ►/ EXISTING FIBER ENCLOSURE COCHRAN COMMUNICATIONS CONSTRUCTION 36630 CATHEDRAL CANYON DR. CATHEDRAL CITY, CA. 92234 A ULRICH DR. " O NA 0 a t � REPLACE 100 AMP CAN Q� I PEDESTAL :L TY OF LA QUINTA BUILDING EVIEWED FOR RORECEIVE CODE E 16OMPLIAN 1AN 14 REC'n 1 9 1 LEW CITY OF LA QUINTA COMMUNITY DEVELOPMENT LEGEND 2-WAY SPUTTER -E 3-WAY SPUTTER DIRECTIONAL COUPLER LINE EXTENDER ® AMPLIFIER QI 2 PORT TAP Q 4 PORT TAP Q/ 8 PORT TAP EX EXISTING SEX. LOCKBOX MPOE MAIN POINT OF ENTRY Y-CkST SEE Y-INTERCEPT IDETN NS NEW STRAND OL OVERLASH CC CONCRETE CUT L� C'OC11RAN COMMUNICATION CONSTRUCTION, INC 1w30CATHEDRAL CANYON DR CATHEDRAL CM CA4223A OFFIC - 7601 328 6773 PROJECT LOCATION: SERVICE PROVIDER: DOCK #: - CONST. SUPERVISOR: - 81491 ULRICH DR. LA, QUINTA, CA. � �i�' cnw . 83473 AVE 45 INDIO, CA 92201 LA. SOUTH PROJECT TYPE: - CONST. COORDINATOR: - PROPERTY NAME: - SURVEY #: - CONTACT NAME: - SYSTEM MAP: - CONTACT NUMBER: - TOTAL # OF UNITS: - ADDRESS: - SYSTEM:- NODE: - CITY: - ZIP: - za QazKra Project Address: I (IL �! APN #: L ant Name: s: T, Zip: Telephone: Email: Contractor Name: y �a✓t Address: 3t 630y1„ City, St, Zip CokCO &4- G C4 , 2 23 Telephoner44, Email: 0 State Lic: -417&43 City Bus Lic: (lc,- Q000 Sbs PERMIT # l7 6L(-20 « — 000S- PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech I& d 47a CCc /00 4vN P GATV MC4-fr P'CD O� --dog U Valuation of Project $ f Z d11 New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: �%��.. New Commercial / Tenant Improvements: Address: 6 3 7LO AI F-. Y-r Total Building SF CityST, Zip I�,�/ p� ZZ p/ Construction Type: Occupancy: Telephone: Email: /64y5 C,ALLE IAMPICO LA QUINTA, CA 92253 760-777-7000 '4`C)Rvtl° CERTIFICATE OF LIABILITY INSURANCE D06/21/2018Y) 06/21/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the Certificate holder Is an ADDITIONAL INSURED, the pollcy(les) must have ADDITIONAL INSURED provisions or he endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this Certificate does not confer rights to the certificate holder In Ileu of such endorsement(s). PRODUCER N Sadeghi Luna Insurance Services, Inc. 1447 Ford St. #103 Redlands, CA 92374 1 rAIL. Ho. r.n. 909-253-7742 I e .,..,. 909-253-7748 I rNSURERA; Landmark American Insurance Company. INSURED INSURE 6: Mercer Insurance Company Cochran Communication Construction, Inc. INsumAc : Insurance Company of the West 36630 Cathedral Canyon Dr. ltauRERD: American Fire and Casualty Company Cathedral City CA 92234 tHSURE.RE: Ohio Security Insurance Company INSURER F : COVERAGES CERTIFICATE NUMBER! RFVI_Clnhl NI INIRFA. THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR I TYPE OF INSURANC$ Jim im POLICYNUMBER POLICY EFF POLICY EXP 14we LIMITS A X COMMERCIAL GENERAL LIABILITY X L A139783 1/1/20 8 1/1/2019 EACHOCCURRENCE ; 1,000,000 CLAIMS -MADE a] OCCUR 50,000 R S S MED EXP one an $ 5,000 PERSONAL & ADV INJURY i $ 1,000, 000 GEITL AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [j] ECO- LOC PRODUCTS . COMP/OP AGG S 2,000,000 OTHER: g D AUTOMOBILE LIABILITY SAA56296736 6/21/2018 6121/2019 a N L s 1,000,000 X ANY AUTO BODILY INJURY (Per person) S OWNED F7 SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (ParaWdaM) S HIRED NON -OWNED AUTOS ONLY AUTOS ONLY P PERTYOAMAGE Per apow $ S B X UMBRELLAUAB X OCCUR 27305845 111=18 111/2019 EACH OCCURRENCE % 3,000,000 EXCESSUAB CLAIMSavMPLDE AGGREGATE S 3,00D,000 DEo I I RMhMON S 10.000 3 C WORKERS COMPENSATION WSD 5028908 03 i1112018 1/1/2019 X R AND EMPLOYERS' Y! N UABiLITY TUT E.L. EACH ACCIDENT i 1,000,000 AMPROPRIETORIPARETNERIEXECUTIV R/hIEM9EREXfLU0EO7 NIA E.LDiSEA8E•EAEMPLOYE E S 1,000,000 (M..d (MandOrFICatory la NH1 deecrlbeundof E.LDISEASE-POLICY LIMIT S 1,000,000 Dyyaayy OE84tRIPTION OF PERATiONB below E Property Insurance BKS56295736 1/1/201 1/1/201 DESCRIPTION OF GPgRATIONSI LOCATIONS I VEHICLES (ACORD 101. Additlensl RemarM Schodule, maybe attached If more space Is required) 10 day notice of cancellation for non payment of premium. The following are named as additional insured per the attached endorsement: The certificate holder. lualyr�T� BE CITY OF LA QUINTA THEULD EXANY OF THEPIRATION DATEVTHEREOF, NOTICEDESCRIBI ES WILL BECELLED DELIIVERED BEFOREDELIVERED PUBLIC WORKS & ENGINEERING ACCORDANCE WITH THE POLICY PROVISIONS. 78495 CALLE TAMPICO AUTHORIZED REP NATIVE LA QUINTA, CA 92253 1988-2015 CORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of AQ0RD