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BELC2019-0011U i .. VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/25/2019 Permit Type/Subtype: ELECTRICAL/ Owner: Application Number: BELC2019-0011 PHILIP GRIFFIN Property Address: 48880 EISENHOWER DR 48880 EISENHOWER DR APN: 658310044 LA QUINTA, CA 92253 Application Description: GRIFFIN / 200A ELECTRICAL SERVICE CHANGE OUT Property Zoning: Application Valuation: $2,781.00 Applicant: PP � Contractor: COVE ELECTRIC INC - MCINTIRE, CHRIS P COVE ELECTRIC INC 77-971 WILDCAT DRIVE SUITE F JAB 2 5 2019 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 PALM DESERT, CA 92211 CITY OF LAQUINTA (760)360-0036 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 397002 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C10 License No.: 347001 n Date: _1-I ice? f 1 `1 contractor; °+ 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 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 Address: 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 the wo# for which this permit is issued. have and will maintain workers' compensation insurance, as required by Section 3760 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: WSD500504308 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. Date: 1 �Applicant: ~c=.- 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 upgn the above -mentioned property for inspection purposes. f 7 Date:—� Signature (AoplicantorAgen :. �; . Date: 1/25/2019 Application Number: BELC2019-0011 Property Address: 48880 EISENHOWER DR APN: 658310044 Application Description: GRIFFIN / 200A ELECTRICAL SERVICE CHANGE OUT Property Zoning: Application Valuation: $2,781.00 Applicant: COVE ELECTRIC INC - MCINTIRE, CHRIS 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 Owner: PHILIP GRIFFIN 48880 EISENHOWER DR LA QUINTA, CA 92253 Contractor: COVE ELECTRIC INC 77-971 WILDCAT DRIVE SUITE F PALM DESERT, CA 92211 (760)360-0036 LIc. No.: 397002 Detail: 200A ELECTRICAL SERVICE CHANGE OUT [200A EXISTING] THIS PERMIT DOES NOT INCLUDE 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 CITY 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 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 Griffin Philip L I Ghatwin Flare A 48880 Eisenhower ar La Quinta, CA 92253 Riverside County A P N : 658-310-044 Built: 1978 Type: Residential 1 SFR Beds: 3 Sq Ft: 2,359 Baths: 3 Order Customer Service CostsFirstTm Add to Farm List Report Name Actions Available Allowance Combined Report Edit i Run Property Profile Run 37 100 - GEM nf,b, DESERT - PERMIT # L C 201 i O PLAN LOCATION: Project Address: '� g�go oStw�w�� Or Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: ►r C csv� 2Da A- A110 f I tee- o e, Applicant Name: C Address: 48 ® StA City, ST, Zip: OJto,, Ca ZZ� Telephone:'-] p To 1 t t-) Email: Valuation of Project $ Contractor Name: C New SFD Construction: Address: c(-I Conditioned Space SF City, St, Zip P� l tiger .�— C p� ZZ Garage SF Telephone: "1 6 o 3 p d 0 3 (o Patio/Porch SF Email: �e� o ck, ® CW4-etec�Vl1, c Fire Sprinklers SF State Lic 7��'� oOZ City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: F#Units: Email: State Lic: City Bus Lic: Property Owner's Name: !��^� 1 �� New Commercial / Tenant Improvements: Address: LA g $ b C� 9 5 t.11� m �1.P/ Total Building SF City, ST, Zip (� v t n q Z 2 �3 Construction Type: Occupancy: Telephone: -707 Email: 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