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BELC2019-002878-495 CALLE TAMPICO T / D eeP Q" LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2019-0028 Property Address: 49402 COACHELLA DR APN: 646030002 Application Description: COCHRAN COMM. / 100AMP PEDISTAL CHANGEOUT Property Zoning: Application Valuation: $1,200.00 Applicant: PAUL BOZARTH - COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 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 �f License No.: 4 5543 Date: 7; ■ r.nntrnrtnrV 4�; - 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 Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/25/2019 Owner: SPECTRUM 83473 AVE 45 INDIO, CA 92201 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' compensation, as provided for by Section 3700 of the Labor Cade, for the performance of th 116ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by Section 3700 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: INSURANCE COMPANY OF THE WEST__ Policy Number: 502,9908 _ 1 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 agree2iA sho bec a ubject to the workers' compensation provisions of Sectiof t e ab comply �wiithrtthose��rovvviisions. Date: ol�� _ I Annlirnnt 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 abo a informal n is correct. I agree to comply with all city and county ordinances and sta la rel ng building construction, and hereby authorize representatives of this ci It e t above-meptionel property for inspection purposes. Date-9-1` I Signature (Applicant or Agent): Date: 2/25/2019 Application Number: BELC2019-0028 Property Address: 49402 COACHELLA DR APN: 646030002 Application Description: COCHRAN COMM. / 100AMP PEDISTAL CHANGEOUT Property Zoning: Application Valuation: $1,200.00 Applicant: PAUL BOZARTH - COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 Detail: REPLACING EXISTING 100AMP CATV METER PEDISTAL WITH NEW 100AMP CAN PEDISTAL. Owner: SPECTRUM 83473 AVE 45 INDIO, CA 92201 Contractor: COCHRAN COMMUNICATION CONSTRUCTION INC 36630 CATHEDRAL CANYON DRIVE CATHEDRAL CITY, CA 92234 (760)328-6778 Llc. No.: 478543 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT SERVICES PC i 101-0000-42600 0 $13.34 Total Paid for ELECTRICAL: $40.02 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 COCHRAN COMMUNICATIONS CONSTRUCTION N 36630 CATHEDRAL CANYON DR. CATHEDRAL CITY, CA. 92234 METER# 1 B4B-278890 GENERAL NOTES REPLACE OLD CATV 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 FOR yo Call: TOLL FREE ❑ TWO WORKING DAYS BEFORE YOU DIG ❑V NEW CATV VAULT ❑V EXISTING CATV VAULT © VIEW CATV PEDESTAL © EXISTING CATV PEDESTAL T EXISTING TELCO VAULT ❑ ® JOINT POLE A� EXISTING CATV RISER * NEW CATV RISER C>O EXISTING STORAGE LOOP 00NEW STORAGE LOOP �/ EXISTING FIBER ENCLOSURE �/ NEW FIBER ENCLOSURE LEGEND 2—WAY SPUTTER © 2 PORT TAP MPOE MAIN POINT OF ENTRY f 3—WAY SPUTTER © 4 PORT TAP Y-WTSEE Y—INTERCEPT DETAIL4117 DIRECTIONAL COUPLER QI 8 PORT TAP INS NEW STRAND D LINE EXTENDER EX EXISTING OL OVERLASH ® AMPLIFIER =EX. LOCKBOX CC CONCRETE CUT ©D NODE A NEW LOCKBOX PIL PROPERTY LINE COCIiRAN COMWFMCATION CONSTRIICTION,INC. 36630CATHEDRALCANYONDR. CATHEDRAL CITY, CA 92234 OFFIC(760) 32"778 LIC4478543 PROJECT LOCATION SERVICE PROVIDER: DOCK #: — CONST. SUPERVISOR: — /�y �10z- 49�t0 COACHELLA DR LA QUINTA, CA. Ch+�� caMnif{FSdRTiSils ®�' .•.,, .,,�...,,• 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: — DATE: — PAGE: -- PERMIT # �. DI � a PLAN LOCATION: Project Address: / � Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Ws►'�++{{ ��,,f�: �lOw. LI f C IOG I -C% ►-P►UAft Mk'f&" Sfo Applicant Name: a� 0a�� Address: 63© `-�'ilIW�(ire, C ,3 , p,v iJ , City, ST, Zip:C, ,�' C 1 .�cc� ` Telephon I Email: - pµ� �Cmahru�a CaN1NGe�ui�4 i`d�s _�e� f'! n Valuation of Projects Contractor Name�C " h m'� ` ` New SFD Construction: Address3*463 O ( A.A. L (faoy6, v1d. Conditioned Space SF City, St, Zi6 i C Cr, ` Q1; 3 Garage SF Telephon . 7� Patio/Porch SF Email: Fire Sprinklers SF State Lic_L.' ?Y City Bus Lic < /�! 5•— Arch/Eng Name: Construction Type: OccupancyL Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: # Units: Emai I: State Lic: City Bus Lic: Property Owner's Name: S eG't'rLkp( New Commercial / Tenant Improvements: Address: g3 73 46 I� S� Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email. 78495 CALLETAMPICO LA QUINTA, CA 92253 760-777-7000