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BELC2019-003578-495 CALLE TAMPICO, VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/27/2019 Permit Type/Subtype: ELECTRICAL/ Owner: Application Number: BELC2019-0035 EAST OF MADISON Property Address: 81259 COLUMBUS WY P 0 BOX 1482 APN: 767670035 LA QUINTA, CA 0 Application Description: SUTTON / 100 TEMPORARY POWER SERVICE Property Zoning: Application Valuation: Applicant: Contractor: DANIELSUTTON D DBRADSHAW CONSTRUCTION INC 81335 THUNDER GULCH WAY 2U19 81335 THUNDER GULCH WAY LA QUINTA, CA 92253 MAR 2 7 LA QUINTA, CA 92253 CITY OF LAQUINTA (760)347-4246 DESIGN & DEVELOPMENT DEPARTMENT LIc. No.: 848057 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. License Class; R License No.: 848057 514 Co%ractor: _ 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: 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 ofWforwhich this permit is issued. 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: ST�PENSATIDN INSURANCE FIEND Policy Number: 9245081 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 37 e Labor Code, hall forthwith comply with those provisions, �y�,��,� 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this cit en er upan th above -meet ned property for inspection purposes. Lender's Name: e: ere (Applicant or Agent) Lender's Address: Date: 3/27/2019 Application Number: BELC2019-0035 Property Address: 81259 COLUMBUS WY APN: 767670035 Application Description: SUTTON / 100 TEMPORARY POWER SERVICE Property Zoning: Application Valuation: Applicant: DANIELSUTTON 81335 THUNDER GULCH WAY LA QUINTA, CA 92253 Detail: 100A TEMPORARY ELECTRICAL SERVICE. 2016 CALIFORNIA BUILDING COk3�$. '�1. 7: " Owner: EAST OF MADISON P 0 BOX 1482 LA QUINTA, CA 0 Contractor: BRADSHAW CONSTRUCTION INC 81335 THUNDER GULCH WAY LA QUINTA, CA 92253 (760)347-4246 Llc, No.: 848057 FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT Credit Card Fee 101-0000-43505 0 $2.91 Total Paid for Credit Card Fee: $2.91 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT TEMP POWER SERVICE PC 101-0000-42600 0 $18.68 Total Paid for ELECTRICAL: $45.36 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 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 QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 TOTALS: CALIFORNIA PERMIT # �C`C20 l — DO3S qtaQw1fra PLAN LOCATION: Project Address: — s9 �Q(uv►•l�us ulcc Project Description: APN #: Applicant Name: �� <��JAb v� Address: r,JCtN City, ST, Zip: Telephone: Email: i Valuation of Project $ Contractor Name:C �' �`, New SFD Construction: Address: 1 �u her u Conditioned Space SF City, St, Zip u Garage SF Telephone: �� � �� (� c� Patio/Porch SF Email:RC ^ Fire Sprinklers SF State Lic: 246257 City Bus Lic: Architect/Engineer Name: Construction 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: Total Building SF City, ST, Zip Construction Type: Occupancy: Telephone: Email: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Required Received 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 Lcj--t � S 1, 'S 0 1 Lk CITY OF LA QUINTA BUILDING 8, SAFETY DEPT. APPROVED FOR APPROVED DATDmo- BY W�- ogle Im I lift- - wwvvJid,com Co 1111n, J 7l1 1911 UNDERGROUND INSPECTION SERVICES Customer Project Development Coachella Valley Office Phone: 760-398-5828 81600 Avenue 58 Fax: 760-391-5999 La Quinta, CA 92253 LQUGlnspections@iid.com TO SCHEDULE AN INSPECTION, CALL 760-398-5828. Please leave the following information: 1. Your name. 2. Phone number / best way for us to contact you. 3. Customer service proposal (CSP) number. 4. Service order number. 5. Type of inspection(s). Please choose from the following required inspection types and note all that apply: a. Trench and Conduit b. Encasements c. Cad Welds d. Pads / Vaults e. Carson Boxes f. Shade-Backfilled g. Buried Electrical Line h. Tape PLEASE CALL FOR INSPECTIONS DAILY FOR THE DURATION OF THE PROJECT OR UNTIL NEEDED. All underground inspections need to be verified and approved by an IID inspector. Any work not verified by an III) inspector, will need to be re -done. Please do not bury anything unless you have received approval by IID. Failure to do so, may cause delays to your project and/or the re -digging of trench work. IID inspectors are required to give you an inspection receipt. If you do not receive one please ask your inspector for one, or call 760-398-5828 prior to moving forward with the project. 1,M'f)ERIAL IRRlra ?E0i, DIS ('RiC r . 81-6010 AVM NIJE: ` 8 . LA QIJIN IA, CA 92 2.5 EXISTING ENERGIZED UNDERGROUND CABLE. UN1162203P 100-80 CUST IN: 2" CND SCH. 40 PVC (1 IID IN: 1 /0 AL. TPX XLP CA. 1201240V 10 (20) _ m raw IDCOLUMBUS WAY T 2TEM 8B UN1162204P CAUTION, EXISTING ENERGIZED UNDERGROUND CABLE. m 108 11 CONDUIT NOTES: 1) INSTALL 1-2"CND.R-R PER SHOWN LENGTH FOR SERVICE. (REFER TO SHEETS 10-11,104-105, 107-110, 112-115 OF THE D.E.P.G. REV. 4.8 2018) 2) � TYPICAL TRENCH DETAIL FOR ALL SERVICES AND SECONDARY RUNS. (REFER TO SHEETS 109 & 115 OF THE D.E.P,G. REV, 4.8 2018) TRENCHING NOTES: 1ID TYPICAL. CONTRACTOR SHALL INSTALL 2" LINE GUARD TAPE (RED) "CAUTION: BURIED ELECTRIC LINE BELOW." 0 (REFER TO SHEET 115 OF THE D.E.P,G. REV. 4.8 2018) T•7, R.6,SEC.1 CONTRACTOR NOTES / IID ELECTRICAL LAYOUT SCALE 1:100_ ❑ DISTRIBUTION �1 [;tf570tvfCF; [] POWER DOCK In,t.� „ y ❑ INSPECTOR ® DIVISION MANAGER «:.axcpaei METR SHOP (IrAP ucAMX) 11D ❑ TROUBLE SHOOTER ❑ GIS UNIT PROJECT LOCATION: ��:.• 81259 COLUMBUS WAY LA QUINTA, CA 92253 CAUTION: ENERGIZED STRUCTURES & CABLE DO NOT PERFORM ANY TYPE OF WORK ON OR AROUND ENERGIZED STRUCTURES. A QUALIFIED IID ELECTRICAL WORKER MUST BE PRESENT AT JOB SITE BEFORE ANY CONDUIT OR ANY TYPE OF WORK IS PERFORMED, PLEASE CONTACT IID INSPECTION DESK AT LA QUINTA @:(760) 398-5828 ; IMPERIAL @:(760) 482-3300. INSPECTION SCHEDULES ARE SUBJECT TO A MINIMUM 48 HOUR ADVANCE NOTICE AND ARE 13Y APPOINTMENT ONLY. UNDERGROUND SERVICE ALERT 1-800-422-4133 CALL CALL USA/SCISC FOR UNDERGROUND LOCATING 2 WORKING DAYS BEFORE YOU DIG PG#j DATE I BY [ DESCRIPTION MAT. RES:16144281 DIG ALERT TICKET: NIA EFFECTIVE DATE: NIA EXPIRATION DATE:Nl CUSTOMER NAME:KELLY BRADSHAW CONTACT NUMBER:760-347-4246 'ROJECT COORDINATOR:IVAN LOPEZ CONTACT NUMBER:760.427-7409 SUBSTATION: JEFFERSON CIRCUIT: N170 SERVICE NOTIFICATION; 4026819 V SERVICE ORDER: 60117922 a 'RIORIT{: CATEGORY 0 r IMPERIAL IRRIGATION DISTRICT IMPERIAL, CA COACHELLA VALLEY ENERGY PROJECT w U.G. DISTRIBUTION 13RADSHAW CONSTRUCTION INC. 84259 COLUMBUS WAY LA QUINTA, CA IPPROVED: ZiLk, DATE: z' SlGN'D:IVAN LOPEZ_ DATE )E:211212[]19 ='