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BELC2019-005178-495 CALLE TAM PICO C&tyl D 4 Qabm� LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2019-0051 Property Address: 79984 VIA TAPIS APN: 776220012 Application Description: FLORESTA/TEMPORARY METER Property Zoning: Application Valuation: $2,500.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/18/2019 Owner: BEAZER HOMES HOLDINGS CORP 1600 E IMPERIAL HWY STE 200 BREA, CA Applicant: Contractor: S R BRAY LLC DBA POWER PLUS D S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET 1210 N RED GUM STREET ANAHEIM, CA 92806 ANAHEIM, CA 92806 1./ (714)507-1881 pC�1TY OF {.,A 0It;I'N'TA Llc. No.: 980589 DESIGN pp 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: B. C10. 031 License No.: 980589 Date: / ICf 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 contractors) 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 Na 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 tlnt3700 rk for which this permit is issued. I have and will maintain workers' compensation insuranCe, as required by Secof 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: FEDEJJAL INSURANCE COMPANY Policy Number: 54309652„ 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 suhje o the workers' compensation laws of California, and agree that, if I should be a subject to the workers' compensation provisions of Section 3700 of the La r Code, I shall forthwith comply with those provisions. Date: L/ Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPMSATIOIN 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 upon the above-mentioned property for inspection purposes. Date: Y-18-12 Signature (Applicant or Age Application Number: BELC2019-0051 Property Address: 79984 VIA TAPIS APN: 776220012 Application Description: FLORESTA /TEMPORARY METER Property Zoning: Application Valuation: $2,500.00 Applicant: S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 Date: 4/18/2019 Owner: BEAZER HOMES HOLDINGS CORP 1600 E IMPERIAL HWY STE 200 BREA, CA Contractor: S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 (714)507-1881 Llc. No.: 980589 Detail: TEMPORARY METER LOCATION WILL BE PLACED ON LOT 30. DOES NOT INCLUDE ANY OTHER TEMPORARY POLES TO BE INSTALLED PER 2016 CALIFORNIA ELECTRICAL CODE. DESCRIPTION BSAS SB1473 FEE ua LVA IJ 96\YLVA 2M17•UI 102 DESCRIPTION PERMIT ISSUANCE DESCRIPTION RECORDS MANAGEMENT FEE DESCRIPTION TECHNOLOGY ENHANCEMENT FEE ACCOUNT CITY 101-0000-20306 0 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: Total Paid for ELECTRICAL: ACCOUNT CITY 101-0000-42404 0 Total Paid for PERMIT ISSUANCE: ACCOUNT QTY 101-0000-42416 0 Total Paid for RECORDS MANAGEMENT FEE: ACCOUNT QTY 502-0000-43611 0 Total Paid for TECHNOLOGY ENHANCEMENT FEE: AMOUNT $1.00 $1.00 $45.36 AMOUNT $101.40 $101.40 AMOUNT $10.00 $10.00 AMOUNT $5.00 $5.00 ta Qai(ra cALIFORNI:� PERMIT # PLAN LOCATION: Project Address: C?g y vt a i Project Description: vtiS ((a cw— APN #: I-leme f-0 erovfle Patio/Porch SF Email: Applicant Name: State Lic: 9YO City Bus Lic: Address:SlZ Old PO,aer L'S State Lic: City Bus Lic: City, ST, Zip: Telephone: Email: U4 r. D t�.S•Coi� Valuation of Project ��^O , Contractor Name: s Obi New SFD Construction: Address: Conditioned Space SF City, St, Zip Garage SF Telephone: Patio/Porch SF Email: Fire Sprinklers SF State Lic: 9YO City Bus Lic: Architect/ Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: 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 ji i 1 Grant Deed HOA Approval School Fees Burrtec Debris Plan I I Planning approval Public Works approval l. J. . .. ........ 1 Fire approval f City Business License Job: 273560 Rental Terms: 0 Months Tract: NSA JEFFERSON AVENUE A AVENUE 52 TEMP METER LOCATION - -eta-- 49---«� -- 21 1 -2....� 23 =2A 0 2S - -----'�--- I ----'I- l ......2 1-7 r' 7R 3R j �R 1 [`� 3 �1�I 3 1R 2 _s x�►• -�� __��_._� �_ 71 I 3R •, �/�-...,..� �� ;� .r� - - aro- - _ .rE R 2R o K' __ t ■ C�- u 1- al- 4--- 7f f, ia{ j 3 —Lie I st 2-Jq I top 1R rwrrww 3 1 rLti, I GI � Fwwwww'+. BEAZER HOMES ii PHwsr, I ,ars az Li C r y MnIG��i C�G3G" G�G3[� Ccs LA QuxNra �