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BELC2019-007078-495 CALLE TAM PICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: ELECTRICAL/ BELC2019-0070 57995 S VALLEY LN c&�t 4 4 Qa!Az DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 762250001 MCCARTHY / PATIO COVER ELECTRICAL ADDITIONS $6,741.18 Applicant: H E S HERRERA ELECTRIC SOLUTIONS 83185 ALBION AVENUE INDIO, CA 92201 V X�. JUN 19 2019 D CITY QF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT 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: C10 License No.: 1013467 Date: \'1A—kcl Contractor:_�UQV_,3 �'e^I-ew . 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/19/2019 Owner: PATRICK K. & MONICA R. MCCARTHY 57995 S. VALLEY LANE LA QUINTA, CA 92253 Contractor: H E S HERRERA ELECTRIC SOLUTIONS 83185 ALBION AVENUE INDIO, CA 92201 (760)391-0768 Llc. No.: 1013467 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 work for which this permit is issued. I 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: 4XIEMPT Policy Number: 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: lJ �I v1 —1 ' Apphcan . 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 upon the above -mentioned property for inspection purposes. +n Dater —1HOt. Signature (Applicant orAgen'f�``�UC'►"i 0eV%_6A10 Date: 6/19/201Y Application Number: BELC2019-0070 Property Address: 57995 S VALLEY LN APN: 762250001 Application Description: MCCARTHY / PATIO COVER ELECTRICAL ADDITIONS Property Zoning: Application Valuation: $6,741.18 Applicant: H E S HERRERA ELECTRIC SOLUTIONS 83185 ALBION AVENUE INDIO, CA 92201 Owner: PATRICK K. & MONICA R. MCCARTHY 57995 S. VALLEY LANE LA QUINTA, CA 92253 Contractor: H E S HERRERA ELECTRIC SOLUTIONS 83185 ALBION AVENUE INDIO, CA 92201 \. [760).391-0768 f " Llc. No.: 1013467 Detail: INSTALL 125 AMP SUBPANEL FEED FROM'200 AMP SUBPANEL. INSTALL ]2] QUTLETS;[r4] F,AN OUTLETS,[4] LIGHT FIXTL"' [2] JUNTiON BOXES FOR GAS HEATERS, [2] GFCI'S AT COUNTER. PER 2016 CALIFORNIA BUILDING CODES I 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 DEVICES, FIRST 20 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.68 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: $93.38 DESCRIPTION ACCOUNT QTY 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 CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Tn+nl Dmid fnr TrriUni nr.v riuwArurrRACIUT CCC. CC nn TOTALS: $210.78 PERMIT # bF,LC2. ')\q " 0Q-1 -- Project Address: S' Gk 6J S' CX1i LCi�,� APN #: La QU liA. 0, cA , Z�S L_j0V\s (OAS Applicant Name:. UOV] J �,FVY-ya Address:, 1 ( j AL t)L, .t)v , City, ST, Zip: .V,,CAr—A Telephone(-,taQ Soo Email:��,VV��1 G V k ®V\ C ON/\..- `. Architect/Engineer Name: Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Property Owner's Name: %Qf IC tk Address: 5-� �� _CO vD, ,F City, ST, Zip 1 �` Telephone: Email: Project Description: 4V\S�-n Maki o iA D as A sus b 1--�ati-4,J � ye?M C WO (A s ! Iyvskat� 2 0Lr AC, A-o V 4V 16 a � 1��ti�_ 120y llns�OA 3 1 t ti1 � ly6t% qAd 4D iY\J& � 2J J' O jeS koV , des V\Me lr-eV- Valuation of Project $ 61 W . 16 1 IN S ha i, 2r b F C X ucl 'e -S 0 u, C 0o V Construction Grading: Bedrooms: I Stories: Occupancy: # Units: �-� New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Plan Sets � Required Received 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 yp ,A svg f U )Igov H 6 5 pk RJCMA I CITY OF LA QUINTA BUILDING DIVISION MEP PLANS/DETAILS NOT REVIEWED FOR CODE CQMPUANCE cr ry g Qc3*0l4-0pt o yo( UAlke Y -tAj /arf June 6, 2019 Patrick and Monica McCarthy 57995 South Valley Lane La Quinta, CA 92253 RE: Pergola Construction Protect — 57995 S. Valley LN. To: The City of La Quinta To Whom It May Concern, Be advised that HES Electric (Licence Number 1013467) has been chosen as the electrical contractor for the above noted project. Please accept this letter as permission to have them request the necessary permits and associated inspections pursuant to their scope of work. If you have any question or concerns please feel free to contact me at (780)235-7737. Regards, Partrick McCarthy McCarthy HOMEOWNER