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BELC2019-0093OWNER -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 Address: 78-495 CALLE TAMPICO D1[1�(/ VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/5/2019 Permit Type/Subtype: ELECTRICAL/ Owner: Application Number: BELC2019-0093 LENNAR HOMES OF CALIF INC Property Address: 81705 HAFLINGER WY 4675 MACARTHUR CT NO 1550 APN: 767800008 NEWPORT BEACH, CA 0 Application Description: GRIFFIN RANCH / LOT 83 TEMPORARY METER AND (6) POLES Property Zoning: Application Valuation: $2,500.00 DApplicant: \ Contractor: S R BRAY LLC DBA POWER PLUS SEP 0 5 Zp�g S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET 1210 N RED GUM STREET ANAHEIM, CA 92806 ANAHEIM, CA 92806 CITY OF LA QUINTA DESIGN & DEVELOPMENT DEPARTMENT (714)507-1881 Llc. No.: 980589 ----------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha ereby affirm under penalty of perjury one of the fallowing declarations: 9 {commencing with Section 70001 of Division 3 of the Business and Professi ode, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: B, C10, D31 License No.: 980589 '0, of th. for which this permit is issued. In�/ II have and will maintain workers' compensation insurance, as required by Date: — ( Contractor: k Pfa bM AUJ-r 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: FEDERAL IN.UFiANCE 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 subject to the workers' compensation laws of California, and agree that, if I should become subjec he workers' compensation provisions of Section 3700 of the Labor C shall forthwith comply with those provisions, C Date: /'5--1!pApplicant: 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. Date: I Signature (Applicant or Agent) Date: 9/5/2019 Application Number: BELC2019-0093 Property Address: 81705 HAFLINGER WY APN: 767800008 Application Description. GRIFFIN RANCH / LOT 83 TEMPORARY METER AND (6) POLES Property Zoning: Application Valuation: $2,500.00 Applicant: S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 Owner: LENNAR HOMES OF CALIF INC 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: S R BRAY LLC DBA POWER PLUS 1210 N RED GUM STREET ANAHEIM, CA 92806 (714)507-1881 LIc. No.: 980589 Detail: INSTALL 200AMP TEMP METER ON LOT 83 AND 6 TEMPORARY POWER POLES TO RUN SOUTH OF LOT 83 AND END AT LOT 91. PER 2016 CALIFORNIA ELECTRICAL CODES. 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 TEMP POWER SERVICE 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY 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 CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 zaQa�tra CALIFOKNI A — Project Address: %CAS a l e( I,Jo� PERMIT # W- CEO PLAN LOCATION: Project Description: APN #: QL _ Applicant Name: ILer 17p,Ws T°r- v .f-� Address: M-0 �✓�¢ eC� �f� 4-3 City, ST, Zip: Co r-0^0' ,,- _ Telephone: CLZ — 36 %p Email: S'r L� C fl� Project Valuation $ -00 Contractor Name: S Qr. New Construction: Address: 1 2lfl Al- Conditioned Space SF City, St, Zip �� �, b Garage SF Telephone: z 3 . -7 Patio/Porch SF Email: 0 30_� 0, Fire Sprinklers SF State Lic: qgoS�GI City Bus Lic: Architect/Engineer Name: Construction Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: —F Stories: #Units: Email: State Lic: City Bus Lic: Property Owner's Name: Lehr New Commercial / Tenant Improvements: Address: '796 a 3�v Total Building SF City, ST, Zip f ¢Z� "I Construction Type: Occupancy; Telephone: c"- 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 CVWD Fire Flow Letter Soils Report Grading Plan (PM10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Y Planning approval Public Works approval Fire approval City Business License CITY OF LA QUINTA BUILDING DIVISION REVIEWED FOR CODE COMPLIANCE DATE TEMP METER LOCATION LOT 83 Job:267857 Rental Terms: 0 Months Tract: AVENUE 54 & MADISON STREET TEMP METER LOCATION LOT 83 1P "K �Ir A • ..... y �291 no 2n - as —_.1 4'L..�L:L �— ./�/ a /7 = ; a 2" k CITY OF LA �• :�. ',' Is 93 BUILDING DIVISION � „, �� >�1 91 �/. REVIEWED FOR i' .�,, .> ,� � �. ' �-- CODE �p � �T COMPLIANCEZIFF r na _ — I>► 'I aQ aw -1!. DATE -� BY— ,. Gx q' � s I `�� fir, • �Q- Y67 1in ZaM 2w nv 7 7 ■ f ' / w 11 12 P3 ' Fr 1a1' 2Y T 177 qi 142 // C01111Kn 11ctli1wr Coles its iJR: 1 yy� '1 IOI� its1 ` ,212 TA 1a ".6' r •• ya Y>i Y -�211 7M7 In � IM iV IIr 1 .,� �� x ■ it 21D 06 1'•� 1C A 169 IN* f !14 . 1Y zw b: Ys `t*, ~ ! �� �. Y7s 221 sw J 1,11 1M Iw j �u1 1 1r F.p $n '•� tip_ .. _'��� Ya /21I � � .+�+�_ ' __ —+ W �� - -- � - 1"{{ Liz i + ••n• T.A. ,y l' W llii 7u 2&920 � i?/�.2n I i?J 3M 2W >Y1 I/7 1K 1K 1� �wI ,r10) t iaT IM� �a7 a -�� LENNAR HOMES rc��� M= [P� [P�= M 6�� [�� (�� D�=fl LA QUIMA as PERMIT INSPECTION HISTORY REPORT (BELC2019-0093) FOR CITY OF LA QUINTA Electrical 09/05/2019Application Date:Permit Type:767770028Parcel Electrical 09/05/2019Work Class:Issue Date:81740 MERV GRIFFIN WY LA QUINTA, CA 92253 Address: Expired 03/30/2020Expiration Date:Status:Description:GRIFFIN RANCH / LOT 83 TEMPORARY METER AND (6) POLES *** INSTALL 200AMP TEMP METER ON LOT 83 AND 6 TEMPORARY POWER POLES TO RUN SOUTH OF LOT 83 AND END AT LOT 91. PER 2016 CALIFORNIA ELECTRICAL CODES. #|||# GRIFFIN RANCH / LOT 83 TEMPORARY METER AND (6) POLES *** REV-1 ADDING 10 TEMP POWER POLES Owner:Contractor:Applicant:LENNAR HOMES OF CALIF INC SR BRAY LLC POWER PLUS SR BRAY LLC POWER PLUS Scheduled Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection Required?CompleteActual Start Date 09/19/2019 Temporary Power JAN:190918050201 3341 Disapproved Duane Clayton No Complete NOTES Created By TEXT Created Date Duane Clayton - SIEMENS BREAKERS REQUIRED IN SIEMENS SERVICE PANEL. - 100 AMP BREAKER NOT INSTALLED PER MANUFACTURER SPECS. SEE PANEL NOTES. - PROVIDE IN USE COVERS AND WET RATED RECEPTACLES. 09/19/2019 10/02/2019 Temporary Power JAN:191001044215 3366 Approved Duane Clayton No Complete 78-495 Calle Tampico Page 1 of 1October 11, 2024