BSPN2014-0028VOICE (760) 777-7125
78-495 CAL•LE TAMPICO D FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 10/1/2014
Application Number: BSPN2014-0028 Owner:
Property Address: 79315 HIGHWAY 111 CENTRE AT LA QUINTA PARTNERS
APN: 600020028 3 HAMILTON LANDING NO 200
Application Description: SPECIAL INSPECTION TO RELEASE POWER NOVATO, CA 92253
Property Zoning:
Application Valuation:
Applicant: fl W ]�g
Contractor:
COVE ELECTRIC, INC. u L
COVE ELECTRIC, INC.
0 OUTSIDE CITY LIMITS. C�j 0 0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253 LA QUINTA, CA 92253
CITY OF COMMUNITY DEVELPARTMENT (760)360 0040
Llc. No.::LIC-0000079
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 Bus' ess and Professions Code, and
my License is in.full force and effect.
License Class: icense No.::LIC-0000 79
Date: 16 / Contractor
OWNER -BUILDER DECLARATION
i 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
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: _ 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 3 abor Code, I shall forthwith
comply with those
-pr isions.
Date: 104 `! Applicant: i
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 certifythat 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 ofenter u ontheabove-
mentionn�ed roerty for inspection purposes.
Date./Signature (Applicant or Age
e'
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2 -." .4 m I n ril
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OF
Description: SPECIAL INSPECTION TO RELEASE POWER
Type: SPECIAL INSPECTION
Subtype: Status: SUBMITTED
Applied: 10/1/2014 PJU
Approved:
Parcel No: 600020028 Site Address: 79315 HIGHWAY 111LA QUINTACA 92253
Subdivision: PM 33588
Block: Lot: 2
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $0.00
Occup5ncy Type: Construction Type:.
Expired:
No. Buildings: 0
No. Stories: 0 No..Unites- 0
Details: SPECIAL INSPECTION TO RELEASE POWER CAN BE RESTORED. DUE TO SMALL PORTION OF OF BLDG. CARPORT ON FIRE.
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NAME TYPE
'NA -'ME,
ADPRESS1
CITY
STATE
ZIP
PHONE
EMAIL'i"
,
.FAX-,'
APPLICANT
COVE ELECTRIC, INC.
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
COVE ELECTRIC, INC.
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER
CENTRE AT LA QUINTA PARTNERS
3 HAMILTON LANDING
NOVATO
CA
92253
NO 200
Printed: Wednesday, October 01, 2014 3:12:52 PM 1 of 2 COW"'.
BOND
INFORMATION
ATTACHMENTS
r
Printed: Wednesday, October 01, 2014 3:12:52 PM w 2 of 2 - CRW ,FMB
Bin #
City of La Quinta
-Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
' La Quinta, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
Project Address:
Owner's Name:Cl-
T
A. P. Number:
Address:
Legal Description:
City, ST, Zip: ,o 1
Contractor:
Address: -77 M
Tele hone: �ZZ EM� P o- 3� oS'"
Project Description: v In��, L—Z61! �M;
City, ST, Zip:
Telephone:
Cam/
State Lic. # :
City Lic. #,'
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C�-
Arch., Engr., Designer.
Address:
Z�ity, ST, Zip:
rele hone:
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Construction Type: Occupancy:
itatc Lic-
Project circle one): New Add'n Alter Repair � type ( ) P Demo
lame of Contact Person:
Sq. Ft.:
#Stories:
# Units:
�elcphone *,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Rcq'd
Rcc'd
TRACKING
PERMIT r, EES.
Plan Sets
Plan Check submitted
Ilcm
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN IiOUSE:-
'`d Review, ready for eorrcctionstissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Sc11061 Fees
Total Permit Fees
0=1