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BELC2020-001778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: ELECTRICAL/ BELC2020-0017 Tityl 4 e(P Qulgr(v DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT 658210017 SANTA ROSA COVE ESTATES ASSN. / ELECTRICAL FOR ENTRY GATE $35,000.00 Applicant: PAUL GOLDEN CONSTRUCTION INC 73710 FRED WARING DR SUITE 103 PALM DESERT, CA 92260 D 0 D MAR 0 0 2020 CITY OF LAQUINTA 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 7000) of Division 3 of the B ess and Professions Code, and my License is in full force and effect. License Class: 0- License No.: 786919 Date: 6I-]ocontractor. G f OWNER-BUI ER 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/5/2020 Owner: SANTA ROSA COVE ESTATES ASSN P 0 BOX 780 LA QUINTA, CA 0 Contractor: PAUL GOLDEN CONSTRUCTION INC 73710 FRED WARING DR SUITE 103 PALM DESERT, CA 92260 (760)776-4215 Llc. No.: 786919 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 ark for which this permit is issued. _„ ' I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: ATE COMPENSATION INSURANCE FUND Policy Number: 9036673 1 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 f the laborCode I shall forthwith comply with those provisions. Date: Applicant: 01 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 - to nt upon the a e- mentioned/p}v�perty for inspection purposes. Date A V iignature (Applicant orAgen G Date: 3/5/2020 Application Number: BELC2020-0017 Property Address: APN: 658210017 Application Description: SANTA ROSA COVE ESTATES ASSN. / ELECTRICAL FOR ENTRY GATE Property Zoning: Application Valuation: $35,000.00 Applicant: PAUL GOLDEN CONSTRUCTION INC 73710 FRED WARING DR SUITE 103 PALM DESERT, CA 92260 Owner: SANTA ROSA COVE ESTATES ASSN P 0 BOX 780 LA QUINTA, CA 0 Contractor: PAUL GOLDEN CONSTRUCTION INC 73710 FRED WARING DR SUITE 103 PALM DESERT, CA 92260 (760)776-4215 Llc. No.: 786919 Detail: ELECTRICAL WORK TO INCLUDE THE INSTALLATION OF (4) 3/4" ELECTRICAL CONDUITS PER CODE TO SWEEP ABOVE CONCRETE PAD. EXISTING ELECTRICAL SERVICE TO PROVIDE ONE 20AMP 120VAC SERVICE TO EACH PAIR OF OPERATORS. PER 2019 BUILDING CODES. FINANCIAL DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $2.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 101-0000-42403 0 $26.83 DESCRIPTION ACCOUNT QTY AMOUNT DEVICES, FIRST 20 PC 101-0000-42600 0 $26.83 Total Paid for ELECTRICAL 2019: $53.66 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.97 Total Paid for PERMIT ISSUANCE: $101.97 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS`MANAGEMENT FEE: $10.00 I DESCRIPTION I ACCOUNT I QTY I AMOUNT TECHNOLOGY ENHANCEMENT FEE 1502-0000-43611 10 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 PERMIT# '✓CLC_zC)Z.C) — (n®1, PLAN LOCATION: Project Address: �� v ;�. �~ �v Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Applicant Name: Address 75 --7Cp AAA-'F) k4,q,,�,e 641v City, ST, Zip: , Telephone: � 6 '7 Email: ou Valuation of Project S 111— Contractor Name: �' '' rj,�v y Kew SFD Construction: Address:` �� _ ��7�� E„�/`` �° ConditionedSpac City, St, Zip : rf � ,/ , Il �' " 7 Garage SF Telephone.7�6Z)Z 0027157 Patio/Porch SF Email:��pC7 Fire Sprinklers 51= State Lic: r C' City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: f� Bedrooms: Stor' # Units: Email: State Lic: City Bus Lic: Property Owner's Name:. 11f New Commercial / Tenant Improvements: Address: '5,AhZrl�� S �C �/ Total Building SF City, ST, Zip FS ;r,4Yi 7 s_ Construction Type: r `' upancy: Telephone: 495 QU1 TAE0 CA 92253 LA 760-777-7000 a As Tl TLE: 2020 - 0611 CITY CIF LA UINTA 1% BUILDING D VISION REVIEWGD FOR � ® fl PLI NCE existing electrical service provide One 20 amp 120vac ��n DATZ J-4—L—A—Y5bg '* service to each pair of gate operator, two 3/4" elec pvc conduit 4 3,4, per code sweep up above concrete pad T-0" two 3/4" elec pvc conduit per code sweep up above \,— concrete pad TREMBLAY IRONWORKS 1,,„1 -1 — 83 764 AVE. 45 INDIO, CA., 92201 LIC# 422978 relocate tonewgateopmm Asite PH: 760 347 8403 existing phone line FAX: 760 347 8461 ..��� EMAIL: ed@tremblayinc.net ' tdephrne line DWG. # by other enter phone kiosk SHEET SCALE BY: C.E.T. -'�EI-C-Zo LO — o0 (7 l tw/ 20 15A9,rA R03A 40 v6- e57ATE5 ZaW 6MC C k n� 01, m. .00 YOU lip. K; A - y St•' , - p - _- avPn�Qu FCttul nen M1� -=,.: ` ''� . - . t,-. •r; . _ - op�• - a.enidnFemand W7— - - 44 N r--;.-I�p Sim ! :. o Google .• _ 0 --T .c CITY OF LA QUINTA SUB -CONTRACTOR LIST ' `` JOB ADDRESS VL C `�� PERMIT NUMBER-F -0 11 OWNER � � ..BUILDEI3 �'� C This f©r,il) sh„1I be posted an ih� ob with tj a Bolding Inspection Card at a!I tinges in a_cor�s. icuOUS p ac . Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of huilr(inn nPrmit_ Fnr Path .nnnlicahlP trarfP- all infnrmatinn rPnuPstPr( hPlnw must hp cmmniPtPrf by Annlir.ant_ "On Pilo" is not an .nnnnntnhle rPsnnnse. Trade / Classification Contractor State Contractor's Licene Workers Compensation Insurance Ci!,x Business License Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xxl),xlxx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date (xx/xx/xx) License Number Exp. Date (xxxx) (xxfxx/xx) EARTHWORK (G•12) CONCRETE (G-8) 1 / - L �15 � '+� �7 �-D zo�I fC, 3 3! �' '7vvii,.i ca Gci f 2 4l C of/! FRAMING (C•5) STRUCT. STEEL (C=51) MASONRY:(C:29) PLUMBING (C-36) LATFI, PLASTER (C-:35) DRYWALL (C-9) p f -f` �Gz��jZGaG�i�1 Ls�Ce Cc�� �Q (- ►�TCA I C,00 t (, HVAC {C-20) ELECTRICAL (C-10) LC ��6 �%%/�✓ '� �l Q ��Q�� b r r ., " .- • , ,C) �C►•�JG�2 ! t�' i I i, IC— 0 /V .�V ROOFING (C-39) SHEET METAL (C-43) 'r FLOORING (C-15) GLAZING (C-17) INSULATION (.0 2) 9 t� DISP. (C-4 1 L � � vylU C �� � - I f�� rl �c' Zt •�'� e �-�K 24 y d t� 1 2 t PAINTING (C-33.) _ CERAMIC TILE (C=5.4.) CABINETS (C-6) C`FENCING v�p,�.:��•�- (C-13) � L,UtniG344-32-q3, .�'C.,L4/f� LAND:SCAPING(C-27) �nv�t�VG� �i� e�2S 2 �- "` � %C51 � -3 3l POOL (C=53) 'Q I� 9 .S Z-l/-