BP 13-0809P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T44�v 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
13-00000809
Property Address:
44295 CAMINO AZUL
APN:
604-191-016- -
Application description:
ELECTRICAL
Property Zoning:
Application valuation:
1200
Applicant:
cpe_vlee?e��
Architect or Engineer:
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 Professionals Code, and my License is in full force and effect.
License Class: C7 /j�� LI tse No.: 478543
Date:%j - Contractor: % r!
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
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:
LQPRRMIT
Owner:
TIME WARNER CABLE
41725 COOK ST
LA QUINTA, CA 92253
(760)000-0340
Contractor:
COCHRAN COMMUNCATION
36630 CATHEDRAL CANY
CATHEDRAL CITY, CA 92
(760)328-6778
Lic. No.: 478543
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/01/13
A
C INC
ON 3 I
23 JUL 01209
CITY OF LA QUINTA
FINANCE bFPT.
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 COMPANION PRPTY Policy Number CPCA14592
_ 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
]� 'I Applicant:
of the Labor Code, Ishall forthwith comply with those provisions.
Oale:rir,%1 Applicant: !dee,IsI
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 Director of Building and Safety 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 thiscountyto enter upon the above-mentioned wope,ty for inspection purposes.
Date: r II 1 3 Signature (Applicant or Agent I: � U
Application Number . . . . . 13-00000809
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83 Plan Check Fee .00
Issue Date Valuation . . . . 0
Expiration Date . . 12/28/13
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC SERVICES
23.83
----------------------------------------------------------------------------
Special Notes and Comments
ELECTRICAL - REPLACE OLD 100 AMP CATV
PEDESTAL WITH NEW CABINET AND METER IN
RIGHT OF WAY (CORNER OF LA PALMA AND
CAMINO AZUL), PER ATTACHED PLAN. IID
CONDUIT EXISTING WITH PULL ROPE. 2010
CALIFORNIA BUILDING CODES.
_-_______________-------___..___--_------------.--__.--_----------___.
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK,
ELECTRICAL
11.92
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid
�Y~
Credited
Due
Permit YFee Total 23.83 .00
.00
23.83
Plan Check Total .00 .00
.00
.00
Other Fee Total 103.49 .00
.00
103.49
Grand Total 127.32 .00
.00
127.32
LQPERMIT
1
(not to scale)
Thomas Guide
819 H-7
COCHRAN COMMUNICATIONS CONSTRUCTION
36-630 Cathedral Canyon Drive
Cathedral City, CA 92234
for
TIME WARNER CABLE
La Quintal
Replace old 100 Amp CATV Pedestal with New Cabinet and Meter
IID Conduit Existing with Pull Rope
Fred Waring Dr
L
riTY OF IA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA l_ BY
—
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Existing
IID Carson Box
- -
2"
La Palma Dr Existing
IID Conduit
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yyZq,
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Existing CAN
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100 Amp Ped
L
riTY OF IA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DA l_ BY
—
yy
Existing
IID Carson Box
- -
2"
La Palma Dr Existing
IID Conduit
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72 ft
CityGIS
Copyright O 2006 All Rights Reserved. The information contained herein is the proprietary property of the
contributor supplied under license and may not be approved except as licensed by Digital Map Products.
Page 1 of 2
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Page 2 of 2
APN:
604191016
Address:
44275 CAMINO AZUL, LA QUINTA CA, 92253
Owner Name:
MARSHALL.SOLOMON C
Owner Address:
44275 CAMINO AZUL, LA QUINTA CA, 92253
Owner Phone:
Building SF:
2344
Acres (Assessor):
Acres (Calculated):
0.27
Lot Front:
Lot Depth:
Legal Description:
POR LOT J AND LOT 36 MB 212/045 TR 24517
Land SF (Assessor):
Land SF (Calculated):
11761.0
Land Use:
: SFR
Year Built:
1989
Assessed Value:
$273,000
TBM Page:
H7
Sales Deed Cat:
source: TAX—UPDATE ( 05/18/2012 00:00 )
http://maps.digitalmapcentral.com/production/citygis/V07_03_00l/index.p7.aspx 6/28/2013
' aCERTIFICATE OF LIABILITY
001/41/20112
INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT., N the certificate holder Is an ADDITIONAL INSURED, the p❑licy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the
terms and conditions of the p❑Ilcy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lieu Of such endorsements).
PRODUCER
SADEGHI LUNA INSURANCE SERVICES 951.686.0080
5005 CANYON CREST DR STE 101
RIVERSIDE, CA. 92507
CONTACT
NA�MpE
PAlC Na. No
SS
INSURE MGj AFFORDING COVERAGE I NAICO
INSURER A: MT.HAWLEY INSURANCE CO.
AUTOMMLE
INSURED
INSURER B: TOPA INSURANCE COMPANY
COCHRAN COMMUNICATION CONSTRUCTION, INC.
INSURER C: COMPANION PROPERTY & CASULATY INS CO
3630 CATHEDRAL CANYON DRIVE
INSURER D:
CATHEDRAL CITY, CA. 922.34
INSURER E:
INSURER F:
ANYAUTO
L
AUUWry EO El I�� LEO
HIRED AUTOS NONaSWNED
AUT
COVERAGES CERTIFICATE~ NUMBER: REVISION NUMBER:
TH[S IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN i8SUE0 TO THE INSURED N ED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
L
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
ILTR TYPE OF INSURANCE I UB POLICYNUffBER M MMp LIEwp
MITS
RA
A oENELLUI
X COMMERCIATY MGL0176223 1/1/2012 1/1/2013 EACH OCCURRENCE $ 1,000,000
L4L GENERAL LIABILITY REMI a occurrence) $ 501400
CLAIMS-MADE� OCCUR MED EXP CA7 one person) $ 6000
I
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GEHERALAGUREGATE $ 2,000,OD0
GEN'LAdGREGATE LIMIT APPLIES PER:
POLICYX JP ' LCC
PRODUCTS - COMPIOP AGG $ 1,000,000
$
AUTOMMLE
LIASILnY
Y
j
ANYAUTO
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AUUWry EO El I�� LEO
HIRED AUTOS NONaSWNED
AUT
F
eutdanl} E
BODILY INJURY (Per person) $
BODILY (PerecrJdeM) $
rROM IYLA
(Por soddent A $
8
EACH occumF.rrce � 3, 000,000
+
8�.GED
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UMBRELLA UAB X OCCUR
EXCESS LIAR CLAIMS•MAOE
N/A
TCPCA12211
6602426-01
1/1/2012
1/1/2012
1/1/2013
1/1/2013
AGGREGATE S 3,030,000
X RETENTIONS 10.000
YVDTtI[ERS COMPENSATION
AND EMPLOYERS' LIABILITY YIN
ANYPRDPRiETOR1FARTNERIF.]{EC;FI'IVE❑
OFFI ER7M �1g R EXOLUOl=A7
=Man tkfrynAl)
II ppigs, dosufoe urxfar
DESCRlPTIDNOF OPERATIONS Leiaxr
s
X
E.L.HACCIDENT $ 1,000,ODO
E.L. DISEASE- >=f+IPL0Y6r S 1,000,000
_EA
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G i nicoeer: _ onr .ry 4 mr1 Elfin
DESMPMN OF OPERATIONS I LOCATIONS IVENCLES IAltach ACDRD 101, Addldonal Remarks 84hadula, K more epaco N required)
10 DAYS NOTICE OF CANCELLATION FOR NON-PAYMENT OF PREMIUM
RE; ALL OPERATIONS OF THE NAMED INSURED
I THE FOLLOWING ARE NAMED ADDITIONAL INSURED: CITY OF LA QUINTA
CERTIFICATE HOLDER CANCELLATION
I
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE CITY OF LA QUI NTA ACCORDANCE WITH THE POLICY PROVISIONS.E WILL BE DELIVERED IN
BUILDING & SAFETY
P.O. BOX 1504 AUTHORIZED REPRESENTAT VE
I LA QUINTA, CA. 92253
W 1988-2D10 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/D5) The ACORD name and logo are registered marks of ACORD
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78-495 Calle Tampico, La Quinta, CA 92253
(760) 777-7000
TFZCATE _ .=
FT`RAN$FERA)_ `
�r�6sincs�iner:
OUTSIDE CITY LIMITS
COCHRANa- - _ —CAST INC
BUSWESSADDRESS: 36630 G1'1'HEDRAL CANYON DRIVE
CATHEDRAL CITY CA 92234
Please be aware that issuance ora business license by the City does not authorize
you to conduct business inn building or tenant space that has not been approved
for occupancy by the Building and Safety Department. If you have any garstions
regarding this issue, +r r if you are not sure If a Certificate of Occupancy bas been
issaediuryourldncc.nflmsiness,pleasecontact
11 kIdh%ttadS -x[
�f'hcl,iaeRFV-
e h++ving paid to tis y.—�-,n=x16
r•erlriire,1! licerrsc'iv hereby grunted sold licens s lhF�3Ii� rells
-d lorth. fortheperiodsioted, in conformity wl r roe v Lonsof Ordinance
No. 2 of this City. This Licensee Is Issued wl[hout verification that the licensee
Is subject to or exempt from licensing by the State of Califoruia.
BUSEVWLI N0: 865
LX
`'T SUBcas
' _
7 -- - ASE: 7/31/R- ;:
FINANCE DIRECTOR