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BELC2016-0067 Revision 178-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFOr3NIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/9/2016 Application Number: BELC2016-0067 Owner: Property Address: 52155 EISENHOWER DR JED BABBIT APN: 773225018 52155 EISENHOWER Application Description: BABBIT / UPGRADE 100AMP THREE PH TO 400 AMP SINGLE PH LA QUINTA, CA 92253UJ Property Zoning: Application Valuation: $4,500.00 f o r o z Applicant:00 Contractor: ° S o BRADLEY ELECTRIC INC BRADLEY ELECTRIC INC© `� id 42215 WASHINGTON STREET 42215 WASHINGTON STREET `4l SUITE A381 SUITE A381 Q z PALM DESERT, CA 92211 PALM DESERT, CA 92211 (760)360-0944 Llc. No.: 275466 Z -------------------------------------------------------------------------- s - LICE -.9w- NSED CONTRACTOR'S DECLA N I hereby affirm under penalty of perjury that I am licen ed under pr ns of Chapter 9 {commencing with Section 7000) of Division 3 of the usiness and Profes 'ons Code, and my License is in full force and effect. License Class:SQ 0 / License No.: 27 4 t n I hereby affirm under perfaltyof perjury that I am exemp mthe Contractor's State License Law for the follo i g reason (Sec. 7031 siness and Professions Code: Any city or county that requires aer�»iF to c ns6" trust, 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 Lender's Ad WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty,of perjury one of the following declarations: I have and ill maintain a certificate of consent to self -insure for workers' compensatio provided for by Section 3700 of the Labor Code, for the performance ofWIhfor which this permit is issued. 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: STATE COMPENSATION INSURANCE FUND Poli 4693 I certify that in the performance of the work forhich this permit is i sued, shall not employ any person in any manner so as to becomes 'ect to the wor rs' compensation laws of California, and agree that, i ou d beco a subje e workers' compensation provisions of Sectio of the Labor Co e, I shall f comply w'th th se provisions. Da�� _.. APpli WARNING: FAILURE TO SECURE ORKERS' COMPE ION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY R TO CRI PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLA 00,000). 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'pemon 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 an i i rk is not commenced within 180 days from date of issuance of such per or cessatio of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above in rmation is I agree to comply with all city and county ordin ces acrd tate law tc construction, a d hereby authorize re ntatives of this city to enter above -m ration d property for' ection purposes. Date' V Signature (Applicant or Age "I r Date: 9/9/2016 Application Number: BELC2016-0067 Owner: Property Address: 52155 EISENHOWER DR JED BABBIT APN: - 773225018 52155 EISENHOWER Application Description: BABBIT / UPGRADE 100AMP THREE PH TO 400 AMP SINGLE PH LA QUINTA, CA 92253 Property Zoning: Application Valuation: $4,500.00 Applicant: Contractor: BRADLEY ELECTRIC INC BRADLEY ELECTRIC INC 42215 WASHINGTON STREET 42215 WASHINGTON STREET SUITE A381 SUITE A381 PALM DESERT, CA 92211 `PALM DESERT, CA 92211 .(760)360-0944 --------------------------------------------------------------------------------------------- Llc. No.: 275466 Detail: UPGRADE 100AMP THREE PHASE TO -400 AMP SINGLE PHASE UNDERGROUND.•2013 CALIFORNIA BUILDING CODES. "I r = 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 SERVICES - 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT CITY AMOUNT SERVICES PC 101-0000-42600 0 $12.09 Total Paid for ELECTRICAL: $36.26 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 n Total Paid for PERMIT ISSUANCE: $91.85 I Bin # " Permit # f P� r-0Ject Address: City of La Quin to Building SF Safety Division 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet 9-0 ner's Nam A. P. Number: 4 Address: Legal Description: Contractor. _Q L' qty, ST, Zipl—A41,e�4r4 TI eePhon• gess: _ C�" ( eitY, ST, Zip: ee h0 ne• n TlP a T! i.S��� �� 6 c. SYate Lic. # : ' �City Lic..#. ' Project Description: UlG" Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ele h P .. Construction stru tion TY e: Occupancy: P ane Y• State Lic #: Project type(circle one): New Add'n' Alter r 2eP air Demo nN*e of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 4CIf (1Estimated Value of Project; APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. 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 I 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 HOUSE:- '"! Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees 91 12'F