BELC2014-100178-495 CALLE TAMPICO'
LA QUINTA, CALIFORNIA 92253
`64 4 a(fo Q"a -
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
111111111111111111111111134
IE
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/15/2014
Application Number:
BELC2014-1001
Owner:
Property Address:
60TH
TRILOGY AT LA QUINTA MAINTEN
APN:
99399
60800 TRILOGY PKWY
Application Description:
TRILOGY PARKWAY LIGHTING
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$35,000.00
0
D
Applicant:
Contractor:
BRUDVIK INCtC
U r �O�4
BRUDVIK INC
600 EUGENE ROAD
600 EUGENE ROAD
PALM SPRINGS, CA 92264
CITY OF LA QUINJTA
PALM SPRINGS, CA 92264
COMMUNITY DEVELOpit QEPAiiTfA fJi
(760)320-4429
Llc. No.: 482623
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 Professions Code,
and my License is in full force and effect.
License Class: C10, C20, C38 License No.: 482623
�. Date: l Contractor:
OWNER-BUILR DECLA N
I hereby affirm under penalty of perjury that I rJrhe
ntractor's State
License Law for the following reason (Sec. 7031.5, Busi ss Bions Code: Any
city or county that requires a permit to construct, alter, imolish, or repair
any structure, prior to its issuance, also requires the applicapermit 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
of the Business and Professions Code) or that he or she is exempt therefrom and they
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).:
(1 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:
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 wor r 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 beco a subject to the workers'
compensation laws of California, and agree that, if I shout eco
subject to the
workers' compensation provisions of Section 3700 of the La r Code, I shall forthwith
comply with those provisions.
IDate: l Z' 1 '�_ ' 11 Applicant:
WARNING: FAILURE TO SECURE WOR RS' COM ENSATIO OVERAGE S UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CAWINAL ENALTIES D CIVIL NES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00 TO THE ST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SE 3706 OF T 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 larelating to building
construction, and hereby authorize representatives of this city to a er upon the above-
mentioned property for inspection purposes. �--
I? ' f t '7 Signature (Applicant
DESCRIPTION ,; : � ' A000UNT " '> Q AMOUNT PAIDPAID DATEr
li
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FIXTURES, ADDITIONAL
101-0000-42403 -
351 $83.30 $0.00
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PAID' BYE.,gMETHOD
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FIXTURES, ADDITIONAL PC 101-0000-42600
35 .
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eebfi��y''�DESCRIPTION�� ACCOIINT�TY�AMOUNT�
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FIXTURES, FIRST 20 101-0000-42403
1' ' .
$23.83 $0.00
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FIXTURES, FIRST 20 PC 101-0000-42600
1
$23.83 $0.00
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Total -Paid for ELECTRICAL: $151:96 $0:00 .
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PERMIT ISSUANCE
*NONE*
.0
$90.57
$0.00
'ra;"S�•,.a-,-
+ r VI { PAID` BYE b s
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Total Paid forPERMIT ISSUANCE:, :, :$90.57- $0.00:
Description: TRILOGY PARKWAY LIGHTING
ADDITIONAL
Type: ELECTRICAL
Subtype:
Status: APPROVED
Applied: 6/30/2014 PJU
Approved: 7/14/2014 JJO
Parcel No: 99399 Site Address: 60TH ,
Subdivision:
Block:
Lot:
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $35,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
CHRONOLOGY
Details: PROVIDE LIGHTING IN CENTER MEDIAN, ISLANDS FOR EXISTING PALM TREES. 55 TREES.
FINANCIAL INFORMATION
ADDITIONAL
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
APN
FIXTURES, ADDITIONAL 101-0000-42403 35 $83.30 $0.00
ADDRESS
99398
60TH
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI'
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT
BRUDVIK INC
600 EUGENE ROAD
PALM SPRINGS
CA
92264
CONTRACTOR
BRUDVIK INC
600 EUGENE ROAD
PALM SPRINGS
CA
92264
OWNER
TRILOGY AT LA QUINTA MAINTEN
60800 TRILOGY PKWY
LA QUINTA
CA
92253
FINANCIAL INFORMATION
CLTD
DESCRIPTION ACCOUNT QTY AMOUNT PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
FIXTURES, ADDITIONAL 101-0000-42403 35 $83.30 $0.00
Printed: Monday, December 15, 2014 12:27:31 PM 1 of 2
RWYSTEMS
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
RESULT
REMARKS
NOTES
ELECTRICAL FINAL"
BY
FIXTURES, ADDITIONAL
101-0000-42600
35
$21.00
$0.00
TEMPORARY POWER
PC
TEMP USE OF PERM PWR
FIXTURES, FIRST 20
101-0000-42403
1
$23.83
$0.00
FIXTURES, FIRST 20 PC
101-0000-42600
1
$23.83
$0.00
Total Paid for ELECTRICAL: $151.96 $0.00
PERMIT ISSUANCE
*NONE*
0
$90.57
$0.00
Total Paid forPERM1T ISSUANCE: $90.57 $0.00
TOTALS:00
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
INSPECTIONS
COMPLETED
DATE
RESULT
REMARKS
NOTES
ELECTRICAL FINAL"
ROUGH ELEC
TEMPORARY POWER
TEMP USE OF PERM PWR
UNDERGROUND ELEC
SOLAR FINAL"
Printed: Monday, December 15, 2014 12:27:31 PM 2 of 2
RWSYSiEMS
Bin #
City of La Q uin to
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico .
La Quints,CA 92253 - (760) 777-7012
Building Permit Application and Tracking -Sheet
Permit #
Bc 2,%q • Ice
Project Address:
Owner's Name: -;(' �_p l P
A. P. Number:
Address: 001&51
Legal. Description:
City, ST, Zip: U C`F�-
-TfContractor. Z vl l -c—
Telephone:
Address: �G �� �` �c/j
Project.Description:
City, ST, Zip: l ' S lz, ,v �� % ZZto
-E�3 Zc-1 f Z Telephone
wm—
State Lie. # :
City Lie. C
\A
Arch., Engr., Designer: -f U GI
s t�
I
Address: x ��
�`�C�
-i �
City., ST, Zip:� M ( K -T G! ZZ
l A- l p
Telephone: 7
State Lic. #:
<::.vk;<:<.:.::;.::,::;««.v..»;
>;::;;:
Construction T e P cy: '
yP • Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
' Name of Contact Person: N W_ tJE Z
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: 7(,0- -1 e•1
Estimated Value of Project: /
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACIGNG
PERMIT FEES.
Plan Sets
Plan Check submitted b
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god Review, ready for correction
Electrical
Subcontactor List
Called Contact Person
6
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'`a 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
1
Total Permit Fees
lil4wl - -I wea, Lwr ow .4- co k) � r2A (�--o /'I--
Bin #
City of La Quinta
Building Si Safety Division
P.O. Box 1504, 78-495 Calle Tampico.
La Quints, CA 92253 - (760) 777-7012.
Building Permit Application and Tracking Sheet
Permit #
B�`� • ���
Project Address: /
N
Owner's Name:
A. P. Number:
Address: 001"51
Legal Description:
City, ST, Zip: t—l�•r v t.� �
fit_ Z �3
Contractor:
Telephone
Address:
Project.Description:
City, ST, Zip:
Telephone:
.....::l.
>;::
.vim
State Lic. # :
City Lic. #:
v F
.
Arch., Engr., Designer:
Tu c,
s ' MIS
Address: '[��`�
Ctv t�V 01 L) 1--
j-� G-
City, ST, Zip: IA
t G ZZ
Imp- Nt Ik p
Telephone:
eP 7(�O �7�1
^sn :'' '> 'z>:'v '=>.::->:->:-:«>:-:,
Construction Type: Occupancy
Project
ProJja circle one): New Addn Alter Repair P
type ' air Demo
State Lic. #:
- Name of Contact Person:
{V 1
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: -1(cp. ]'jel . S 7 .S
Estimated Value of Project:/
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted b
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Clieck 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'd Review, ready for correctio issue
Electrical
Subcontactor List
Called Contact Person
7
Plumbing
Grant Decd
Plans picked up ^ ��
S.M.
10 )-0
Approval
Plans resubmitted
Grading
IN HOUSE:-
'rd 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 Feu