06-2594 (ELEC) . .. „, s
Get:iv/ 4 4a4,, ,r
P.O. BOX 1504 W VOICE(760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT INSPECTIONS (760)777-7153
BUILDING PERMIT
Date: 7/06/06
Application Number: 06-00002594 Owner:
Property Address: 80923. VIA PUERTA AZUL LOT J PUERTA AZUL PARTNERS
APN: 762-240-003-J -300961- 17700 SW UPPER BOONES FERRY RD
Application description: ELECTRICAL SUITE 100
Property Zoning: MEDIUM DENSITY RES PORTLAND, OR 97224 D
Application valuation: 1500
Contractor: JUL 06 2006 ID
Applicant: Architect or Engineer: DAVIS/REED CONSTRUCTION INC
12250 EL CAMINO REAL, STE #32' CITY OF LA QUINTA
0 SAN DIEGO, CA 921g9
1 (760)634 2350 FINANCE DEFT.
I
Lic. No. : 813480
LICENSED I RACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I a. -•under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Divi ion 3 of the Business:.•; • ifs Code,and my License is in full fort and effect. f I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License C1aspr B License No.: 81�°80 / for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
if �■ is
sued.
ate: - rector: �>rr " I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor
Code,for the performance of the work for -•ic)r Jiffs permi(,is issued. My workers'compensation
OWNER-BUILDER DECLARATION insurance carrier and policy numb. -o:
I hereby affirm under penalty of.: ry that I am exempt from the Contractor's State License Law for the Carrier TRAVELERS INDEM Policy I tuber C2KT7134 47C539
following reason(Sec.7031. usiness and Professions Code: Any city or county that requires a permit to _ I certify that,in the parfor• oak}of t� .rk for which this. mlt is issued,I shall not employ any
construct,alter,improve,demolish,or repair any structure,prior to its issuance,also requires the applicant for the person in any manna so as to•'.me subject to the .•rkers'compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State andagree that,if I sh,-'. • me u• ct to the .. • ' -:• . _.:• . . . on
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or '''...3 the Labor Cod, ' Y+• ••with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ` �1
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($5001.: tate. ' '( p i ..•.
( I 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 WARNING: FAILURE TO SEC•- ❑RKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER T•• MINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
' and who does the work himself or herself through his or her own employees,provided that the DOLLARS(5100,000). I •+DITiDN TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If,however,the building or improvement is sold within SECTION 3706 OF THE •;OR CODE,INTEREST,AND ATTORNEY'S FEES.
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.). APPLICANTACKNOWLEDGEMENT
( ) I,as owner of the property,am exclusively contracting with licensed contractors to construct the project(Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044,Business and Professions Code: The Contractors'State License Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon,and who contracts for the projects with a contractor(s)licensed 1. Each person upon whose behalf this application is made,each person at whose request and for
pursuant to the Contractors'State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
( ) I am exempt under Sec. ,B.&P.C.for this reason the owner,and the applicant,each agrees to,and shall defend - a o a yClty
of La Quinta,its officers,agents and employees fore or omission related to the work being
performed under or following issuance of this i.
Date: Owner: 2. Any permit issued as a result of this appli n becomes n void if work is not commenced
within 180 days from date of ism] of such permit . ssatlon of work for 180 days will subject
_ CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application state that the a in or tion is correct. I agree mply with all
work for which this permit is issued(Sec.3097,Civ,C.(. city and county oidi nces and state relating to bul o alien,and herhy a ite representatives
•
oft -- outer ty-to on the ab e-mentioned pro {f i acne ses
Lender's Name: 0 pi-
.. ri
y�rs5 _ - stufe 1 ppllcant or
Lender's Address: !/
LQPERMIT
Application Number - - - . . 06-00002594
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 33.50 Plan Check Fee . . .00
Issue Date . . - . Valuation . . . 0
Expiration Date . . 1/02/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
Special Notes and Comments
200 AMP LANDSCAPE WALL MOUNTED PEDESTAL
Fee summary Charged Paid Credited Due
Permit Fee Total 33 .50 .00 .00 33.50
Plan Check Total .00 .00 . 00 .00
Grand Total 33.50 .00 .00 33.50
LQPERMIT
Bin
# City of La Quinta
Building 8i Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico •
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: �� fi+Itirlp Owner's Name:
A.P.Number: Address:
Legal Description: 60. 9 .I V,(Q [7. A . City,ST,Zip:
9 •
Telephone:� ��'J LC�L�`� P -
•
Contractor:
Address:
_ )--7 o-1'\. Project Description:
City,ST,Zip: L6--
Telephone b _ •
/ `F's7/� :.. `af:s• .s{ 4s::.,
State Lic.#: City Lic.#:
Arch.,Engr.,Designer:
Address: /
City,ST,Zip: �[~
Telephone: Construction Type: Occupancy:
State Lic.#: _ Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: #Units:
Telephone#of Contact Person: Estimated Value of Project: /I 5-CV b O
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'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
Energy 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 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