06-3060 (ELEC) 4 4, a
P.O. BOX 1504 ( )4 ��a 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: 8/23/06
Application Number: 06-00003060 Owner:
Property Address: 54302 SEATTLE SLEW WY MCCOMIC GRIFFIN LLC
APN: 767-320-999-AM -32879 - 7979 IVANHOE AVE #550
Application description: ELECTRICAL LA JOLLA, CA 92037
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1200
Contractor:
Applicant: Architect or Engineer: COCHRAN COMMUNCATION 1 T INC
36630 CATHEDRAL CANY01 D•IVEti,r 2 3 2006
CATHEDRAL CITY, CA 92'.4
(760)328-6778
Lic. No. : 478543 CITYOFL-A401NTA
I fi G •GEM..
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Business and Professionals Code,and my License is in full force and effect. I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License Class: C7 License No.: 478543 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
ate:g' "U", omractor: 'f�/ j 2./J" litI 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
OWNER-BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 046-0008625
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to I certify that,in the performance of the work for which this permit 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 manner so as to become subject to the workers'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 and agree that,if I should become subject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Leber Code,I shall forthwith cdmpl with those provisions.
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(.: ,c: �5 �2 7 �� Item: 'f ` l
) 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: F RE TO SECURE WORKERS'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 TO CRIMINAL 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($100,000). IN ADDITION 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 LABOR 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.). APPLICANT ACKNOWLEDGEMENT
) 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,
1_1 I am exempt under Sec. ,B.&P.C.for this reason. 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.
Date: Owner: 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
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 and state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state laws relating to building construction,and hereby authorize representatives
of thi-.county to enter upon above-mentioned prope for inspection purpose
Lender's Name: _Q(,
+ate:�� ature(ppplicant or Agent):
Lender's Address: /]n
LQPERMIT
Application Number 06-00003060
Permit ELEC-MISCELLANEOUS
Additional desc
Permit Fee . . . . 33.50 Plan Check Fee . . .00
Issue Date . . Valuation . . . 0
Expiration Date . 2/19/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
Special Notes and Comments
100 AMP METER 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 at Safety Division
P.O. Box 1504
Penult# 78-495 Calle Tampico
La Quinta, CA 92253
3�(o Building Permit Application and Tracking Sheet
Project Address: 5 1./_ ,50a Owner's Name: T/JVf L YVABfY(R CAc5 Li
A. P. Number: a�~/� Address: 1/JZS COOK cS T
Legal Description: City,ST,Zip:PA Lill DfSERT '72Z60
Contractor: COCNRA IV CD NH C ONS T Telephone:. iD -/3 /Z .1 : >`'
Address: 36- p ,3O CA TI/ED RAZ C YN Project Description:
City.ST,Zip: CA7- E/ IOL CITY 9223 it 700 A-NIP NF_ TES PEl7tS7A-L
Telephone: 328 - (' 7'78 .
/
State Lic.# :S/ 78Jr 45 City Lic.#: 8 £ 5 � 1V Got I7',,i
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: IV/4 Occupancy: NA
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: ',•,', 2 T_;" CoCt4 + J Sq.FL I #Stories: #Units:
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