06-3555 (ELEC) Eel:tit 4 41 Quote
• P.O.BOX 1504 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: 10/06/06
Application Number: 06-00003555 Owner:
Property Address: 46280 POINT HAPPY WY PH RANCH LLC •
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APN: 643-170-999-J -31348 - 78370 HIGHWAY 111 STE 200
Application description: ELECTRICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL n r} Mil
Application valuation: 600 —Dill Lry LI
Contractor: I rT 0 6 2O06
Applicant: Architect or Engineer: ASARO BUILDERS, INC. _ Q_'I
- 42220 GREEN WAY, H I _
PALM DESERT, CA 92211 CITY OF LA QUINTA
/1)
I (760)776-0043 FINANCEU7~PT.
Lic. No. : 588920
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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:.B - License No.: 588920 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date: Contractor: • __ _ 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
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 ST TE FUND Policy Number 229002420'5 06
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to P certify that,in the.- ormance of the work for which this pe • it 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 . net . ...•. .- ome subject to the w. ers'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 tha,.III shou•become Eject to the • r •s'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 700.of the abor Coda,I shall forth. 'th compl•
411 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).: .V IV b ut scant: I
( ) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and 'VI,
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING:PA LURE TO SECURE WOR' -S'COMPENSATI' `OVERAGE IS UNLAWFUL,AND SHALL
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Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL'ENALTIES AND CI I s. UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS(S 100,000). IN ADDITION T•'.THE COST OF CO v-•NSATIDN,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.
oneyear 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
(g) I,as owner of the property,am exclusively contracting with licensed cantsactors 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 Lice .e Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves theraa -n. •o contracts for :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' Lic se Law.). ! whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 ) I am exempt under Sec. P C.for this reas• the owner,and the applicant,each agrees to,and shall defend,indemnify and hold harmless the City
lif of La Quinta,its officers,agents and employees for any act or omission related to the work being
t� r� performed under or following issuance of this permit.
�te: YJ OYI wnar; Al 2. Any permit issued as a result of this application becomes null and void if work s not commenced
~ within 180 days from date of issuance of such permit,or cessation of wo. for 180 days will subject
Y ONSTRUCTION WWIpermit to cancellation.
I hereby affirm under penalty of perjury that th o is a construction lend •. y for the performance of the I certify that I have read this application and state th. .:a..ve Infor ion is .rr- T. I agree to comply with all
work for which this permit is issued(Sec.309 ,Civ.C.(. city and county ordinances and state laws relating .buil.. a construction, • - ..• authorize representatives
of this cou ty t enter upon the hove-rnent(oned•roperty .r inspection purp-:_ .
Lender's Name: ''nl _
�.te: I I.2 - ature(Applicant or Age II:
IILender's Address: l
LQPERMIT
Application Number 06-00003555
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . 33.50 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 4/04/07
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 IRRIGATION PEDESTAL LOCATED ON
LOT "J" - RETENTION BASIN
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
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LQPERMIT