06-4053 (ELEC) ceiiiy, 4 4 a
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: 11/22/06
Application Number: 06-00004053 Owner:
Property Address: 81989 VIA SAN CLEMENTE - LA QUINTA 57 ESTATES INC
APN: 764-010-008-58 -31910 - 78401 HWY 111 STE G
Application description: ELECTRICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1000
Contractor:
Applicant: Architect or Engineer; RIGHTWAY TEMPORARY POWER
653 WEST MINTHORN STREET
LAKE ELSINORE, CA 92530
(951)674-8608 {
LiC. No. : 388274 Aii 1
NOV -
. 2 2 2006
•LICENSED CONTRACTOR'S DECLARATION WORKER'S C PE S• I i I• LARATI[ON.j��,�
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 foil ing decl j IYsDP LAu"
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 c ntnt to self- �QE lrn provided
License Cr: H C10 r"�_ �,L, jue No••, 3 8�2 74 for by Section 3700 of the Labor Cod a war tot which this permit is
--}}++ ++ ly+'LL+ issued.
Date: �� L1�1G Contractor: _ I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor
11111 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 REDWOOD FIRE Policy Number W6634040
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 700 of the Labor Cade,I still forthwith c•mply with those pravisi s.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by ry� _
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date:j l r'? r]f•• Applicant:. --
` (_I I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and r •
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO E$ CURE WORKERS'COMPENSATIO COVER E IS UNLAWFUL,AND SHALL
Contractors'State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER j-O-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 1 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,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•builging construction,and hereby authorize representatives
of this co my t enter upon the abuve•montlop d property inspection purposes.
Lender's Name:
Date: 1 3 �]I l+ '} h -
Signature Applicant or Agents
Lender's Address: 11 111
-- 1 �JJ
r
LQPERMIT
Application Number 06-00004053
Permit _ ELEC-TEMPORARY POWER
Additional desc .
Permit Fee . . . . 52.50 Plan Check Fee . . .00
Issue Date . . Valuation . . 0
Expiration Date . . 5/21/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1. 00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
3 .00 7.5000 EA ELEC TEMP SUB POLE 22 .50
Special Notes and Comments
TEMP POWER POLE WITH THREE SUB POLES.
SEPERATE PERMIT ISSUED FOR TEMP
CONSTRUCTION TRAILER. SALES TRAILER
TEMP POWER WILL BE INCLUDED IN SEPERATE
PERMIT FOR THAT TRAILER.
Fee summary Charged Paid Credited Due
Permit Fee Total 52.50 .00 .00 52.50
Plan Check Total .00 .00 .00 .00
Grand Total 52.50 .00 .00 52.50
LQPERMIT
•
Bin i
City of La Quinta
Building& Safety Division
Permit# , �j ,
"� P.O. Box 1504, 78-495 Calle Tampico
(°'"1L La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Q i g?ci vitt,, Are (,+c i,:li i.1 1 Owner's Name: orsrx-
A.P.Number. "1 VI-1 ) Address: j 7 01 H l V y 141 ' l.{, f4 . Ci
Legal Description: .. ,# 1 ' t - F )(�! r y
City,ST,Zip: 1 A (]1 l i 1 I � l i. 0.-3,.3I '`�
1i �! _ T
Contractor: ('i 1 I 1 U � _ 1,/r Li t A]E i f 1-I l�i Telephone: '7� l� �' f .5 `_` :,� 'w
Address: iI i] 1 Vv �_
IY7 k-KITI-iti lc.-N 51— Project Description:
City,ST,Zip: .�'C' ice-- i N b... E ii i 12 r
1
- _
-- `•,..,-__:-.i,„,- i i-ohisliQ ue-ri pili -r-e 4, Lq ,,,:2,
State Lie.# : On-2
7 N `City Lie.#: ,•g 1 1.4'
•
Arch.,Engr.,Designer: -17 r
Address: 3Mi It I i U f9Li J .
City,ST,Zip: I S ,
,1/141 At, pb
Telephone: __= =_ :'
.4- .-:. Construction Tyk. Occupancy:
�
State Lic.#: z : r -
'" -=n.:: -_F . Project type(circle one): New Add'n Alter Repair Demo
. Name of Contact Person: 7 •-fn y:L! q ,I ii.+•\i 12 e Sq.FL: #Stories: - #Units: .
y
r Telephone#of Contact Person: -1 IL 0 "21i- g 3 Estimated Value of Project: $ I 0DO
APPUCANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Reed TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calks. - Reviewed,ready for corrections Plan Check Deposit
Truss Calks. Called Contact Person Plan Check Balance
Energy Calks. 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 MI $.M.I.
ILO.A.Approval _ Plans resubmitted Grading
IN HOUSE:- '"Review,ready for corrections/issue Developer Impact Fee.. •
Planning Approval Called Contact Person A.LP.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees -