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06-4150 (ELEC) . . . ._ • ceitit, 4 4 Quuri. 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: 12/01/06 Application Number: 06-00004150 Owner: Property Address: 58510 MIJAS CORAL OPTION I APN: 764-200-999-I -316812- 79295 RANCHO LA QU..INT• ,1 Application description: ELECTRICAL LA QUINTA, CA 92253 I w -1.--.----..ti Property Zoning: LOW DENSITY RESIDENTIAL ® MI6 valuation: 2500 DEC Contractor: cm(OP LAWNY'► 1 Applicant: Architect or Engineer: TD DESERT DEVELOPMENT P CEDEFI. P 0 BOX 1716 �� LA QUINTA, CA 92247 (760) 771-1941 Lic. No. : 762987 • illiP • 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.: 762987 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is v ate:f ontracinr: � I haavee 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-8 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 COMPWEST Policy Number CA005001482002 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'c mperisation 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'corn nsation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor Code,I shall forthwith comp) with thus rovlslons. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by f any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: "ate: plicani: / ( ) 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: AILJRE TO SECURE WORKERS'COMPENS N C ERAGE 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• CIV NES 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 PENSATION,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 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 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 . 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 ply 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 rep- motives • of this ••• to enter upon the above-mentioned property for i ion purpasay Lender's Name: // ..'re; JJ� azure(Applicant or Agent): Lender's Address: �` LQPERMIT Application Number 06-00004150 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 33 .50 Plan Check Fee . . .00 Issue Date . . . Valuation 0 Expiration Date . 5/30/07 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 HOA POWER PEDESTAL IN COMMON AREA 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 LQPLRAIIT /r/3v Bin # ' City of La Quinta Building& Safety Division Permit# P.O.`�O Box 1504, 78-495 Calle Tampico La Quinta, CA 92Z53-,(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: S 8 SI o .lJ A P.Number: Owner's Name: 7-0 , s,SCT 3 Er u, --,7 Address: O .Ro /7/4 Legal Description: -Z C-T 3 1(0 ei t 'Z__ Contractor. ( �O . 0 � City,ST,Zip; of LiZ l � �� Address: f'Y Telephone: ?7/ l i' r 1 .'''` -::_ ::. ;,f.. 0 � � �—5•-r•�._.� 'ram�:i� SE Project Description: City,ST,Zip: ' Z Z --• Telephone: / 7 g �/ �: -,v._w _ _ 7:� ��0� �7, / � Go �•�tn- _ • •:- St Lid.#. 7G Z`P.S 7 city Li` : - V.� .i =• /p c u ¢� � f S 7�t'L Address: .••Le fi_- . 6::4- :in /!''l' ' r - City,ST,Zip: 1, c. E (� j = _` _ : . IIEEMMIIIIIIIIIIIIIII Name of Contact P � tT ." Project typo(circle ono• e. Add'n Alter Repair Demo Person: '��A.,.4i/ L' # Sq.Ft.: _ Stories: #Units: Telephone#of Contact Person: 7 I /— g/ � • Estimated Value al'Project: '�ZSEv,o `.�'- - APPLICAN7: DO NOT WFI1TE•EEI OW THIS LINE 1111 Submittal Req'd . Rec'd TRAC:ICING i?ERlYIIT FEES Plan Sets Plau Check submitted Item Structural Calcs. Amount Reviewed,ready for cerrectivns Pl:a Check Deposit Called C)Rtact gerroa Plan Check Balance Energy Gales. Plans Picked upI • Flood plain planIIII Construction Plans resubmitted Mechanical Electrical Grading.plan 2'a Review,ready for correcfloasrissue Subeontactor List Galled Conti�ct Persoa Grant Deed Plumbing- Plans picked up • S.M.I. H O.A.Approval Plans resubmitted • Grading IN HOUSE:- ''t Review,ready for corrections/issue • Developer Impact Foe Planning Approval Caned Contact Person `r A.I.P.P. Pub.Wks.Appr Date of permit issue • School Fees Total Permit Fees