07-0238 (ELEC) . ce it ii/0. 4 4 i
P.O. BOX 1504 ObN^1 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: 2/16/07
Application Number: 07-00000238 Owner:
Property Address: 48780 EISENHOWER DR ELKWOOD DOWNS LLC
APN: 658-310-019- - - 3186-C AIRWAY DRIVE
Application description: ELECTRICAL COSTA MESA, CA 92626
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 580
Contractor: I A
Applicant: Architect or Engineer; PARKER LIGHTING AND ELECTRICA
73304 WILLOW STREET FEB 2 O 2007
•
, p 1 ,^ PALM DESERT, CA 92260
�1 (760)346-3524 CITYOFLA
Lic. No. : 553706 FINANCE PA
•
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: C10 License No.: 553706 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 EXEMPT Policy Number EXEMPT
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to 'Ir'ertify 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 s•as t• •.•camp 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 sho d• a subject to =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 La Code, • I forthwith c• if
with th•�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).: eat �4 plicant: /L !,� f +�si. ./ �`
I ) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and 777
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE 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(5100,000). 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 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
J of La Quinta,its officers,agents and employees for any act or omission related to the work being
rlr az� �J performed under or followinga result
issuance this oli this p becomes
atp: (p carter: 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 1 0 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 ahoy In rmation i tract. I to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and county ordinances and state I s relating to buildi n ruction, ereby OUT rim representatives
of this •r my to enter upon the a -mentioned property o pecti'n r es.
a.
Lender's Name:
t0 •r1te�Sig re(Applicant or Agent): f
Lender's Address: �J
LQPERMIT
Application Number 07-00000238
Permit ELEC-SERVICE CHANGE
Additional desc .
Permit Fee . . , 33.50 Plan Check Fee . .00
Issue Date . . , . Valuation . . . . 0
Expiration Date . . 8/15/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
Special Notes and Comments
UPGRADE ELECTRICAL PANEL TO 200 AMPS
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
01/03/2007 14:16 7607777011
LA QUINTA PAGE 02/02
Bin# •`
City of La Quinta
Building St 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; 7fe0180 / iT V 4,7:e cr s Name
A P.Number: Are.. eit2—"03? Address: b—a 4/RW4Yadea1/
Legal Description:207/ 4 4 /Y7' r—oge J =;i City,'ST,zip:(1Q174 A-go ( b/r ? 1�
Contractor: •�� u• tti y Telephone: 7/ 7 a0C, �...
Address: f z Z etkez' . 39 73Z Project Description:
City,ST,Zip:Ala/3� two' 122// -----W7 'T
Telephone:7l�4xx —$7 .. •_ - iv/7t& e-
State Lic.#: City Lic.#:
Arcs ..Designer: !- ;
ry V� Address: .91 , ■ 4r
Ir(ciri'l City,ST,Zip: ■{ /� � J�3'�e
Telephone: . - Co�� Chan Type: 1369
Occupancy
OState Lic.#: -_ _. ' __-._u r_- Project type(circle one):42I ,Add'>u Alter Repair Demo
col . Name of Contact Person: Sq.rt.: 1 #Stories: 1 #Units:
Telephone#of Contact Person: Estimated Value of Project:
_APPLICANT; DO NOT WRITE BELOW THIS UNE _
it Submittal Req'd • Ree!d TRACKING. PROM FEES
Plan Seta Plan Check submitted• Item Amount
4__-_ .
Structural Calve. - Reviewed,ready for krections Plan Check Deposit
•
Truss Calls. Called Contact Person Plan Check Balance
Energy Cafes. Plans[ticked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan ' 2^'Review,ready for corrections/issue Electrical
Subcoritactor Litt Called Contact Person Plumbing
•
Grant Deed Plans picked sip • S.1H.L
•
. FLO.A.,Approval Plans resubmitted Grading
y
• IN ROUSE:- rN 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