07-0388 (ELEC) ty/ 4 eco,
di 1 b.
P.O. BOX 1504 a u" ^, 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: 2/02/07
Application Number: 07-00000388 Owner:
Property Address: 79785 OLYMPIA FIELDS HOVEN JOHN P
APN: 775-152-045- - - 79785 OLYMPIS FIELDS
Application description: ELECTRICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 90 '
Contractor: , - a_Applicant: Architect or Engineer: EDWARDS CONSTRUCTION, :;i
51455 DESERT CLUB DRI ':• FED ' 2u
LA QUINTA, CA 92253
(760)777-8202 WOO.` Lic. No. : 684857 CM a0E
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby a€fir 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 0 of Division 3 of th- - I -- .rid pals Code,and y Ucense is in full force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensation,as provided
License las . B License No.: 84 857 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
issued.
Date: L+ Contractor: �i• _ 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 GRANITE STATE Policy Number 3368904
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 rson in any ma er •as t.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 silo to the workers'co pnsation.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 •.e• •I Ith.omply with thos rovisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by � IP
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars(55001.: Date:,...
ate:.' V ', Applicant: * —
( 1 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: 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($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 contractors)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 hat have read this application and state that the••av "Morn-tion is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and ou ty ordinances and state laws relating to to il• ogrand hereby authorize representatives
of this un to enter upon the above-mentioned propkrtV •. poses. [
Lender's Name: J� • L.J
Dat `� ► Signature(Applicant or Agent): -0 _•_I__
Lender's Address:
LQPERMIT
Application Number , . . . . 07-00000388
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . 15.75 Plan Check Fee . . 3.94
Issue Date . . . Valuation . . . . 0
Expiration Date . 8/01/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75
Special Notes and Comments
ADD ONE GFI OUTLET TO EXTERIOR OF HOUSE
Fee summary Charged Paid Credited Due
Permit Fee Total 15.75 .00 .00 15.75
Plan Check Total 3.94 .00 .00 3 .94
Grand Total 19.69 .00 .00 19.69
LQPERMIT
vim initzryi
DECK
ll
DINING LIVING
rr..+r uv.ur
MASTER DEDROOM
•nu�•
p wrr s
x
uw !-
Kf�CtIEN MA'��fi Ur- 1 WIC
ENTRY PO DER
MA flDt DA'I�n I
��
FAMILY
u•r.u rli
��
ik
C •A 23I1
I�.{ .wi .°°1 I w�c I
it
l _11111
IRV
DEDROOM 2 BEDROOM 3
r rYur
!
I
•
GARAGE - -
I
f
I
• I i
•
LOWER LEVEL The Greens, UPPER LEVEL
-'"LAN E 1`a0-0—SQ FT. — — — s .,,.. : HOMES BY SITIVR Sr COMPANY
The location and size of terra. dory windows In the Interest of continued Improvement; Company reserves the
may change based upon final .+ru++ral design r'I:, right to make modlficallons In Aisne,c, and inirri+r do..inns
Bin#
City of La Quinta
• Building 81 Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-70I2
1-;`, of Building Permit Application and Tracking Sheet
Project Address: 75 655 Cittoveila Owner's Name: fy
A.P.Number:
Address: _R2S 0(11144/kr ftt i_
Legal Description: s_ City,ST,Zip: LA N.CO0 Z2-J 3
T�
Contractor: VIII • Telephone: v r 7 is
,`� r
Address: 5(t 5 ,ae;
a .4 LI zi Project Description: Add � (P' r�
City,ST,Zip: CICAfrt, g2253eful
Telephone: y-i
State Lic.#: + 57 City Lic.#: 3it2-
`
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: l
%1 Construction Type: Occupancy:
State Lic.#: !. Project type(circle one): New Add'n Alter Repair Demo
. Name of Contact Person: Sq.Ft.: I #Stories: I #Units:
Telephone#of Contact Person: Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item
Amount
Structural Calcs. • Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance
Energy Cales. Plans Oicked 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 S.M.L
H.O.A.Approval -Plans resubmitted Grading
IN HOUSE:- '"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