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07-2784 (ELEC) wily / 4 4 i i P.O. BOX 1504 '—"t� 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: 10/18/07 Application Number: 07-00002784 Owner: Property Address: 57942 VALLE VERDE MADISON 58TH LA QUINTA, LLC APN: 762-240-014-J -34243 - 1282 PACIFIC OAKS PLACE Application description: ELECTRICAL ESCONDIDO, CA 92029 Property Zoning: RL AG/EQ OVERLAY Application valuation: 1200 Contractor: Applicant: Architect or Engineer. A ` COCHRAN COMMUNCATION CONST INC 36630 CATHEDRAL CANYON DRIVE our 18 200i CATHEDRAL CITY, CA 92234 � � � (760)328-6778 Lic. No. : 478543 CITY OF LA QuINTA FINANCE DPPT. • 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: C7 License No.: 478543 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is 41_'r9 C77 issued. y�x�e:f S tractor: .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 STATE FUND Policy Number 0008625-2007 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 3700 of the Labor Cod©,I shall forthwith co co l�se provisions_ thathe or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by 0-le— 79V any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: :.te: �c2nt: F/44 ( I 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(S100,000). 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, ( ) 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 Quints,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 building construction,and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. Lender's Name:~ PC ,/� - r � a e: / r i ' nature(Applicant or Agent): '!.t �� Lender's Address: 0 __11�� LQPERMIT Application Number 07-00002784 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 33.50 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/15/08 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 METER PEDESTAL ON LETTERED LOT "J" AT ENTRY OFF AVE. 58 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 N (not to scale) Thomas Guide 5530-C-6 COCHRAN COMMUNICATIONS CONSTRUCTION 36-630 Cathedral Canyon Drive Cathedral City, CA 92234 for TIME WARNER CABLE Pasatiempo Innovative Comm IID Carson Box r r i Intercept Conduit — /15' 3" Conduit Make Ped y , Power Supply 57-qq Gate Lot 68 Lot 67 Wall J Avenue 58 I I �r - /' ' / , ,d - $in # City of La Quinta Building & Safety Division P.O. Box 1504 Permit# 78-495 Calle Tampico L lE34 La Quinta, CA 92253 c'� Building Permit Application and Tracking Sheet k T Project Address: Owner's Name: TAME W,}Rtvt-5 A-I LL A. P Number: Address: W72_5- COOK 37 Legal Description: t9 1V4& ?f'A7{C4: -- City,ST,Zip:,f4 IN DtSf if T 72Ze.Q _ 1 Contractor: COC//R4 AlCJ Ii1Ni C 011(S / Telephone:3 2,0 -/..3 /2 Address: ,36-C,3Q C/} THESF/11 CYN Project Description: City.ST, Zip: CAT/IFJJ RA-L CITY 922,3 it 700 4-MP METE I P,E17.S7AL Telephone: 3 2 3- 6' 77.3 - State Lic.#:/7/ 785 I/3 City Lic.#: 3 b' 5 Arch.,Engr.,Designer: Address: City, ST,Zip: Telephone: Construction Type: A)/4 Occupancy: ivA ' State Lic.#: 1..... Project type(circle one): New Add'n Alter Repair Demo I Name of Contact Person: fi.3 f Sq.Ft.. - #Stories: - #Units: Telephone#of Contact Person: �.. 1-t 44 Z_ a �-'3� ,� Z.,�'� ' Estimated Value of Project: 1� �Z} .APPLICANT::110'kEfTilirlifTE EELOIN THIS 1 IT 'K : <:`=`i=;_`::::;:: .yA _ -- "" # l S_ul3rre[nsL: s:i d :l i�r TRG£I Tilt ��x.Ct�sa�xYs' rtrt:i .. . .... . Structura£ 'Jr. . j.ttr-e•wtEL,.z mod; c* r:orrethc@.i - 'i i OAetz.fi3ZEPsrs3; ,] Trthu Cake. 1 <a:tic -'uttat.=.Verses titalssacc F u u.„ Tide Z4 f'slc. , l &,c pkIros aa i:srF .. .. > C5is;b•'ta I � 'Ciitst °� 3 thus res .rtlattils S i 1:04 lP I : 1 Sul ces::::: r Liu E l 4p tszr Fa3sctt ASiias .... l' _ . fii&:. ;''w. at pertiiit isstu :S.3ri Cir Bttsiaeas I:ac_ fi . art. ' 'Workers!Comp.::. .. _ [rpe-'ar�r ' 9 Plasm A rati=i. ... . is 'r. � a .F .. H..O.A:;Agpfv+rtfl Fire Mar:t! H:IIu@G A:FP rcat: L. ,pp:nr, : ; : bxteaf5 itsapectfoe is j rt� err- ... Fotkl f'er�it�'czt