09-0820 (ELEC) eri
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: 7/30/09
Application Number: 09-00000820 Owner:
Property Address: 51038 MANDARINA FB HOLDINGS, LLC
APN: 776-210-011- - - 16900 GOLDENWEST ST.
Application description: ELECTRICAL HUNTINGTON BEACH, CA 92647
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3500
Contractor: 1 '
Applicant: Architect or Engineer: MG LIGHTING & ELECTRIC INC
73804 DINAH SHORE DRIVE PALM DESERT, CA 92211 AUG" 05 'Qn g
(760)770-5696
} A N111� Lb . No. : 754764 C.FINAF LA
�a UCEN ED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I livens rider 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 Prof onals de,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 rise No.; 754764 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
tissued,
e:�� tractor: r 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
0 -BUILDER DECLARATION insurance carrier and policy number are:
I hereby affirm under penalty of pa ry that I am crept from the Contractor's State License Law for the Carrier CA CONTR Policy Number 4503 074
following reason(Sec.7031.5,Business and Pr essions Code: Any city or county that requires a permit to I certify that,in the pert ance of the work for which this permit is issued,I shall not employ any
construct,alter,improve,demolish,or repair y structure,prior to its issuance,also requires the applicant for the person in any mann n as to °come subject to the workers'compensation laws of California,
permit to file a signed statement that he or is licensed pursuant to the provisions of the Contractor's State and agree that,if I euEd me sub) 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 Lab r ode, hall tort comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by [� r
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: 'ate: Q-�7 �Ksplit
( ) 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 ECURE WORK '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 CRIMIN ENALTIES 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 ADDITIO 0 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 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 rmit,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 t at; ve Information arrest. 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 b Idin con ruction, d hereby authorize representatives
of this county to enter upon the above-mentioned Or rt r I pectin urposes.
Lender's Name: ♦♦
Signature(Applicant or Agen
Lender's Address: N
LQPERMIT
Application Number 09-00000820
Permit ELEC-SERVICE CHANGE
Additional desc _
Permit Fee . . . 33 .50 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Expiration Date . . 1/26/10
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50
Special Notes and Comments
INSTALL 200 AMP PEDESTAL FOR IRRIGATION
& LIGHTING AT LOT 17. 2007 CODES.
Other Fees BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
Permit Fee Total 33.50 .00 .00 33.50
Plan Check Total .00 .00 .00 .00
Other Fee Total 1.00 .00 .00 1.00
Grand Total 34.50 .00 .00 34.50
LQPERMIT
`\ IN THE CITY OF LA OUINIA,COUNTY OF RIVERSIDE,STATE OF CALIFORNIA SHEZT 3 Of 6 SHEETS
CITY of LA OVINTA
TRACT NO. 24890 -1 n c3 ;
BONG A SUBDMSION OF LOTS 6,7,0,0,49,50,54,SS,A,AD AND AU
AS SHOWN ON TRACT NO.19199,FILED IN BOOK 210 PAGES 31 THROUGH SL INCLUSNE
FO SHA-LP.,TAGGED L.S.AHC IN THE OFFICE OF THE COUNTY RECORDER OF SAID COUNTY. `7I IA NT III•EGE.
PER PM.-196N,O ,R
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7J�PAIL
JAY MORSE CONSULTING GROUP JULY,1969 �`"G �5 1
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CfTY OF LA QUINTA 1
7i zi BUILDING & SAFETY DEPT
8 Z _ el
APPROVED
34
i15°�S11�rr� /J1 �', FOR CONSTRL1CTfON
c5' 1!,° s.B • IIZ1i1 DATE 1I Aq Oh $Y e
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CURVE TABLE 0 COURSE TABLE ❑ L• , •• 1
R REE1 BOIL AC 101 NB I. £4R 11R �.)' N•IrH' IS N' D.N' 31.14' 4 1 b11'N7 I0.12' d
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2 KPOK5I nm' Oiq'. n.I)' 7 I WE'RE II IV Y A
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SHEET INDEX F
SURVEYOR'S NOTES: NOT--:
SEE SAGE 21OR SERAENTATV/MOTES 0.1/ ANDA PS/16{b.caer.645ri/0/5 AY TAW 5eiga125'5t/
nos-
TOTAL DROSS TRACT POMADE NJIe AC. Marc RC.AETr2/MAD7D)0 f A'7.FE-C.C e.e§"messy 7717Ati
MAMSICwMte5,hcf)ciwriav CAA}Bfa,KIEOZEV AIYM6 m'E hpYg7G
5726E757T'AT3+'O JA�ae/5[b '/W.AVAP/.IIY/MAO'2bE7AY UAW
..ie Roue arAWE75 4F77 54EC.41.1a4 5 B•.RiY11
45 4W1E9 E15 5.45tZT ld 7AE 0I.Sr/17'C1oM4 7WA&946-
APoNAFDBYAV iaNBsoHFvEES A45oca47? .
MOIES:
I SEE SHEET S FOR TRACT LOCATION MAP AND BOUNDARY CONTROL
BASE of BEAS6NOS:
TIE BEANNOS MOWN HEREON ME RASED ON THE CEMERJNE OF JEFFERSON ST..SHOWN AS N OK It AT W ON
RECORD OF SURVEY MEIIN BOOK TS PAO[17 OF RECORDS OF SURVEY,REOORDS OF THE COLNTY OF NVERSIDE
Bin# -q) City of La Quinta
Blnldfng Et Safety Division •
# P.O Box 1504,78-495 Cabe Tampico
PermitLa Quinta,CA 92253-(760) 777-7012
.5/-0 38 Building Permit Application and Tracking Sheet
Project Address: - /17/:),(JDACM 4 L.( Owner's Name: f 3 1—100); .J /6�}e'
A.P.Number: 771 - /� -0/i_ 9 Address: /(o 900 (i D/oe,I?ale .]
26
Legal Description: LOT l7. /,t? OM 90/ -3i 2/ City,ST,Zip: 9
7 �Lrmil� TrI�' �° JL
Contractor: 1 11 cm-tm(,� v ee. 1G. I/1G_ Py Talr one 7/4-437,�—7OJ(i
Address:n3-2cm Otneih SVic Or. Project Description:
City,ST,Zip: Cit.en cn i 6 /earzicnc .-
Telephone:(-706-no•s oc* . z'.?.' _ . ` 7ZJ/' .he.€i6 at) 16 N1W
State Lie.#: ,S L `] @—j - City Lie.#: G259C4,
Arch.,Engr.,Designer: c2 ao AM
Address:
City,ST,Zip:
Telephone: tianiatooltaConstnzciion Type: Occupancy: /JQ/fe,
9.
State Lie.#: - v Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person41 -� SgtFL: #stories: j #Units: /
Telephone#of Contact Person /6-6 770 - 94 Estimated Value of Project: �f J
APPLICANT:DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Req'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Caics. Reviewed,ready for corrections Plan Check Deposit
Truss Cain. Called Contact Person Plan Check Balance
Mlle 24 Cabs. 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
i
Grant Deed Plans picked ap S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person ! A.l.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees
E00/T00E
IVd t0:4T 600Z/LZ/L0