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10-0179 (ELEC) czeuvi. 4 cri adiand 4 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: 3/09/10 Application Number: 10-00000179 Owner: Property Address: 78067 CORONADOS CIR ISLANDS #1 HOA APN: 646-210-018- - - 46200 CAROLINE STE. 101 Application description: ELECTRICAL PALM DESERT, CA 92211 Property Zoning: LOW DENSITY RESIDENTIAL 4, -- Application valuation: 2000 / "''' Contractor: Co}, 0,y 7A Applicant: Architect or Engineer: NAVARRO, ANTHONY ei 40411 TARANTO COURT �� Q'�(„4 J1-1 BERMUDA DUNES, CA 92203 F." 4, C.,1 I (760)972 4061 gip) fr Lic. No. : 881356 tic SED ON ACTOR'S D RATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury tha m li s -der visio of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000)of Division 3 of the 8usin rid f nals e,an 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: CIO c se N .: 881356 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is �-�- issued. (co Can Cr: 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 OW ER-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury flat I am a mpt from the Contractor's State License Law for the Carrier NAVIGATORS INC Policy Nu SATE .Vt 292003 following reason(Sec.7031.5,Business nd Prof -ans Code: Any city or county that requires a permit to _ I certify that,in the performance•. -e wor . hich this peir is issued.I shall not employ any construct,alter,improve,demolish,or r - structure,prior to its issuance,also requires the applicant for the person in any manner so as • •ecome •tact to :wor 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 shoal. me tact to tih r orkers' ompensatlon provisions of Section License Law(Chapter 9(commencingwith Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the Labor C•• all with cu•: with ••se 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(55001.: Tate. 10 el Ica nt: `� . . (_) 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 WA I G: FAILURE TO SECURE WORKE-: CO PENSATION 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"NAL ES 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 - OST 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 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 vs work is not co cad within 180 days from date of issuance of such permit.or cessatio f work f 180 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 tj atithe a nformetlo a correct agree comply with all work for which this permit is issued(Sec.3097,Civ.C.). city and county dinances and state laws relating io bulkfi anstru is nd her auihor) representatives of this yo enter upon the above-mentioned grope r insp i mos Lender's Name: ¢/ bare:Li/ 0 Sig re(Applicant or Agen • Lender's Address: LQPERMIT Application Number 10-00000179 Permit ELEC-SERVICE CHANGE Additional desc . Permit Fee . . . 33 .50 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/05/10 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 NEW 100 AMP METER PANEL. 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 map of la pinta ca- Google Maps Page'1 of 1 Address La Quints,CA Go maps Get Google Maps on your phone I ' Text the word"GMAPS"to466453 C0 0 • • 0 c7 Aw 9� co aG'ega Dr c,oaa ©2010 Google-Map data©2010 Goagle- no IF cw1 ;cc won CA &uSe t\e- eC, http://maps.google.com/maps?oe=UTF-8&ie=UTF8&q=map+of+la+quinta+ca&fb=1&gl=u... 3/8/2010 Bin# City of La Quinta Building&Safety Division Permit# �AA P.O.Box 1504, 78-495 Calle Tampico La Quinta,CA 92253-(760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 78-O75 I,per("jade)g C/R. Owner's Name & p,c(-,4S 1 �A.P.Number: LetI Address: a;.7 t L!DU/7 X- 74 Legal Description: I - r City,ST,Zip: Letpe;ITq ' ` Contractor: G(ec.-k LC l(1C• Tel 1.01 Address: qu i") -FOL[` +ED �+ Project Description: f J ZZ// City,ST,Zip: 4'\C () CA 122 geiAcuc,t ngdot d F v in Telephone:7(eru 972.`tv(, x State Lic.#: 88i?jrj(O City Lic.#; 1 -).52 '8 Arch_,Engr..Designer: Address: City,ST,Zip: Telephone: nr r `.... Construction T tr O State Lic.#: j' :::;; ,_:-; °;" Project type(circle one): Now Add'n Alter Repair)Demo • ..n ::r43 Name of Contact Person: Sq.Ft.: #Stories: #Units: Telephone#of Contact Person: Estimated Value of Project: 2 o oc) APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Iteq'd Rec'd TRACKING PERMIT FEES Plan Ckeck submitted Item Amount SPitra:ctural Cala. Reviewed, dy for co lions a Plan Check Deposit Truss Calcs. Calkd Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Nina resubmitted Mechanical Grading plat! 2,'"Review,ready for corrections/issue Electrical Subcontactor List Called Contact Person Numbing Grant Deed Plans picked up S.M.L H.O.A.Approval Plans resubmitted Grading IN HOUSE:- s.d Review,ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees