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11-0116 (ELEC) ceily/ 4 4, ardia 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: 2/01/11 Application Number: 11-0 0 0 0 0116 Owner: Property Address: 79779 TOM FAZIO LN S QUARRY LA QUINTA HOMEOWNERS AS APN: 766-050-013- - - 1 QUARRY LN Application description: ELECTRICAL LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1000 Contractor: 'Applicant: Architect or Engineer: HEGGE ELECTRIC, DON J `77760 COUNTRY CLUB DR, ST a l-:141:- PALM DESERT, CA 92211 r ) ��;��'� (760)200-5981 Lic. No. : 491949 C' : ',.!.....2 iii---...ji, 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 Pro es 'onals 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.: 4 9194 9 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is •"'.II�at 7 issued. e: h V1 trectar: 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•9U R 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 PREFERRED INS Policy Number WIIN1247356 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 subje9ct 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,- scams sub] t A the workers'compensation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3 00 of the La r Code,I II fonhvr omply with those 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).: aate:1�f'/� plicarn: . ( ) 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'COMPENSATIO RAGE 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 15100,000). 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.). APPUCANT ACKNOWLEDGEMENT I_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 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_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 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.I. city and county ordinances and state laws relati•; • ui.err .• ruction,and he -h authorize representatives • of tbls county to enter up n the above mention.•property for Inspe •n purpos. Lender's Name: y :} r _l 1 i'�. Data: it ( ignature{Applicant or Agent): �' I.— •n'I!, Lender's Address: Ily._IL F�� LQPERMIT Application Number 11-00000116 Permit ELEC-SERVICE CHANGE INV FEE Additional desc . Permit Fee . . . 67.00 Plan Check Fee . . .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/31/11 Qty Unit Charge Per Extension BASE FEE 30.00 1.00 37.0000 EA ELEC SVC <=600V/<=200A 37.00 Special Notes and Comments REPLACE EXISTING 100 AMP LANDSCAPE PEDESTAL. 2010 CODES. INVESTIGATION FEE ASSESSED PER 1997 UNIFORM ADMINISTRATIVE CODE §304.5 FOR WORK BEGUN WITHOUT BUILDING PERMIT. Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 67.00 .00 .00 67.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 68.00 .00 .00 68.00 LQPERMIT jESSMENT PURPOSES ONLY. NO LIABILITY II.2.12. Tom. fii►vo L.,i t' ; SEC. 29 T.65 R.7 E 1TRA 020-089 o DF THE DATA SHOWN.ASSESSOR'S PARCEL - ---- — —_--' I 020-093 f•SPLIT OR BUILDING SITE ORDINANCES CITY OF LA QUINTA cv Er' - I�Ip- l L. E,i .?rr2.8 0 o co 19 20 r "°°'°°'La 58TH AVE N 414.3] 1 LOTN Ti OEX a, 30 29 ,,.�y' 1 ��� / ti'�y, r 1 -'+" ' i Q 4tr orsNs. MS9 • 1 �1: 1 r 7 �' 3.67AC 44S 2tAa CJ l 1[i.J �� rQrzOo I ; 41�# �d •Z T�0 i' J CC Q • POR •a ' LO 666 • o 178.SQ } 10 POR LOT 66tO A g a sr s POR LOT 68 04 ' o 0 AC ML. ' 0 149.32 AC ML cii n 6 , r ty4 33.{07.3$ ��1-95 nAQ N 1t6. Y`a6s O } N 1 A" l.or Ca `liz 2 f 72.B Q 4f 49- 1 ��{ :a ill ' lq-119 -im Fivuo 1-4 S- ai 1.19 124.73 oO � *lisrall 8.46 AC MIL TRA 020-089 2 OD . }it ITRA 02 -O j - 2.03 AC MIL I II: > ------- Ilk .11 ______________- r wow l •irs�yr LTA►: \ Bk 782 I Pg 01 Pp 04 F.."11w-•.17771 \Data . ;` _' GLO PLAT 1._ ©R 76fi RS 45/7 6O RDS P 02 r •' .rsi C� ;_ ; BO'RDS PER INST 9 ■ ;5 32692 4/59 I r Pg.13 1 Morgan MB 346/62-68 MB 249 / 1 - 14 TRACT MAP NO.27728 January 2009 Kay Hensel From: Greg Butler Sent: Tuesday, February 01, 2011 3:29 PM To: mdtijerina@iid.com Cc: Carlos Partida (IID); Steve Traxel; Kirk Kirkland; Kay Hensel Subject: Pedestal Address Changes-Quarry at La Quinta Attachments: Picture (Device Independent Bitmap) Mary, Here is the information about which we spoke on the telephone this afternoon. Don Hegge, of Don Hegge Electric, is replacing two corroded meter pedestals at the Quarry. In the course of issuing permits for the work, I need to change the addresses to make them correct. Meter#1: Old address that you supplied to Hegge: 79700 Tom Fazio Lane South (located near the southeast corner of Tom Fazio Ln and Quarry Ln, across from the clubhouse) New address assigned by me: 79779 Tom Fazio Lane South (on Lot G, Tract 2728) Meter#2: Old address that you supplied to Hegge: 79185 Tom Fazio Lane North (located across the street north of 79285 Tom Fazio Ln N, adjacent to project perimeter wall) New address assigned by me: 79272 Tom Fazio Lane North (on Lot E, Tract 2728) These changes are effective today, February 1, 2010, and will be the addresses that we release when the work is ready for meters. Please confirm these changes at your earliest convenience. Yours truly, Greg Butler Building&Safety Manager City of La Quinta, CA 760-777-7015 (tel) 760-777-7011 (fax) gbutler@la-quinta.org 1 Bin# City of La Quints , Building 8r Safety Division Permit# P.O. Box 1504, 78-495 Calle Tampico La Quinta,CA 92253-(760) 777-7012 1`" \` Building Permit Application and Tracking Sheet 'Project Address: Owner's Name: • ('" - t 1 tb-fZLi t-+-c)I A.P.Number: Address: ` ()tl 4. Legal Description: City,ST,Zip: (,,-,p 1 i 1hi„ 1 - Contractor: t Telephone: 0 - Address: " )7 - ri C.47 fyA-ail �� I� Project Description: [� City,ST,Zip: {i1 L � &... 9��-t L 119-L", P--t 1 Telephone: ?bO -LOe .S ,w,,,-: L14^c A St..ay.— cl , .. State Lic.#: C-/U 44-77 I 741 City Lic.#: Arch.,Engr.,Designer. r--� 1�1 Address: 71 '7 00 Tom t-e z 6 L 1t`I'L 31 y City,ST,Zip: E t✓ 6S f drtq Fi4 -1 Z d I-ktv _ r\Chilk Telephone: Construction Type:\-.. 217- Occupancy: State Lic.#: y,,' Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq.Ft.: I #Stories: l #Units: Telephone#of Contact Person: Estimated Value of Project: AV 0—fri '6 _ APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING 1 PERMIT FEES . r 1 Plan Sets s Plan Check submitted Item Amount - Structural Calcs. Reviewed,ready for corrections Plan Check Deposit Truss Calls. Called Contact Person Plan Check Balance Title 24 Calca. 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 Grant Deed Plans picked up 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.I.P.P. Pub.Wks.Appr Date of permit issue School Fees Total Permit Fees