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11-0496 (ELEC) ceitif 4 4 P.O. BOX 15044, 4114:41116 -- OI 7�D}�777-7012 78-495 CALLE TAMPICO , Q e AX l'60)77 411 LA QUINTA, CALIFORNIA 92253 BUILDING&SAFETY DEPARTMENT I N ' v t I 53 BUILDING PERMIT MAY 1 p2n11 sl: 1 f Application Number: 11-00000496 Owner: CITYOFI. Property Address: 78532 COYOTE CANYON CT TRADITION CLUB ASSOC A()UINTA APN: 770 190 010 - 78505 52ND AVE FIF.I���}cE°EPT Application description: ELECTRICAL LA QUINTA, CA 92253 Property Zoning: GOLF COURSE Application valuation: 5900 Contractor: Applicant: Architect or Engineer: YOUNG ELECTRIC SIGN COMPANY 1 5405 N. INDUSTRIAL PARKWAY ' DEVORE, CA 92407 t ill (801)942-1359 i p (lk Lic. No. : 250739 V 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 Bu ss 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: C45 License No.: 25073 9 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is + issued. a � e: ] �' 1) ontractor: - Y\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 OWN R-BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of per'u that I am exempt from the Contractor's State License Law for the Carrier TRAVELERS INDEM Policy Number PEUB6058N81310 following reason(Sec.7031.5,Bus ens 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 shoal ecome 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 Shall f 'h 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'0 �� any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: •ate: licant: C' (_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 KERS'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 CRI AL 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 ADDIT( N 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 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 bul Ing construction,and hereby authorize representatives of this county to enter upon the above-mentioned prop for lns ctian purposes. Lender's Name: I f 1�. +ate: C.�17) Signature(Applicant or Agent): 47 e Lender's Address: y1�" LQPERMIT Application Number 11-00000496 Permit ELEC-SERVICE CHANGE Additional desc . Permit Fee . . . 33.50 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 0 Expiration Date . 11/09/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 Special Notes and Comments REMOVE AND REPLACE ELECTRICAL PEDESTAL ON GOLF COURSE LOT. 2010 CODES. NUMBERS ON METER INCLUDE: S 5570C28G09 AT1B4-912 ADG093600412 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 ___________I 4-- si .,_,)__,__ ____ ___ _ _____ _. . ). . ' 1 1 1 4{ . �'�� 5 { JI1I J +t5i d 1 dr9 Itill!I21IJ i(iliS11l141 20'-ri f 4°" s DEACO:: DRIVE EAE rg iI, •Q•-i l I 4y VALEU PLACE 1 I t 1 . jj r4 5j !J 1 51 ... : ,- -. ., r 1� 49 4r; 41 18 Is ea11 I• a �� CD o 7 CA.W ON COURT �- 4 40 Q • © 0 11 u ?7 r a5 �t �1: .P 18 itiP atn q 7a 11 i �ao,rr it? Couo r • ‘c-N. J•7 s I o by � 31 1 2 ° CAkfum., TALKING ROCK TURN o d n �"Vi as rrmil � r '...\. \II 7J ARS�.1.11111141,� 1] r6 �11 57 , I f® IJ •19 f OW ((ES 'i f 1R WA `, SS u galr� 1 ` M �• 1 pe-r,rrne--'(-ter `3 YDu —`.‘ tIKY2 sot `rl 9 �' 1G1AT 1_l�f L " y LATR08Ei9 f 6J LAN)"1 11 bf 65 - • 6. VI L� ''', .,1,111 1NTA 91 :;6 .,,+ CIING &SAFEP(Y OF LA ()U 9J ea , Av. TROOG DEPT. 41 ° P7 TRAC APPROVED 95 ei % \ I 441*P FOR CONSTRUCTION • .PI . \ 9/ 99 ril� I 6 ' ifw 101 :, i ' 5 102f � � � � LJIi . ! !1 La - Bin# City of Quinta Building ex Safety Division Quinta P.O. Box 1504, 78-495 Cafle Tampico Permit# � �aS32 Cfl'?bl La Quinta,CA 92253- (760) 777-7012 /CAt4qt)J C1 Building Permit Application and Tracking Sheet Project Address: 7850..A3.r-e --Z Owner's Name: Tradition Golf Club A.P.Number: Address: 78505 Ave 52 Legal Description: City,ST Zi , P La Quinta, CA 92253 • Contractor YE S CO Telephone: 760 564 6785 Address: 46120 Calhoun St Project Description: Remove and replace City,ST,Zip: Indio, CA 92201 electrical panel pedestal . Telephone:7 6 0 347 3 5 6 6 ;: State Lic.#: 250739 City Lic.#: 103105 rgr Arch.,Engr.,Designer: Same Address: 11 City,ST,Zip: `llon- gclq - 09'2ci Telephone: _ << ;,:;:: p ��� a Construction Type: Occupancy: 0 State Lic.#: type(circle one): New Addn Alter Repair...- Project ) ' Demo Name of Contact Person: Jim Engle Sq.Ft.: #Stories: 1 #Units: 0 Telephone#of Contact Person: 760 347 3566 Estimated Value of Project: $5 9 0 0 . 00 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 Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2"a 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