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12-0362 (ELEC) c e i:t I t 4 4 ic 6 0 if , , P.O. BOX 1504 ' 'ii 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: - 4/03/12 Application Number: 12-00000362 Owner: Property Address: 79749 AVENUE 50 PALMILLA MAINTENANCE CORP APN: 772-370-043- - - 1425 E UNIVERSITY DR Application description: ELECTRICAL PHOENIX, AZ 85034 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 2000 Contractor: Applicant: Architect or Engineer: VILLA ELECTRIC, MICHAEL W. 72878 SIERRA VISTA DR1VF --__�� PALM DESERT, CA 92260 ri ) PIA � /� 3 55 r� N� Lic. No. : 655787 r`' / _'" L z_, 2O i4 i ! EELY-tip:air3�u f LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION.I�EBL+I�L[IAT701�=.• I hereby affirm under penalty of perjury that I am licensed under provlsio of or 9 c mmencinp with I hereby affirm under penalty of.perjury one of the following declarations: ----t i�� Section 7000)of Division 3 of the Business and Professionals Code,a in II force and effect. _ I have and will maintain a certificate of consent to self-insure for workers'compensafidn,esprovided Lice aT : C,10 / for by Section 3700 of the Labor Code,for the performance of the work for which this permit is issued. Date:` I,eli ntrector: . I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor II 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 PREFERRED EMPLY Policy Number WICM1455121 _ following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to _ 1 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 sublec-i[q the w. . pessation 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 subjec .• hdw• . -ation provisions of Section License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 37 0 the Labor Code,I she_ or J��J-•co •„, • lslons. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by f r ice]{ r �,� A� . any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: •ate:'^(1 (�J ant: /� 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 WARNIN : =AILURE TO SECU-E W•RKE-S'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($100,000). 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,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 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, •, �,o comply with all work for which this permit is issued(Sec.3097,Civ.C.I. city a •county ordinances and state laws relating to building construction,a f7Sereb"�representatives of q c rn to err u n the above-mentioned property for I e io pC Lender's Name: ! N •�,7 ►' 1 r Dater !.0 /vulture(Applicant or Agent): Lender's Addreas: 11 LQPERMIT Application Number 12-00000362 Permit ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . 15.75 Plan Check Fee . . 3.94 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 .75 Special Notes and Comments INSTALL 2,000 WATT GENERATOR FOR TEMPORARY POWER FOR GATE MOTOR & LIGHTING @ GUARDHOUSE WITH CUSTOMER SUPPLIED TRANSFER SWITCH. 2010 CODES. Other Fees BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due Permit Fee Total 15.75 .00 .00 15.75 Plan Check Total 3.94 .00 .00 3 .94 Other Fee Total 1.00 .00 .00 1.00 Grand Total 20.69 .00 .00 20.69 LQPERMIT --- - Bin# City of La Quinta . Building eZ Safety Division P.O.Box 1504,78-495 Calle Tampico Permit# 310 2' fa.Quinta,CA 92253-(760) 7'77 7012 1 9" Building Permit Application and Tracking Sheet Project Address: Owner's Name: a ill/i � � A.P.Number: Address: , A(54?4'i(V qq r Legal Description: • i City,ST,Zip: �arA1fWI Telephone: n( di4lr • .....'. ' . 4 (yk , , 11 Contractor. �� Address: r' � e a I r, Project Description: City,ST,Zip: IA[ A •lh i Telephone: . IMP' .. " :: 2 �0 d{ y /- -jf(111 7)47t. c411 �J iv', I , State Lic.#: •- , . m� 1 ty Lic.#; U / r �eia 0 N' Arch Bngr•,Designer. • _ r i 9 /. ci—f e�4, e ' 70 AL Address: r 7l /r '' e City,ST Zip: • �� n r, i' " p 1 ? 11 LLB .. ii J is:r Telephone: i Construction Type: Occupancy: n State Lic.#: '"~ ' s 1 ;)' ,� �iliAt • ' .•: .�� Project type(circle one): New Add'n Alter Repair Demo Name of Contact Person: rVi Ai a _ Sq.Ft: #Stories: #Units: Telephone#of Contact Person: Lt6 9IL, f'r i Estimated Value of Project" APPLICANT: DO NOT WRITE BELOW THIS LINE • # Submittal Req'd Rec'd TRACIt;ING PERMIT FEES Plan Sets Plan Check submitted Item Amount 1- Structural Calls. Reviewed,ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction r • 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