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10-1022 (SOTB).5 P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00001022 Property Address: 45130 SEELEY DR APN: 604-040-057- - - Application description: STRUCTURES OTHER THAN BUILDINGS Property Zoning: TOURIST COMMERCIAL Application valuation: 0 Applicant: Architect or Engineer: N �(P ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Class: A B License No.: 850104 Date: ontractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 Icommencing with Section 7000) of Division 3 of the Business and Professions Code) or 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).: (_ 1 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 Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within 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.). (_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_ 1 I am exempt under Sec. , B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/04/10 Owner: LA QUINTA REDEVELOPMENT AGENCY 78495 CALLE TAMPICO LA QUINTA, CA 92253 rContractor: RDP/SCI INC 83777 AVENUE 45 INDIO, CA 92201 (760) 347-5257 i `' t:;•::"``I s.yYi :y�l� Lic. No.. 850104 ------------------ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. 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 insurance carrier and policy number are: Carrier STATE FUND Policy Number 238-009684 _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section . 3700 of the Labor Code, I shall forthwith comply with those provisions. RE {t plicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. 1 . Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application, 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. 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 permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize'representatives of county to enter upon the above-mentioned property for inspection purposes. Date: gnature (Applicant or Agent): .Application Number 10-00001022 Permit . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 00 Plan Check Fee .00 Issue Date . . . . 9/30/10 Valuation . . . . 0 Expiration Date.. . 3/30/11 -----------------------------------------------=---------------------------- Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 00 Plan Check Fee .00 Issue Date . . . . 9/30/1.0 Valuation . . . 0 Expiration Date 3/30/11 Qty Unit Charge Per Extension 19.00 .0000 PER ELEC DEVICE/FIXTURE 1ST 20 .00 ---------------------------------------------------------------------------- Special Notes and Comments (19) PATHWAY LIGHT BOLLARDS - CONSTRUCTION PART OF THE 2010 PIONEER PARK EXPANSION/IMPROVEMENTS PLAN SET . NUMBER 10034. 2007/2008 CALIFORNIA BUILDING CODES. September 30, 2010 3:25:29 PM AORTEGA Fee summary Charged Paid Credited ------------------------------ Due --------------------------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 LQPERA1IT i .. - �. � _ ,�. t t 1• .i+ w.;• �,� �S , ,fir _ , } •- i BUILDING ENERGY ANALYSIS REPORT ` PROJECT` w Pioneer Park. Improvements. -`Site Lighting La Quinta, CA iy.y Project Designer.: Report Prepared by Design West Engineering 275 W. Hospitality Lane •- Suite 100 _ San Bernardino , California 92408 909-890-3700 4 CITY OF LA,QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION 10-113` z ^ 9L Date: 9/24/2010 ,z . ` O.� The EnergyPro computer program has been used to perform the calculations summarized in this compliance report. This program has approval and is authorized by the California Energy Commission for use with both the Residential and Nonresidential 2008 Building Energy Efficiency Standards. This program developed by EnergySoft, LLC—www.energysoft.com. Energ Pro 5.1 by Energ Soft User Number. 4473 RunCode: 2010-09-24710:13:03 ID: 10-113 �'L "t Ell CERTIFICATE OF COMPLIANCE -(Part 1 of 4 OLTG-1C ,Project Name- l Pioneer Park., Improvements - Site Ligfating r '�. = 9/24/2010 Project Address Total Illuminated Area La Quintei,,CA 5,387 GENERAL INFORMATION Phase of Construction: 0 New Construction . ❑ Addition. O .Alteration .Documentation Author's Declaration "Statement L I certify that this. Certificate of Cornpliance.documentation is accurate and •complete: f Signature Name- _ A�- \ V U3—u. -- r. Company Dale Design,WesiEngineering 9 /2010 Address CEA tt. '275 W_Hospitality Lane,- Suite 100' - CEPE.Ji City/State/Zip t ' San Bernardino , California 92408' Phone 909<890=3700 ' Principal Lighting Designer's Declaration Statements • 1 am eligible under Division.3 of the,California Business and' Professional Code to accepf responsibility,for the - lighting design. 6 This Certificate of'Compliance identifies the'lighting features and performance specificatio.ns`requiced for compliance;with Title 24, Pages.l, and'&&.of the California Code of" egulations, • The design features represented on :this:Certificate of. Compliance,are consistent with-thd information provided to;document'ttiis design.on the.other;applicable compliance-forms, worksheets, calculations, plans and specifications submitted to°the enforcemerifagency for approval with this buildi permit application,' Name r Slgnatu Juan A. Araujo F .Company Phone Design West Engineering (90):,6004700' Address' __._ License 275 W.:HospitalrtyLane Suite'100. . . . , _: 7 Pity/State/Zip- - Dale San.Bernardino CA 92408 Priftipal'Lighting Designer's: Declaration _ El; I certify that this Certificate :of Compltaricerdocumentation inaccurate and complete, and accounts-for all outdoor lighting power,;including.building mounted, pole mounted, as well as all other lighting. designed forahe site, and that -Additional Lighting "Power Allowances for Specific, Applications.or Additional Llgl ting:.Power Allowances:for Qrdinance Requirements have not'bee,n counted more than:one•time for the same_area to'accordance with`,,Sectiom147. of, the _ . . Standards.. outdoor Lighting.MandatoryMeasures Indicate' location on building plans of Mandatory Measures•Note Block- LIGHTING COMPLIANCE.FORMs & WORKSHEETS (check box if worksheets'Is included) For detailed instructions on the use of this and alrEnergy Efficiency Standards compliance forms; please refer to the;Nonresidential Manual published by the California Energy Commission_ © OLTG-1 C Certificate of Compliance All 4 pages required on plans for-all submittals. ❑ OLTG-2C; .(Pages i of 3) Lighting Wattage Allowances for General Hardscape, Sales Frontage,'or Ornamentat Lighting. Optional on - plans. ❑ OLTG-2C (Pages 2 of 3) Lighting Wagage Allowanceior. Per Application; or Per Area, Optional on.plans . , ❑ OLTG-2C (Pages 3 of 3) Additional Lighting Power Allowance for Ordinance Requirements. Optional on;ptan§., ' Ene Pro 5.1 b Ener Soft User Number: 44;73 RunCode:2010-09-24710:13:03 - 0:10413' 'Page 3 of 7, CERTIFICATE OF COMPLIANCE Part.2 of 4 0LTG-1 C Project Name Pioneer Park Improvements - Site Lighting Date 9/24/2010 COMPLIANCE FIXTURE / LIGHTING CONTROL SCHEDULE and FIELD INSPECTION CHECKLIST INSTALLATION CERTIFICATE, OLTG-1 INST (Retain a copy and verify form is completed and signed.) Field inspection ❑ CERTIFICATE OF ACCEPTANCE, OLTG-2A (Retain a copy and verify form is completed and signed.) I Field Inspection ❑ Luminaire Schedule Installed Watts A B C D E F G H I Name or Item Ta Luminaire Description' See footnote below i.e.: 1 lam ole -to shoe -box 400 watt metal halide C c Q o a 00 jv ` E � J 7 Ca _ w s to How wattage was determined D ` E E z J N x S o Field Ins ector' E o o v ao 0 0 o co ° o z Q U) a ti F1 100w 42" Bollard 100-01 ❑ o ❑ 19 1,9001 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ T ❑ ❑ ❑ J ❑ Enter total into OLTG-1 C; Page 4 of 4: Row H; Total Installed Watts: 1,900 1. Type of luminaire (i.e.: post top, wall pack, surface, shoe box); for non -incandescent luminaires, indicate nominal lamp wattage and lamp type (i.e.: fluorescent, incandescent, HID); ballast type (i.e.: electronic or magnetic); number of lamps and number of ballasts per luminaire. For incandescent luminaires, the luminaire wattage listed in column D shall be the maximum relamping rated wattage on a permanent factory -installed label on the luminaire, NOT the wattage of the lamp (bulb) used, in accordance with Section 130(d or e). 2. If Fail then describe on Page 2 of the Inspection Checklist Form and take appropriate action to correct. Verify building plans if necessary. EXEMPT LUMINAIRES Field inspection ❑ Name or Symbol Description of exempt luminaires in accordance with §147 MANDATORY CONTROLS Field Ins ection ❑ # Description Location # Description Location SPECIAL FEATURES INSPECTION CHECKLIST See Page 2 of 4 of OLTG-1C The local enforcement agency should pay special attention to the items specified in this checklist. These items require special written justification and documentation, and special verification. The local enforcement agency determines the adequacy of the justification, and may reject a building or design that otherwise complies based on the adequacy of the special justification and documentation submitted. Filed Inspector Notes or Discrepancies: EnergyPro 5.17y EnergySoft User Number., 4473 RunCode: 2010-09-24710:13:03 ID: 10-113 Page 4 of 7 10 - CERTIFICATE OF COMPLIANCE Part 3 of 4 0LTG-1 C Project Name Date Pioneer Park Improvements - Site Lighting 9/24/2010 A. OUTDOOR LIGHTING ZONE OUTDOOR LIGHTING ZONE: ❑ OLZ 1 ❑ OLZ 2 m OLZ 3 ❑ OLZ 4 Is the Outdoor Lighting Zone: m Default in accordance with §10-114, or ❑ Amended by JHA Complete the information below if the default Outdoor Lighting Zone has been amended by the local jurisdiction having authority (JHA): ❑ The site is a government designated park, recreational area, wildlife preserve, or portion thereof, and has been designated as LZ2 or LZ3, in accordance with Table 10-114-A, because the site is contained within such a zone. ❑ The local jurisdiction having authority has officially adopted a change to the State Default Lighting Zone and has notified the Energy Commission by providing the materials required in §10.114(d) to the Executive Director. ❑ The adopted change is posted on the Energy Commission website. B. ADDITIONAL LIGHTING POWER ALLOWANCE FOR ORDINANCE REQUIREMENTS Are additional lighting ower allowances for ordinance in Table 147-C used? ❑ Yes m No Complete the information below if additional lighting power allowances for ordinance requirements are used: ❑ The local jurisdiction having authority has officially adopted specific outdoor light levels, which are expressed as average or minimum footcandle levels, by following a public process that allowed for formal public notification, review, and comment about the proposed change. ❑ The local jurisdiction having authority which adopted specific outdoor light levels and has notified the Commission by providing the following materials required §10-114(f) to the Executive Director. C. ACCEPTANCE FORMS Required Acceptance Tests Designer: This form is to be used by the designer and attached to the plans. Listed below is the acceptance test for the Lighting system, OLTG-2A. The designer is required to check the acceptance tests and list all control devices serving the building or space shall be certified as meeting the Acceptance Requirements for Code Compliance. If all the lighting system or control of a certain type requires a test, list the different lighting and the number of systems. The NA7 Section in the Appendix of the Nonresidential Reference Appendices Manual describes the test. Since this form will be part of the plans, completion of this section will allow the responsible party to budget for the scope of work appropriately. Forms can be grouped by type of Luminaire controlled. Enforcement Agency: Systems Acceptance. Before Occupancy Permit is granted for a newly constructed building or space or when ever new lighting system with controls is installed in the building or space shall be certified as meeting the Acceptance Requirements. The OLTG-2A form is not considered a complete form and is not to be accepted by the enforcement agency unless the boxes are checked and/or filled and signed. In addition, a Certificate of Acceptance forms shall be submitted to the enforcement agency that certifies plans, specifications, installation certificates, and operating and maintenance information meet the requirements of §10-103(b) of Title 24 Part 6. The field inspector must receive the properly filled out and signed forms before the building can receive final occupancy. A copy of the OLTG-2A for each different lighting luminaire control(s) must be provided to the owner of the building for their records. Certificate of Acceptance Luminaires Controlled OLTG-2A' Qty. of Like Outdoor Lighting Equipment Re uirin Testing Description Controls Location Acceptance Tests 1. Insert: OMS for Outdoor Motion Sensor; OLSC for Outdoor Lighting Shutoff Controls; OP for Outdoor Photocontrol; ATS for Astronomical Time Switch; and, STS for Standard non -astronomical Time Switch acceptance. EnergyPro 5.1 by EnergySoft User Number: 4473 RunCode: 2010-09-24710:13:03 ID: 10-113 Page 5 of 7 CERTIFICATE OF COMPLIANCE Part 4 of 4 .0 TG -1 C Project Name Pioneer Park Improvements - Site Lighting Date 9/24/2010 ALLOWED AND INSTALLED OUTDOOR LIGHTING POWER Lighting Wattage Power Allowance A Lighting power allowance for general hardscape (from OLTG-2C Page 1 of 3) 2,587 B Specific application lighting wattage allowance per unit length (from OLTG-2C Page 1 of 3) 0 C Specific application lighting wattage allowance for ornamental lighting (from OLTG-2C Page 1 of 3) 0 D Specific application lighting wattage allowance per application (from OLTG-2C Page 2 of 3) 0 E Specific application lighting wattage allowance per area (from OLTG-2C Page 2 of 3) 0 F Specific application lighting wattage allowance for ordinance requirements (from OLTG-2C Page 3 of 3) 0 G Total Allowed Wattage = Sum of rows A through F: 2,587 H Total installed watts (from Compliance Fixture Schedule, (from OLTG-2C Page 1 of 3) 1,900 Complies if wattage in row H is less than or equal to the wattages in row G m Yes ❑ No EnergyPro 5.1 by EnergySoft User Number- 4473 RunCode: 2010-09-24710:13:03 ID: 10-113 Page 6 of 7 OUTDOOR LIGHTING WORKSHEET Part 1 of 3 OLTG-2C ,' Project Name Pioneer Park Improvements - Site Lighting Date 9/24/2010 A. LIGHTING POWER ALLOWANCE FOR GENERAL HARDSCAPE AREA WATTAGE ALLOWANCE AWA LINEAR WATTAGE ALLOWANCE LWA INITIAL WATTAGE ALLOWANCE TOTAL GENERAL HARDSCAPE LIGHTING ALLOWANCE A B C D E F G H Illuminated Hardscape Area AWA Per Square Foot AWA A X B Perimeter Length of General Hardsca a LWA Per Linear Foot LWA D X E IWA Watts C+ F+ G 5,387 0.092 496 1,437 0.920 1,322 770 Z587 Enter total into OLTG-1 C; Page 4 of 4• Row A; Lighting Power Allowance for General Hardsca a 2,587 m Yes AWA, LWA, and IWA from Table 147-A was used as appropriate for the Outdoor Lighting Zone B. SPECIFIC APPLICATION LIGHTING WATTAGE ALLOWANCE PER UNIT LENGTH Available only for sales frontage) DETERMINE WATTAGE ALLOWANCE LUMINAIRE TYPE DESIGN WATTS A B C D E F G H I J Specific Lighting Application Linear Foot of Frontage Sales Frontage Allowance for OLZ Watts er LF Wattage Allowance B X C Name or Symbol Luminaire Type Lumin QTY Watts Per Luminaire Design Watts G X H Allowed Watts Minimum of D or Enter total into OLTG-1 C; Page 4 of 4; Row B; Specific Application Lighting Wattage Allowance Per Unit Length 0 C. SPECIFIC APPLICATION WATTAGE ALLOWANCE FOR ORNAMENTAL LIGHTING DETERMINE WATTAGE ALLOWANCE LUMINAIRE TYPE DESIGN WATTS A B C D E F G H I J Specific Lighting Application Square feet of Harsca a Ornamental Lighting Allowance for OLZ Watts per ftz Wattage Allowance B X C Name or S mbol Luminaire Type Lumin QTY Watts Per Luminaire Design Watts G X H Allowed Watts Minimum of D or I Enter total into OLTG-1 C; Page 4 of 4; Row C; Specific Application Wattage for Ornamental Lighting 0 EnergyPro 5.1 by EnefgySoft User Number.- 4473 RunCode: 2010-09-24710:13:03 ID: 10-113 Page 7 of 7 Bin # Qty of La Quinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 10-1022 Project Address: 95. Owner's Name: LA, K A. P. Number: Rogow- Address: ?$, y Legal Description: Contractor: L� City, ST, Zip: .: Telephone: Address: Project Description: City, ST, Zip: IY!'tL t�i4a4VAIO, W&VA ' Telephone: Stats Lie. # : City Lie. C Arch., Engr., Designer. Address: City., ST, Zip: Telephone:-�` ��` . : x„ ��� �,�•: s� State Lie. #: . F; fss;y f�!" Name of Contact Person: 1 1 Construction Type: Occupancy: Project type circle one New Add'n Alter Repair Demo Sq. FL: [Estimated # Stories: J#- nits: Telephone # of Contact Person: ' Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 11 Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted i ZS Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs.Called Contact Person Plan Check Balance Tide 24 Calcs. 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.MX H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''a Review, ready for correctlonsAssue Developer Impact Fee Planning Approval Called Contact Person ,I,P,P, Pub. Wks. Appr Date of permit issue I I School Fees Total Permit Fees