05-1793 (ELEC) IIIIIII VIII III VIII IIII 58
P.O. BOX 1504 __ IE
^� 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: 5/10/05
Application Number: C-05--00001793---- Owner:
Property Address: 81190 AVENUE 54 EAST OF MADISON LLC
APN: 767-210-038- - - 81100 AVE-53
Application description: ELECTRICAL LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 300000
Contractor:
Applica. Architect or Engineer: SOUTHWEST PUMP & DRILL, INC.
53381 HIGHWAY 111
c COACHELLA, CA 92236
(760)398-3977
M Y Lic. No. : 723919
- ----Z1�- - ------- ------ -- ---
---- -------- - - -------- ----- ----------- ------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
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 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: C57 License No.: 723919 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
nn /
issued.
-e:_ D �Cantracto% -�� lh _ 1 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-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 STATE FUND Policy Number 1705605
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 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 should become 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 Code,I shall fortwith 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 �-„
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: Date' �� Oy rgpplicarit
(_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 WARNING: FAILURE TO SECURE WORKERS'COMPENSATION C ERAGE 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.). APPLICANT ACKNOWLEDGEMENT
1_1 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,
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
Date: Owner: 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
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 building construction,and hereby authorize representatives
of this county to enter upon the above-mentioned property for in$pection purposes.
Lender's Name: ,s Ib g g�7
Date: Si nature(Applicant or A entl: 11
Lender's Address:
LQPERMIT
Application Number . . . . . 05-00001793
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 52 .50 Plan Check Fee 13 .13
Issue Date . . . . Valuation . . . . 0
Expiration Date 11/06/05
Qty Unit Charge Per Extension
BASE FEE - 15.00
1.00 37.5000 EA ELEC SVC <=600V/>200A/<=1000A 37.50
----------------------------------------------------------------------------
Special Notes and Comments
800 AMP SWITCHGEAR/CONTROL PANEL &
MOTOR RUN TO WATER WELL.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 52.50 .00 .00 52 .50
Plan Check Total 13.13 .00 .00 13 .13
Grand Total 65.63 .00 .00 65.63
LQPERMIT
05/09/2005 . '15:26 7603982287 SW PUMP & DRILLING _ PAGE 05/08
a
6
/f O� v°
Lola
s�
M
Ln
N
CD m
L� iD
lJ `
N
m
d CD
O_ Ln
Ln
N
490-120V
CONTROL POWER
TRANSFORMER
21.1
[-36.00— DE � I — cn
MOO 0
c m
O Q DRIP S L
SHIELD CONTROL 00
CONNECTIONSs• ®
,,-CIRCUIT BREAKER N
N
y
600/3 OD
10071 RATFD v
LVJ ® CUR ARE
z
z Fq f TRAM
SCURRENT
O TRAN6FORNERS
DIM-FIRE RATDO 60.:5
SOOW OKSM
o a
T,
DIp—F3RE L3 art,a. rn
'�� BYPASS E
T2 CONTACTOR
C
7200. psi r
fcb
lf7 CIO-FIRE iCO CJ
RUN
Z a
Ei==�l1 >�Ft PERANSai r
r
I — CAt1 PANEL: WHM EMMEL z
2. bacwsumamom 1YPH 12/38 Li
m FREE STAN71N'A e
m srmTa+ 1. ALL OM ARE FOR INICRIOR PANEL LAYOUT
J Rl
Rluss7JCE PURPOSES SP ONLY
.rm _ NIO'iESL UIIFSS Uh1EJtt11�SPC1:8lEA
N
° �1►�N�
Lo SOUTHWEst PUMP INDUSTRIES
m AND DRI W NG ul co roe aan a weao�trn wvnm� .9 usi
> �FIRMWOWSIDEVIEW ""E OUTLINE / LAYOUT n
APPROVALS uATi DIGI—FIRE 400HP MOTOR STARTER m
m _ m
mORMM 14Ttr 01'05 B D3751 n� 03-1777 m
m
NONE �
CD
co
05/09/2005 15:26' 7603982287 - SW PUMP & DRILLING PAGE 07/08 .
32.0030.00
s,o 3�
25
20A0 1+° �,�•'" 20.00
� f
I Iy I
M ---
-----------
11.125 11,125
.tom
UTILITY Cc IMPEPIAL IRRIGATION DIS-RIc / EUSERC
nF
OC Nn
I
UGPS 1 345
SERV LINE TERMINATION 347
CT COMP? 370
SOCKET gETt-R METERPLA-i 332
SOGKET METE? RECORD R I N/A
5MM TERING N/A
38.0
I pp qq aa ❑ UJL SUSS uA
GQO Kc u�U aoc coa V1,
=0 coo acc 00o "C cot:
I mpanal
800A EUSERC lmweon Oiewc
Incoming au;:,tvt Unlit,/
Pull S?c`.on .Compemnent Sp=1.x
P320
I
900
SeCoOn 0 Secton C 2
R;2-"Hum a 800ARfrmr 8u:=800A
T'laugh our=800A T icauph 31jF=800A
Siemens Energy& '00 01.
Automation, Inc- SOUTH WEST PUMP
POO Custarnpr me
REXEL CaLCON/CaTwpOR.aL CITY MS
S J a Lrawn t5y. vake .G
Michael 03/10/05 1308-252RJ-10d I' Sheet 1 0`3
05/09/2005 15:26 7603982287 SW PUMP & DRILLING PAGE 02/08
RESOU��
COUNTY OF RIVERSIDE
Ate DEPARTMENT OF ENVIRONMENTAL HEALTH
WATER RESOURCES ENGINEERING
J )
O
ELECTRIC TO WELL APPROVAL
RECEIVED
APPROVAL FOR (NAME) r—AS+ 0� MA�1•aoyt
(SITE) �b- ! U� + R,�su-'
LPr Z: c�
APN#:
(CHECX 7�)
(CASH) CRT#; E&4)010..
7
PERMIT #(IF ANY)
REMARKS: Electric to well okay. Well may be used for water testing
or agricultural use only. Well water may not be used for
potable water until cleared with this Department.
APPROVED BY:
DATE: Q
05/09/2005 15:26 7603982287 SW PUMP & DRILLING PAGE. 01/08
SoumFACSIMILE TRANSMISSION
WEST
PUMP&WRING 1K
0°SIH(F 1439
TO: City of La Quinta
N
ATTN: Ed Randall
co
o�
c MTLE/DEPT: Counter Technician
•o
r`
x FAX NO. 760-777-7112
0
r\
TELE NO.
r`
m FROM: Brian Jeffers
00
o�
o DATE: May 9,2005
•o
r� TOTAL PAGES: Three
ea
SUBJECT: Electric to Well Permit
M
C-4
e'4
O�
COMMENTS:
W
S
l�
V
Z
f'rl
M
RC1
V
f
J
D
i1
d.
4�
0
05/09/2005 15:26 7603982287 SW PUMP & DRILLING PAGE 04/08
COUNTY OF RIVERSIDE HEALTH SERVICES AGENCY
DEPARTMENT OF ENVIRONMENTAL HEALTH
OWNER'S NAME;
Department Use 0 tll�
SfTE:
PERMIT N0. Us
CITY: `��}f
ASSESSOR'S P.M. NO.: ,
7�r1 2�0 — Q043 North /, lam. {�/d i= SS -2-
40 4
TOWNSHIP____ RANGE SECTION �0 Va SECT• 1/4 1/4 SECT
NOTE: Please see reverse side for Information which must be shown on this Plot plan In order to process this permit
application.
VICINITY MAP
SW SE
t
�EH•8AM•1BLB(Rw P/W) Page 2 W 3