12-1391 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00001391
Property Address: 77655 AVENIDA MONTEZUMA
APN: 773-083-025-2 -000000-
Application description: ELECTRICAL
Property Zoning: COVE RESIDENTIAL
Application valuation: 700
Applicant:
6..44*440^7
Architect or Engineer:
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RW REAL ESTATE
52700 AVENIDA ALVARADO
LA QUINTA, CA 92253
Contractor:
JMK ELECTRIC
44451 CAMBRIDGE AVENUE
BERMUDA DUNES, CA 92203
(760)218-1172
Lic. No.: 962833
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760)'777-7153
Date: 12/27/12
u
De
F -JAN 31 2013D
LA QUIN!
.E DEPT
-------------------------------------------------------------------------------------------------
- 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 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: C10 License No.: 962833
_
for by Section 3700 of the Labor Code, for the performance'of the work for which this permit is
2•Q
issued.
Date: / 3 Contractor:
_ 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 -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 E MPT Policy Number EXEMPT
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 shal r ith 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: /-3/—/.3 Applicant:
(_ 1 1, 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 W ERS' 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.).
1 _ 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.).
(_ ) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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
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 this county to enter upon the above-mentioned property for i*nsp2EJLQ purposes.
Date: / 3/-/3 Signature (Applicant or Agent):
Application Number . . . . . 12-00001391
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 32.25 Plan Check Fee
8.06
Issue Date . . . . Valuation . . .
. 0
Expiration Date. 6/25/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
20.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
15.00
5.00 .4500 EA ELEC DEVICE/FIXTURE >20
2.25
----------------------------------------------------------------------------
Special Notes and Comments
UPGRADE TO KITCHEN ELECTRICAL LIGHTING
AND RECEPTACLES, INCLUDING RELOCATION
TO COMPLY WITH REVISED CABINETRY.
KITCHEN LIGHTING TO COMPLY WITH ENERGY
CODE - CF -6R -LTG -1 FORM REQUIRED AT
FINAL INSPECTION. 2010 CALIFORNIA
BUILDING CODES.
December 27, 2012 9:02:12 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 32.25 .00 .00
32.25
Plan Check Total 8.06 .00 .00
8.06
Other Fee Total 1.00 .00 .00
1.00
Grand Total 41.31 .00 .00
41.31
LQPERMIT
tstn o
Permit # #a
JC Project Address: '7412
7�lS
A. P. Number:
y[ Legal Description:
Contractor:
Address: /
City. ST, Zip:
Telephone: 710
jC State Lic. #: 15i" 3
Arch., Engr., Designer:
Address:
Cita. ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person:
Telephone # of Contact Person
# Submittal
Plan Sets
Structural Calcs.
Truss Calcs.
Title 24 Calcs.
Flood plain plan
Grading plan
Subcontactor List
Grant Deed
H.O.A. Approval
IN HOUSE: -
Planning Approval
trP;hU1b10.W'1,'1,k"s*. Appr
ees
City of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
wner's Name: R v Re4 fq,7,e
Address:
City, sr. zip:
4. C�/uh ��l�1dS3
e
/�1G3
0 City Lic. #: a70,16 qi
Description:
Total Permit Fees
S
Construction Type:
Occupancy:
Project type (circle one):
Ne%% Add'n Alter Repair Dcmo
Sq. Ft.:
# Stories:
# Units:
7-2 Estimated Value of Project
APPLICANT:
DO NOT WRITE BELOW THIS LINE
'd
Recd
TRACKING
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Plans picked up
Construction
Plans resubmitted
Mechanical
2'' Review, ready for correclionstissue
Electrical
Called Contact Person
Plumbing
Plans picked up
S M 1
Plans resubmitted
Grading
Review, ready for correction t ue
Developer Impact Fee
Called Contact Person
4 1 P P
Date of permit issue
Total Permit Fees
S
I
- -
...__BUiLDlNG &SAFETY -DEPT.- - :
1 APPROVED -
FO+R CONSTRUCTION
- - - -- - - - - d- - -� - --� -DATE IL 2d2fiUmBY
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RESIDENTIAL KITCHEN LIGHTING WORKSHEET
Project Title
Date
WS -5R
At least 50% of the total rated wattage of permanently installed luminaires in the kitchen must be in luminaires that are high
efficacy luminaires as defined in Table 150-C. Luminaires that are not high efficacy must be switched separately.
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens.
Luminaire Type High Efficacy? Watts x
7 Quantity = High Fffirni , w....
Yes -V
No o
Yes
Yes ❑
No ❑
Yes ❑
No ❑
Yes
No
---— x —�-- _ - - or
Other Watts
—'6L2— x --A — = or
x =
or
X
= or
Total: A -
Rules for Determining Residential Kitchen Luminaire Wattage
or
COMPLIES IF A > B Yes se No o
Screw Base Sockets §130(c)1
(Not containing permanently installed ballasts) The maximum relamping rated wattage of the luminaire, as listed on a permanent
factory -installed label (luminaire wattage is not based on type or wattage of lamp that is used).
Permanently or Remotely Installed Ballasts §130(c) 2
The operating input wattage of the rated lamp/ballast combination based on values published in manufacturer's catalogs based on
independent testing lab reports.
Line Voltage Track Lighting (90 through 480 volts) §130(c) 3
1. Volt-ampere (VA) rating of the branch circuit(s) feeding the tracks; or
2. For tracks equipped with an integral current limiter, the higher of;
• The wattage (or VA) rating of an approved integral current limiter controlling the track system or
• 15 watts per linear foot of the track; or
3. For tracks without an integral current limiter, the higher of;
• 45 W per linear foot of the track or
• The total wattage of all of the luminaires included in the system.
Low Voltage Track Lighting (less than 90 volts) §130(c) 4
Rated wattage of the transformer feeding the system, as shown on a permanent factory -installed label
Other Lighting §130(c) 5
(Lighting systems that are not addressed in §130 (c) 1-4) The maximum rated wattage, or operating input wattage of the system,
listed on a permanent factory installed label, or published in manufacturer's catal
EXAMPLE s, based on Independent testin lab reports.
RESIDENTIAL KITCHEN LIGHTING WORKSHEET
WS -5R
Project Title /
Date
Kitchen Lighting Schedule. Provide the following information for all luminaires to be installed in kitchens.
High Efficacy
Luminaire T e /n Watts x Quantity. Hi Efficacy Watts or Other Watts
.CFL -1 Yes
26 x> 5 — 130
itMR-16 No 55 :x; 2 or.. -.
or 110
X. - of
x -
- or;
X=
or
Total: A: 130 B: 110
COMPLIES IFA >_ B : _ Yes ®. No o
Residential Compliance Forms
December 2005