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13-0714 (ELEC)-4 P.O. BOX 1504" • VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00000714 77865 AVENIDA MONTEZUMA' 773-074-002-131 -000000-- ELECTRICAL PARKS & RECREATION Architect or Engi BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I 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: License No.: Date: % 1 3 Contractor: _ GOLL//Y S F1-G%/L+4 'r 1 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 (commencing 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 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 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.). (_) 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 _ 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 fSec. 3097, Civ. C.). Lender's Name: _------ \� Lender's Address: Is) LQPERI%11T Date: 6/07/13 Owner: COACHELLA VALLEY RECREATION & C/O DON MARTIN 75841.CLINTON ST INDIO, CA 92201 Contractor: LoWi i4S �"txz Y�cv TEV41zUu* CA J7913 @50 R(Q'3�'IIDD 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 n issued. .Y 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 - - - - - - - - - - - - - - - - - - - - - -- Policy Number 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 y%-��-���- WARNING: 3700 of the Labor Code, I shall forthwith 7comply with those -provisions. Date: /// / Applicant: G: 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 ($100,000). 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 this county to enter upon the above-mentioned property for inspection purposes. Date:c�--,, ) �/ _������� (, L Signature (Applicant or Agent): Application Number . . . 13-00000714 Permit . . . . . . ELECTRICAL 2013 Additional desc . Permit Fee 23.83 Plan•Check Fee .00 Issue Date Valuation 0 Expiration Date 12/04/13 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC SERVICES 23.83 ---------------------------------------------------------------------------- Special Notes and Comments 200AMP ELECTRICAL SERVICE FOR PARK ACTIVITIES [PEDESTAL TO BE LOCATED NEXT TO CELL EQUIPMENT FACILITY AND IID TRANSFORMER] 2010 CALIFORNIA BUILDING CODES. June 6, 2013 8:27:43 AM AORTEGA -------------------------------------------------------------------=-------- Other Fees . . . . . . PLAN CHECK, ELECTRICAL 11.92 PERMIT ISSUANCE M/P/E 90.57 Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 23.83 .00 .00 23.83 . Plan Check Total .00 .00 .00 .00 Other Fee Total 102.49 .00 .00 102.49 Grand Total 126.32 .00 .00 126.32 LQPEPNIIT Bin # Cit/ of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # lZj • 0'1 !q Project Address: '� • t0�� Owner's Name: M7 OBJ � / A. P. Number: Address: Legal Description: City, ST, Zip: DN,0/ C ZZ© I Contractor: t��LLfI►oS C (i? -12, � p elephone: % d '3 �7 �U „ >;:: ; :..::.<YY:;::..;:. •:•w •:Y:.t;. • :• ,.:<;>:,:«:>::z:>•«Y;::�;<Y..:.. �,.>:Y:Ys:i:: YYk:., •..2•...�Yt�ay Address: P,0- i3OK 'ST�M&,VeA .• 4zs9-3 Project Description: City, ST, Zip: ! Eiril/1 A ZS�l'3 tJfr .r-- Telephone: 45-1 State Lic. # : 7—?'U / / City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: ::.:j.��:•Y:Wih;:;}:yY<:'ti ^:ii+'Y: �:;Y•CYYJjvYY{:n•K Rc:G..;?:r:i�>.::• :i:^•yi:i;.•,;:oi3:$:;n'::2i: :•: •. ;;;s>:Y:::;:;:;:%.:::::::,. {'ii•: i'.; �:4f Y:}•:.v.: viiv� i:vinj� �> Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: P6NMS tt I AZ.o�V!'%j Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 7-311 I Estimated Value of Project:l� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain pian 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 ` •s} s z :,'tit � `' � .. - ,. 1x � v _. - • . ;�. - 4�.. '� � k. ��.r� _ y1 t � fs'• _ elf ' s 4t j Av 74 � " '+t y` � s ..��:. .� _ � - - �� � r ".. ti - �'' • s-! '6�Y�1��._-tee. ,+�'' � i tt f � r¢ 'Er ,• ..:tom;:, "'" � i _ ,� �' 1F._�d �, r �'� `. a i 't•F ' j ,tee � �.� i;� • � r �` �v h a y -x• �S t �!. • .. r 'fid+-. _� � .. .. .. -t;. "' '. E -orf.".' a � „] � � i �„y �s" � 3 ,, •+� r • 11 .J CUST. IN: 2°4 SCH. 40 PVC: CND.( IID. IN: 1/0 AL. TRIP., 120/240V - 200A 12012240V .VICINITY MAP NTS • DESERT CREATION DISTRICT C0NDU1 _&1_,__ 1 cc SECONDAkY�2UNS SHALL BE NSTALLED AT A DEPTH OF 30 MIN-U-SE-DETML GO SEE SHEET 18 of 20 UN1084305P 15 KVA I TRENCHING NOTES: N - TYPICAL: CONTRACTOR SHALL INSTALL 2" LINE GUARD TAPE (RED) ti "C -A ION: BURIED ELECTRIC LINE BELOW." �, SEE SHEET 19 of 20 z T Call: TOLL FREE X 1-800 422-4133 Two woacw wTs M. rou oa z i UN1084 JE SERVICE NOTIFICATION: 4015191 SERVICE REVISION CHART v. WE 1 "=50' .. 6 Sec.1 D RSONI, CIRCUI I N162 1: 60080180 SHEETONE OF 0 N E 'ERIAL IRRIGATION DISTRICT . WERW, CA COACHELLA VALLEY DMSION UNDERGROUND DISTRIBUTION for u, DESERT RECREATION DISTRICT 77865 AVENIDA IIONTEZUIM � LA OUINTA, CA 92253 SERVICE LAYOUT COLLINS ELECTRIC P.O. BOX 584 TEMECULA, CA. 92593 951-506-3960 FAX: 951-587-6078 3/5/13 Don Saxton Building Maintenance Supervisor Desert Recreation Foundation 45-305 Oasis St. Indio, Ca. 92201. Re: Electrical Service; La Quinta Park Pedestal (revised including per diem wage) The following parameters were used to calculate this proposal; • Supply and install (1) 200amp free standing metered pedestal adjacent to baseball field. • 2" conduit and pull rope trenched and install to existing IID transformer (30', reseeding not included) • Pedestal to include breakers and outlets for the following; (1) 220v 50amp twist lock outlet, (1) 30amp twist lock outlet and (2) 20amp GFCI protected outlets Items Not Included; • Permits of fees Thank you for the opportunity to submit this proposal. Should you have any questions, please feel free to call. Sincerely, Dennis Maloney Collins Electric License #286119