ELEC (12-0826)54855 Avenida Madero
12-0826
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 12-000 0082 6 Owner:
Property Address:54855 AVENIDA MADERO CALLISTER DANIEL Q & JANICE P
APN: 774-264-028-17 -000000- ' 54855 AVENIDA MADERO '
Application description: ELECTRICAL LA QUINTA, CA 92253 D
Property Zoning: COVE RESIDENTIAL
Application valuation: 500
Contractor:
Applicant: 'Architect or Engineer: DCH ELECTRICAL & LIGHTIN
P.O. BOX 218
LA' QUINTA, CA 92247
(760)23$-0697
Lic. No.::958224
VOICE (760) 777-7012
FAX. (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/02/12
-AU- G ! 20?2 I
CITY OF 1 AQUINTA
Fll a?ICF 'PT
fi
LQPERMIT
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
Class: C10 License No.: 958224
icenseate:
_
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
// L / In1
/Date:
issued.
,' •d ,., /
L Ontfaataf: JIL4y {q/L V
C
I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
—
Cade, for the performance of the work for which this permit is issued. My workerscompensation
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 HARTFORD UNDER Policy Number 57WECER1601
.. 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 Me, I shall forth ith comply with those provisions.
w_
. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
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any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
ate: p , IZ /Applicant: b`I'r/L V M &- V \
(_ 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 WORKERS' 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.).
APPLICANT ACKNOWLEDGEMENT '
(_ 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,
(_ 1 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.
tF ' ?" •'
performed under or following issuance of this permit.
Date:* ` _Uwner.
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 bu' di g construction and hereby authorize representatives
•
Lender's Name:'
of this co nt to enter upon the above-mentioned propefty fpr inspectio urposes.
Oate. + 7 " Signature (Applicant or Agent): v✓`G V M '
Lender's Address: -1/1
. ,
- '
fi
LQPERMIT
r
Application Number . . . . . 12-00000826
"Permit ELEC-MISCELLANEOUS INV FEE
Additional desc .
Permit Fee 40.50 "Plan Check Fee
.. 5.06,.
Issue Date . . . . Valuation
0
Expiration Date 1/29/13
Qty Unit Charge Per
Extension
BASE FEE
30.00
7:00 1.5000 PER ELEC DEVICE/FIXTURE 1ST 20
10.50
----------------------------------------------------------
Special Notes and Comments
ADD 7 EXTERIOR BUILDING MOUNTED LIGHT
FIXTURES ATA LOCATIONS.COMPACT
FLUORESCENT LUMINAIRES. 2010 CODES.
INVESTIGATIVE FEE ASSESSED FOR WORK
PRIOR TO -PERMIT ISSUANCE PER "CRC R108.6
Other Fees ... . . . . . BLDG STDSrADMIN (SB1473)
1.00. ;
Fee summary ChargedPaid Credited
Due _
Permit Fee Total 40.50 =.00 00
40.50
Plan Check Total - 5.06 .00 .00
5.06
Other Fee Total 1.00 .00 .00
1.00
-" Grand Total- 46.56 .00 .00
46.56
.LQPERMIT
BCR EUctric A lIghilng " - •
P.O. Bik 218.
La AaiMi "CP 92247 f ti a t
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ICN C i V 58224-1 V[,'
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CITY O 3 -
BUILDING & SAFETY DEPT.
APPROVED
CONSTRUCTION
FORCO. TION I u-. r- _ •
All construction shall comply .
. ..e
iAiiu.-a....2_1 g California _
n- _- _- ---
Residential, Mechanical, ner nd ]-
Electrical, plumbing,
the La Quinta Municipal Code." /
SPECIFICATIONS__
CONSTRUCTION: Extruded aluminum floodlight with cast aluminum adjustable swlvel 6,
Heavy-0utystamped atuminumHood Extension available (add -HEtopannumbed "
Y =q
LENS High impact clear acrylic
REFLECTOR: HlghlypoUshedspecular aluminum FFL-09 FFL-09•HE
BALLAST' Typel outdoor magnetic clamped core. 120 volt Primary amp draw of 0.16% not FFL-13 FFL-i3-HE
including tamp wattage. 240 volt and 277 volt options available -consult factory for details
LAMP SUPPLIED: FFL-09 9 watt CFL T4 single tube, 4100X,10,000 hour (9w max)
FFL-13:13 watt CFL T4 single tube,4100K 10,000 hour (13w max)
SOCKET, FFL-09:G232-pin FFL-13:43X232-on
WIRING: Standard 120 volt (clack,VYhtte and Ground
MOUNTING: None supplled.SeeMounting Accessories below for options _ -
FINISH: Black texture polyester powder coatopthmal finishes available
8LT ATV -BRT CAM -WTX HJ7l RST WIR WBR -Silt -RBV -CPR -TRC-BAR(CAR -SAV/CAV -BAT
IP44
ORDERING INFORMATION_
MOUNTING ACCESSORIES
C_ATALOGNO. ___ DESCRIPTIONw _
LAMP
SHIP WEIGHT
FEL-09•OLT Aluminum Floodlight
9w,41ooKCFL
2AIbs.
FFL-I3-CAM
FFL-09HE•BLT Aluminumfloodligh6hoodexternsion
9w,4100KCFl
zolbs.
mounted on
FFL-13-120VOLT Aluminum Floodlight
13v44100KCFL
2.OIbs
a FA-26-WBR
FFL-13HE-1I0VBLT Aluminum Ftoodlight,hood extension
13v4,4100KCFL
2-01bs
8LT ATV -BRT CAM -WTX HJ7l RST WIR WBR -Silt -RBV -CPR -TRC-BAR(CAR -SAV/CAV -BAT
IP44
C EET 6
MOUNTING ACCESSORIES
1
T3 fir
0
1
FA-111-TREE
FA-22
(14r-411FA-i11
FMIUeei Ilrr s19
FM2LQ/f t3
/M37F6lef
26•
66o;—
Mn-C f
2t•
s$j-
26r
seem660mm
16 26-
soamm
a/v
tb•
tr 4o5.e
tC 316m
3'
76mam
Y 3-
76mm 761m
sas•
0 67mm
2.63'
67mm
'F
I-
0
sO 0 `2y
m TO 4 0
36„
T---
. -•
T FA30 /A•31 /A•32 4333 :A -N
T
iT.f.mveMfi W xmd.S
CIFA-25126AM
FA-24-MID
fAdHGC1Tf Ht fA•24MDiSif665 STEM EXTENSIONS
ClfA-2" CIFA-39/BnS fA•:KcsRJNl.au
BEAM/GLARE CONTROL ACCESSORIES
JOB iNFOR
y
FA -06-9,13
114' Mini Hex Cell Lower
Gel
r
Or
FA -09.9,13 -BLUE
Blue Plastic
w,- /
►
FQV'1
FA -09 -9,13 -GREEN
Green Plastic Gel
`
w1 &
I a
-HE
Add to catalog number for Hood Extension
1
pv`Lt)tN
oPcommdorn
8LT ATV -BRT CAM -WTX HJ7l RST WIR WBR -Silt -RBV -CPR -TRC-BAR(CAR -SAV/CAV -BAT
LIGHT DISTRIBUTIONS AND PHOTOMETRICS
footcandles
Om0
Me"Feet
footratnd.10
feet Q10d Meters
Feet
t0 I
se
lD
f0
O369
_-
y EC._
7
7
..
x0
7
ps)
20
io
6
6
6
is
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tq
13
S
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15
S IA
l63
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6
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21A Id»
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03
2
ltl
Os
2
674,7 g
100 i7®f•H61®
6T
6e2 1 9)t
1
f797N_i®
t
17T37 1t7f)
1 0106E
0
0
6 7 6 10 Feet
0 1 2 4 S 6 7 8, 9
10 Feet
0
1 2 ) e S 6 7 8 9
..s0 feet
O 1 2 3• 1 S
O OS ID IS 7D i.i SD atatbs
.3
0 OS K ID 13 2D 73
2D t74ttlf
0
OS /D 13 20 )3
SO Metes
FFL-131wfsm dowtomewa
FFL-13 twspread0E0tme-s
FFL-131wf Spread lhotamewcs
Notca,d>e:
foo !es Matin
Feet
Meters
Meters
Fed
OteO
Meters
Feet
e
-
20 ®
8 ` 4,10,6
.. 3 •.. It u
S
7.1
0
la
7s
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6
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1 pOn I61)
W 361
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3
2
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29A IOD)
271 IOS 012)
12917%I t2O)
1D
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2 '
1 (f790
7s
172 04)
102 4y*t03
1w 11028)
1.0
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6 7 6 9 10 feat
%Nil"1 •- : •
0 1 1 2 3 4 S 66 7 9 9
10 Feet
0
-
1 2 3 e S 6 7 8 9
10 Ft ee
0 1 2 l e S
p 6S ID IS 2A 23 SO lscros
0. OS 1D 13 lA 2S
SD Vctet
0
Qf iD IS 2D 13
SD Metes
FFL-13HEHmpteadmotot oks
FFL-13HE wnsprmmommeldn
FFLA 3HE Mansweadmotome0hs
BU -ATV BRT -CAM -WTX tax -RST W!R -WBR -STU RBV CPR -TRC-BAR/CAR -BAV/CAV -HAT
P.O. B•OX 1504 BUrLDING & SAFE.TY DEPARTMENT
OFTI78-495 CALLE TAMPICO (760) 777-7012.
LA QUINTA, CALIFORNIA 92253 FAX (7 60) 777-7011
To: Greg Butler, Building & Safety Manager To CDD: 7`o2Jc - a
From: Les Johnson, Director -Planning Due Date:}- i31 COdc ac.c•
Permit #: /o7 42 Status: %
tui Building. Plans. Plans. Approval
(This is an approval to issue a Building Permit)
The Planning Department has reviewed the Building Plans for the following
project:
Description:
Address or General Location: &9,txe .
Applicant Contact: 'Jo)"ke- 740, Z.6.O 17
The Planning Department finds that:.
❑ ...these Building Plans do not require Planning Department approval.
...these Building Plans are.approved by the Planning Department.
❑ ...these Building Plan
attc orrections
plusA-W 1-fcuM them tc6
require corrections. Please forward a copy of the
the applicant: When the corrections are made
e Planning Department for review.
ns1n, VkbCt0r-Planning
r9cel V ,& ; C)J
R
JUL 2.
City of trt aJL.nto
Ral,ringO r mgt.t
r
1Y t t
Date
13in.#
QtY of" LaQuinta
Budding tri: Safety Division
Box 1504,78-495 Calle Tampico
La "Quinta, CA 92253 - (760) 777-7012
Building Permit Application'and Tracking Sheet
Permit #P.O.
f"
Project Address:
Owner's Name:.
A. P. Number.
Address: ✓ D
Jr S .AvENiAl4 M4Z)5
Legal Description:
City, ST, Zip: L 14 6LO114 r A CR 9 ZZ 53
Contractorti ELEG j'fQIL L1 C f1 1 //C((s
Telephone: 5(pI- (pD7ME
PcojectDescription: /N.5 G(IIctT(D
Address: P BoX Z.$/
City. ST, Zip: (A QJlhl ,, 1 A jai %
70
r3wA r bm 4 A 0uY-!CSC eA
Telephone: dpi)- -T,Yo NOMIN
State Lic. # : . p -75-3z,7-14
lCity Lic.
Arcfi , Engr., Designer
C)\/—
Address:
City, ST, Zip:
Telephone:• "
State Lic. #:
Name of Contact Person:
Construction type -.'"
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: 0 - Z-9"?, ^0(o
Estimated Value of Project a
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Rcq'd
' Rec'd
TRACKNG PERMIT FEES
Plan Sets
Plan Check submitted
0-0 item
Amount
structural Cafes.Reviewed,
ready for corrections
Plan Check Deposit,
Truss Cates.
Called Contact Person
Plan Check Balance
Tide 24 Cates.
Plans picked up
Construction "
Flood plain plan
Plans resubmitted, .Mechanical
Grading plan
2" Review, ready for correcWE)
L-Electrical
Subeontactor List
Called Contact Person
lambing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for correctionsfissuc
Developer Impact Fee
Planning Approval.
Caned Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue .
School Fees
n
_
Total Permit Fees