BELC2014-105678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BELC2014-1056
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
53401 MONROE'ST
APN:
767890003
Application Description:
100A IRRIGATION METER PEDESTAL FOR LANDSCAPE MEDIAN
Property Zoning:
Application Valuation:
$1,500.00
Applicant: sooz�- IT11
DEC. 18 2014
ciry OF La
COMMUNITY DEVELOPA9QENT DEPNT DE
ARTAAENi
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 Professions Code,
and my License is in full force and effect.
License Class: _ License No.:
7
Date: (�lk( Contracto
OWNER -BUILDER DECLARATIO
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 Divisi n
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
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_J 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.).
( ) 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/18/2014
Owner:
MADISON CLUB OWNERS ASSN
P O BOX 1482
LA QUINTA, CA 0
Contrac or:
Llc. No.:
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: _ 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 3700 of the or Code, I shall forthwith
comply with those provisions.
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSA o 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 Building Official 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 acityenteru the ab
mentioned prpperty for inspection purposes.
Date: Signature (Applicant or Agen ' ,
El
,
■
5TH AVE -- ."--- --_
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'manor
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CUSTOMER INSTALL (ONE) -2"
SCH 40 PVC CONDUIT (15'}
IID IN:
—70'
Nr.
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•
Project Location
001
'
NOTE.to Customer:
Please contact 11D Inspector prior to
undermining energized structure.
760-398-5828
Please have Address and Service
'
Notification numbers at hand.
tau
44
181838H
CITY O LA OUIN .A
BUILDING & SAFETY DEPT.)
-ao
APPROVED
FOR CONSTRUCTION.
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.53401 Monroe St.
La Quinta; CA 92253
Service Notification: 40174
Service Order: 6009.1161
Drawing by: Lisa Marrujo
I -1/i
W/BU'.
SIDE VIEW
METER COVER
IN OPEN POS(T10N
se
FRONT CONNECTED
13 OR 15 JAW
METER SOCKET `
W/SEALING RING
IE PIECE COVER �—HANDLE/BRACE
3P/FRONT/SIDE
HINGED /HINGE DEMAND RESET DOOR
W/6 -x6" LEXAN
► VIEWING W.NDOW
181.51
17'
NOTE:
REMOTE
• — PADLOCKABLE do SEALABLE
-METER PEDESTAL -
•• SEALABLE
14"
CLAW
T75•
METERING
107 -08 --Ml
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BUILDING & SAFE I Y DEPT.
I W �
I DATE
o
COMPARTMENT
APFRV
ON
35'
OTHER SIDE
DATE 13Y C
MMERCIAL REMOTE METER PEDESTAL
3.25"
0-600V SINGLE OR THREE PHASE
12.2"
TOP VIEW
48'
10
36'
MIN. 1 1/41( 0
W/BUSHING
23'
12 5"
3 75"
REAR VIEW
I
FRONT VIEW
FRONT VIEW
(PULL SECTION
(WEATHERPROOF COVER
(WEATHERPROOF COVER
COVER REMOVED)
do DOOR IN PLACE)
OPENED TO REAR)
LOWER DOOR
NOT SHOWN.
17'
NOTE:
REMOTE
• — PADLOCKABLE do SEALABLE
-METER PEDESTAL -
•• SEALABLE
14"
CLAW
T75•
AJ6
ITT -CF LA QUINTA
107 -08 --Ml
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BUILDING & SAFE I Y DEPT.
I W �
I DATE
o
APFRV
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CONSTRUCTION
DATE 13Y C
MMERCIAL REMOTE METER PEDESTAL
0-600V SINGLE OR THREE PHASE
12.2"
TOP VIEW
UD UNDERGROUND DISTRIBUTION STANDARDS
COMMERCIAL
REMOTE
-METER PEDESTAL -
0 -600V SINGLE OR THREE PHASE'
.
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107 -08 --Ml
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FINANCIAL •R •
#'DESCRIPTION F�' ? s: ACCOUNT, ".?, QTYa ;s,; 'AMOUNT PAID, PAIDbATE
;: .:.
BSAS SB1473 FEE �, 101-0000-20306 0 $1.00 $0.00,
3. M
PAID'BY,' r. k Y ' } ETHOD ;; RECEIPT #� CHECK # CLTD BY
,x *� =y
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
" '" i4 `"
"ACCOUNT "„ ",QTY
AMOUNT'S -=`r
aPAID '»
~PAID: DATE'
,DESCRIPTION
p«
SERVICES
101-0000-42403
0
$24.17
$0.00
S t r PAID BY, _ , :�' r
- , $ ';METHOD s.
, ' nRECEIPT # �'.-
-°'CHECK#
f {CLTD BY. '
<, a z"' r n^''DESCRIPTION
T`; ACCOUNT,i•.
QTY
AMOUNT
,PAID
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
z x� PAID BY '' , .
"METHOD Y r
RECEIPL#� '.
;'CHECK #
BY .�
_CLTD
Total Paid for ELECTRICAL: $36.26 $0.00
n ,.. »-
DESCRIPTION r
" 'ACCOUNT ��
xQTY
AMOUNT,'
�r' +% PAID r;a
PAID DATE`
r
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
t ; _--:4PAID BY K:{•METHOD
i> Tj
�,
e,. r
ri RECEIPT,# s,
i CHECKa#,
CLTD BY
,x • , ,
_
#
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
E
t A
Description: 100A IRRIGATION METER PEDESTAL FOR LANDSCAPE MEDIAN
Type: ELECTRICAL Subtype: Status: APPROVED
Applied: 12/15/2014 AOR
Approved: 12/15/2014 AOR
Parcel No: 767890003 Site Address: 53401 MONROE ST LA QUINTA,CA 92253
Subdivision: TR 33076-2 Block: Lot: R
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $1,500.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 100A IRRIGATION METER PEDESTAL FOR LANDSCAPE MEDIAN. THIS PERMIT DOES NOT INCLUDE INSTALLATION OF ELECTRICAL
LIGHTING. 2013 CALIFORNIA BUILDING CODES.
Printed: Thursday, December 18, 2014 4:42:36 PM
1of3
CB? " SYSTEMS
w6
r
CHRONOLOGY
r; ;;CHRONOLOGY.TYPE: STAFF NAME .,'
`ACTION DATE,- =y COMPLETION DATE°.fit
a _ N -*�
OTES'
E-MAIL AJ ORTEGA
12/15/2014
12/15/2014
EMAIL SENT TO TAMMY JENKINS WITH RCE CONSULTANTS
THAT PLANS ARE APPROVED AND PERMIT MAY BE PULLED BY
CONTRACTOR ONCE ONE IS OBTAINED.
CONDITIONS
CONTACTS
NAMETYPE. ?- ' ° YNAME�;- ;? . =ADDRESSI
CITY STATE (- -STATES ZIP; , ,
PHONE: - FAX .s EMAIL
OWNER MADISON CLUB OWNERS ASSN
P 0 BOX 1482
LA QUINTA CA 0
,
Printed: Thursday, December 18, 2014 4:42:36 PM
1of3
CB? " SYSTEMS
w6
r
�-OF'Ch�''
DESCRIPTION
'ACCOUNT ...
Q7Y�_
AMOUNT
71
PAID
t PAID DATE
; jRECEIPT #
`CHECK #
'METHOD
. ,RAID BY',CLTD
n
BYr-
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBU1LDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26- $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 00
PARENT PROJECTS
Printed: Thursday, December 18, 2014 4:42:36 PM 2 of 3 C
SYSTEMS
A
ATTACHMENTS
;:.Attachment Type -.4
BELC2014-1056 -
DOC .12/15/2014 AJ ORTEGA PERMIT APPLICATION PERMIT 0
APPLICATION.pdf
..'P�
Bin # CIL
Permit #
Project Address: S 0 lyolwe
City of La QUinta.
Building &r Safety Division
P.O. Box 1504, 78 495 Calle Tampico.
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking' Sheet
s Owner's Name:
A. P. Number:
Address: PLe
Legal Description: �t`.
T, Zip: Z11 1)/ C4 9AU��
o tor:
Telephone:
P o e.
Address:
Project Description:
City, ST, Zip:`
Telephone:
"
State Lic. # :
City Lic. #•:
Arch., Engr., Designer: R07
Address:
A/ life_ Or
City., ST, Zip: 0
ZflO�d
Telephone: a
: s^::>»:;»:>':
>r
Construction Type: Occupancy
State Lic. #:
Project type circle one . e Add'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
It Units: —'
Telephone #,of Contact Person: 7
Estimated Value of Project:'Soo me.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections /
Plan Check Deposit
Truss Calcs.
Called Contact Person /
Plan Check Balance.
Title 24 Cales.
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.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN If OUSE:-
''" Review, ready for correctios�ssu
LDeveloper Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
CV
School Fees
Total Permit Fees
i
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• _. _ \ , • ~'�`�`=- Project Location
' • ' .. '� l � .
}
' NOTE_to Customer:
Please contact IID inspector prior to
undermining energized structure.
.760-398-5828
` 'Please have Address and Service
Notification numbers at hand.
181838Hw 'CITY
� 4 . • 0 LA QIJ I NTA
BUILDING•& -SAFETY HPId.
FOR CONSTRUCTION-
CUSTOMER" �` 181$37P DA'f`"11 1 By
INSTALL (ONE) -a-
SCH 40 PVC CONDUIT 15'j 0-A '. ' �01M 1 LAK..Alk
Yr �t
IID IN: - >-----------------
53401 Monroe St=.
1189925770'- La Quinta, CA 92253
Service Notification: 4017490
Service Order: 60091161.
` r Drawing by: Lisa Marrujo
5e 181.51
FRONT CONNECTED
- 13 OR 15 .NAW
METER SOCKET
W/SEAUNG RING
ONE PIECE COVER T--HANDLE/BRACE
TOP/FRONT/SIDE \
-ii, t' I HINGED HINGE DEMAND RESET DOOR
W/6"x6" LExAv
VIEWING W:NDOW
••• METERING MT 0)..
COMPARTMENT •
ON 3 5"
OTHER SIDE 3.25"
48"
1-1/4-K.O. 10
W/BUSHING 36•
MIN. 1 1/41( 0
W/8USHING
23'
12 5"
10.5"
3 75'
i -
SIDE VIEW REAR VIEW FRONT, VIEW FRONT VIEW
METER COVER (PULL SECTION (WEATHERPROOF COVER (WEATHERPROOF COVER
IN OPEN POSITION COVER REMOVED) do DOOR IN PLACE) OPENED TO REAR)
LOWER MOR
NOT SHOWN
17" NOTE:
• — PADLOCKABLE & SEALABLE
14r
•• SEALABLE t
475" CITYTYF LA OUINTA,
BUILDING & SAFETY DEPT.
14 5' A0
ED
i3 OA"CONSTRUCTION
DATE gy • C MMERCIAL REMOTE METER PEDESTAL
0-600V SINGLE OR THREE PHASE
12.25" 1
TOP VIEW
IID UNDERGROUND DISTRIBUTION STANDARDS
COMMERCIAL REMOTE
!
METER E PEDESTAL.
THREE 0-6 OV 9PHASE
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