07-2978 (ELEC)P.O. BOX 1504
X78-495 CALLE TAMPICO
LA QUINTA,' CALIFORNIA 92253'.
Application Number:
07-00002978
Property Address:
54391 AVENIDA RUBIO
APN:
774-234-018-6 -000000-'
Application description:
ELECTRICAL
Property Zoning:
COVE RESIDENTIAL
Aonlication valllatinn:
'2730
Afill
Applicant: Architect or. Engineer:
BUILDING & SAFETY DEPARTMENT
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 Cl C10 License No.: 753548
Date: Contractor.
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, BusinessandProfessions 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.). '
(_ 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.).
L_ 1 I am exempt under Sec. B.&P.C. for this reason
c.
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:
LQPERMIT
Owner:
GOLDEN SUSAN T
54391 AVENIDA RUBIO
LA QUINTA, CA 92253
(
Contractor:
RANGEL, INC.
78451 EMERELD.CREST DRIVE
BERMUDA DUNES, CA 92203
(760)863-1902
LiC. No.: 753.548
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/19/07
----------------------------------------------—
WORKER'S COMPENSATION DECLARATION
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 STATE FUND Policy Number 1828740
_ 1 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 1 should become subject to the workers' compensation provisions of Section
700 of the Labor Code, I shall forthwith comply with those provisions.
a 1%
Date':.�� `4 ppli*an': /' Y�'�y �Z.�"�—`�
WARNING: 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 1$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 hi coun y[t.o enter upon the above-mentioned propefrt�t foo inspection purposes. -
Date: /I '1 Signature (Applicant or Agent): 1�- ,/,'I
Application Number . . . . . 07-00002978
Permit . . . ELEC-SERVICE
CHANGE
_ Additional desc .
Permit Fee 33.50
Plan Check
Fee
.00
Issue Date . .
Valuation
. . .
. 0
Expiration Date 5/17/08
Qty Unit Charge Per
Extension
BASE
FEE
15,00
1.00 18.5000 EA ELEC
SVC <=600V/<=200A
18.50
Special Notes and Comments _____________.
_
__�
SERVICE CHANGE EXISTING 100 AMO TO 200
AMP
Fee summary Charged
Paid Credited
Due
--- ----------
Permit Fee Total 33.50
----------
.00
----------
.00
33.50
Plan Check Total .00
.00
.00
.00
Grand Total 33.50
.00
.00
33.50
LQPERMIT
CALIF, STATE LIC # C-10 753548
78-451 Emerald Crest Dr 11/19/07
Bermuda Dunes, Ca 92203
(760)863-1902 Office
(760)863-1871 Fax
SUSAN GOLDEN RESIDNCE ,
ELECTRICAL LOAD CALCULATIONS
54391 AVE RUBIO
LA QUINTA, CA 92253
LIVING Sq Ft Existing 1,100.
1. GENERAL LIGHTING LOAD -220-30(8)(1)
1,100 Sq Ft X 3
= 3,300 VA
SMALL APPLIANCE LOAD AND LAUNDRY LOADS
1,500 VA X 2 KITCHEN APPLIANCE
= 3,000 VA
SPECIAL LOADS -220.30(6)(3)
DISH WASHER 720 VA
= 720 VA
DISPOSAL 600 VA. X 1 CIRCUITS -
= 600 VA
REFERIGERATOR, 900 VA
= 900 VA
MICROWAVE 1,100 VA
= 1,100 VA
OVEN 9,600 VA
= 9,600 VA
SUBTOTAL
19,220 VA
APPLYING DEMAND FACTORS TABLE 220-30
FIRST 10,000 VA @10(r/. !
= 10,000 VA '
RAMAINDER 9,220 VA @ 40%
= 3,688 VA
SUBTOTAL 1
= 13,688 VA
2. HEATING OR A/C LOAD TABLE 220-30
AIC @ 9,600 VA X1 @100%
= 9,600 VA
FAU @ : 960 VA Xi @ 100-A
= 960 VA
. FUTURE NON DERATED
= 8,000 VA
SUBTOTAL 2
= 18,560 VA
•
GRAND TOTALS ( ADD SUBTOTALS 1,2)
= 32,248 VA
SINGLE PHASE SERVICE 3_2_,_2488 VA
240 VOLTS =
= 135 AMPS '
SERVICE AMPERES REQUIRED
_ 200 AMPS
SERVICE AMPERES PROVIDED
= 200 AMPS
'
f
f
Bin #
City of La Quinta
Building U Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012 '
Building Permit Application and Tracking Sheet
Permit #
Project Address:AVC, K v 6; o
Owner's Name: J v S c, L-). G2 0 1 JCC 7
A. P. Number:
Address: S- 2-1 Z
Legal Description:
City, ST, Zip: Z-4A G? el 2 2S-3
Contractor: c�-L h e I + =vlC ,
Telephone: -
A 1F4
Address: 725 q�( , hnera. l p1 G r,-,r--J- Dt- .
Project Description: C 1-1.0, -L-
City, ST, Zip: 13�rt�+ ., p% ✓ v r� C f } '72203
/ 0 A L-e— -4
Telephone: 760 -363 -O-?6Z
State Lic. # : C — l G % 53, kj
City Lic. #: 3.
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
a
Construction Type: Flect-re'`,.1 Occupancy:
State Lic. #:
Project type (circle one): New Add-'n Alter Repair Demo
Name of Contact Person:
Sq. Ft.: l / j O 0#
Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project: Z, (d =�
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 Chec, Balance
Energy Calcs.
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 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