BELC2015-004378-495-CALLE TAMPICO
WORKER'S COMPENSATION DECLARATION .
LA QUINTA, CALIFORNIA 92253 -
Application Number:
BELC2015-0043
Property Address:
81824 CONTENTO
APN:
767760003
Application Description:
FITPATRICK RESIDENCE /
Property Zoning:
Application Valuation:
$600.00
Applicant:
HEGGE ELECTRICAL CONTRACTORS 1
83852 AVE 45
INDIO, CA 92201
T4t�p 4 4 QuIA
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/5/2015
Owner:
RONALD FITZPATRICK
81824 CONTENTO
LA QUINTA, CA 92253 .
Contractor:
HEGGE ELECTRICAL CONTRACTORS 1
83852 AVE 45
INDIO, CA 92201
(760)775-4855
Llc. No.: 748171
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION .
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C10 License No.: 748171,—o.of
the work for which this permit is issued.
/t : Contra
_ 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:
OWNER -BUILDER DECLARATION
Carrier:— Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
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
comply with those pr visions.
of the Business and Professions Code) or that he or she is exempt therefrom and the
�e_ / Applic t:
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO,CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) 1, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_J I, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application, the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. , B.&P.C. for this reason
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.
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
Lender's
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 cit , o enter upon the above•
mentionedinspection purposes.
Date Signature (Applicant or Ag
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT' QTY
AMOUNT.. PAID
PAID DATE.
BSAS SB1473 FEE
101-0000-20306 0
$1.00 $1.00
6/5/15
PAID BY
METHOD RECEIPT # CHECK #
CLTD BY
HEGGE ELECTRICAL CONTRACTORS I
CHECK R6815 30355
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT .'.
PAID
PAID DATE
APPLIANCES, RES
101-0000-42403
0
$12.09
$12.09
6/5/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY '
HEGGE ELECTRICAL CONTRACTORS I
CHECK
R6815
30355
MFA
DESCRIPTION
ACCOUNT
QTY,.
AMOUNT
PAID
PAID DATE
APPLIANCES, RES PC
101-0000-42600
0
$12.09
$12.09
6/5/15
PAID BY.
:METHOD
RECEIPT #
CHECK #
CLTD BY
HEGGE ELECTRICAL CONTRACTORS I
CHECK
R6815
30355
MFA
Total Paid for ELECTRICAL: $24.18 $24.18
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/5/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
HEGGE ELECTRICAL CONTRACTORS I
CHECK
R6815
30355'
MFA
Total Paid forPERMIT ISSUANCE: $91.85 $91.85
Description: FITPATRICK RESIDENCE / ELECTRICAL
Type: ELECTRICAL
Subtype:
Status: ISSUED
Applied: 6/5/2015 MFA
Approved: 6/5/2015 MFA
Parcel No: 767760003 Site Address: 81824 CONTENTO LA QUINTA,CA 92253
Subdivision: TR 31874-2
Block:
Lot: 3
Issued: 6/5/2015 MFA
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $600.00
Occupancy Type:
Construction Type:
Expired: 12/2/2015 MFA
No. Buildings: 0
No. Stories: 0
No. Unites: 0
_ ZIP PHONE FAX EMAIL
Details: INSTALL 50 AMP 240V DEDICATED CIRCUIT IN GARAGE TO CHARGE TESLA PER 2013 CALIFORNIA BUILDING CODE
Printed: Friday, lune 05, 2015 10:51:59 AM 1 of 2
RWYSTEMS
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
- NAME.TYPE
NAME<_ : ,
ADDRESSI
CITY, _, ,
STATE
_ ZIP PHONE FAX EMAIL
APPLICANT
HEGGE ELECTRICAL CONTRACTORS I
83852 AVE 45
INDIO
CA
92201
CONTRACTOR
HEGGE ELECTRICAL CONTRACTORS I
83852 AVE 4S
INDIO
CA
92201
OWNER
RONALD FITZPATRICK
81824 CONTENTO
LA QUINTA
CA
92253
Printed: Friday, lune 05, 2015 10:51:59 AM 1 of 2
RWYSTEMS
INSPECTIONSTOTALS:
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
ELECTRICAL FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
- PAID BY
BY'
APPLIANCES, RES
101-0000-42403
0
$12.09
$12.09
6/5/15
R6815
30355
CHECK
HEGGE ELECTRICAL
MFA
CONTRACTORS
APPLIANCES, RES PC
101-0000-42600
0
$12.09
$12.09
6/5/15
R6815
30355
CHECK
HEGGE ELECTRICAL
MFA
CONTRACTORSI
Total Paid for ELECTRICAL: $24.18 $24.18
PERMIT ISSUANCE
101-0000-42404
TO
$91.85
$91.85
6/5/15
R6815
30355
CHECK
HEGGE ELECTRICAL
MFA
-
CONTRACTORS
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
$117.03
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
ELECTRICAL FINAL" BLD
PARENT PROJECTS
Printed: Friday, June 05, 2015 10:51:59 AM 2 of 2
• &V-1YS7Eti1S
Bin #City of La Q crzn to .
guilding ar SafetyDivision
Permit # P.O. Box 1504, 78-495 Calle Tampico.
La Quirita, CA 92253 - (760)'777-7012
:Building Permit Application and Tracking Sheet
Project Address:., '
Owner's Name:
A. P. Number.
Address:
/I
o..4c rl
Legal, Descriptio :
City, ST, Zip:
n
Z3
Contractor:.
r
Tcicph'one:
j '4'Li v •S: S'r, iiS'
rs.< •«.r.:.::•<,:;.
Address: 8j� Zj
-Project Description:
City, ST, Zip:
Tel
—
qn
........................
. .
r
State Lic. #.:
City Lie. #::
..
Ai ch , Engr., Designer.:
Address:
City, ST, Zip:
Telephone:
r ,
Conshvctton Type: Occupancy:
.Pro ect c circle one : Add'n .`Alter Repair Demo
Sq.Ft: ' ? #: Stories:. #1 Units:
Name of Contact Person:
Tylcphone #,of Contact Person: —�j�j
Estimated Vdy alue of Project:; b�
APPLICANT: DO NOT.'. BELOW THIS
#..
Submittal
Req'd.
Recd .
TRACKING
PER]VTITFEES.
run;Sets ..
Plan Check subrriitted'
Item
Amount
Sirucfuraitala:
Iievicwed,rcadyforcorrccbons
PIan.Cbe kDeposit.
Truss Cala. <
Called Contact Person ... '
Plan Check Valance
Title 24 Calcs.
Plans picked up
Construction
Flood plainplan
Plans resubmitted
Mechanical
Grading. plan
2°"Review; ready for.correctionsfissue.
Electrical
Subcontactor.List
`Called Contact Person
Plumbing
Grant Deed
Plans picked up
&M.I.:
H O.A..Approval
Plans resubmitted
Grading
IN Iit)USEi- -'
'`.' Rey ew, ready for corrections�ssue
))cveloper3nipact Fee
Plannuig Approval'..
Called Contict.I'erson
Pub. Wks. Appr
Date ofpermit issue .'
:School:Fccs
Total.Pcr'init?`ccs
HEGGE ELECTRICAL CONTRACTORS INC.
83-852 AVE. 45
INDIO, CA. 92201
CA. LIC# 748171
JIM HEGGE
j CPTY OF LA QU{NTA
BUILDING & SAFETY DEPT.
APPROVED
ELECTRICAL LOAD CALCULATION
FORCOQ! T'RUCTION
I DATE C /S IS
CUSTOMER
Fitzpatrick Residence
DATE
May 27, 2015
SQUARE FEET LIVING
2,788
3
.8,364
GD
1,500
1
1,500
DW
1,500
1
1,500
SMALL APPLIANCES
1,500
4
6,000
MICRO
1,500
1
1,500
GOLF CART CHARGER
1,800
0
0
DOUBLE OVEN
8,000
1
8,000-
,000SINGLE
SINGLEOVEN
5,520
0
0
ELECTRIC RANGE
8,000
0
0
WASHER
1,500
1
1,500
DRYER -ELECTRIC
5,000
0
0 .
TENNIS COURT LIGHTS
1,000
0
0
PATIO HEATERS 6000
6,000
0
0
FURNACE
1,500
4
6,000
TESLA 30
5,760
0
0
TESLA 50
9,600
1
9,600
TESLA 80
15,360
0
0
POOL/ FOUNTAIN PUMPS
3,840
2
7,680
LANDSCAPE FUTURE
5,000
1
5,000
TOTAL -KW
56,644
PERCENT
KW
1st 10,000 KW
100%
10,000 10,000
REMAINDER
40%
46,644 18,658
A/C COMPRESSORS LG
9,000
0
100%
0
A/C COMPRESSORS SM
5,000
4
100%
20,000
TOTAL
48,658
DIVIDED BY
240 V
202.74 AMPS
EXISTING SERVICE
225 AMP
HEGGE ELECTRICAL CONTRACTORS INC.
83-852 AVE. 45
INDIO, CA. 92201
CA. LIC# 748171
JIM HEGGE
Typical Tesla Installation Wiring
Customer Name__ 00 JALb IF IT -FM�cdC
---------------------------
1-
Project Address_
_ g Lf-
INK
1-ITY OF LA QUINTA
BUILDING & SAFETY DEPT.
-APPROVED
FOR CONSTRUCTION
DATE _1_3
C
A-5tandard 14-50 Receptical Install
05tandard 50 Amp Charging 5tatlon Install
F>5r2 Pole 50 Amp Breaker w/ G/3 Cu Romex (in wall)
❑ 2 Pole 50 Amp Breaker w/3#G Cu + 1 #8 Gnd 3/4" Conduit
❑ 2 Pole 50 Amp Breaker w/ Combination Of Romex it Conduit
❑ Existing Service 200 Amps
[� Existing Service 400 Amps
X Denotes Outlet or Charging Station Location
1legge Electrical Contractors Inc.
83-852 Ave. 45
Indio, Ca. 92201
Lic# 748171