12-0842 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 120"00'0'0'8'42
Property Address: 50086 CALLE ROSARITA
APN: 658-250-004-.
Application description: ELECTRICAL
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2500
Applicant:
Architect or Engineer:
P 1A
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
(.hereby affirm under penalty of perjury that I am licensed undgrIffNisions of Chapter 9 (commencing with '
Section 7000) of Division 3 of the Busine rofessional Code, d my License is. in full force and effect.
License lass: B'.cense No 929081
r
/te: LLkLntractor:
OWNER -BUILDER CLARATION
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'requiresthe 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 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.).
( _) 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 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: J
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS(760)77 7-7153
Date: 8/01/12
Owner:
SANTA ROSA COVE ASSOCIATION
PO BOX 780
LA QUINTA, CA 92247 D
JT'
j
Contractor: �'`�Ll Q , 2��2 r
DESERT PROPERTIES LIGHT IN
75723 HERITAGE W CITY OF LA QUINTA
PALM DESERT, CA 92211 FINdNCE.CSPT. ---
(760)469-8542
Lic. No.: 929081
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.
Y.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 0028751-2011
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
1; person in any manner so as to become subject to the workers' compensation laws of California,
and agree that, iqWOR
ecome s4INN
orkers' compensation provisions of Section
;3
'00 of
Labhall fo hwith those provisions. .
te: CCC, ' 1 ' / IicanC
WARNING: FAILURE TO SECURS' OMP OVERAGE IS UNLAWFUL, AND. SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANES 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, ANDIATTORNEY'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 cessati of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above informal n is corr t, I agree to comply with all
city and county ordinances and state laws relating to b ding onstructio , and here 'authorize representatives
t
ofthisccooulnty, to enter upon the above-mentioned prop rty for spection urposes.
Date: ature (Applicant or Agent):
Application Number 12-00000842
Permit . . . ELEC-SERVICE'CHANGE
Additional desc..
Permit Fee 33.50
Plan Check Fee :
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 1/28/13
Qty Unit Charge Per
Extension
BASE
FEE
15.00
1.00, 18.5000 EA ELEC
SVC <=600V/<=200A
18.50
----------------------------------------------------------------------------
Special Notes and Comments
REMOVE EXISTING PEDESTAL DUE TO
DETERIORATION AND INSTALL NEW 100
AMP
PEDESTAL. 2010 CODES.
-----------------_-_---------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary. Charged
Paid. Credited
Due
Permit Fee Total 33.50.00
00
33.50
Plan Check Total ".00
.00 .0.0
.00
Other Fee Total 1.00
.00. .00
1.00
Grand Total 34.50
.00 :00
34.50
LQPERMIT
wi
rt - _,:., P, -.-
::;,Mete.........,:-::;' `
S.e v ce Dates
Number
Prlo
;Current
IVlulti 'lien
Consun tion.
....... ... ....... .
T
:Payments Rec;ived,.by- 06/20/2012, Thank You.
24.62CR
. . . . . . . .. . . I..
)q
1AG 1 B4 -M6
05/17/20*12.06/18/20.12
33
6,799
6,816
10
170
4
CURRENT BILLING. -
ere and retu tto'Mr port
Detach h M .0 i ; on N w . with th y9ur paymenO
Period
'Previous
AMOUNT
Balance
$.24.62'
:Payments Rec;ived,.by- 06/20/2012, Thank You.
24.62CR
Balance
f
. '0.00
Customer Charge
4.00
"'Consumption (170""KWH@$0.0'846 /KWH)
14.38
Energy Cost Adjustment Non -Renewable '$0.0304/kWh
$5'
.17
Energy Cost Adjustment Renewable $0.0020/kWh
$0.34
Net Energy Cost Adjustment (170/kWh) $0.0324
5.51
State Mandated Charges: Public. Benefits Charge($23.89 @$.0285)
0.68
California Energy Surcharge (170 KWH@$0.00029 /KWH)
0.05
Total Curr6nt.Charges Due by 07/10/2012
24.62 2
'Account Balance
$24.62
�.We:aporeciate your participation in the EZ Pay Program.- The amount,due will
be au*toma'tically deducted from
your bank account_ on 07/10/2012.
i.
. . .............. .......... 0,1N.,-.,++111+
...... .... R1r.
M'
Your next meter reading will be on 07/18/2012. Generation 0.0423
ly
I Transmission A0102
Distribution 0.0321
Total Rate/KWH $0.0846
C4
4
ere and retu tto'Mr port
Detach h M .0 i ; on N w . with th y9ur paymenO
Period
_b
F•.1 ML SERIES -MAIN LOAD CENTER (' INTI I LBAIN K
_
r:'...-�.-_-.,�....T.'..-.+._-.:.-_-r.�_. --e:,•-;�:.�.T•'.^.".•"S^"t.i �_+er-.��v,:�'¢9<.. ::... �..._e....._....�..a.._.� ..... _. _.._ r.�vtit' :iJ:_
. - cmm .l:v::tE
CP3B
"W", Series Features:
h 't elude everything required for
w
Z_
Main load Center Series
10 3 wire 120/240 or 208Y/120 volt
Typical applications: Remote site service
for multiple loads.
The Milbank Main Load Center Commercial
Pedestals are designed to handle the vast majority of
all requirements in a standard, stocked configuration.
• No waiting or extra charge
• Units all feature a load r•PntPr with a olua-
on, back -fed main breal
• Load center has 16 p
100 amp pedestals ane
the 200 amp pedestals.
• Both sizes include sul
allow feeding an exterr
If your applicatio.
turning loads on based c
dawn" requirements, be
the Milbank Switched U
Commercial Pedestal pry
on the following r°
page.
T eseunism
remote site service:
b* NEMA 3R construction
w Expandable - Load centers allow for future
expansion without costly modifications
All units feature 200 amp meter socket with
optional field -installable fifth terminal kit
available
w 22K ampere interrupt:ng capacity (AIC)
standard
too Optional mounting base can be embedded in
concrete for fast, easy- installation
Separate sealable and lockable utility
termination section
sl
�► Separate sealable and lockable metering
section with the option of:
ETHER
m Milbank ring -type socket with test / bypass
blocks (con(orms to EUSERC 308)
OR •
■ Milbank heavy duty ringless socket with
lever bypass
as A separate sealable and lockable customer
section with a load renter for "always on"
loads that includes:
• Main circuit breaker
• Twenty (200 or 125 amp model) or
fourteen (100 anp model) blank breaker
spaces
• A circuit directcay to document
configuration
CP3B11115A22
1051
100
1,2
16
;_22K I
Ring type-with-testIbypass blocks
CP3B11115A42
105J
100
1,2
16
42K
Ring -type with test / bypass blocks
CP3B12119A22
105J
200
1,2,3,4
24
22K
Ring-t-ilpe with test/ bypass blocks
CP3B51115A22
K3865
100
1,2
16
22K
Ringless socket with lever bypass
5P3B52119A22
K3865
200
1,2,3,4
24
22K
Ringless socket with lever bypass
'NOTE: Chart shows standard, stocked items. Other options and features are available. Contact factory for options details and
availability.
74ilit, requires nols for thi.; erptipmerr m,r. .arv. .,hta;s rnncuit "he ser., ill,;, :rfi'ii r!o ibeir; revntvil;'terr;;r r;rr;erint r,
O inilalli:r; cgt)ivo .•nt ur this
E4
CATALOG !NUMBER LOGIC r3
�•• ._MILBANIK
.. .�: til•.:'%,���"'�.'�:.t :.t•uti __".::!,J_..,.R'2_�:i_d_.�.. ,'3 �'=......>i'�.��. _ ;�:.-..g•�r,+gr.;,c}r, .—,—:-• ^^--r^,^rte- r.:-'.�^^s�; gr•rT:.-..,.:�.
CP3B
12' 3
OWNER
4 5. 6•
NOoaaMoao
6, ENCLOSURE SIZE
i, h'+FTCR SOCKET
A-16"Wx17"D x4814
0 - No Socket8
- 241W x 17"D x 481H
1 - 1 Ring Type Socket (w[Tesl Bypass)
C - 24"W x 30"D x 48"H
2 - 2 Ring Type Sockets (w/Test Bypass)
C -16"W x 5"D x 46"4 (CP28)
3 - 2 Ring Type Sockets
D - 44"W x 24"D x 60"'4
(1 wJTesl Bypass, 1 wfoul Test Bypass)
D - 12"W x 9"D x 64"H (CP3A)
4 - 1. Ring Type Socket (No Test Bypass)
E- 6"W x 17"D x 41'1
5- 1 Ringless Socket (wiLevsr Bypass)
F_ 12 W x 9"D x 64"H
6 - 2 Ringless Sockets (w/Lever Bypass)
G - 16'1N x 17"D x 48",4'
7 - 1 Ringless Socket (No Test Bypass)
H - 24"W x 17°D x 4r -V
8 - 1 Boit On Meter (w/Manual Bypass)
J - 16"W x 17'D x 32°H
9 - 1 Ringless Socket (KK Horn Bypass)
K - 32"W x 20"D x 60"a
A - 2 Ringless Sockets (KK Horn Bypass)
L -16"W x 17'D x 48'1
B - 1 Ring Type Socket (w/Test Switches)
`
M _ 24"yy x 17"D x 411H
C -1 Ringless Socket (w/Test Switches)
N -1 VW x 6"D x 46"H
X - 24"W x 24"D x 48`4
Y - 32"W x 24'D x 48'H
?_. A161? RATING
O - No Rating
1-10oAmp
S. DISTRIBUTION INTERIOR
2 - 200 Amp
0 - (2)16 -Circuit Loaccenters
3 - 125 Amp
1 - (1) Metered 8-Cirouil Loadcenler & (1)
4 - 400 Amp
Unmetered 8 -Circuit Loadeenter
(Reserved)
5 - (Reserved)
5
2 - (2) B -Circuit Loadcenters
- Amp
3 - (1) 12 -Circuit Loadcenler
4 - (1) 12 -Circuit Loadcenter & (1) 8-0rcuit
Loadcenler
6- (1) 16dreuit Loaocenler
1
6 - Lug -Lug Main & Branch Breakers Only
3. SYSTEIA VOLTAGE
7-(1)8.CircuitLead-':enter&(1)16•Circuit
0- 120V. 10. 2W (4 Jaw)
Loadcenler
8 - Piloid
1 - 1201240V, 10, 3W (4 Jaw)
oalSyMch
9 - (1) 24 Circuit ntef
(1) 24
2 - 208Y/120V, 10, 3W (4 Jaw + 105J)
-Cimui
A - (2) Metered 8 -Circuit Loadcenters 8 (1)
3 - 24014BOV, 10, 3W - (4 Jaw)
Unmetered 8 -Ci Loadcenler
4 - 480Y1277V, 10, 3W (4 Jaw + 105J)
de
B - (2) 24 -Circuit Loadcenters
5 - 208Y/120V, 30,4W. (7 Jaw)
C - (1) 24 -Circuit P elboard
6 - 240Ar120V, 30,4W (7 Jaw)
m
D - (1) 42 -Circuit Pejuelboard
7 - 240AV, 30, 3W (5 Java)
E - (1) 30 -Circuit Paselboard
8 - 480Yi277V, 30, 4W (7 Jaw)
F - (1) cult Par;elboard
9 - 480AV, 30, 3W (6 Jaw)
30 -Ci
G - (1) 30 -Circuit lo:;dcenter
A - No Rating
B-NoRat40V,3O,4W nJaw}
H-(2)12-CircuhLos deenlers
J - No t (Main Only)
C-120/240V.1O. 3W (5 Jaw)
Metered 4-Cicuit Loadcenter 8 (1)
K - (1) Medn
D 240/480V, 10, 3W (5 Jaw)
Unmetered Loadcenler
E - 480V, 10, 2W (4 Jaw)
auit
L - No Branch Brealre0�rs (Distribution
Blocks Only)
M - (Obsolete)
N - Metered &.Unmetered Lug -Lug
4 MAIN DISCONNECT
Breakers
0 -'No Main (Up to 6 Disconnects Max)
P - Metered Lug•Lup Breakers
'
1-(1)Circuit Breaker Main'
R-(1) Metered 8-Cii-cuilLoadeenter,(1)
2 - (2) Circuit Breaker Mains
Unmetered 8 -CE suit Loadcenter. & (1)
3 - (1) T -Fuse Pullout Main
Metered 12-Circrit Loadcenter
4 - (3) Circuit Breaker Mains -
T - (1) 8 -Circuit Loadcanter
6 - (Obsolete)
U - Unmetered Lug -Lug Breakers
6 - (1) 4 -Pole Main (100 Amp Max)
V - (1) 6-0rcuit Loa9center
7 - (Obsolete)
W - (2) 6 -Circuit Loadcenters
8 - (1) 4 -Pole 100A & (1) 2 -Pole 1 OOA
X - Non Standard
9 - (Reserved)
Y - (1) 42 Circuit Losdeenter
A - (Obsolete)
B -(2) Circuit Breaker Maine wMlerlock
C - (2) T -Fuse Pullout Mains
I;o(e:
due size and
reo_ iairx `=:':r.s( ai!os ,-, ) a-
:,rrsrfla guns ,ai':! ;es:.c:
, 4 ra; CGi2:Jy .,i.±giber
Logic description subject to change and factory interpretation.
E3
A
M
v
D
G
I
City of-La Quinta
Building 8I Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit -Application' and Tracking Sh yet
Permit -
c,�
Owner's Name:.
A. P. Humber -
Address:
Legai Desa s:ioa-
City, ST, Zip:
1
Contractor �e c`� ri r
� nor fS �
Lti. raw:s
faE
one: •.;.>.>x� •mac:...'�..-'.��; •sx�
_
Address 09-5' T2'1 e Z
Project Description: 2� �-
e�crJer
City, ST, // Q ,/
Telephone:
State Lic. 9:199-1) City Lic. #; r
Arch., Engr., Designer.
JJ
Address:
City, ST, Zip:
Telepho
Stat Lic. #: ro
Name of Contact Person: /aI4 ,I.Ks yJ ��
4Estiniated
Construction Type:. Occupancy:
Project type circle one New Add'n Alter R Demo
Sq. Ft.:
#Stories:
# Units:
Telephone # of Contact Person: -7G [) -.y�G% SSV Z
Value of Project: 0:5-c o
APPLICANT: DO NOT WFUTE BELOW THIS UNE
q Sabmlttal Req'd 'Rec'd TRACIONG PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structural Calcs
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Bafence
Title 24 Calm
Pans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
r' Review, ready for correctioustiissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmittedGrading
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