12-0843 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
fi2;00000843
77696 CAL'LE ORIZABA
658-264-064- -
ELECTRICAL
LOW DENSITY RESIDENTIAL
2500
Architect or Engineer:
atN
�F �4ur.�rw
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 Busin d Profession li'i'8. and my License is in full farce and effect.
License Class: B i License o.: 929081
Date: ontractor.
OWNER -8 ER CLARATIO
I hereby affirm under penalty of perjury that I am exempt from 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 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.).
1 _ 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.). '
( 1 I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm underpenalty 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:
SANTA ROSA COVE ASSN
P O BOX 780
LA QUINTA, CA 92253
VOICE .(760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/01/12
Contractor:
DESERT PROPERTIES LIGHT NT r, LI
75723 HERITAGE W L'
PALM DESERT, CA 92211 �!
(760) 469-8542 AUG 0 2012
Lic. No.: 929081
OF W QUINTA
LANCE DEPT
------------------------'---------------------—
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 STATE FUND Policy Number 0028751-2011
_ I certify that, in the per, ante of the wo r which this permit is issued, I shall not employ any
person in any man er so a o becom subje to the workers' compensation laws of California, .
and agree that, if, I hould be�ath
ect to a workers' compensation provisions of Section
3700 of the Labor ode, I shth co lywith those provisions.
ate: a�Ap ant:
WARNING: FAILURE TO SECURE WORKERS' COMPE ION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST;F 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 Ouinta, 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. -
certify that I have read this application and state th he above inform correct. I agree to comply with all
city and county ordinances and state laws relati to buil constru ion, an ereby authorize representatives
of this co tytP enter upon the above -mention d property f inspe ion purpos s.
ate: t� l ' azure (Applicant or Agen .
Application Number . . . . 12-00000843
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 .00
.00
Other Fee Total 1:00
.00 .00
1.00
Grand Total 34.50
.00 .00
34.50
LQPERMIT
To
41-
Vw
kA Z&A
P_
�s f LBf�I��K
6, ENCLOSURE SIZE
0 — No SocketA
—16"W x 17°D x 48"H
1 —1 Ring Typa Socket (w/Test Bypass)
—
CATALOGNUMBER.LOGIC I3-,
_._ �-va.—...:.�.....�.:'. ..... .�..- ....i......•: :'�i. �..n.t.:.,.: �':
I � :,�j�� �:;iT..�"'?I?T?!`-�ZL.; ;—.'�.—s_.v....:rp;.—i^T%.^.-. '�!^^,:': .5:r
3— 2 Ring Type Sockets
C —16"W x 5"D x 46"H (CP28)
1 2
3
4 5
6
5 — 1 Ringless Socket (w/Lever Bypass)
E —16 WJ x 17'D x 4 VH
cp3B000000a
F — 12V x 9"D x 64"H
7 — 1 Ringless Socket (No Test Bypass)
G — 16"W x 17°D x 48"H'
8 — 1 Boll On Meter (w/Manual Bypass)
H — 24"W x 17°D x 48'H'
9 — 1 Ringless Socket (KK Horn Bypass)
J — 16"W x 17"D x 32"H
A — 2 Ringless Sockets (KK Horn Bypass)
aoa000
B — 1 Ring Type Socket (w/Test Switches)'
L —16'W x 17'D x 48°H
C — 1 Ringless Socket (w/Tesl Switches)'
M — 24"W x 17°D x 41"H
N—IVWx6"Dx46"H
1. METER SOCKET �
6, ENCLOSURE SIZE
0 — No SocketA
—16"W x 17°D x 48"H
1 —1 Ring Typa Socket (w/Test Bypass)
B — 24W x 17"D x 48°H
2 —2 Ring Type Sockets (w/Test Bypass)
C- 24'W x 30"D x48"H
3— 2 Ring Type Sockets
C —16"W x 5"D x 46"H (CP28)
(1 w/Test Bypass, 1 wtout Test Bypass)
0 —44"W x 24°D x 60"H
4 — 1 Ring Type Socket (No Test Bypass)
D —12"W x 9'D x 64"H (CP3A)
5 — 1 Ringless Socket (w/Lever Bypass)
E —16 WJ x 17'D x 4 VH
6 — 2 Ringless Sockets (w/lever Bypass)
F — 12V x 9"D x 64"H
7 — 1 Ringless Socket (No Test Bypass)
G — 16"W x 17°D x 48"H'
8 — 1 Boll On Meter (w/Manual Bypass)
H — 24"W x 17°D x 48'H'
9 — 1 Ringless Socket (KK Horn Bypass)
J — 16"W x 17"D x 32"H
A — 2 Ringless Sockets (KK Horn Bypass)
K — 32"W x 20"D x 60"H
B — 1 Ring Type Socket (w/Test Switches)'
L —16'W x 17'D x 48°H
C — 1 Ringless Socket (w/Tesl Switches)'
M — 24"W x 17°D x 41"H
N—IVWx6"Dx46"H
X — 24"W x 24"D x 48°H
2. alp/th RATING
Y - 32"W x 24"D x 48'H '
0 - No Rating
1 - 100 Amp
5. DISTRIBUTION INTERIOR,
2-200 Amp
3 - 125 Amp
4 - 400 Amp
0 - (2) 16 -Circuit Loadcenters
5- (Reserved)
1 - (1) Metered 8 -Circuit Loadcenler & (1)
6 - 600 Amp
Unmetered 8-C; Wt Loadcenter
2 - (2) 8 -Circuit Loadcenlers
3 - (1) 12 -Circuit Loadcenter
4 - (1) 12 -Circuit Loadcenter & (1) 8 -Circuit
Loadcenter
r
5 - (1) 16 -circuit Loadcenter
3. SYSTEM VOLTAGE
6-(1ja'ce�ii�oadeenter&(1)16-Cirant
0- 120V. 10, 2W (4 Jaw)
Loadcenter
1 - 120/240V, 10, 3W (4 Jaw)
8 - Fused Pullout Switch
2 - 208Y/120V, 10, 3W (4 Jaw + 105J)
9 - (1) 24 Circuit Loadcenter
3 - 240/480V, 10, 3W (4 Jaw)
A - (2) Metered 8 -Circuit Loadcenters & (1)
4 - 480Y/277V, 10, 3W (4 Jaw + 105J)
Unmetered 8-Circuil Loadcenter
5 - 208Y/120V, 30, 4W (7 Jaw)
B - (2) 24 -Circuit Loadcenters
6 - 240Ar120V, 30,4W (7 Jaw)
C- (1) 24 -Circuit Panelboard
7 - 240AV, 30,3W (5 Jaw)
D - (1) 42 -Circuit Penelboard
8 - 480Y/277V, 30, 4W (7 Jaw)
E - (1) 30 -Circuit Panelboard
9 - 480AV, 30, 3W (5 Jaw)
F - (1)18-Ciraiit Panelboard
A - No Rating
G - (1) 30-Circuit.Loadcenter
B - 480A/240V, 30,4W (7 Jaw)
H - (2) 12-Circuh Loadcenters
C -120/240V, 10, 3W (5 Jaw)
J - No Distribution (Main Only)
D _ 240/480V, 10, 3W (5 Jaw)
K- (1) Metered 4 -Circuit Loadcenter & (1)
E - 480V, 10, 2W (4 Jaw).
Unmetered 4 -Circuit Loadcenter
L- No Branch Breakers (Distribution
Blocks Only)
M - (Obsolete)
4. I&AIN DISCONNECT
N = Metered & Unmelered Lug -Lug
0 - No Main (Up to 6 Disconnects Max)
Breakers
1 - (1) Circuit Breaker Main
P - Metered Lug -Lug Breakers
2 - ) Circuit Breaker Mains
R - (1) Metered B -Circuit Loadcenter, (1)
3 - (1
(1) T -Fuse Pullout Main
Unmetered 8 -Circuit Loadcenter, & 1
4 - (3) Circuit Breaker Mains
Metered 12 -Circuit Loadcenter
5 - (Obsolete)
T - (1) 8-Circuil Loadcenter
6 - (0) e Main (100 Amp Max)
U - Unmetered Lug -Lug Breakers
7 - (Obsolete)
V - (1) 6 -Circuit Loadcenter'
8 - (1) 100A & (1) 2 -Pole 100A
W - (2) 6 -Circuit Loadcenters
9 - (Reserved)
X - Non Standard
A - (Obsolete)
Y - 1 42 Circuit Loadcenter
( )
B - (2) Circuit Breaker Mains wllnlerlock
C - (2) T -Fuse Pullout Mains
Nlofe: due G size and rBG_;iGlGit C:': 1'�(Cc l'? S :!vl a
a;r,irrt2 iol�s will res -0 i a alai cGii: )� ul,�her
Logic description subject to change and factory interpretation.
E3
E-1 ML SERIES-rtrfAW LOAD CENTER
flf N11LBAN{C .
I _
U`
CP3B
VV Series Features:
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 center with a plug -
on, back -fed main breaker. ail h
• Load center has 16 positions for the
100 amp pedestals and 24 circuits for
the 200 amp pedestals.
• Both sizes include sub -feed lugs to
allow feeding an external panel
If your application requires
turning loads on based on "dusk -to -
dawn" requirements, be sure to see
the Milbank Switched Load Center
Commercial Pedestal products -- ,
on the following '
page
t; ,
LiL
--:
These units include everything required for ��
remote site service: -
'1s NEMA 3R construction
�► 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
22K ampere interrupting capacity (AIC)
standard
Optional mounting base can be embedded in
concrete for fast, easy installation
Separate sealable and lockable utility
termination section
Separate sealable and lockable metering
section with the option of:
EITHER
® Milbank ring -type socket with test / bypass
blocks (conforms to EUSERC 308)
OR
® Milbank heavy duty ringless socket with
lever bypass
A separate sealable and lockable customer
section with a load center for "always on"
loads that includes:
• Main circuit breaker
• Twenty (200 or 125 amp model) or
cr
fourteen (100 amp model) blank breaker
spaces
• A circuit directory to document
configuration '
CP3611115A22
105J
100
1,2
16
22K _
Ring -type with test4 bypass-blocks-
CP31311115A42
1051
100
1,2
16
42K
Ring -type with test / bypass blocks
CP3B12119A22
105J
200
1,2,31-4
24
22K
Ring -type with test / bypass blocks
CP3B51115A22
K3865
100
1,2
16
22K
Ringless socket with lever bypass
CP3B52119A22
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.
Lllili?, r'YytiirYntcnls li)r lhi. Yquipm;n? nra: '.drY. ,livais run_trit the ser.—ill !herr r�tlu;rYrttrnla beh:;t r:rriY: my r,:
Oimtalli;;, Yquim-,,n•nl it) this
L E4
um:be
Frarn' To;
of Das
H' a rr1
d
Readm9
•. ; .... ,:.., :..::.,:-.
'..... .:...:. :.'
.. 9:..
r ..
Komar;}
_ _
•AA164-3871
05/19/2012 06/18/2012
, 31''•
9,953
100
10
- • 1,470
a : • ' • • RECEIVED JUIN 2 CURRENT, .. ..
��' BILLING
*
AMOUNT
Previous Balance - _
$182.54
Payments Received by 06/20/2012, Thank You.
182.54CR
Balance -
0.00 F '
Customer Charge
4.00
Consumption. (1,000 KWH@$0.0846 /KWH). ' �, `, t
�-
' 84.60
Consumption (470 KWH@$0.0820 /KWH) 4
38.54
Energy Cost Adjustment Non -Renewable $0.0304/kWh $44.69
Energy Cost Adjustment,., Renewable ' $0.0020/kWh . $2.94;
_
Net Energy Cost Adjustment (1,470/kWh) $0.0324
' 47:63
State Mandated Charges_: Public,Benefits Charge($174.77 @$.0285)
4,98
California Energy' Surcharge (1,470 KWH@ $0.00029 /KWH) _`
0.43
a; # Total Current Charges Due by .07/10/2012
180.18
Account Balance
-'$180.18
'We appreciate your participation in the EZ Pay Program. The amount due will' be automatically deducted from
•
i"
your bank .account on 07/10/2012.
.I. .�:. .�..: .I
- :I::.r 1.::.r...r...rri:•• .:.e.. : .rr ,.i ..1 r.} :III I'
I I. r.kn r.� ,I. , Ing c�r
:•
nforin t:' lonl: es sa es ii
octant 1M a 4 '��.
:I
r L. ctrr a
wr� _
Your next meter reading will be on 07/18/201w2. Generation 0.0423 Cr.0410
r 't Transmission 0.0102 0.0098,
'
Distribution 0.0321 0.0312
•�'
' ,• •Tntal Raro/IMA/W 4n mina cn nc')n •
1 ...
Period
Dench here and return bottom portion with your payment. a a `
Bin .# Crty 0f Qutntd
1 01 Building 8L Safety Division
Permit # P.O. Box 1504,78-495 Calle Tampico
ta.Quinta, CA 92253--:(760) 777-7012
Building Permit Application, and Tracking Sheet
Project Address: -774 C) 1, �y!/fe 61L/ A 8 Owner's Name:. A" oG
A. P. Number.
Address: 99> .7 C-'
Legal Description:
Contractor. c,N,�m.,i".
t�
t� t fry
City, ST . �'i►
ZiP"
one'. MINE
NEsem
Address: G 8�� Fn e
Project Description:
2��ove
City, ST, Zip: . e
/
�. 9 Z Z>' ,7
Tele hone / -414Y- i
�! £r'?V " ``'
City Lic. #.:
State Lic.
CA::/
Arch., Engr., Designer.
Address:
City., ST, Zip:
TeIepho .w:
' � ��� • . <,
Stat ic. #: '.. •' r /rh
Name of Contact Person: /�/��l.�C_. J! e.�
Construction Type:. Occupancy:
.
Project type (circle one): New Add, n 91ter R Demo
Sq. Ft; # Stories:
# Univ:
Telephone # of Contact Person: %G b-.�%(��'- ��� Z
Estimated Value of Project Z 550
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sete
Plan Check submitted
Item
Amount
Structural Cates.
---[Called
Reviewed, ready for corrections
Plan Check Deposit. .
!fuss Cates.
Contact Person
Plan Check Balance,
Title 24 Calcs.
Plans picked up
Construction'
Flood plain plan
Plans resubmitted.'.
Mechanical
Grading plan
2'! Review, ready for correctionsfissueElectrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN ROUSE:-
'^' 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