08-1886 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08---00001886-
Property Address: 52800 AVENIDA VELASCO
APN: 773-326-004-23 -000006-
Application description: ELECTRICAL'
Property Zoning: COVE RESIDENTIAL
Application valuation: 1 1670
Applicant; Architect or Engineer:
°F �WQ�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 Business and Professionals Code, and my License is in fullforceand effect.
License Class: C10 C20 C3 License No.: 482623.
Date: 0 S tractor
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, 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).:
(_) 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 cdntractor(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.1. -
Lender's Name:
Lender's Address: 0 kr
LQPEP.NIIT
Owner:
PERRY JOHN L
52800 AVENIDA VELASCO
LA QUINTA, CA 922.53
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/24/08
Contractor.M
BRUDV I K INC.
600 EUGENE ROAD yU p""`�
PALM SPRINGS, CA 92264 q tj nnn1
(760)320-4429
Lic. No.: 482623 CITY
FLAQU1PJT,q
(LCE 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
N issued.
N 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 SEABRIGHT INS Policy Number BB1081770
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 t Labor Code, I shall forthwith comply with those provisions.
ate: // L /05Applicant �t2_t_✓Yrc_
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 ($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. -
certify that I have read this app cation and state that the above information is correct. 1 agree to comply with all
city and county ordinances an state laws relating to building construction, and hereby authorize representatives
oft s county to e/upoe above-mentioned property for inspection purposes.
n�Jate: v(Applicant or Agent rift.
Application Number 08-00001886
Permit . . . ELEC-SERVICE CHANGE
Additional.desc .
Permit Fee . . . . 33.50 Plan Check
Fee
.00
Issue Date . . . . Valuation
. . .
. 0
Expiration Date 5/23/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 18.5000 EA ELEC SVC <=600V/<=200A
18.50
---------- --------- ---------
Special Notes and"Comments
-------------
200 AMP ELECTRICAL PANEL•.CHANGE-OUT
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
Electrical Load Calculation - Residential
PROJEC1John Perry
52800 AVE. VAJasco L.Q. Plan Type:
Computed.Load (Article 550) ,
1350
General lighting load @ 3-wafts per square foot
4,050
2
Small appliance load @ 1500 watts each
3;000
1
Laundry load @ 1500 watts each
1,500
Total general lighting and small appliance load
89550
Demand Factor (Table 550-18)
First 3000 watts or less @ 100%
3,000
From 3001 to 120,000 watts @ 35%
1,943
Remainder over 120,000 watts @ 25%
0
Net general lighting and small appliance load
4,943
Fixed Appliance. Load (Article 220-17) Watts per
1
Range 12000
12,000
1
Water Heater 2500
2,500
1
Dish Washer 1200
1,200
1
Clothes Dryer 5000
5,000
1
Garbage Disposal 900
900
1
Microwave 800
806
0
Cook Top 1600
0
0.
Total
22,400
Demand Factor 75% Total with demand factor
16,800
.Other Loads Watts per
1
AC 5 Ton 5680
5,680
0
AC 4 Ton 5276
0
0
AC 3 Ton 1080
0
0
Pool Equipment .1520
0
0
0
0
1 Future Loads 8000
8,000
Total other loads
13,680
Total Load:
35,423 Watts
35,423 Watts / 240 Volts =
148 Amps
Requires
200 Amp,Service
C:\Documents and Setting s\services\DesktopgResidential Load Ca IcWorksheetaa.xls]Sheet1
Bin #
City of La Quinul
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 # I „
Project Address:
Owner's Name:
A. P. Number:
`/
Address: 52 g (D0 AV e_rJ� fa V -e I n5c-"O
Legal Description:
City, ST, Zip: �, Q 611,r v L'0. q 22cJ3
Contractor: �j t,q V l 1 tJ c_.
f
Tele hone:Yr�
Telephone -1 b0"' 5 64" 4 2 y I
t�" IN �-
Address: �o QQ E u EN c 1�o A
Project Description: P ►�
�12c-Trt (� ` 2-CX7
City, ST, Zip: �A\vN� S �'sN S eA. 9(-,.4
f— ` Un CL,N
Telephone:160 3Z0' LJL4?_9
State Lic. # : lz o 23
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone: a
State Lic. #: r `.
Name of Contact Person:
Construction Type: aap-ic;_,l Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project: I Q , ob
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cales.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Energy Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd 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