14-0557 (ELEC)Tiht 4
P.O. BOX 1504 �VOICE 760 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/01/14
Application Number: 14-00000557 Owner:
Property Address: 52507 JEFFERSON ST LA QUINTA REDEVELOPMENT AGENCY
APN: 774-490-017- - - 78495 CALLE TAMPICO
Application description: ELECTRICAL LA QUINTA, CA 92253
Property Zoning: GOLF COURSE
Application valuation: 4000
Contractor: 6
Applicant: Architect or Engineer: SKANSKA USA CIVIL W C
1995 AGUA MANSA ROAD
RIVERSIDE, CA 92509 MAYO 1�4#
(951)684-5360
Lic. No.: 140069 CITYOf�,gq�INTA
FIN.�INCE DEPT.
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 Class: A Li"cense No.: 140069
#Date: �� �' %y Contractor ✓ �./
OWNER -BUILDER DECLARATION
hereby affirm under penalty of pe ' ry that 1 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 contractor(s) licensed
pursuant to the Contractors' State License Law.).
( ) 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:
LQPERMIT
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.
1 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 AMERICAN ZURICH Policy Number WC489600709
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
37'00 of the Labor Code, I s I forthwith comply with those pro isions.
Dat�� &_// Applicant:
WARNING: FAILURE TO SECURE WO ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN 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.
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, a hereby authorize representatives
of this county to enter upon the above-mentioned property for i pectio purpos
Date�Q�rtSignature (Applicant or Agent): _
Application Number . . . . . 14-00000557
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 23.83
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 0
Expiration Date 10/28/14
Qty Unit Charge Per
Extension
1.00 23.8300 EA ELEC TEMP
POWER POLES
23.83
----------------------------------------------------------------------------
Special Notes and Comments
ELECTRICAL - (4) TEMPORARY POWER POLES
AS PER APPOVED PLAN. 2013 CALIFORNIA
BUILDING CODES.
--------------------------------------------
Other Fees . . . . . . . . . PLAN CHECK,
--------------------------------
ELECTRICAL
16.68
PERMIT
ISSUANCE M/P/E
90.57
Fee summary Charged Paid
--------------------
Credited
--------------------
Due
------=----------
.Permit Fee Total 23.83
.00 .00
23.83
Plan Check Total .00
.00 .00
.00
Other Fee Total 107.25
.00 .00
107.25
Grand Total 131.08
.00 .00
131.08
LQPERMIT _ '
f-
• I
ST v{-
't`[� f((IYICnr"�;.r��\
�' •N Y ` - `� .,_ GENERAL N07ES
N ill Survey Control Points `I f ; ".� �s t`
PT NO
NORTHING
EASTING
200.0' INSTALL DUST FENCE
AROUND PERIMETER
200
10311.51
19668.23
CP I'! /P WCC
��-
OF
r STAGING AND SPOIL
15237.69
EXISANG
COACHELLA
1
1
` I AREAS, .SEE NOTE #6
GING
REA ; TEMPORARY
CONSTRUCTION EASEMENT
PT NO
NORTHING
EASTING
ELEVATION DESCRIP77ON
200
10311.51
19668.23
CP I'! /P WCC
220
15237.69
19522.59
Cp
221
14004.4
20650.92
CP
223
10026.5
18544.46
CP LNT
1002
9394.857
17357.68
19.259 CHECK 121.8
`
SECAON Le 1. THE LOCA ADN, PIPE DIAMETER AND ELEVA DONS OF UNDERGROUND UALI4
INE + SHOWN ON THESE DRAWINGS ARE APPROXIMATE ONLY. THE CONTRACTOR
.l SHALL CONTACT ALL UALITY COMPANIES SO THAT AROSE COMPANIES M
CITY'�'�/ C 1 t MARK THE LOCA77ONS OF THEIR LINES PRIOR TO CONSTRUCAON. THE A
O 1 L� Q � ; j t+ a � � �1 fi CONTRACTOR SHALL CONTACT UNDERGROUND SERVICE ALERT (USA) AT
B' f' n q`^ 1-800-227-2600 PRIOR TO EXCAVAAON (48 HOURS MINIMUM). PROTECT
U IYLI a7
'�FE7Y DEP. THE EXIS77NC UAL/AES AND FIELD VERIFY THE LOCAAON AND DEPTH OF
r ;
Z' A, EX/SANG UAL/AES PR/OR TO CONSMUC77ON
t 1 t- L 2. LIMITS OF WORK ARE SHOWN ON THE PLAN AND PROFILE AND GENERAL
FC,R CONSTRUCT jU,e ."y +i f PLAN DRAWINGS
FOR SPOIL AND STAGING I
AREAS s � ' �� 1 J. S THE CONTRACTORSA IS DIRECTED TO ALL THE REOUIREMEN7S
I o 4 1 AND PROVISIONS OF THE STATE- OF CALIFORNIA SAFETY REGULA TONS
Temporary Spoil Area DATE 3v 3v ` � 1 I.. ' CONFORMANCE THERETO SHALL BE STRICIZY ENFORCED DUR/NG IN
1 �L_
START TEMPORARY eo 1 .
DUST FENCE o
EAST END OF OF
TEMPORARY BRIDGE ! SPOIL AREA
J_ 4.4 ACRES 1
1
TEMPORARY BRIDGE 50.0'.
- X45.0'
PT NO
NORTHING
EAST/NG
DESCRIP77ON
1
13646.0535
19552.9033
NW CORNER
2
13646.0535
19852.9033
NE CORNER
3
13001.0535
19552.9033
SW CORNER
177 4
13001.0535
19852.9033
SE CORNER
OF 7HE CONTRACT AND/OR PROJECT
N� �`- 4. THE CONTRACTOR SHALL HAUL EXCAVATED MATERIAL TO THE SPOIL ARE
4 FOR TEMPORARY STORAGE. THE CONTRACTOR SHALL USE THE EXCAVA
CONS7RAUCAON d t ! MATERIAL TO FILL THE EXIS77NG CANAL TO 7HE LIMITS REOU/RED. THE
EASEMENT FOR 1 EXCESS MATERIAL SHALL BE SPREAD EVENLY OVER THE SPOIL AREA.
SPOIL AND 5. THE CONTRACTOR SHALL PRONDE TEMPORARY DUST FENCE AROUND THE
STAG/NG AREAS SPOIL AREA, STAGYNG AREA, AND ALONG 7HE LIMITS OF WORK ON CRNA(
6. DUST FENCING AROUND SPOIL AREA 11 (1890 LF) IS TO REMAIN IN PLA(
i 30.0' 30f 0' I Q t# AFTER COMPLE77ON OF CONS7RUCA0N 7HE CONTRACTOR SHALL INSTAL +
1 x�' f �� +2 AN ADDIAONAL 200 LF OF FENCE TO ENCLOSE SPOIL AREA.
t t
7. DUST FENCING AROUND 77YE STAGING AREA AND CANAL RIGHT IS
EX/ST/MG CVWD CANAL ROW
TEMPORARY AND SHALL BE REMOVED FROM S17E AFTER CONS7RUCAON I,,
}RIs ]RUCK HAUL'ROU7E<' ,` t !' ! 4 n- COMPLETE.
L 7 t .8. THE CONTRACTOR SHALL INSTALL TWO TEMPORARY BRIDGES FOR HAUL/N(
" EXCAVATED MATER/AL TO THE SPOIL AREA OR SUBM/T AN ALTERNA77VE
I % r PLAN PER THE SPECIRCA77ONS
INSTALL TEMPORARY.=„�s j
j '�' '
DUST FENC/NG, I ` < xu V {y C 9. LOCA77ONS OF BORINGS SHOWN ARE APPROXIMA7E: BORING LOGS ARE
SEE N07E 6 ! x c INCLUDED IN THE SPECIFICA77ONS
I.,._. -T
%/l 10. THE CONTRACTOR SHALL INSTALL 4' HIGH PLAS77C MESH SAFETY FENCE '
tN
ALONG THE LIMITS OF WORK ON CANAL RIGHT FROM THE ENO OF 7HE +
RELOCATE y'� yl �' tf I 4'14«5 TEMPORARY DUST FENCE NEAR STA. 6401+50 TO STA. 6429t00.
EXI AG GOLF
CART BRIOGF R OCAT qa n C r
NOUT ; h II
EXISANG TUR �;� •�,t;,x LIST OF UALITY CONTACTS
`'., - _ .�•. - i;,. :a0 .f��'ZNo. 121.3.'__ EXISANC
{..'
ti- EX/SANG UMP STAAON �:` ,* �+ _ f M F
sn ._fa 4 CVWD. cV AGENCY Contoct Nome Tele hone No. '
I {•
.1RsJ7?EZO/DALBRIOGE} i r t J : r i , T• o :1: ' L ' %t ACCESS a N J P
� g--. r c ;_, .. > ► t� F�ISEMENT=.. e.� COACHELLA VALLEY WATER DISTRICT DAVID WILSON 760-398-266
'a-4 ;.;x. t"{t, � .. 3''_.'` i .y ��. `; w ''REL'OCA7ExA'. t•
80.0; a: fP .`., .r d.' .. "_EX/SAN.G GOLF a
�,rPARALLEL CANAL 1 A. _ C,gj�T` 8R/OGES • . -' -\ Vu,
' �' (�' ' i t y , •4� .�.`.� k_r COACHELLA VALLEY WATER DIS7RICT DAN CHARLTON 760-398-266•
ad 4 t \ }:rf+'P ,z. •. ... ,<- 1 1'', v '\ w .!i �'. .�i �:� d� "' fi .y . y. e d-� ter...
llD ENERGY BRUCE TOWNSEND 760-398-584
+ * I � Hh .. :r _ y s � �.k s �-� • � �` � VERIZON JOSEPH BECKET 760-778-122.' I
A -I, 1 s_•
.F. ,. SOUTHERN CALIFORNIA EDISON KIM GURULE 714-796-99J. i
I 4 e3sot
- •�i-."-.. '`L �a+`S`y
C i �0
AME WARNER CABLE -340-13T
760
r a �4,` f� fi 7HE CAS COMPANY BRUCE WADDELL 909-335-750 I
i • '`r•. 1 „�.'. « J I, d. { : RC_201 I
+ f
f. , S r ,V o-` VALLEY SANITARY DISTRICT BILL ROSAMOND 760-347-235
1 l SRC -200 f °f s
EX/SANG' CHECK AND DUST; FENCE AT
Z ENO
i y` A I } Y 4 1 ROCK O(/TGROPPING�,. ` I C{%.j1 t �'
DROP :STRUCTURE i i�?,- I e< , i.:' .EXISANG CNECKiANO
COACHELLA CANAL• MP i i C. :tet !6s - =; r is > . - a .
.. k Y t tj ^, . ?W COOCHELLA� CANE 7
120.8 .'
�C s , f it f ... t l - t u . a TEMP �7�Y B7�/QGE f . f . F � " AL MP,
'�' - V' ,� •°'t; '�. f �,Y+Y-� �. �$�. �` ; 121.8 �I""
SILWRROCK RESO -47, t.
10
.V � � -� ,. G... :14. �t,.•. 'c-, -.`� I B- �O �. 6N70 t
RELOCATE EXISANG TURNOUT 121.6. \ I
a s O .w 4 400 800 .�' 1200
:'Scale in Feet•'w s
a 3x ,iE ":�i �l a ►� i' �iYb1� w:� SRC_2p4 f
a 3x
E ! w NEW TRAPEZOIDAL ' B.R/DGE
REVISIONS QgoFEssiq COACHELLA VAL Fv w
`rC AT R nlcroir DATE `
REV DATE BY DESCRIPTION J�F,
C. o ° t' •� AT'L�..-y.A�J� COACHELLA CANAL WATER CONVEYANCE APRIL 2D�
y 3�' � DESIGNED RUCKER ATE /u13H�Y-X.
SYSTEM RELOCATION
G o ss IF THIS DOES �, 67067 2/DATE - ----SILVERROCK
iq 214 BAR �� DRAWN CANNON ±• PROJECT ENGINEER R. C. E. NO. DATE L�AHL GENERAL SHEEtr
NOT MEASURE t
1' THEN
ISSUED FOR CONSTRUCTION f CIVIL \ DRAwwc Is CHECKED DAHL :
q� tF ' NOT awaNnL O/ `�p Gf` 70160 2/28/14 consultants - PROJECT LOCATION MAP, SHEET INDEX, GENERAL SRC_-
CAL
SCALE _ _ S I R.� DIRECTOR OF �ENGINEE NG R. C. E. NO. - DATE �
- - - - - SUBMITTED --- OAHU ` 1 NOTES, AND UTILITY CONTACTS DRAWING NU$ ISSL
- z ze to
'�qq7f
Bin #
Qty of La Quinta
' Building &r 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: %.1561
..'
Owner's Name: D�
A. P. Number: `� u l -I �'l� °
`/ /� ,
Address: b -qj PAJ« ri4A PI CO
Legal Description:
City, ST, Zip: 64 &,,OTA ` z -z -
Contractor: jj� n r
S I (J S us • (� S
/� Gvi
Telephone:
�CJ'o
»<"•>s
>
Address: �s`— V4
Project Description:
/441-&A
City, ST, Zip: . � 6 1 � ZS� �
.tom/ LC,,+- j.
- -03i
Telephone: T5p 3c� Fl
1 0
s e.
State Lic. # :
City Lie. #.:
f
Arch., Engr., Designer:
,
Address: _
City., ST, Zip:
r+i a
Telephone:
`
Construction Type: Occupancy:'aneY
- N
Lic. #:
ct tYPa (circle one):: New AdState
oJe d n e ReP air Demo
0P
_
Name of Contact Person: S7� f (�yP�q
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: —
Estimated Value of Project: /Llt��
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
god 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:-
'"' Reyiew, 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