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05-0115 (ELEC)r. P.O.'BOX 1504. .78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number. 0;5.000.00115— Property Address: 46400 WASHINGTON ST APN: 643-020-999-3' -309 Application description: ELECTRICAL Property Zoning: REGIONAL COMMERCIAL Application valuation: 20000 Applicant: Arch r Engj BUILDING & SAFETY DEPARTMENT BUILDING PERMIT tn� 75-1�i JUN 2 9 Owner: - WASHINGTON 111 LTD C/O JOHN ANDERHOLT P O BOX 1623 PALM DESERT,CA 92261 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Contractor: MOOREFIELD CONSTRUCTION, INC. 3415 S. SEPULVEDA BLVD STE 550 LOS ANGELES, CA -90034, (310)390-9400 r Lic. No.': 397892 oo/ W ------------------------------------------------------------------------------------------------— • LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code; and my License is in full force and effect. _ I have and will maintain a certificate of consent to self-insure•for workers' compensation, as provided License Class: 13 - License No.: 397892 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is _ issued. /Date: _____,,Contractor: I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor - ,,,/Date: Code, for the performance of the work for which this permit is issued. My workers' compensation OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND Policy Number 1686016-2005 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any . construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should -become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C dde,.l shall forthwith comply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by / e any applicant for a permit subjects the applicant to -a civil penalty,of not more than five hundred dollars ($500).: te: 6 pplicant: (j . (_ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION. COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED. THOUSAND .and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN . improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - Date: 6/29/05' 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.). - 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 contractors) licensed pursuant to the Contractors' State License Law.). 1 ( I I am exempt under Sec. ; B.&P.C. for this reason A _ Date: f�r29Af ner: - 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: PIA Lender's Address: N ' A LQPERMIT 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 isnot 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, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspecdo purposes. /gate:t� 2�J Qs gnature (Applicant or Agent): 61, K Application Number . . . 05-00000115 Permit . . . BUILDING.PERMIT Additional desc Permit Fee 207..00 Plan Check Fee 134.55 Issue Date . : Valuation 20000 - Expiration Date:. 12/26/05 Qty Unit Charge Per Extension BASE FEE 45.00 18.00 .9.0000 ------------------------------------------------------------------------------- THOU BLDG 2,001-25,000 162.00 Permit . . .ELEC-MISCELLANEOUS Additional desc Permit Fee 71.30 Plan Check Fee 17.83 Issue Date Valuation . . 0 Expiration Date 12/26/05 Qty Unit Charge Per Extension BASE .FEE 15.00 .00 .7500 PER" ELEC DEVICE/FIXTURE 1ST 20 .00. 36.00 .7500 EA ELEC POLE LIGHT 27.00 1.00. 18.5000 EA "" ELEC SVC <=600V/<=200A 18.50 24.00 .4500 EA ELEC DEVICE/FIXTURE->20 10.80 -------------_------ Special Notes and Comments ---------- ---------- ----------- SITE LIGHTING - 36 POLE.LIGHT FIXTURES,19 BOLLARD LIGHTS_ 2001 CODES ----------------------------- Other Fees. . . --------.-------------------------- . ENERGY REVIEW FEE ----- 13.46 STRONG MOTION (SMI) - COM 4.20 Fee summary Charged Paid Credited Due. Permit Fee Total 278.30 .00 .00 278.30 " Plan Check Total' 152.38. .00 .00. 152.38 Other Fee Total 17.66• .00 .00 17.66 Grand Total 448.34 00 .00 448.34 LQPERMTT - - - I K1 P.O. BOX 1504 BUILDING & SAFETY. DEPARTMENT 78-495 CALLE TAMPICo (760) 777-7012 LA QUINTA, CALIFORNIA 9.2253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager, - From: Doug Evans, Community Development Director To CDD: 6/14/2005 Due date:- 6/2172005 Status: 2nd review Building Plans Approval . (This is an approval to issue a Building. Permit) The Community Development Department.has reviewed the Building Plans for the following project: Description: S ite Lighting Photometrics (REVISION — ADDED BOLLARD LIGHTINGI Address or general location: 46-400 Washington St. (Washington Park.— West End) Applicant Contact: BILL SANCHEZ (760-485-5308) The Community Development Department finds that: ❑ ...these Building Plans do -not require Community Development De artment approval. ...these Building Plans are approved y the Community Development' Department.. ❑ ...these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return there to the Community Development Department for review... C P ans, Community Development Director Date NOTE: PLEASE RETURN PLANS WITH GREEN SHEET TO THE BUILDING AND SAFETY DEPARTMENT Cj-?,fJjh ti lG�it�Ct/ P.O 'BOX 1504 BUILDING & SAFETY DEPARTMENT 78-495 CALLS TAMPICO (760) 777-7012 y MQF v LA QUINTA, CALIFORNIA 92,253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 0.1/11/05 From: Oscar Orci, Planning Manager Due date: 01/22/05 status: IST Review' ---- ----- r Building Plans Approval -- w (This is an approval to issue a building permit) The Community Development Department has reviewed the Building Plans for the following project: Description: SITE LIGHTING,. PHOTO METRICS Address or general location: 46-400 WASHINGTON'ST Applicant Contact: BILL SANCHEZ 485-5308 M The Community Development Department finds that: ❑ :. these Building Plans do not require Community Development Department ap al. ... these Building Plans are approved by the Community Development Department. 0 ... these Building Plans require corrections. Please forward a copy of the attached corrections to the applicant. When the corrections are made please return them to the Community Development.Department for review. d'- a cIw, Planning ger Date - Z." si CITY OF, LA QUINTA ' PLAN CHECK CORRECTION LIST r ' January 28, 2005 KKE Architects j -_w 949-250-3911 f ' PLAN CHECK NO. 05-115 (Washington Park) FIRST/FINAL CHECK ADDRESS �46�4.00 Washington s SCOPE OF WORK Yard Lighting Foundation . The submitted 'plans and specifications have been reviewed. by the VCA CODE GROUP. In our , professional opinion the plans are in substantial conformance with the building codes and regulations adopted by the CITY• OF LA QUINTAand the State of California Amendment. APPROVAL FOR A BUILDING PERMIT IS HEREBY RECOMMENDED SUBJECT TO OBTAINING- APPROVALS/CLEARANCES BTAININGAPPROVALS/CLEARANCES FROM ALL APPLICABLE CITY' DEPARTMENTS, AGENCIES, AND ASSOCIATIONS. ' y Plans checked by: Neil'Evans, PE VCA CODE GROUP ' • 2200 W Orangewood Ave, Ste 155 ' Orange, .CA 92868 •(714) 363=4700 ext. 750.' VCA File No. LQ-17226 � , i" • ♦ r.. L,. • .i ... • '. •Irk- � +, r -'' ` ,{ .