BCOM2017-004578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
t
Permit •Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
4
l DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING COMMERCIAL/REMODEL
BCOM2017-0045
46400 WASHINGTON ST ST
643020058 '
TRADER JOES / LED RETROFIT OF ALL EXISTING LIGHTING
$85,000.00
Applicant:
ENERGY SOLUTIONS AND SERVICES INC DBA EF
9125 ROSE STREET
BELLFLOWER, CA 90706
NQV-17'2017
@ffYOFLAQUINTA
M9Nft DEVELOPMENT DEPARTMENT
VOICE (760) 777-7125
FAX (760) 777=7011
INSPECTIONS (760) 777-7153
Date: 11/17/2017
Owner:
WASHINGTON 111 LTD
80618 DECLARATION AVE `
INDIO, CA 92253
t
Contractor.
ENERGY SOLUTIONS AND SERVICES INC DBA.EF
.9125 ROSE.STREET _
BELLFLOWER, CA 90706
(562)866-6621
Llc'. No.: 801135
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LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
1 hereby "affirm under penalty of perjury.that I am licensed under provisions of Chapter 9
1 hereby affirm under penalty.of perjury one of the following declarations:
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and
I have and will maintain a certificate of consent to self -insure for workers'
my License is in full force and effect.
compensation, as provided foe by Section 3700 of the Labor Code, for the performance
License Class C10 License.No.: 801135
ofth k for which this permit is issued.
- have and will maintain workers' compensation insurance, as required by '
Date: U Contractor:'
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: �.
OWNER -BUILDER DECLARATION
Carrier: PREFERRED EMPLOYERS INSURANCE COMPANY Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
WKN141828
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
_ I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct', alter, improve, demolish, or repair any
shall not employ any person in any manner so as to become subject to the workers'
structure, prior to its issuance,.also requires the applicant for the permit to file a signed
compensation laws of California, and agree that, if I should become subject to the
statement that he or she is licensed pursuant to the provisions of the.Contractor's State
workers' compensation provisions of Section 3700 of the Labor Co ,.I shall forthwith
License Law'(CHapter 9 (commencing with Section 7000) of Division 3 of the Business
comply with those provisions.
and Professions Code) or that he or she is exempt therefrom and the basis for the
11
alleged exemption. Any violation of Section 7031.5 by any applicant for a permit
Date: I Applicant: '
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
(_J I, as owner of the property, or my employees with wages as their sole
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
compensation, will do the work; and the structure is not intended or offered for sale.
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
ONE HUNDRED THOUSAND DOLLARS.($100,000). IN ADDITION TO THE COST OF
apply to an owner of property who builds or improves thereon, and who does the work
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
himself or herself through his or her own employees, provided that the improvements
INTEREST, AND ATTORNEY'S FEES.
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
` ., APPLICANT ACKNOWLEDGEMENT.
or she did not build or improve for the purpose of sale.).
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
(� I, as owner of the property, am exclusively contracting with licensed contractors to'
the'conditions and restrictions set forth on this application.
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State
.1. Each person upon whose behalf this application is made, each person at whose
License Law does not apply to an owner of property who builds or improves thereon,
request and for whose benefit work is performed under or pursuant to any permit issued
and who contracts for the projects with a contractor(s) licensed pursuant to the
as a result of this application , the owner, and the applicant, each agrees to, and shall
Contractors' State License Law.).
defend, indemnify and hold harmless the City of La Quinta, its officers, agents; and
�) I am exemptundei Sec. B.&P.C. for this reason
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
Date: Owner:
commenced within 180 days from date of issuance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for
I certify that I have read this application and state that the above information is correct.
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city Q enter upon the above -
Lender's Name:
mentioned property for inspection purposes.
Lender's Address:
Date: Signature (Applicant or Agent):
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TINANCIAL INFORMATION
DESCRIPTION, ACCOUNT QTY AMOUNT
101-0000-42600 ($4:00)
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $4.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT•FEE - MAJOR
101-0000-42600($68:98)
0
'$20.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
101-0000-42600
($26.01)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
•
101-00010-42600.
($26.01)
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES; FIRST 20
101-000042403
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL
101-0000-42403
0
$68.98.
DESCRIPTION ,
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL
..101-0000-42403'
0
$331.42
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES/FIXTURES, ADDITIONAL PC
101-0000-42600
0
$100.10
Total Paid for ELECTRICAL: $431.52
DESCRIPTION ACCOUNT QTY AMOUNT
PLAN CHECK DEPOSIT - ADDITION/REMODEL 101-0000-42600 1 $125:00
Total Paid for PLAN CHECK DEPOSIT - ADDITION/REMODEL: $125.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT•FEE - MAJOR
101-0000-42416.
0
'$20.00
Total Paid for RECORDS MANAGEMENT FEE - MAJOR: .$20.00
DESCRIPTION ACCOUNT QTY. AMOUNT
TECHNOLOGY ENHANCEMENT FEE _ 502-0000-43611 0 $5.00 i
Total Paid for'TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS:
Bin. # L
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0ty. of La Quinti
Building & Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.QWnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Rf--)V-1 7 _ o
Project Address: L4& kCO W@1561ewbwl
S-
Owner's Name:.
A. P. Number:
Address: 2.02'
Legal Description:
City, ST, Zip: �I? �2(p
Contractor: 1IG16n�' Li �L1L
Address: Q 2 5 J20 SL
��eCLPG
Telephone: 3•(010. &Px/00
Project Description:
City, ST, Zip: ( F1C t le:f CA
q0?6 &
I Yl eyi LY-ee-&Y-bRi
Telephone: Z. .&(o Z i
State Lie. #: 190 l Cj
City Lie'. #.•
Arch., Engr eslgner).
Y
Address: 2 b�- Y,
City., ST, Zip
.2
Telephone:
^fci�. "
,w ��
Construction Type:. Occupancy:
State Lie. #:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person: V,YisbylG
�i t
Sq. Ft.: # Stories:
# Units:
Telephone # of Contact Person:
?j�j
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Caics.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Contraction
Flood plain plan
Plan resubmitted.'.
Mechanical
Grading plan
tad Review, ready for correetionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plan resubmitted
Grading
IN HOUSE:-
'^' Review, ready for correetionstiissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
Sehodl Fees
Total Permit Fees
�G�s� �� � c� �1% �` ��►� � sv�c� et ec�r►`� .cow►
NOV 0,3 2017
CiTY OF LA gUINTA
COMMUNrTY DEVELOPMENT
vo--,
LIGHTING- �ELECTRIC
STATE LIC# 801135 • .
Trader Joe's Interior LED Retrofit Project
November 2, 2017
City of La Quinta '
Building and Safety
Permitting Department
To whom it may concern,
The following plans and permit application are for a simple fluorescent to LED retrofit
project (not a remodel or new construction of any areas). Existing fixtures in the ceiling grid '
of this store (sales floor & stock room) are being retrofitted in place with a LED retrofit kit
that utilizes the existing fixture housing. The housings will not be removed; existing wiring to
the fixtures will not be changed or disturbed in any way other than to connect power to the
LED driver that was formerly connected to the fluorescent ballast. All other fixtures are
replacement of existing surface mount fixtures on a strict one-for-one basis. Again, existing
wiring in the plenum will not be changed or disturbed.'
This project is being completed under the new 50% reduction compliance path (Code 130.1)
and-we are reducing the Lighting load in this store by more than 60%. The existing EMS `
system meets Title 24 requirements for Automatic Shut-Off, Manual On/Off, and Override
switches for the sales floor and case lighting. All other areas are being controlled by simple
occupancy sensors.
Signature d Date
Best regards,
Kristin Stockin
Project Manager
562.794.3315
. ...:.:.: .:
LIGW 'ITEC _ SIGAtS . ELECTRICAL r.
Stale.Lic. �e 8011.as. �e411ING ER GY"R rHE FUTURE Insured
9125 Rose St. Bellflowers Ca 90T06 Tel: 562-866-6621 Fax: 562-866-6641
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LIGHTING- ' j� - STATE LICA 801135 ,
October 30, 2017,
City of La Quinta
Department of Building Safety 4'
Permit Division .
To Whom, It May Concern:
I, Robert Ciatti, President of Efficient Lighting & Electric, hereby
authorize Kristin Stockin to obtain permits from and/ or Business ,.
License's on behalf of Efficient Lighting and Electrical and can provide i
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any information regarding my.Contractor's License, City License and
Worker's Compensation Insurance. Kristin Stockin. can also provide
payment for any new permits.
Should you have any questions please feel free to contact me at the
number listed below.
Sincerely,
Robert Ciatti r
President
a
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. . . . . . . . . . . . . . . . . . .
LAGHTI .. ..IG t.... TRIC.A1 .
M1WS.tiate.Li�. H� EN y FOR 7 E FUTURE
................:..................... .......... Insured,
...............................................
91125 Rose St. Bellflower, Ca 90706 Tel: 562-866-6621 Fax 562-866-6641