0010-123 (ELEC)LICENSED CONTRACTOR 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;f6rce and effect.
Licenie # Lic. Class Exp. Date
Date Signature of Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
(<) 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 & Professionals Code).
( ) 1, as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business &,Professionals
Code)... f /
( � I am exempt under Section B&P.C.160this reason r
✓bate A0 fi' .. Signature of Owner c' rl is<x • ,!'
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 & policy no. are:
Carrier Policy No.
(This section need not be completed if the permit valuation is for $100.00 or less).
(�,✓) I certify that in the performance of the work for which this permit is issued,
I.. spall 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
sub' c(to the workers' compensation provisions o�Section 3700 of the Labor
C e, I shall forthwith comply with.those provisions. //!
ate: / '4✓ v! AppllCani ^:�,:a_._.., r�/,; . aa! ..- �..
Warning: Failure to secure WorkersCompensation-Coverage is unlawful and k
shall subject an employer to criminal penalties and civil fines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for a permit subject. to the conditions and restrictions set forth on his
application.
1. Each person upon whose. behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City,of La Quinta, its officers, agents and employees,
2. Any permit issued as a result"of this application becomes null and void if
work is not commenced :within 180 days from date of issuance of such
permit, or cessation of work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I.agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City,to.eAter upon
�th bove-mentioned property for inspection purposes `
Signature (Owner/Agent)
BUILDING PERMIT , PERMIT#
DATE VALUATION LOTTRACT
JOB SITE
APN
ADDRESS
47 2,25 WASYM.MO` O11 sk eEEIT:643-M-CM
OWNER
CONTRACTOR / DESIGNER / ENGINEER .. -
1201 E WGi'°fiif., AND INE
alkyl 39 CA 92404
CEL 5281
USE OF PERMIT��p
j
ELI TMMC L
1NSY'ALI. is a A.RKMO 1,0'r .i: lnfi`t° P£ LHS P`S FIX tUA FKACX-) PER C'.1U I
i
V.t`B.Ie).).1'$VUH 54m.00s,
P11 -all r-14)ECK PER 301�000-439-318 $46.80
1,".�.3.�'��i'�`t,K�.l.)!�,r'�'3'd�1�3'v ���'� 3.'� V-rl��`•r8.3 O••�� t:L.®�
f ;4 `Titti`J�Y� F°l F. 101 -000-420-000
SUBM.4:AL<MWIST iTCI.SONT,414D PLAN
$142.80
LF -113 MMIPAW; MIS
$0.00
TOTAL FTIGUKITY�111%8 DATE Plow
RECEIPT
DATE
BY/
DATE FINALED
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings �()6 _ _
Slab Grade
Ducts
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
POOLS -SPAS
Steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
Final
Utility Notice (Gas)
- ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G. F.I.
Smoke Detectors
Temp. Use of Power
Final - Q
Utility Notice (Perm)
COMMENTS:
-
SPARTAN
To build catalog numbers refer to inside front cover
III
/Q1t4'I,L7,V t 1 rr,
8 = Without Mounting
9 = Wishbone Mount
r
Catalog Number
(See page 20)
iousing Wattage
FPM'507-(a)(b)
F
lite (sq.) Lamp
(add mounting code)
Mounting Code -
(Invert Cade at' in Cat. tg)
6" 175W MH
FPM`417-(a)(b)
1= 1 1/1" Close Pole Mt.Os
25OW MH
FPM_425-016)
2 = 6' Extended Pale Mt.O
320W MH
FPIN'432-(a)(b)
3= Y Adjustable Slip Fitter
35OW MH
FPM'435=(a)(bl
4= Yoke Mt. (not shown)
40OW MH
FPM*4140-(a)(b)
5= 11' Extended Pala Mt
400W MSX/HOR
3" 1000W MH
FPM'740-(a)(b)
FPL'499-(o)(b)
8 = Without Mounting
9 = Wishbone Mount
IOOOW MSX/HOR
FPL'199-(a)(b)
(See page 20)
70W MPS
FPM'507-(a)(b)
F
100W NPS
FPM15I O-W(b)
—150W HPS'
FPM'5l5-(a)(b) ,
250W HPS
FPM'525-(a)(b)
40OW HPS
FPM*540-(a)(b)
25OW HPS-?
FPM'62S-(o)(b)
40OW HPS-P
FIRM140-(a)(b)
a
' 1000W HPS
FPL'599-(ol(b)
(For wall mount brackets see page 21)
Voltage Suffix Key: Indicate voltage in space (a) .
Description
I [u volt 277 Volt 208 Volt 240 Volt 480 Volt Mulhtap
1 2 3 4 5 lMi
topped Q 277V
)ptions: Indicate options in space (b) (Factory Installed) SUFFIX
Description
(b)
Fusing (UL Pending)
Single 020V 8117V)
F
Oual(208.240.48)V)
Change Suffix (a) to:
120 Volt 277 Volt 208 Volt 240 Volt
480 Volt
1 2 3 4
5
Ouartz Standby (Includes 0 lamp: 15OW = 16", 25OW- 23") Non delay
-relay type
a
Photo Control
A twist lock receptacle and matching photocell are supplied. Specify voltage in position
(a) of order
P
code.
Change Suffix (a) to:
120 Volt 277 Volt 208 Volt 240 Voll
480 Volt
1 2 3 4
5
Wishbone Square Pole Mount
S
Wishbone Round Pale Mount
R
White Housing (Custom Colors Available: Consult factory for pricing and delivery.)
VV
ssories: (Field -Installed) 16' housing
23" housing
ascription Catalog Number
Catalog Number
Wire Guard WG -16 WG -23
Vandal Shield VS -16 VS -23
Page 21) — tenon Adaptor for restrictions.
FPMI S,,�c,c�-\ f GSC'vS -y-1I(,V-l3\gO
4iI
Without Mooeting
(Factory. Drilled)
71--�
n LISTED
16
5�—
Q - I
SPAR
Housing
Gasketing
The 16" seamless, die cast aluminum housing and inno-
Complete silicone gasketing around lens frame and at
votive 23" extruded aluminum housings are standard
mounting provide a watertight seal
with our weather resistant bronze polyester powder top-
coat. Consult factory for avoilibility of other colors.
Labels
Sizes: 16" square x 7" deep and 23" square x 10"
The Parking/Roadway luminaire is UL listed for wet loco -
deep.
lions.
Optics
Mounting Options
The 16" housing comes standard with Type Il opfics. The
For Complete descriptions of mounting options, please refer
23" housing has Type II asymmetric distribution. Ideally
to pages 20.21.
suited for roadway applications, parking areas or for
High Pressure Sodium
building mounted security lighting.
Warranty
Lens
The FF luminaire sold by C.E.W. lighting, Inc., unless other -
A dear, tempered glass lens is held securely in o die cast
wise specified, will be warranted to be free of defects.in
materials and workmanship under normal use and service
or aluminum extruded door frame.
for a period of five (5) years from date of shipment. If
Ballast
found to be defective by us, we will replace the non -per -
All fixtures ore standard with a high power factor multi
forming parts or goads.
tap ballast (except 480V). All units are supplied with a
FFL5599
36" SOW] 6/3 cord connected to requested voltage. If
18.1
no voltage is specified, cord is connected to 277V lead.
"Initial footcandles assume 4 floodlights per pole.
lamps .
The 16" size utilizes 70.400W mogul base lamps. The
23" size utilizes 1000W mogul base lamps.
Note: To increase light levels by 20%, specify a pin-ori-
enfed socket using.a MSX400/HOR orMSX 1000/HOR
lomp.
75' 50' 25' 0 25' 50' 75'
75' I I I
I
so'
I
zs' I
5.0
0'
3.0
25'
so' 1.0
• I .50
30
75'
:10
100'
40OW HPS Parking/Roadway luminaire at 30'
mounting height. and 0" vertical tilt.
Criteria:
FP Series Luminaire 0° vertical tilt.
Mounting Height: 30'
Wattage: 40OW
R $ Mounting: 12" Extended Pale Mount
❑}4~ Pale Spacing: 4 times mounting height
P 9%RoodwaY tmaire Poe Sa�wSecn Guide
Lamp Desired
Design .
Catalog
Type Mounting Height
Footcandles
Number
Metal Halide
40OW 20'
16.4
FPM2440.
40OW 25'
10.5
l000w 30'
19.8
FPL5499
1a00W 35'
14.3
High Pressure Sodium
25OW 10'
13.4
FPM2525
40OW 25'
14.1
FPM2540
40OW 30'
10.0
Io0oW 30'
25.0
FFL5599
1000W 35'
18.1
"Initial footcandles assume 4 floodlights per pole.
ej
rOO.375 -
Gao
,- .7sa
r 00.375
24
bWounting Code: See detail next page
I
•f
m
Shaft
Base (over
Fabricated from high grade structural steel tube, the shaft
Fabricated from heavy gouge quality carbon steel, the two
conforms to ASTM specifications. It meets or exceeds
piece cover conceals base: ABS plastic is supplied with
minimum yield strength of 55,000 psi. Wall thickness is
some sizes.
either 11 go (.120 wall) or 1 go (.180 wall) as
specified (see ordering information). A reinforced hand
Standard Finish'
hole is furnished with cover.
The SSP Series is furnished with an electrostatically applied
red oxide primer over 2 stage cleaning process.
Base Plate
Fabricated from structural quality hot rolled steel, the
Painted Finish (optional)
base plate meets or exceeds minimum yield strength of
A choice of galvanized or painted finish is available. The
36,000 psi. Bolt holes'are slotted to provide 1" flexibil-
pointed finish is an electrostatically applied acrylic enamel
ity on either side of bolt circle centerline.
over red oxide primer or powder coating, specify�color.
Anchorage
Fixture Mounting
Anchor bolts are made of hot rolled steel bar with mini-
Two sides of the SSP Series poles are pre -drilled. Optional 2
mum yield strength of 50,000 psi. Bolts have an "L"
3/8" tenon and other mounting brackets are also avail -
bend on one end and ore threaded on the other end.
able. See next page for mounting codes and mounting hole
Bolts are galvanized 12" from the. top of the thread and
detail.
are furnished with two nuts and two washers. See next
page for anchor bolt specifications.
t
Catalog Number Pole EPA Ratings
Base Wind Velocity (MPH) Max. Fix.
Pale Base With 1.3 Wind Gust Factor Wt. (lbs) Shipping
Height Sq. (in.) 80 90
100 @ 80.MPH Wt. (lbs)
-`10-' "'SSPIO-4-11-(a)(b) 9.75 30.6 13.8
u14'
18.9 765 -. 75
SSP 14-4-1HOW 9.75 19.9 15.1
11.7 498 100
20' SSP20-4-11-(a)(b) 9.75 9.6 6.7
4.5 240 140
x'25' 5SP25-4-11-(a)(b) 9.75 -4.8 1.6
1.0 150 170
25' SSP254-71a)(b) 9.75 10.8 7.7
:t
5.4 270 245
.
25' SSP25-5-11-(a)(b) 11.0 9.8 6.3
t
3.7 245 225
30SSP30-5-11100) 11.0 4.7 2.0
- 150 265
25' SSP25-5-7-0)(b) 11.5 21.3 15.5
:I
11.8 275 319
30' SSP30-5-7-(o)(b) 11.0 10.7 6.7
3.9 267 380
35' SSP35-5-7-00) 11.0 5.9 2.5
- 150 440
30' SSP30-6-7-0)(b) 12.0 15.7 10.2
.I
6.4 397 520
35' SSP35-6-7-01(b) 12.0 9.5 5.0
1.8 237 540
39' . SSP39-6-7-(a)(b) 12.0 5.1 1.3
- 128 605
Other sizes available upon request.
(a)Pole Finish: Indicate finish in space (a)
Description
Prime Bronze Black
Galvanized
P Bz BK
GLV
bWounting Code: See detail next page
I
•f
m
b)Mwnting Cade: Indicate mounting in spore (b)
90°
a
SUFFIX
Description -`"
W
2.3/8 Tenon (Uses SPB14 at SPB15)
SPB)4
One Fixture (Uses Hole Pattern) Direct Mount
MID
Two Fixtures 90° (Use Adaptor)
STA290
Two Fixtures 180° (Uses Hole Pattern)
M2180
Three Fixtures 120' (Use RTA3120 Adaptor)
SPB14
Three Fixtures 90° (Uses Adaptor)
STA390
Four Fixtures 90° (Uses Adaptor)
STA4
I
} I
1' I
+
2-
atolog.No. BC
Mounting Hole Detail
5' Pole
4' Pole
/-00.375
00750
/-00.375
Hole pattern on two sides
D L
I
1.
W
1 2'-
Order Code
quare Steel Poles
SP10-4-11-(o)(b) 9-11
3/4
17.
3
AB34X17
SP14-4-11-(a)(b) 9-11
3/4
17
3
AB34X17
5P20 -4 -11 -(OW 9.11
3/4
17
3
AB34X17
5P25-4- I 1-(o)(b) 9-11
3/4
17
3
AB34X17 '
;P25-4-7-(o)(b) 9.11
3/4
17
3
AB34X17
;P25 -5-11-(a)(6) 10-12
1
36
4
ABIX36
;P25-5-7-(o)(b) 10-12
1
36
4
ABIX36
;P30 -5-11-(a)(6) 10.5.12.5
1
36
4
ABIX36
;P30-5-7-(o)(b) 10.5.12.5
1
36
4
ABIX36
P30-6-7-(o)(b) 11.5.13.5
1
36
4
ABIX36
P35-5-7-(a)(b) 10.5-12.5
1
36
4
AB1X36
P35-6-7-(o)(b) 11.5-13.5
1
36
4
ABIX36
P39 -6-7-(a)(6) 11.5.13.5
1
36
4
ABIX36
IN -
BC = Bolt Circle Diameter BC/
BP = Bolt Projection (V of thread)
D = Anchor Bolt Diameter
L = Anchor Bolt length - - --
W = Anchor Bolt Width
- BP
[J
zo
RTA3120 Adaptor,
2s
90°
a
2s