The URL can be used to link to this page

0402-366 (ELEC)LICENSED CONTRACTOR DECLARATION I hereby affirm under penalty of perjury that'I am licensed under provlsiaits 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 # Lic. Class Exp. Date r� 6460 ^i A ate LJ Signature of Contractor `'%r e � OWNER -BUILDER DECLARATION'S j I hereby affirm under penalty of perjury that I am exempt from the Contractor's " License Law for the following reason: �r -r -••--• ( ) I, as owner of the property, or my employees.*th wages as their sole compensation, will do the work, and the structure isnot intended or offered for sale (Sec. 7044, Business & Professionals Code). ' ( ) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business & Professionals Code). ( ) I am exempt under Section ; B&P.C. for this reason Date Signature of Owner ;t 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 ,,I.,LEY i"Ok2M 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 shall not employ any person in any manner so as to become subject to the workers' compensatioh�laws of California, and agree that if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions./ 1," Date:. 1,17Applicant—a 9 7f "".._ % �.. 1 Warning: Failure to secure Workers' Compensation coverage is unlawful and 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. I\ ,.- . } BUILDING PERMIT DATED, �% may/ VALUATION LOT JOB SITE r j, ADDRESS 47_905 WASHMU1 0 SIRFAE ' OWNER EVERGM R AV:FA1'T E 48 &WAS fill ME= AZ USE O�F'�PERMIT M%1K PERMIT # TRACT 'PAR 3 APN pm 27892, 6,4425- •-001 CONTRACTOR / DESIGNER / ENGINEER � WC90.11 i 71,:M4 COW&MCriL Bi1'I,T..tiEW INC 300 E3 M1,330M .AVE .85016 PRIDE= AZ 85014 (602)263.8300 CRIX 3609 SI`I'It Li0H7`IH0(WATX.,R ?'K3) 13 P'OLF D40(3tsi ('Erj/2 BUILDING MOUNTZ0 LICH TSS I'13:it APPROVED FLARSM AWS, 2001 CO13SIS '1%'ALY.7.ATION ' 3-7,000.00 19 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 enter upon +' the above-mentioned property for inspection purposes. oS RECEIPT P: Signature (Owner/Agent) fF , Date FEB 2 7 2004 CITY OF LA Ot11NTA FINANCE DEPT. SUB -TOTAL CUM YRIMMON"AND PLAIT CHFXX 7, Nag FN PAID F1~'R'9 TOTAL PERMUMES XWE NOW BY o� 57,Dt1SfA) $0,00 $772.95 c 'C ESIT1► ATED COST OF CONSTRUCTION FRE 6V NAMARY ` PI 14 CHWK 'f t B C0145TRUC TIOV ME 101-000-41 t;-000 �clAb.f)i! EZ,L'ft;:'1'W.C'AL 1'ITE 101 t;000-420.000 S'PItama MOTION FEE • RES10 101-000-2,x11-000 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 enter upon +' the above-mentioned property for inspection purposes. oS RECEIPT P: Signature (Owner/Agent) fF , Date FEB 2 7 2004 CITY OF LA Ot11NTA FINANCE DEPT. SUB -TOTAL CUM YRIMMON"AND PLAIT CHFXX 7, Nag FN PAID F1~'R'9 TOTAL PERMUMES XWE NOW BY o� 57,Dt1SfA) $0,00 $772.95 c 'C INSPECTION RECORD OPERATION DATE INSPECTOR OPERATION DATE INSPECTOR BUILDING APPROVALS MECHANICAL APPROVALS Set Backs Underground Ducts Forms & Footings Ducts Slab Grade 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 Utility Notice (Perm) COMMENTS: CLQ. P.O. BOX 1504 BUILDING & SAFETY DEPARTMENT f OF Tk9� 78-495 CALLE TAMPICO (760) 777-7012 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 To: Greg Butler, Building & Safety Manager To CDD: 2-25--2004 From: Oscar Orci, Planning Manager Due date: SOON Status: l ST 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: r' Description: Walgreen's Site Li htigg -Address or general location: 47-900 Washington street Applicant Contact: Rueben Garbett 623-363-6262 The Community Development Department finds that: ❑ ...these Building. Plans do not require Community Development Department approval. E]� ...these Building Plans are, approved by 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 them to F the Community Development Department for review. Oscar Orci, PlannA Manager Date 03/03/05 THO 10:07 FAX , Q003CARUSO - Tuum SCOTS' Job Name %& =soma Job No. 3? Sheet No. ki%osm we 40 ftK ads so 81iS i�16oN Rid � t01 ��,,,,eoc, + alre 6y Rlrk ate___M3 .— amat mm FAX 804%m e m Ox s�staaao� _ Llrr C D?4F �' K LlirfIT3 ' FLDPD L i LAT S ME'; 1 X I _ M :e �' DL. 12-10-t 74PV4 W) 333 y -� '['8q#has) `t Z,c l•s'� -t 7(�s} xi `:0;5$ :T9y 6PFFD' OK I+ �----- ' U t W-1 tt T1f war .- • , ♦r_!� 4-D L - .. 1. {iffy POU PER UGKT PME . • MFRr 2 DOUBLE NUTS - ' 3, 1 1/Y3 OR1fPACK. — 4. 3/4' GMMFER. N TOPH. t {10 24' GIA CONCRETE PER V Q, 60 vETrnCALS AND fR 11ES (�) AT if ac. (4) 7. FUM (MADE OR cOMOMM SA AS oars, (5) a SIAM LAPS 180' AT ALTFMM W TES t �3 1s1EE x g) RASE PuiE AND ANCHOR (/ . CV MUS PER UGHT POLE MFR. . /47) t9i (5) (g) o co - u SECTION (g) x NOTE: ADOIAONAL 1'-W OF CONCRETE BASE MIR AT FOUNDATION - 30'-0'(MAX)UGHT POLE L'M � AW -4& 32 03-376 NO SCALE ' TrPa: DESCRIPTION CATALOG 0: • - l.UN1ARK� SPECIFICATION FEATUA6t: Dominated by Nat surfaces and A .• Nouelny D 8ellast strong lines that emphasize The housing it a two-piece HID luminaireb supplied with the princplas of architecture, design of die-cast aluminum high power factor ballast with the IMPACT Trapezoid cutoff for precise control of Class H InSul4lion. Minimum wag luminaire make It ideal tolerances and repeatability. starting temperatures are -WC complement to site design,(.WF) for HIPS and -301C These luminaires are U.L. a Mounting 1-20"Fi for MH. Compact Listed and CSA Certified for Gaskeied and Zinc plated rigid Fluorescent luminaires feature wet location when mounted steel mounting attachment Its program start, high efficient down and damp location up directly to 4" J-8ox or wall with muhi-voltage WSONr ballast mounted. "Hook -N -Lock" mechanism for with •18'C (01F) minimum Quick inatallation. Secured with starling APPLICATION two 12) captive corrosion resistant black oxide coated C. Door The rMPAC7`s rugged die -oast allen head set screws Dietsst door mounted with. ort truction, full cutoff concealed but accessible from 1118• heat- and impact -resistant eons classified optica is perfect for bottom. Clear tempered glass liens. with light restricted roves C . Optisol Modules Internal plated steel clips and Healed with EPOM surrounding schools, office, All optical modules utilizes secured inn place complexes, apartments, and high performance 96% Hinged door secured via two 12) captive fasteners recreational facilities providing reflective sheet. Strong Type II facade and security lighting optical module is standard, F Finish needs. Durable polyester powder goat ` finish. Standard calor is bronze, Optional white, black and sliver colors available. Other flnieh colors available, Consult your Cooper Lighting Rted1! Representative concerning • .. -'v . - special Color requiremema. 121C Firm) +--- to t/2•lattmml—� -, �g• 1228rmnl•—•� IP IMPACT TRAPEZOID 50.175W High Pressure Sodium Metal Halide 2 6. 5 2 M Compost Fluorescent WALL MOUNTED LUMINAIRE immeT (;.,.IF V.11 t.O..,:•s• TECHNICAL DATA JeFC Mm(h,NM Arnb*tTrunperetar. Emrnsl SusvN Yrsrinp 60-C Mifwm , Down Moalre.s–Wet Location Up 14 tsRed–partesLooatior. IEtS FILES Meal Hms. 17B•v<MMI_AI High Pra.Mse Soaurn ismy (HPI 151 26W (PUPIb) 72WJP11P221 ENIERGY QATA Sao RellawAs 0.1b" knua wag SOW MPs HPF to Mitsui am MH *F In vmml 70W MPS MPF (91 wonal low Mx MPF (_au wam) loam HPS HPF (720 VVM.I 1QM MM HFF 1129 W.rMI IWW HP8 MPF 1190 wand 19OIY MA APF I'as Wane) . CWA adiso hpat went 175W MM MPF 1210 Wena) 0 Aarlfc saft a leaut wata I6YY?L HPF 129 Warm 72W PL MPF (7e W.tto 04101 n "PF 140 Vieas) t$m PL MPF (55 Want) Acliwls« ) sInn ap > u-mifi .-4 -Tiwrt " ' SZBCd6LZZ09 rZ:SI b0®Z/ZI/Z0 DECASHIEW 400 LUMINAIRE APPLICATION$" • Walkways, drivevrays, tennis courts, malls, shopping centers, commercial and Industrial complexes -Residential areas and parkway lighting, F" SPECIFICATION FEATURES is .150(m) -&1572 Listed •Enclosed and gosketed optical Suitable For Wet Locadons -Decorative Mounting Arm standard for flat -UL listed to Canadian National Standards and Codes or curved (for 3.5 to 4.5100 pole (drilling -Standard construction is IP54 templates are the same as those for the Decashield 1000 and Dimension, •Heavy-duty die-cast aluminum housing and door luminaires.{ • Polyester powder paint finish standard for dark bronze, black, white. gray or aluminum -Mogul base socket — E39 standard -No-tool access stainless steel latch design -Plug-in ignitor • Heat and impact resistant tempered flat glass lens -Unit shipped complete in one carton (Ballast secured to housing) • ALGLAS$ finish on Type 11, Type 111 and Type V reflectors, anodized finish on Forward Throw -Removable ballast tray reflector -Magnapack packaging available -Type II, type III metal halide, and all Forward Throw reflectors are field rotatable ORDERING NUMBER LOGIC CSNIT. is .150(m) 0ecaihleld400Luminaire 17 c176 with BallaetTray Flat tie _ZMA00' Surface & Mounting Arm 25 =250 ended: 40 0400 OSME= 4 - PE Oc a7ptecl O/eashlcld400Luminaim •2 IAM with 2- External Sliptitter comeetedfor Installed llov OSMR= Car, Oeoanh ietd 40a Luminaire 2 • 208 with Ballast Tray & eboci anilable Mounting Arm to Round 3 - 240 Pala NOTE Receptacle = NPS 6001 S60eelim and t =clone MN 07 1 aggel Photoawtric 2 . PE Rbcepta4 ended: 2401217 Seleetion7rhle 4 - PE Oc a7ptecl ogul bare Muldrnt A . Ataoreg and Shorting mp not 1 -120 0 = Bi -Lent Car, eluded. 2 • 208 C - Ma9-Reg anilable 3 - 240 with NOTE Receptacle 175.250 400 4 - 277 Grounded Wriected same A A A, P A 5 = 480 socket Shell voltage as unit 0 = 747 K = HPF Reactor multvolt or F - 120107 orLaO 120X347V! T=220 K= Kotgewrhke i 0 4neSurge Imustalso Pmtecwr. MILE order -P- Expulsion Tyya T - 240 oytion in P - Prewife with 6 nghtlMen- 14.13 cable. NOTE ULICMCen J - No M4rming A' 120Xia7 factoryl Q = Non-TunaOelai connected M. Mag -1061 Automedceny for 120V P - CVVI with Switched Quan Grounded Socket shall AND PHOTOMETRIC SELECTIONTABLE All light sources are clear unless otherwise indicated, ��Ti.-nt'��'}yQ: il,. k::•Ai. +6S�;7h:!' ..A/K: 60K2 = Glees Seeaellitstand AL=Aleminutn A= lightniagAven Photoetatric BL -aleck GroundingTy� 150(55V) S6loctlonteble DB=Dark C = Charcoal k NIA 8551 8596 aronme Fiherlllul 250, 400 Mac lelandard) anilable Moolumcoloo CG=Charcoal j wltePv►rt> 175.250 400 Types Grill F = Fos3ng Not A A A, P A NIA 8594 1 8597 A 18595 8598 WH=White avallablcwihh Rio. multvolt or Madiona Culoll NOTE: Corrroct 120X347V! TVpe111 factarytm i 0 4neSurge other Colors. Pmtecwr. FWr = Expulsion Tyya Forms to Throw P - Prewife with 6 14.13 cable. KTY - J - No M4rming A' Horizontal TypuV Q = Non-TunaOelai Automedceny Switched Quan Wetnge Light Source Photometric BallastTypeNoltage Curve Numb 17 - - - - 60K2 50H2 IES Distribution Type Mulrivolt 120 Be, 240, 277,480 240 MC2 MC3 FWT h HlY 150(55V) HPS HMA G}IJNA GMA k NIA 8551 8596 8604 8599 250, 400 HP A A. P A, P A 592 7315 8605 8600 175.250 400 MH M k A A A A A, P A, P A A A, P A NIA 8594 1 8597 A 18595 8598 8607 8608 8602 8603 NOTE: WA Not available. ��c M 19 alc-ItrM aF7itlR�+a... SZ806LZZ99 Regisbred frararaat at Unaemrims tala4 listismed'rwdmaa rn Giveral rhecmc G� Nden erk of Gaaeral flocitie co+aV■nt SZ:ST 9002/Z1/Z8