BELC2014-1059Ct•ye
78-4950 CALLE TAMPICO
LA QUINTCALIFORNIA 92253 COMMUNITY DEVELOPMENT D
BUILDING'PERMII
Application Number: ' BELC2014-1059
' Property Address:. 80525 VIA SAVONA
APN:' 1 777120002
Application Description: '100A VEHICLE CHARGING STATION H 125A SUBPANEL '
Property Zoning:' •
Application Valuation: $900.
• Applicant I 21 2015
CRITICAL ELECTRIC SYSTEMS GRO
0 OUTSIDE CITY.LIMITS QOINTA
LA QUINTA, CA 92253 CmOMpEPARTMENT
Ai '
VOICE (760) 77777125
I t FAX (760) 777-7011'
4RTMENT t INSPECTIONS (760) 777-7153 `
' •- +„ ,,' �� Date: 1/27/2015 ,
A Owner
PAUL SPIEGELI` •. ' . ' '
j, 12121 WILSHIRE BLV NO 2071
I LOS ANGELES, CA 92253
• 1"
Contractor: '
+ CRITICAL ELECTRIC SYSTEMS GROU
' 0 OUTSIDE.CITY LIMITS a
LA QUINTA, CA 92253
(7601327-7850
f
LICENSED CONTRACTOR'S DECLARATION I
s ",WORKER'S COMPENSATION DECLARATION'
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations: ,
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
k' I have and will maintain a certificate of consent to self -insure for workers' .. I
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance F ;
License Class: _ License No.: :LIC -0010060
of the work for which this permit is issued.' _
C
I have and will maintain workers' compensation insurance, as required by
Date: �4 Contractor: q
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-BUILER DECLARATION
Carrier:—' Policy Number:—
• I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any_
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair'
compensation laws of California, and agree that, if I should become subject to the i
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the '
comply with those provisions. +;
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
! ate: — Applicant:
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 -
WARNING: FAILURE TO SECURE WORK S' COMPENSATION COV RAGE IS UNLAWFUL,
($500).:
r
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
( 11, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF.
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THELABOR CODE,,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES. ,
• 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
yAPPLICANT ACKNOWLEDGEMENT ,
are not intended or offered for sale. If, however; the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to F
within one year of completion, the owner -builder will have the burden of proving that
the conditions and restrictions set forth on this application. ,
he or she did not build or improve for the purpose of sale.).
1. Eacli person upon whose behalf this application is made, each person at whose ,
(� I, as owner of the property, am exclusively contracting with licensed contractors]
request and for whose benefit work is'performed under or pursuant to any permit
' to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and,'
State License Law does not apply to an owner of property who builds or,improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and `
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or -
the Contractors' State License Law.). '
following issuance of this permit. 1 e�
(_) I am exempt under Seca B.&P.C. for this reason
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."
Date: Owner. !
,
I certify that I'have read this application and state that the above information is correct..
CONSTRUCTION LENDING AGENCY '
I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for
construction, and hereby authorize representatives of this city to enter upon the above -
the performance of the work for which this permit is issued (Sec. 3097, Civ. C_.).
mentioned property forriinspection purposes.000,
Lender's Name: '
Date: ? �j. Signature (Applicant or Agent):
Lender's Address: y
, ` • '
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INFORMATION
x
� i.i 's Sy" n
ESCRIPTION F:.�'�`+ -. ACCOUNT�f 4AMOUNT,� PAID" PAID DATE;
y�, aCtTI! ,
V BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
..�...�,Gf F'4 ° .� % �.* y �. r �{ r.. .".-F� 's 't,. P� nt �r .-..: :'. t �A 'r'•.2 a;,y
PAID BY �:a"METHODS t is RECEIPT;11 , t r? CHECK #.r s�CLTD•BY,
x., _.. _ .. , ; €t Y ,7
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA' $1.00 $0.00
DESCRIPTION
OUNT
PAID"t `
AIQTY+
DATE;
APPLIANCES, RES _
101-0000-42403
0
$12.09
$0.00
PAIDBY 'Y4
'� r� METHOD
�?#xti
RECEIPT
` CHECK# z
"a CLTD;BY"^
�_ - . r a:a
.s� + ti� s�
ri..,.
, r.
"
1
' DESCRIPTION ,"s`3 �"� `k
: k' ACCOUNT
Y'�PAID.s'
x �r
PAID DATE!
a1_1 ,C3TY4,AMOUNTrE
APPLIANCES, RES PC
101-0000-42600
0
--$12.09
$0.00
w-1a;rPAID.BYp3}�'�a`. F'l+a
METHOD ` xr '4,w
. rRECEIPT'#.�,.zz"•k
CHECK"#*
CLTD BY,:
,
.t..-
Total Paid for ELECTRICAL: $24.18 $0.00
x l
xfA f`dDESCRIPTION
` ACCOUNT`'QTY,;t
ffAMOUNT a=::u,PAID'
,—"
y««i+ Fl.
+� q.
5,
(PAID DATEf
PERMIT ISSUANCE
101-0000-42404
0.
$91.85
$0.00
M•ri .Xy w Ij � r - ��r a � d
RPAIDBY+}`,r �ti,;c,.
.; � .:� � .�..
METHOD
i. � �,1 � a,*
'� RECEIPT,#'.f
*Yl U' 'r.t,"tS,ro. '.
CHECKt#
,ry •.
t,t �'t
r:
1 :tet ,y�
,1iCLTD:;BY"
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' Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•-
Description: 100A VEHICLE CHARGING STATION WITH 125A SUBPANEL
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 12/18/2014 MFA
Approved: 1/8/2015 AOR
Parcel No: 777120002 Site Address: 80525 VIA SAVONA LA QUINTACA-92253
Subdivision: TR 29894-2
Block: Lot: 86
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finalecl:
Valuation: $900.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0.
CONDITIONS
Details: 100A VEHICLE CHARGING STATION WITH 125A SUBPANEL. 2013 CALIFORNIA BUILDING CODES.
21
�IY Applied toApproved.
FINANCIAL INFORMATION
Printed: Tuesday, January 27, 2015 8:39:11 AM 1 of 2
CBTWSYSTEMS
CHRONOLOGY-
.�
HRONOLOGY TYPE STAFF NAME�s�
ACTION DATE -'COMPLETION DATE v
#. ri NOTES wµ' t� r A
TELEPHONE CALL AJ ORTEGA
1/8/2015
1/8/2015
PHONED APPLICANT RICK BARRON THAT PLANS ARE
APPROVED AND PERMIT IS READY TO ISSUE WITH A VALID
CONTRACTORS� LICENSE.
CONDITIONS
CONTACTS
QTYE. E"..
"NA E
ADDRE SS
!C�7'
APPLICANT
CRITICAL ELECTRIC SYSTEMS GROU
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR
CRITICAL ELECTRIC SYSTEMS GROU
0 OUTSIDE CITY LIMITS
LA QUINTA
-CA
92253
OWNER
PAUL SPIEGEL
12121 WILSHIRE BLV
NO 207
LOS ANGELES
CA
92253
FINANCIAL INFORMATION
Printed: Tuesday, January 27, 2015 8:39:11 AM 1 of 2
CBTWSYSTEMS
x
AON
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aY
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(� �. `��_� a l .� � � $ t ,� � �� fir' � a','� ' � +�`s �'��...L 2' �•�x��«� �. � i � � � � ® ,�
T MN5
-71
W
L
REVIEWS
ETURNED
IE �i =REVIEWER .SENT NT4 DUE DATE
DATE
NON-STRUCTURAL AJ ORTEGA 112/18/20141 12/25'2014 APPROVED
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, January 27, 2015 8:39:11 AM 2 of 2 CRSYSTEMS
P, 1_
AMOUNTCHECK
PAI
RECEIPT
'WETHODIr
B
BSAS 561473 FEE
101-0000-20306
0-
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
APPLIANCES., RES
101-0000-42403
0
$12.09
$0.00
APPLIANCES, RES PC
101-0000-42600
0
$12.09
$0.00
Total Paid for ELECTRICAL: $24.18 $0.00,
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00 -
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS: $117.03 $0.00
REVIEWS
ETURNED
IE �i =REVIEWER .SENT NT4 DUE DATE
DATE
NON-STRUCTURAL AJ ORTEGA 112/18/20141 12/25'2014 APPROVED
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, January 27, 2015 8:39:11 AM 2 of 2 CRSYSTEMS
Bin #
.City 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: O 10
Owner's Name:
A. P. Number:
Address: `
Legal Description: C• �, �'
by, ST Zip: 44 3
Contractti.bel ecl
Telephone: 7_ (Ql
'::j; iiijijTii'rji:i �::hY•:i;•:�ii'•:
Addy � 1Z-2'? J,lo,�t- C(.>4
rcjectl)escription:
r
Ci ,QST, Zip: 'Potlwt lZtnl S �� al b
one 32�Te
State #: City#;
�T/t.• . %Qa
Arch., Engr., cr
` t� s�DUit10� VCY
Address: iIC.
City., ST, Zip:
Telephone:
P
Construction Type. Occupancy:
YP P Y
State Lic. #
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person `
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact Person: — ^3 1-50
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cala.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Decd
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN I10USE:-
3" Reyiew, ready for corrections s
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
t1.
W706- Q'E'D'{ 'uo lKti U l t-ATl. SW046% LU.S-t
,�,,k'k- / (3 91
[ES: ;a
2
°'11`°`E'9"7SYe'°m,c9�P« EVSE. LOAD. CALCULATION WORKSHEET`
wwwxesgxVv i.
Project Address: Z OZ.S.y,g saoreyir�.�. w
General .Lighting Load- Your Homes'Square Footage: X,3 VA
Small Appliance Branch Circuits (2 min:) 1500 VA X;:7 circuitsC�Od
Laundry Circuit
1500 -VA X�circuit(s)
Appliances and E2ulpment = Values are•minimums,. use actual values If known
to be greater. Enter N/A if not present at project site. .
Microwave (in dedicated space) 1,300." (Jn
Compactor. 1,000
Dishwasher 1;200L�
V'
Disposal 800 300
Proposed. EVSE circuit /�jl��y�,Z?g(- Z!a Z QQ
Pool/Spa Pump 1horsepower 1,920
Pool/Spa Pump 1.5 horsepower 2,400
Pool/Spa Pump 2 horsepower 2,880 .
"Attach additional sheets if needed
` Subtotal (A) �Zlr
Subtotal(A) minus 10,000 VAQf Y2D X 0.40 = 4J. %�
v �-
plus 1�0v000
` Subtotal (B) � 7.�o
ZS,) D
loll J OqO 7Ac7 3_19x Zy�.�
Total A/C Load, use nameplate rating or A/C circuit Vreakef rating (C) (a
Total demand is D ; 240V 201,' Imps. If this value is less than -the rating'of the a "stin
electrical service or subpanel NO service or subpanel upgrade is necessary. If the value Is greater.
am EVSE permit may,onlybe.issued if -a panel upgrade is included with.,1he' work; a subpanet.upgrade w
requires a plan submittal.
;...Plan Checker Notes.:
FORM 66=114
i o