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BELC2015-0103,a 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tiiur 4 4 Q": COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT I IIII'I 111111111 IIII 52 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Dater 11/17/2015 Application Number: BELC2015-0103 Owner: Property Address: 55885 CONGRESSIONAL PEDERSEN/STEGMULLER APN: TMP147 55885 CONGRESSIONAL Application Description: PEDERSEN / TESLA CHARGER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,000.00 r n Applicant: �� 1 7 2015 Contractor: HEGGE ELECTRICAL CONTRACTORS INC_ ' HEGGE ELECTRICAL CONTRACTORS INC 83852 AVE 45 CI'iV OF.OUINTA 83852 AVE 45 INDIO, CA 92201 COL MNITYDEVEWPkIENTDEPA9TNIENT INDIO, CA 92201 LICENSED CONTRACTOR'S 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 Professions Code, and my License is in full force and effect. License Class: 10/J license No.: 748171 / / Date: �/ / / �.V— Contractor G OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the 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 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 ($500).: I ) I, 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 Contractors' State License Law does not 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 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 or she did not build or improve for the purpose of sale.). ( ) I, 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 contractor(s) licensed pursuant to the Contractors' State License Law.). (� I am exempt under Sec. , B.&P.C: for this reason. Date: Owner: 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 Lender's Address: (760)775-4855 Llc. No.: 748171 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 rovided for by Section 3700 of the Labor Code, for the performance of th or which this permit is issued. 1 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 and policy number are: Carrier: _ Polity Number: 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' compensation 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 prov' ions. Date: Applicant: WARNING: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentio 'ed•�property for inspection purposes. Date: �% / Signature (Applicant or Agent FINANCIALINFORMATION: 466 im gg, k ACCOUNTS"� gTY, ' AMOUNT � za PAID Y f PAID DATE -.0 BSAS SB1473 FEE 101-0000-2006 0 $1.00 $1.00 11/17/15 i.. w 'uCHECK # ",1; o "m W.1 ETHOD-a CLTD BY z. V,,C PA; 1� , , - I -,- imis'-Wl"XI:�XMI 4", , 4 M m k"O.affism EIRJ?,� HEGGE ELECTRICAL CONTRACTORS I CHECK R10894 30748 SGU. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:' $1.06 $1.00 JDESCRIPTIOW!,., ggp 11 ACCOUNT OUNT--- W-0,"' tPAI rr 44, APPLIANCES, RES .101-0000-42403 0. $12.'09 $121.09 11/17/15 M2iql� PA'.. M.;*I� !D I MOR Z�— IN% -IRECEIP, 'a 'g' CHECK -A@ Ml HEGGE ELECTRICAL CONTRACTORS I CHECK R108941 30748 SGU DESCRIPTION' SEMI 'j 0,111 nmtw cl ,4!AMOUNT; M,,,,, PA 'PAID DAT -I.q�,Mir , 1 MiK! I AIR APPLIANCES, RES PC 1 101-0000-42600"0 $12.09. $12.09 11/17/15 D1 BY,;V+--- 55 'H 0 Q M ET -1-1- RECEIPIVWP�..T.i..,::'� ZN W uni, T. , R gg .0 V j�,- -11, 5M 444 WAil'p�,: "XLTDAY HEGGE ELECTRICAL CONTRACTORS I CHECK R10894 10748 SGU Total Paid'for ELECTRICAL: .$24.18 $24.18 D ESCMPTION,�# ogm NMVACCOUNT?�ffij 1' N m awk jR; gy r &20--: ag! --Tye. ol PERMIT ISSUANCE 0 -$91.85. $91.85 11/17/15 'A By101mwix. EINi. ff�OD4-,,j,,j gg% Rw 2, Ai- 1A !7,v i,� _Z2, HEGGE ELECTRICAL' CONTRACTORS V CHECK R10894 30748 SGU, Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: s 117.03 Description: PEDERSEN / TESLA CHARGER Type: ELECTRICAL Subtype: Status: APPROVED Applied: 11/17/2015 SGU Approved: 11/17/2015 SGU Parcel No: TMP147 Site Address: 55885 CONGRESSIONAL LA QUINTA,CA 92253 Subdivision: TR 21381-2 CM 064/031 CM 067/001 Block: Lot: 1 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: ELECTRICAL- INSTALL (1) 240VF SOAMP TESLA CHARGER WITH DEDICATED CIRCUIT. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS NAME TYPE. NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT HEGGE ELECTRICAL CONTRACTORS INC 83852 AVE 45 INDIO CA 92201 (760)427-4479 SHERRYL@HEGGEELEC TRICAL.COM CONTRACTOR HEGGE ELECTRICAL CONTRACTORS INC 83852 AVE 45 INDIO CA 92201 (760)427-4479 SHERRYL@HEGGEELEC TRICAL.COM OWNER PEDERSEN/STEGMULLER 55885 CONGRESSIONAL LA QUINTA CA 92253 (760)427-4479 FINANCIAL INFORMATION Printed: Tuesday, November 17, 2015 10:09:17 AM 1 of 2 CRSYSTEMS DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/17/15 R10894 30748 CHECK HEGGE ELECTRICAL SGU CONTRACTORS Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: APPLIANCES, RES 101-0000-42403 0 $12.09 $12.09 11/17/15 R10894 30748 CHECK HEGGE ELECTRICAL SGU CONTRACTORS APPLIANCES, RES PC 101-0000-42600 0 $12.09 $12.09 11/17/15 R10894 30748 CHECK HEGGE ELECTRICAL SGU CONTRACTORSI Total Paid for ELECTRICAL: $24.18 $24.18 PERMIT ISSUANCE 101-0000-4240401. $91.85. $91.85 11/17/15 R10894 30748 CHECK HEGGE ELECTRICAL SGU CONTRACTORS Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $117.03 $117.03 BOND INFORMATION Printed: Tuesday, November 17, 2015 10:09:17 AM 2 of 2 CR SYSTEHiS Din # City of La Quinta. Building &r Safety Division Permit !1 P.O. Box 1504, 78-495 Calle Tampico . �� l � I o3 La Quinta, CA 92253 - (760) 777-7012 ic�Building Permit Application and Tracking Sheet Project Address: ej ��S Cc3 ✓� ✓'e SS Jl' Owner's Name: ede r5ejir, A. P. Number: Address: 2-Z E, 12 tX ry or) I tz,l VCS' Legal Description: City, ST, Zip: Contractor: Telephone: b L(-7 `jOf Address: ?J"�� VJ Project Description: 2 Off/ 56PIP , City, ST, Zip: ` ! ed [ C ✓GU 1� i '� > / _Cf10 Telephone: State Lic. #: CityLic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: State Lic. #:r«r �% ( _% _ ;:.r:.;;:; :<.:.>•., >:;>_ ;r#:;;:;;;.< fw::"r.<'t:>;:'=.'"<>M:> Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repan Demo Name of Contact Person: ( # Stories: Units: Telephone # of Contact Person: Z7 �— ��5� Estinatcd Value. of Project: APPLICANT: DO NOT. WRITE BELOW THIS LINE # Submittal Rcq'd. Rcc'd TRACiCI1VG PERMITFE-S. Plan Sets Plan Check submitted Item Amount Structural Cala. Reviewed, ready for corrections Plan Check Deposit. Truss Cala., Called Contact Person Plan Check Balance. Title 24 C?les. Plans picked up Const,ucfion •• Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrcctionsrssue Eleetrieal Subcontaetor List Called Contact Persoll Plumbing Grant Decd Plans picked up S.M.I.' H.O.A.,ApproVal Plans resubmitted Grading IN IiOUSE:- '`d Review, ready for eorrictions/issue Drycloper-Impact Fee Planning Appi-oval Called Contact Person 1 Pub. Wks. Appr Date of permit issue School Fccs Total Permit Tccs Typical Tesla Installation Wiring Customer Name Pedersen Project Address__55= 885 Congressional ____________________ 6/3 Romex Thru Attic N ��RUCT New Tesla Ch i October l st - Ap>ri Monday - Friday: Saturday: 8:1 sund2y: M Goverr.ment Cod( may 11st - Sept; mi. Existing Meter Pack �'�€➢9Z�G,-Y'�'L'fi�?�a': w/ 200 Amp Mains S air; 4 ®Standard 50 Amp Charging 5tatlon Install ON 2 Pole 50 Amp Breaker w/ G/3 Cu Romex (in wall) ❑ 2 Pole 50 Amp Breaker w/3#G Cu + 1 #8 Grid 3/4" Conduit ® Exi5tincg 5ervice 200 Amps ❑ Ex15tmg 5ervice 400 Amps Denotes Outlet or Charging 5tatlon Location Existing 200 Amp Subpanel (Indoor) N HOURS :00 a.m. to 5:30 p.m. I a.m. to 5:00 p.m. e loiidays: bone A RE -INSPECTION FEE OF $ WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARE ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION NO EXCEPTIONS! r 30th :030 a.m. to 7:00 p.m. CITY OF U,. QUINTA a.m. to 5:00 p.m. BUILDING &SAF`E�TYY DEPT. efiAPPROVED C® �'i�l� �yS: o�e JFOR CONS UCTION DATE «I�7 Y Construction is NOT PERMITTED on the following Code Holidays: New Year's Day Dr. Martin Luther KingJr. ��99e Electrical Contractors Inc. President's Da 852 Ave. 45 Day Indio, Ca. 92201 Memorial Day Lic# 7481 7 1 Independence Day Labor Day Veteran's Day Thanksgiving Day Christmas Day ELECTRICAL LOAD CALCULATION CUSTOMER DATE Pedersen PGA Residence November 12, 2015 A RE -INSPECTION FEE OF $ ' WILL BE CHARGED IF THE APPROVED PLANS AND JOB CARS ARE NOT ON THE SITE FOR A SCHEDULED INSPECTION NO EXCEPTIONS! SQUARE FEET LIVING 3,500 3 10,500 GD 1,500 1 1,500 DW 1,800 1 1,800 SMALL APPLIANCES 1,500 4 CONSTRUQVION HOURS MICRO 1,800 2October 1 st - 3A6p6130 0 GOLF CART CHARGER 1,800 0 Monday - Frid*7:00 a.m. to 5:30 p.m. DOUBLE OVEN 7,200 1 Saturday:7,2,0% a.m. to 5:00 p.m. SINGLE OVEN 5,520 0 Sunday: ELECTRIC RANGE 8,000 0 Governm cut Cotta Holidays: None WASHER 1,200 1�, Ist _ S� r.1, 000 er 30th DRYER -ELECTRIC 6,240 1[�lnn(.i:; y, - rj 6,2;49 x.00 a.a�n. to 7:00 m. TENNIS COURT LIGHTS 1,000 0 S�t$F4?r:.`.•:"✓: SAO a.m. to 5:00 P.M. PATIO HEATERS 6000 6,000 0 :➢�zt Y1: NPoe JACCUZI 2,400 0 (30ye-Mment CodBHolidays: lone TESLA 30 7,200 0 0 TESLA 50 12,000 1 12,000 TESLA 100 24,000 0 0 POOL/ FOUNTAIN PUMPS 6,480 0 0 LANDSCAPE FUTURE 3,000 1 3,000 TOTAL -KW 53,040 Construction is NOT PERMITTED PERCENT KW following Code Holidays: 1St 10,000 KW 100% 10,000 1o,(%ithe REMAINDER 40% 43,040 17,216 FURNACE 1,500 3 100% 4,500 New Year's Day A/C COMPRESSOR #1 4,200 1 100% 4,200 Dr. Martin Luther King Jr. Day A/C COMPRESSOR #2 5,200 1 100% 5,200 President's Day A/C COMPRESSOR #3 4,000 1 100% 4,000 Memorial Day A/C COMPRESSOR #4 3,384 0 100% o Independence Day A/C COMPRESSOR #5 2,808 0 100% !Labor Day TOTAL 45,116 Vele 's Day DIVIDED BY 240 V 187.98�giving Day EXISTING SERVICE 20oMmas Day HEGGE ELECTRICAL CONTRACTORS INC. 83-852 AVE. 45 INDIO, CA. 92201 CA. LIC# 748171 JIM HEGGE CITY OF LP: QUINTA BUILDING & SAFETY DEPT. APPROVE® FOR CONSTRUC I�1hm DATE 11 / j BY