BELC2014-104478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Tw�P'4 e(P Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BELC2014-1044
Property Address:
50200 i VENIDA VISTA BONITA
APN:
773021006
Application Description:
400A SERVICE REPLACEMENT FOR EXISTING WELL SITE
Property Zoning:
Application Valuation:
$5,000.00
Applicant:
PALM SPRINGS PUMP, INC.
OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
CITY LIMITSz
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Sectiori 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect. .
License Class: License No.: :LIC -0001442
Dart Sn10Vl� Contract, . �� y
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
sighed 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, 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.).'
( 11, 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.). r
( I 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 Na
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/5/2014
Owner
KSL DESERT RESORT
1 POST OFFICE SQSTE 310
BOSTON, MA 0LU
C,
UJ
Contractor:wPALM
FlLM:fn,
d
SPRINGS PUMP, INC.0OUTSICE
CITY LIMITSz
LA QUIWTA, CA 92253
�� 0
(760)34.2-2600 L =�
Llc. No.: :LIC -0001442
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of pe jury 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
Secy oVn7 0 of the Labor Code, foethe performance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: _ Policy 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, arrJ agree that, if I should become subject to the
workers' compensation provisions cf Section 3700 of the Labor Code, I shall forthwith'
comply with those provisions. ,,��i
Dates- oy f Y Applitant-_AI11114i —
v
WARNING: FAILURE TO SECURE WCRKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER.TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLAFS ($100,000). IN ADDITION'TO THE COST OF
COMPENSATION, DAMAGES AS PRCVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICAUT 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 r•alated 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 &epresentatives of this city to enter upon the above-
mentioned property for inspection purposes.
D/at/e5NDV1 i( Signature .Applicant or Agent);
V
INFORMATION
ACCOUNT 8 QTY ` AMOUNTS PAIDa PAID
_ DATE;
{„QESCRIPTIONaT:�y
BSAS SB1473 FEE 101-0000-20306
0
$1.00 $0.00
��. p%a
MW PAID..BY METHODS
�� .. dad l'w'� t i..;:
" RECEIPT # ' °CHECK #
If A. ,
� y -
Total Paid for BUILDING STANDARDS ADMINISTRATION,BSA $1.00 $0.00
: ' h r* N,g
are DESCRIPTION
� <r ACCOUNT { 5a
��
QN
AM N w
s F�
PAID
PAID DATE°.
E �Y
r<., , <
q, F. �.
T a
SERVICES
101-0000-42403
0
$24.17
$0.00
METHODN q,g ap
='
,
#�
CHECK #
x`
4 > .r -r.
i tRECEIPT
w ,
ATEDESCRIPTION4,
PrA.ID'U
..ArMACCOUNTz
SERVICES PC
101-0000-42403
0
$12.09
$0.00
tte
OMETHPAIDBY
'RECEIPT#
r
CFEC;KA4-
r< T.dDBY
C
...-c:se< t. M?Sa 'XE
aw
C'.wry
y#
t Total Paid for ELECTRICAL: +" $36.26 $0.00
IESCRIPTIOWp
' � ACCOUNT, -
; QTY`AMOUNT
" PAID
�4 ;
:€x"'-. '�
'P,yjgeGx .a ->o _ n.itr
1 _o svo -team
<,PAID'DATE'.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
METHODA
„v RECEIPT#�Lt;+CHECK#,^_
CLTD BY
m•t
X f.
.h.,.
-B.e
Total Paid forPERMIT ISSUANCE: $91.85 $0.00, •
TOTALS:00
Description: 400A SERVICE REPLACEMENT FOR EXISTING WELL SITE
Type: ELECTRICAL
Subtype:
Status: APPROVED
Applied: 11/5/2014 AOR
Approved: 11/5/2014 AOR
Parcel No: 773021006 Site Address: 50200 AVENIDA VISTA BONITALA QUINTACA 92253
Subdivision:
Block: Lot:
PLAN CHECK
Issued:
Lot Scl Ft: 0
Building Scl Ft: 0
Zoning:
Finaled:
Valuation: $5,000.00
Occupancy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
Details: 400A SERVICE REPLACEMENT FOR EXISTING WELL SITE. THIS PERMIT DOES NOT INCLUDE WELL INSTALLATION. 2013 CALIFORNIA
ELECTRICAL CODE.
CONDITIONS
ADDITIONAL SITES
FINA
Printed: Wednesday, November 05, 201411:33:02 AM 1 of 2
CB?w1yS'TCMS
qLOG PE1ST AFF NAM 'AF.' 7r, DATE COMPLETION DATEu ° y NOTES �� a°
'
U4. ,FACTION .-
PLAN CHECK
COMPLETE/REUADYP FOR PICK AJ ORTEGA
11/5/2014
11/5/2014
EMAILED MICHAEL MANN PLANS ARE APPROVED AND
PERMIT IS READY TO ISSUE
CONDITIONS
......... . ........
CONTACTS
AM Y-- STATE-. -,P'A6 i,
'-'-2 bRESS1 f W'11,�i.'-�
APPLICANT PALM SPRINGS PUMP, INC.
OUTSIDE CITY LIMITS LA QUINTA CA
92253
CONTRACTOR PALM SPRINGS PUMP, INC.
OUTSIDE CITY LIMITS LA QUINTA CA
92253
.OWNER KSL DESERT RESORT
1 POST OFFICE SQ STE BOSTON MA
1
0
3100
FINA
Printed: Wednesday, November 05, 201411:33:02 AM 1 of 2
CB?w1yS'TCMS
PARENT PROJECTS
.... . . . . .. . .. ..... .... 1.130NDINFORMATION) ,,
Printed: Wednesday, November 05, 2014 11:33:02 AM 2 of 2
CRSYSTEMS
777��
TL
DESCRIPTIOW��.'
CCQUNT�-
AMOUNTI
Fw
'4
BSAS SB1473 FEE
101-01000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
'
$1.00
$0.00
BSA:
SERVICES
1010000-42403
0.
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
-$0.00
Total Paid for ELECTRICAL:
$36.26
$0.00
---
PERMIT ISSUANCE
T-101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:
$129.11
$0.00
INSPECTIONS
SEQID INoiloWfyt INSPECTOR,
SCHEDULEDtXOMPLETED2
ES LT AR
NOTES_ cc
e DATE DATE
ELECTRICAL FINAL"
PARENT PROJECTS
.... . . . . .. . .. ..... .... 1.130NDINFORMATION) ,,
Printed: Wednesday, November 05, 2014 11:33:02 AM 2 of 2
CRSYSTEMS
FUSW
FH
..
O /OOIIPReted
o�
1501P
sen
M1
s�
35 0MCM Alu rvnUm
XLPX3
4: IM X 3
• 150
HP
Moto
30f T11r X3
r
THW 2 Required per
•�.
able 310.15(6)(16) "
,
,
Conduit to Motor
All Ground rods bonded
'
-
to well & "each other
r -
i.
2 5' Conduits
HDXFM
M
.OD.UDIRY'POM SUPPLY
CONIRALRORORAWN
Or..
PREPARED UNDER THE SUPERVISION 0_F:
APPROVM Vf.
ORAWM NO.
FAX
DISPECIOR
PREPNED FOR
}Y
DATE
M -342-2M 760-]4)-3187
Pelm Springs Puma
L
WXE lural.
La Ouinfa Resort Water Well
El
Mm
RUM No
T CW M
AS .
2014013
APPROVED er:
ELECTRICAL ONE—LINE DIAGRAM
er DATE .
sr
SHEET 1 OF'1
�NSIaucIDN REQ Dam
ENL9iEilt R E V' :1 3 I 0 N 9 : _
. As seowN
-
`,
.. - ... DATE
-..
-.
.
- . .....
CRY FRE NA
• EIiVAT10lk - BI145.OF UEAfro1G: _ . .. ..,
RAY mms PUP 83-641 0 Orman ad
tide 019261
of
OCT/15/2014/WED 104;28 PM Palm Springs Pump FAX No.7603473467 P,002/002
Bin #
Of La QElin' to
Building &r Safety Division
P.O. Box 1504,78-495 Calle Tampica
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
UUUtq •X0'4
Project Address: 5.0-200 Aveinda Vista Bonita
Owner's Name:. La Quinta Resort and Club
A. P. Number:
Address: 49499 Eisenhouer Drive
Legal Description:
City, ST, Zip: La Quinta CA 92253
Contractor: Palm Springs PumP � Inc.Telephone:
- �°F. i' YMG•^a�,,�, cc.
Address: 83651 Dr. Carreon Blvd
Project Description: Replace 400 amp service
City, ST, Zip: Indio, CA 92201
for new water well.. Has a IID service
Telephone: 760-342-2603
- p, _.F f fr
City Lic.#;14.42
from old well. we are changing panels and
StatcLic.#: 749713
conduits.
Arch., Engr., Designer: Same as above
Address:
City, ST, Zip:
Telephone:
s ,Y ,. �'
3.x2.3'%-cN.
�.`z
�s�' r ;
Construction Type: - El e c t r i ea 1pccupancy: NA .
State Lic. #:.K
.�. '
Project type (circle one): New Add'n Alter (iep r, Demo
Name of Contact Person: Michael Mann
'Sq Ft.:
#Stories:
#Units:
Telephone # of Contact Person: 7 6 0 -.5 7.8 - 4 0 3 0
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
'Reed
TRACKING
PERMIT FEES
Plan Sets
Pian Check submitted
"
Iten Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Csics.
Called Contact Person
Plat Check Balance
Title 24 Cates.
Plans picked up
Co tstruction
Flood plain plan
Plans resubmitted
Mechatiical .
Grading plan
2" Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Picmbing
Grant Deed
Pians picked up
S.K.1.
14.0.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
s"t Review; ready for corrections/'issue
Developer Impact Fee
Planning Approval
Called Contact Person
AI.P.P.
Pub. Wks. Appr '
Date of permit issue
School Fees
T+tal Permit Fees `