BELC2019-007578-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANDREW C BROWN
71-825 CHOLLA WAY
PALM DESERT, CA 92260
ELECTRICAL/
BELC2019-0075
79331 CASCADAS CIR
T4tvl 4 s6P Qulitm
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
602020005
RANCHO LA QUINTA / REPLACE 200AMP GOLF COURSE METER
PEDISTAL
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TD DESERT DEV LTD PARTNERSHI
81570 CARBONERAS
LA QUINTA, CA 0
$3,000.00
Contractor:
ANDREW C BROWN
JUL 0 2 2019 71-825 CHOLLA WAY
PALM DESERT, CA 92260
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT (760)674-3046
Llc. No.: 888253
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: C10 License No.: 888253 f
Date:Contractor: r
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, 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 Name:
Lender's Addre,SS:
Date: 7/1/2019
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 and policy number are:
Carrier: EXEMPT Policy Number:
I certify that in the performance of the work for which this permit is issued, I
sha na 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
1,2011
ose provisions,
J
Date. Applicant: _
WARNING: FAILURE 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 -
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
Date:' 7/1/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ANDREW C BROWN
71-825 CHOLLA WAY
PALM DESERT, CA 92260
BELC2019-0075
79331 CASCADAS CIR
602020005
RANCHO LA QUINTA / REPLACE 200AMP GOLF COURSE METER PEDISTAL
$3,000.00
Owner:
TD DESERT DEV LTD PARTNERSHI
81570 CARBONERAS
LA QUINTA, CA 0
Contractor:
ANDREW C BROWN
71-825 CHOLLA WAY
PALM DESERT, CA 92260
(760)674-3046
Llc. No.: 888253
Detail: REPLACEMENT OF EXISTING 200AMP METER PEDISTAL ON GOLF.000RSE WITH NEW 200AMP 3-PHASE 208/120 PEDISTAL PER 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES PC
101-0000-42600
0
$13.34
Total Paid for ELECTRICAL: $40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
VI
A,.
�L
k Ui i•
Ft wR►�r 11D
A cenitay o%sa vice.
Custornor.
Service Address:
! Contract Account:
IMPERIAL IRRIGATION DISTRICT
PO BOX 937 e 333 EAST BARIONl BLVD * IMPERIAL CA 922,51-0937
800,303,7766 760,336.3640 Pax 760.839.9471 Website www.lid.com
Electric Bill
~ P'oe billing information oi-) rr�vi)r'sr Sirlc_'
TD DESERT DEV LTD PARTNERSHIP
79331 CASCADAS CIR LA QUINTA CA Invoice Date: 00/20/2019
50154948 Business Partner: 3162015 Electric Rate : EL SM COM
Now 1 of 1
j'j:�:ri�
:y. :;:1� i.:,•<<r,;;:y. ;::rt,:, Ye�ur M.(, gar .Ff�ttifir:g {�.sul@ ....
y1ll 11lj`IjII{j .
i
I1!(feter Service Dates Number Prior Current Multi tier C:onsum p tion
p
Number'. - Im FroTa of Days Reading:. Reading _ _ C K1vhIK+n+ll[i+ar)
111D-4DYZ713-202748 105/17/2019 06/19/2019 34 96,5940 762EI 1 I 4,1613
CURRENT BILLING
Previous Balance
$433.70
Payments Received by 06/20/2019, Thank You,
43370CR
Balance
0.00
Customer Charge
12.00
Consumption (1,000 KWH@$0.1231/KWH)
123.10
Consumption (3,158 KWH@$0.1205/KWH)
380,54•
Energy Cost Adjustment Non -Renewable $0.0175-IkWh
Energy Cost Adjustment Renewable $0.0154 /kWh
Total Energy Cost Adjustment (4,158/kWh) $0.0021-
8,74CR
State Mandated Charges: Public Benefits Charge($506.90 @$.0285)
14.45
California Energy Surcharge (4,158 KWH@$0,00030/KWH)
1.25
Total Current Charges Due by 07/10/2019
522.60
Account Balance
$ 522,00
i
Yotir next meter rending will be on 0713 120T9. Oienoration 0,08746 TO 55a
For automatic bank withdrawals, sign up far EZ Pay, Transmission 0.01231 0,01205
Distribution 0.02339 0,02290
Total Rate1KWH $0.12.310 $0.12050
f, Y.ow Gorls:Omption Hli-or.y.: i' ,z 1 !. �+'e l °�floRth.l .•° 4 p
! ... c .ti.. .. �[: i. .f31:.>t1i.:�:.i lid' :,i";'�,: ::5::'i4;:;'•.�-7�.�i1:�..
��--- Days a#� Consumption Average Doily KWH
µ
.—
. _L
Current
34
4,158
122.29
Month
Prior month
28
3,424
122.29
This year
247.65
Same month
34
8,420
Last Year
12,600
10,08
7.560
6.040
2,520
0
JUN JUL AUGSEP OCT NOV DEC JAiTEBMAR APR MAY""
P—i-I
Dotach here anti rr•_turn botfon—i portion with your paYmortt
KANC I-1 O LA QIJI N T.A.
C0UNT'h' Y C'. I,11B
July V, 2019
IID
333 East Barioni Blvd
Imperial, Ca 92251
To whom it may concern,
Cloudburst engineering C/o Andrew Brown, is authorized to conduct any electrical work at
Rancho La Quinta Country club or any other sites affiliated with TD Desert Development LTD.
Any questions please feel free to contact me.
Brian Duvall
Director of Golf Operations
BRIAN 1111vn1. L
DIRE-•C'FOR OI'
GOLF COURSE OPUPATTONS
P�ANCHO LA QUTNTA.
c o U N T n Y C L u u
IIilASI c7i' 79-301 CASCARAS 01WW,
LA QUINTA, CA1.11:01,NIA 92253
760-777-7788 r•Ax 700-777-7798
M-asak�l bsluvail (�A'A/1CIll�IltI111111i1 C<)lil
79-301 CASCARAS CIRCLC - LA QviNi,A, CA 92263 • 760-777-7748- FAX760-777-7785
R.,T ANci-io LA Q'UIN -A
COUT N T P Y C 1, 11 11
July 151, 2019
IID
333 East Barionj Blvd
Imperial, Ca 92251
To whom it may concern,
7
Cloudburst engineering C/o Andrew Brown, is authorized to conduct any electrical work at
Rancho La Quinta Country club or any other sites affiliated with TD Desert Development LTD.
Any questions please feel free to contact me,
Brian Duvall
Director of Golf Operations
'I—
< / I -
BRIAN 1111VAL1.
Do"mmolz 01,
GOLF COURS11 OPERATIONS
R-ANCHO LA QUINTA
0 u N I- n Y C. 1. U 1.
How.- -OP 79-301 CASCARAS 01WIX,
LA QUINTA, CALIVORNIA 92253
760-777-7788 M 700-777-7798
79-30 1, CASCARAS CIRCLE - LA QIJINTA, CA 92263 , 760-777-7748 - FAX760-777-7785
ta'����
- GFM ,f,A IH,FSERJ _R
PERMIT
PLAN LOCATION:
Project Add r css:
C r-)bA S C vp,
Project Deseri : Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:
Applicant Name:
SPM-P- C-tt2-An
Address:
City, ST, Zip:
Telephone:
Email:
Valuation of Project $
Contractor Name: /`!�VljA�4 � ,/
New SFD Construction:
Address: . - / �- j f�`"-O
Conditioned Space SF
City, St, Zip 14�L i�]s-r�yzG�
Garage SF
Telephone: -2 tf 701(a � / ���ydyl s6�
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lie: ggg-S 3 City Bus Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Q �; � � �� J. _A
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM 10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License