BELC2019-010878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Tjht 4 44"
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
ELECTRICAL/
BELC2019-0108
46052 WASHINGTON ST
604050037
CITY OF LA QUINTA CIP/ 200AMP ELEC. METER PEDISTAL
CHANGEOUT
$12,964.00
Applicant:
SHAWN O'HARA - CREATIVE LIGHTING & ELECTRICAL INC
1654 ILLINOIS AVE SUITE 13
PERRIS, CA 92571
C IW -?Lo3eCr CC.I Pa
d SSueo 1 /$ a,640
No FEES DUE
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: QQ
LicenseNo.: 101ZJL4
Date:W Contractor;
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/8/2020
Owner:
WASHINGTON ADAM PARTNERSHIP
42620 CAROLINE CT 102
PALM DESERT, CA 92253
Contractor:
CREATIVE LIGHTING & ELECTRICAL INC
1654 ILLINOIS AVE SUITE 13
PERRIS, CA 92571
(909)466-1200
Llc. No.: 1017604
WORKER'S COMPENSATION DECLARATION
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
Zrk 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: ACCREDITED SURETYAND-CASUALTY COMPANY INC 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, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply wi th se provisions.
Date: —Applicant:6C
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.
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 pro arty fF/ojr inspection purposes.
Date: i �" Signature (Applicant or Agent):
41,
Date: 1/8/2020
Application Number: BELC2019-0108 Owner:
Property Address: 46052 WASHINGTON ST WASHINGTON ADAM PARTNERSHIP
APN: 604050037 42620 CAROLINE CT 102
Application Description: CITY OF LA QUINTA CIP/ 200AMP ELEC. METER PEDISTAL CHANGEOUT PALM DESERT, CA 92253
Property Zoning:
Application Valuation: $12,964.00
Applicant: Contractor:
SHAWN O'HARA - CREATIVE LIGHTING & ELECTRICAL INC CREATIVE LIGHTING & ELECTRICAL INC
1654 ILLINOIS AVE SUITE 13 1654 ILLINOIS AVE SUITE 13
PERRIS, CA 92571 PERRIS, CA 92571
(909)466-1200
Llc. No.: 1017604
--------------------------------------------------------------------------------------------
Detail: CITY OF LA QUINTA CIP PROJECT (CIP2019-0013). 200A�ELECTRICAL METER PEDISTAL SERVICE UPGRADE [100A EXISTING] FOR INSTALLATION OF
NEW EV CHARGING STATION. THIS PERMIT DOES NOT INCLUDE RELOCATION OF EQUIPMENT. PER 2016 CALIFORNIA BUILDING CODES.
Arch/Eng Name: Construction Type: Occupancy:
Address: Grading:
City, St, Zip
Telephone: Bedrooms: Stories: #Units:
Email:
State Lie. City Bus Lie:
Property Owner's Name:
Addresslg—ek211�
City, ST, Zip
Telephone;
Email:
New Commercial / Tenant Improvements:
j�G I Total Building
Construction Type:
78495 CALLE TAMPICO LA QUINTA, CA 92253 (760)777-7125
WWW.LAQUINTACA.GOV
Occupancy:
SF
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of Southern California
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PANEL ID: SERVICE EV
NEW FEEDER/SYSTEM
LOAD TYPES
(LOCATION: Park Lot
UTILITY
blank or NON: NON -CONTINUOUS
MAIN: 200AI2P M.C.B.
R OCP:
LCL: LONG -CONTINUOUS
BUS AMPS 200
FFEDOM:
M:
2401120V,1-PH,
REEC: DEMANDABLE RECEPT'S
AIC RATING 10KAIC
'UNIT: RESI. UNIT MTR: MOTOR
LOAD
LOAD (VA)
LOAD (VA)
LOAD
CKT DESCRIPTION TYPE
8KR PH. A
PH.B
BKR TYPE DESCRIPTION
CKT
1
EV CHARGER 1
LCL
40
3840
SPACE
2
3
EV CHARGER 1
LCL
/2
3840
SPACE
4
5
EV CHARGER 2
LCL
40
3840
SPACE
6
7
EV CHARGER 2
LCL
/2
3840
SPACE
8
9
EV CHARGER 3
LCL
40
3840
SPACE
10
11
EV CHARGER 3
LCL
/2
3840
SPACE
12
13
SPACE
SPACE
14
15
SPACE
SPACE
16
17
SPACE
SPACE
18
19
SPACE
SPACE
20
21
SPACE
1
SPACE
22
23 SPACE
7TJ
SPACE
24
CONNECTED p
DEMANDVA
PHA PH B
GEN'L LOAD: 001.0
11520 1 11520 j
CONNECTED LOAD PER PHASE
LONG CONTIN.:
129900
1 23040
TOTAL CONNECTED LOAD (VA)
GEN'L RECEPT: 0
0
1 96
AMPS OF TOTAL CONNECTED LOAD
MOTOR LOAD: 0
+ 25% OF LARGE
1 28800
TOTAL DEMAND VA (BALANCED)
0
120
HIGH PHASE AMPSILCL
RECEIVED
DEC 0 4 2019
CITY OF LA QUINTA
DESIGN AND DEVELOPMENT DEPARTMENT