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BELC2020-001478.495 CALLE TAMPICO C� 0 4�4Ii1r�[J LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: ELECTRICAL/ Application Number: BELC2020-0014 Property Address: 46052 WASHINGTON ST APN: 604050037 Application Description: CITY OF LA QUINTA CIP/ (3) EV CHARGING STATIONS & ELEC. Property Zoning: Application Valuation: $46,052.50 C (y Cc. %?) �Rro Applicant: 00 Fee% SHAWN O'HARA - CREATIVE LIGHTING & ELECTRICAL INC 1654 ILLINOIS AVE SUITE 13 PERRIS, CA 92571 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: G]0 _ License Flo.: 1017604 Dow:�44 (a; W1 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 herselfthrough 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 ofthe 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/2/2020 Owner: WASHINGTON ADAM PARTNERSHIP 46052 WASHINGTON STREER LA QUINTA, 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 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 tk 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,QSUALTY 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 with those provisions. !� - r Date: r_> Z' 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 Ci -enter upon the above - mentioned property for inspection purposes. Dater gnature (Applicant or c Date: 3/2/2020 Application Number: BELC2020-0014 Property Address: 46052 WASHINGTON ST APN: 604050037 Application Description: CITY OF LA QUINTA CIP/ (3) EV CHARGING STATIONS & ELEC. Property Zoning: Application Valuation: $46,052.50 Applicant: SHAWN O'HARA - CREATIVE LIGHTING & ELECTRICAL INC 1654 ILLINOIS AVE SUITE 13 PERRIS, CA 92571 < • . -% 3 I, , I Owner: WASHINGTON ADAM PARTNERSHIP 46052 WASHINGTON STREER LA QUINTA, CA 92253 Contractor: CREATIVE LIGHTING & ELECTRICAL INC 1654 ILLINOIS AVE SUITE 13 PERRIS, CA 92571 (969)466-1200 Llc. No.: 1017604 Detail: CITY OF LA QUINTA CIP PROJECT (CIP2019-0013). (3) 1.5" CONDUIT OF #6 AND # 10 GROUND FOR THE INSTALLATION OF (3) NEW EV CHARGING STATIONS IN THE SOUTHWEST PARKING LOT OF AAA. PER 2019 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION PERMIT #�� CALIFORNIA PLAN LOCATION: Project Address: q Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN Applicant Name: L4CAfl VL- Address.1&51 jLL.(NrIS City, ST, Zip: Rcgal '�' L q z t311 Telephone: g6cf Email: O r.�f�i 6Ui r (20W\ :G7�1tt V N L. (e- vt-. Valuation of Project $ 1�J D J 2- + �70 Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Telephone: Bedrooms: Stories: F#Units: Email: State Lie: City Bus Lie: 78495 CALLE TAMPICO LA QUINTA, CA 92253 (760)777-7125 WWW.LAQUINTACA.GOV PANEL ID: SERVICE EV NEW FEEDERISYSTEM LOAD TYPES LOCATION: Park Lot FED FROM: UTILITY blank or NON: NON -CONTINUOUS MAIN: 20OAl2P M.C.B. FEEDER OCP: LCL: LONG -CONTINUOUS BUSAMPS 200 SYSTEM: 2401120V, 1-PH, REC: DEMANDABLE RECEPT'S AIC RATING 10KAIC UNIT: REST. UNIT MTR: MOTOR LOAD LOAD (VA) LOAD (VA) LOAD CKT DESCRIPTION TYPE BKR PH. A PH.B BKR TYPE DESCRIPTION CKT 1 EV CHARGER 1 LCL 40 3840 SPACE 2 3 EVCHARGER1 LCL 12 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 12 3840 SPACE 12 13 SPACE SPACE 14 15 SPACE SPACE 16 17 SPACE SPACE 18 19 SPACE SPACE 20 21 SPACE SPACE 22 23 SPACE SPACE 24 GEN'L LOAD: I� 0 1 11520 1 11520 CONNECTED LOAD PER PHASE LONG CONTIN.: 128800 1 23640 TOTAL CONNECTED LOAD (VA) GEN'L RECEPT: K7-- 10 I F 96_I AMPS OF TOTAL CONNECTED LOAD MOTOR LOAD: +25°%OF LARGEST 28800 TOTAL DEMAND VA (BALANCED) 0 120 HIGH PHASE AMPSILCL w Z0 CE wv 3- D c/5 LL 400 > uj l Luc)- m 0:503:00- r4 U_ZLLlo N ®®w 0 5cc, rn t f PEDESTAL MOUNT SERVICE 200A, 240/120V, 1 PH, 3 WIRE, 10,000AIC ?x=Lj_-2 b20 - 001 q glcoo52 wASwNG-rotj ST. UTILITY SINGLE LINE CG rTY 1 5"C (3) SETS OF (3) #6, #10GND TO EV CHARGER LOADS ,e. •'�'+•�,�,!" - . -� ., � _ I ° � ,. � `ram , .,. �t� � ,r 1p sit -el "> ; i e fIVPy. y. 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