09-0394 (ELEC)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
09-00000394
Property Address:
79709 HIGHWAY 111
APN:
600-020-036- -
Application description:
ELECTRICAL
Property Zoning:
COMMERCIAL PARK
Application valuation:
35000
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
/ -------------------------- -----------------------
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 Professionals Code, and my License is in full force and effect.
License Class: B _ License No.: 355353
��1�y nzractor: � x�/x'�j
OWNER-$UILIR 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.).
(_ 1 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.).
1 _ ) 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) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/30/09
Owner:
KOMAR INV
23 CORPORATE PLZ STE 247
NEWPORT BEACH, CA 92660
D D
Contractor:
WL BUTLER CONS C IOi31,P�T 0
B MASON RR jj((
IRVINE, CA 926 8
(949) 587-2200 CJ�TYOOFLAQUIMt4l;4
Lic. No.: 3553 FINAlq"F: ,,gpr
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 SEABRIGHT' Policy Number BB1091955
_ 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 sifslll to with comply with those provisions.
`J�
WARNING: FAILURE TO SECURE WORKERS' COM ENSjJON COVERAGE 1S 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 Director of Building and Safety 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, aneby authorize representatives
of this rrty to enter upon lte above -mentioned prAPe grTnspecdon,pur�i
7
nature (Applicant or Agentl: �.
•1
LQPERMIT
Application Number . . . . . 09-00000394
Permit . . . . . ELEC-MISCELLANEOUS
Additional desc . .
Permit Fee . . . . 44.75
Plan Check Fee
11.19
Issue Date
Valuation
0
Expiration Date 10/27/09
Qty Unit Charge Per
Extension
BASE FEE
15.00
15.00 .7500 PER
ELEC DEVICE/FIXTURE 1ST 20
11.25
1.00 18.5000 EA
ELEC SVC <=600V/<=200A
18.50
----------------------------------------------------------------------------
Special Notes and Comments
INSTALL 200 AMP PEDESTAL TO
POWER 15
LANDSCAPE & WALKWAY LIGHTS
PER PLANNING
DEPT. REQUIREMENTS ADJ. TO
SOUPLANTATION
Other Fees . . . . .
. BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged
Paid Credited
Due
---------------------------
Permit Fee Total 44.75
------------------------------
.00 .00
44.75
Plan Check Total 11.19
.00 .00
11.19
Other Fee Total 2.00
.00 .00
2.00
Grand Total 57.94
.00 .00
57.94
LQPERMIT
Bin #
City of La Quinta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # �(J
�j
OQ
Project Address: 17 9 1110
Owner's Name: 0,ae VL.c
A. P. Number:
Address: 1101
Legal Description:
City, ST, Zip: r��
Contractor:Telephone:,►$v�t �1Z lS�C'� [niL•
Telephone:
Address
Project Description:
City, ST, Zip: �i i►�t\ • `� L U`
1� ��1Jls yc•o f ��4rs' Jt�
Telephone: q4C _rjt�
P
.•/F•.
ru GvN&ice 1\iJJ "A -k-Vd La�u+9 G�[
State Lic. # : ;;t ,q K3
City Lic. #:. 2 "I
>r1 iJ -rcx r�rt; " t?i t� +', a3aJti•_ � A f' �.�� uT
Arch., Engr., Designer: 0 "
V -Vs; V t0 k 4v tl i
Address:
City., ST, Zip:
Telephone: z - =;< <Y
State Lic. #: e
Construction Type: Occupancy:
Project type circle one New Add'n Alter Repair Demo
Name of Contact Person: [` C1 Iv4' F-," 3cjjf�,
Sq. Ft.: # Stories: # Units:
Telephone # of Contact Person: �I - �j'] - Z 2 p p � c[ � � L,6-INJI
Estimated Value of Project: L",O'L"�. ov
APPLICANT: O NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING PERMIT FEES
Plan Sets
Plan Check submitted Item Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Title 24 Calcs.
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"d Review, ready for corrections/issue Electrical
Subcontactor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.I.
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
Review, ready for corrections/issue Developer Impact Fee
Planning Approval
Called Contact Person A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
SEE ENLARGED AREA
X X X X
SITE PLAN
LIGHTING FIXTURE SCHEDULE
ALL LIGHT FIXTURES SHALL HAVE FACTORY INSTALLED DISCONNECT MEANS PER LATEST NEC CODE
TYPE
MANUFACTURER
NUMBER
ICUSTOM
LAMPS
MOUNT
WATT
REMARKS
SEAWRIGHT
CONCRETE BOLLARD TO
1_20W
DIRECT
20
BOLLARD LIGHTING
MATCH DEVELOPMENT
MR 16
BURIAL
�4
KIM LIGHTING
KLV 710 DB (20W MR16)
1-20W
POWER
20
LANDSCAPE UPLIGHT W/ FULL GLARE
W/FGS71D6 EP17
MR 16
PAST
SHIELD
III
KIM LIGHTING
KLV526 250 WATTS IN -GRADE
IN -GRADE
250
277/12V TRANSFORMER
277/12V TRANSFORMER
ELECTRICAL GENERAL NOTES
ELECTRICAL CONTRACTOR TO FIELD VERIFY EXISTING CONDITIONS PRIOR TO BID.
INFORMATION ON THE EXISTING INSTALLATION HAS BEEN OBTAINED FROM THE BEST SOURCE AVAILABLE BUT CANNOT BE
GUARANTEED ACCURATE IN ALL RESPECTS. PRIOR TO BID, IT IS THE CONTRACTORS'S RESPONSIBILITY TO VISIT THE
SITE. VERIFY ALL SUCH INFORMATION AND THOROUGHLY FAMILIARIZE THEMSELVES WITH THE EXISTING CONDITIONS.
ALL WORKS SHALL BE PERFORMED TO CHANGE THE EXISTING ELECTRICAL INSTALLATION TO NEW INSTALLATION AS
SHOWN. INCLUDE AS PART OF THE CONTRACT ALL RELATED WORKS REQUIRED TO OBTAIN THE INDICATED RESULTS.
ALL WORK SHALL COMPLY WITH NEC 2005.
O FIXTURE TYPE
O LANDSCAPE LIGHT FIXTURE
P HOME RUN TO PANEL WITH CIRCUIT NUMBER, SLASHES
INDICATE NUMBER OF CONDUCTORS
INDICATES WIRES AND CONDUIT OTHER THAN # 12,1 /2"C
C - RIGID METALLIC CONDUIT ONLY
-� CONDUIT UNDERGROUND OR FLOOR, 3/4" MIN.
E.C. ELECTRICAL CONTRACTOR
Np. TYPICAL
d
ENLARGE SITE PLAN N
SCALE: I• — as'
'►'�r.r ��+��,11��cc+�s_i sue.+
tow Aft
SITE PLAN NOTES:
01 E.C. TO CONNECT TO EXISTING LANDSCAPE CIRCUIT IN EXISTING PANEL
H1. VERIFY EXACT STUB UP LOCATION IN FIELD. FIELD VERIFY EXISTING
CONDITION.
Q2 E.C. TO LOCATE BOLLARD LIGHTING 40' ON CENTER MEASURE ALONG
CENTER OF PATH. OFFSET FIXTURE FROM POINT MEASURED IN CENTER
OF PATH SUCH THAT THE EDGE OF FIXTURE IS 2' FROM THE EDGE OF
PATH. SEE ENLARGED SIZE PLAN THIS SHEET.
t
APPR D BY PLANNING DEPARTMENT
BY ATE -1 - 6
EXHIBI ' Vd5G
CASE NO. 115j�
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