BSOL2015-0069 (BSOL)79900 Arnold Palmer
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78-495 CALLE TAMPICO
D VOICE(760)777-7125 LA FAX(760)777-7011 QUINTA,CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS(760)777-7153
BUILDING PERMIT
Date: 6/16/2015
Application Number: BSOL2015-0069 Owner:
Property Address: 79900 ARNOLD PALMER SUNRISE DESERT PARTNERS
APN: 775241078 300 EAGLE DANCE CIR
Application Description: PGA WEST/SOLAR POOL HEATING SYSTEM PALM DESERT,CA 92253
Property Zoning:
Application Valuation: $18,571.00
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Applicant: Contractor: Lu
MOHR POWER SOLAR INC DBA 21ST MOHR POWER SOLAR INC'D A.21 T c5
1452 POMONA ROAD 1452 POMONA ROAD 9 g$
CORONA,CA 92882 CORONA,CA 92882 p w
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(951)736-2000 --
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Llc.No.:661434
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9(commencing with Section 7000)of Division 3 of the Business and Professions Code, _ I have and will maintain a certificate of consent to self-insure for workers'
and my License is in full force and effect. compensation,as provided for by Section 3700 of the Labor Code,for the performance
License Class:C46 License No.:661434 of the wofk for which this permit is issued.
N04 -12—
y ^Ian ✓ I have and will maintain workers'compensation insurance,as required by
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Date: Contractor: (W N .1J 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:
OWNER-BUILDER DECLARATION Carrier:_ Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State _ I certify that in the performance of the work for which this permit is issued,I
License Law for the following reason(Sec.7031.5,Business and Professions Code:Any shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct,alter,improve,demolish,or repair compensation laws of California,and agree that,if I should become subject to the
any structure,prior to its issuance,also requires the applicant for the permit to file a workers'compensation provisions of Section 3700 of the Labor Code,I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions.
Contractor's State License Law(Chapter 9(commencing with Section 7000)of Division 3 _/S pp 0 I M/(, ,/
of the Business and Professions Code or that he or she is exempt therefrom and the Date: Applicant: A/L
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 WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_)I,as owner of the property,or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS($100,000). IN ADDITION TO THE COST OF
compensation,will do the work,and the structure is not intended or offered for sale. COMPENSATION,DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec.7044,Business and Professions Code:The Contractors'State License Law does not INTEREST,AND ATTORNEY'S FEES.
apply to an owner of property who builds or improves thereon,and who does the work r
himself or herself through his or her own employees,provided that the improvements APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If,however,the building or improvement is sold IMPORTANT:Application is hereby made to the Building Official for a permit subject to
within one year of completion,the owner-builder will have the burden of proving that the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made,each person at whose
I )I,as owner of the property,am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec.7044,Business and Professions Code:The Contractors' issued as a result of this application,the owner,and the applicant, each agrees to,and
State License Law does not apply to an owner of property who builds or improves shall defend,indemnify and hold harmless the City of La Quinta,its officers,agents,and
thereon,and who contracts for the projects with a contractor(s)licensed pursuant to employees for any act or omission related to the work being performed under or.
the Contractors'State License Law.). following issuance of this permit.
(_)I am exempt under Sec. B.&P.C.for this reason 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.
Date: Owner:
I I certify that I have read this application and state that the above information is correct.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to building
I hereby affirm under penalty of perjury that there is a construction lending agency for construction,and hereby authorize representatives of this city to enter upon the above-
the performance of the work for which this permit is issued(Sec.3097,Civ.C.). mentioned property for inspection purposes.
Lender's Name: Date: / Signature(Applicant or Agent):
Lender's Address:
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
PERMIT ISSUANCE 101-0000-42404 0. $91.85 $0.00
PAID BY. METHOD RECEIPT# CHECK# CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE
WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00
PAID BY METHOD RECEIPT# CHECK# CLTD BY
Total Paid for PLUMBING FEES: $24.18 i $0.00
TOTALS: • • ••
V
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DetailsPermit
'0069—
City of La Quinta MUM-
SOF MQ�
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Description:PGA WEST/SOLAR POOL HEATING SYSTEM
Type:PLUMBING Subtype: Status:APPROVED Applied:6/2/2015 SKH
Parcel No:775241078 Site Address:79900 ARNOLD PALMER LA QUINTA,CA 92253 Approved:6/9/2015 JFU
Subdivision:TR 21381-3 SEE ASSESSORS MB 769-41 Block: Lot:2 Issued: 7
40 FOR CMS
Lot Sq Ft:0 Building Sq Ft:0 Zoning: Finaled:
Valuation:$18,571.00 Occupancy Type: Construction Type: Expired:
No. Buildings:0 No.Stories:0 No.Unites:0 `
Details: SOLAR POOL WATER HEATING SYSTEM-(1)728 SF COLLECTOR,(1)294 SF COLLECTOR AND 2"PVC PIPING TO EXISTING POOL '
EQUIPMENT.THIS PERMIT DOES NOT INCLUDE ADDITIONAL OR ALTERATION TO EXISTING POOL PUMP.2013 CALIFORNIA BUILDING
CODES. 1 Applied to Approved
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 6/2/2015 6/2/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL
APPLICANT MOHR POWER SOLAR INC DBA 21ST 1452 POMONA ROAD CORONA CA 92882
CONTRACTOR MOHR POWER SOLAR INC DBA 21ST 1452 POMONA ROAD CORONA CA 92882
OWNER SUNRISE DESERT PARTNERS 300 EAGLE DANCE CIR I PALM DESERT CA 92253
FINANCIAL INFORMATION
Printed:Tuesday,June 16,2015 2:11:26 PM 1 of 2
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Permit Details PERMIT NUMBER
DESCRIPTION ACCOUNT ` ~ QTY f AMOUNCity of La Quiiita
T PAID PAID DATE RECEIPT# CHECK# METHOD PAID BY` � CLTD BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
PERMIT ISSUANCE--F-101-0000-42404 0 $91.85 $0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
WATER SYSTEM 101-0000-42401 0 $12.09 •$0.00
INST/ALT/REP
WATER SYSTEM 101-0000-42600 0 $12.09 $0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $24.18 $0.00
TOTALS: 0•
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR' SCHEDULED COMPLETED RESULT REMARKS NOTES.
DATE DATE
PLUMBING FINAL** BLD
REVIEWS
REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
NON-STRUCTURAL- JAKE FUSON 6/2/2015 6/9/2015 6/9/2015 APPROVED
1 WK
BOND INFORMATION
ATTACHMENTS
Printed:Tuesday,June 16,2015 2:11:26 PM 2 of 2
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