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BSOL2015-005778-495 CALLE TAMPICO D `�� VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 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 Professions Code, and my License is in full force and effect. License Class: B License No.: 896912 Date: —90 —IT— 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).: . (1 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.). (_J 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: • 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. 1EP—L 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: _ 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. Date: 5^ 20^f _CApplicant: Applicant: q,, el-/ 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: JSignature (Applicant or Agent Date: 5/20 Application Number: BSOL2015-0057 Owner: I.� Property Address: 51150 AVENIDA CARRANZA MARCELINO FAUSTO V L& APN: 773061007 51150-AVENIDA CARRANZA Application Description: FAUSTO RESIDENCE LA QUINTA, CA 92253 Lc"> Q i Property Zoning: p 0 i Application Valuation: $15,000.00 " N o g Applicant: Contractor: UNITED FIELD REMODELING INC DB UNITED FIELD REMODELING I V 17855 VANOWEN STREET 17855 VANOWEN STREET RESEDA, CA 91335 RESEDA, CA 91335 (818)402-5656 l —_ Llc. No.: 896912 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: B License No.: 896912 Date: —90 —IT— 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).: . (1 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.). (_J 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: • 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. 1EP—L 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: _ 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. Date: 5^ 20^f _CApplicant: Applicant: q,, el-/ 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: JSignature (Applicant or Agent DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT' PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/20/15 PAID BY METHOD. RECEIPT # CHECK # CLTD BY LIBERTY FINANCIAL GROUP CHECK R6301 1909 SKH Total Paid for -BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 5/20/15 PAID BY METHOD 4RECEIPT # ' CHECK V CLTD BY LIBERTY FINANCIAL GROUP CHECK R6301 1909 SKH DESCRIPTION ACCOUNT. QTY AMOUNT+ PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 5/20/15 PAID BY METHOD RECEIPT # - CHECK # CLTD BY LIBERTY FINANCIAL GROUP CHECK R6301 1909 SKH Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION - ACCOUNT` " QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE . 101-0000-42404 0 $91.85 $91.85 5/20/15 PAID BY METHOD :RECEIPT # CHECK # CLTD BY LIBERTY FINANCIAL GROUP CHECK R6301 1909 SKH Total Paid forPERM1T ISSUANCE: $91.85 $91:85 TOTALS: Description: FAUSTO RESIDENCE ADDITIONAL CHRONOLOGY Type: SOLAR Subtype: Status: APPROVED Applied: 5/11/2015 KHE Approved: 5/14/2015 JFU Parcel No: 773061007 Site Address: 51150 AVENIDA CARRANZA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 73 Lot: 16 Issued: UNIT 9 PLAN CHECK SUBMITTAL RECEIVED KAY HENSEL Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $15,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 5/14/2015 Details: 2.24 kW SOLAR ARRAY - (8) 280W SOLARWORLD SW280 PANELS W/ (1) SMA-2500HF-US-30-240V INVERTER [128SF] 2013 CALIFORNIA ELECTRICAL CODE. 5/14/2015 Printed: Wednesday, May 20, 2015 1:13:53 PM 1 of 3 0?SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE — 'COMPLETION DATE.. NOTES PLAN CHECK SUBMITTAL RECEIVED KAY HENSEL 5/8/2015 5/11/2015 APPLICATION RECEIVED BY FEDEX. PICKED UP FROM PHILIP'S DESK AND PROCESSED ON 5/11/2015. TELEPHONE CALL JAKE FUSON 5/14/2015 5/14/2015 NOTIFIED ENVER WITH UNITED FIELD REMODELING (562 -396 - 1728) THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS EMAILAPPLICANT NAME TYPE NAME ADDRESSI 7RES STATE ZIP PHONE FAX UNITED FIELD REMODELING INC DB 17855 VANOWEN STREET . CA 91335 CONTRACTOR UNITED FIELD REMODELING INC DB 17855 VANOWEN STREET RESEDA CA 91335 Printed: Wednesday, May 20, 2015 1:13:53 PM 1 of 3 0?SYSTEMS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE: FAX EMAIL OWNER MARC ELINO FAUSTO 51150 AVENIDA LA QUINTA CA 92253 CARRANZA INSPECTIONSTOTALS: SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL" BLD FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS S81473 FEE 101-0000-20306 0 $1.00 $1.00 5/20/15 R6301 1909 CHECK LIBERTY FINANCIAL SKH GROUP Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 5/20/15 R6301 1909 CHECK LIBERTY FINANCIAL SKH FIRST 20 GROUP PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 5/20/15 R6301 1909 CHECK LIBERTY FINANCIAL SKH FIRST 20 PC GROUP- Total Paid forELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 FO $91.85 $91.85 S/20/15 R6301- 1909 CHECK LIBERTY FINANCIAL SKH GROUP Total Paid for PERMIT ISSUANCE: $91.85 $91.85 $141.19 $141.19 SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL" BLD Printed: Wednesday, May 20, 2015 1:13:53 PM 2 of cRull 3 SYSTEMS NON-STRUCTURAL I JAKE FUSON I 5/8/2015 I 5/15/2015 I 5/14/2015 I APPROVED I Printed: Wednesday, May 20, 2015 1:13:53 PM 3 of 3 1 IWEIF SYSTrMS Qin # 51 City. of La Quinta Buifding U Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet ,1q Permit # -;ID ' Project Address: f J ,9VC'nl r' C 112 Owner's Name: M K C e.) ! O V S O A. P. Number: 7-� 3 2 p `� Address: S I I SO A v eN I I)A CP R9,4 IV —0 P Legal Description: City, ST, Zip: -�A Q U+ cj' - S-3 Contract r: o U � • 2 o DI i Tel e hone: Address: A W S fi Project Description: City, ST, Zip: ReSp C I 2 R 9 doF C)U S S q. Telephone: State Lic. # Arch., Engr.; Designer: Address: City, ST, Zip: Telephone: aneY n T Pe: Occupancy: Construction ti • Lic #: roJ'ne : New Add'n Alter Repair DemooStato PectnP �circle o Name of Contact Person: g n/V eQ vi) l iq S i C Sq. Ft.: # Stories: #Units: Telepp�h��oneyy# of Contact Person: S6 2 ^ 3 9 1; — 112 e Estimated Value of Project: IS 013lz C1 cZ3.i6����ha�•e •Cc>r, APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted �f Item Amount Structural Calcs. Reviewed, ready for etftollp" 155b5; 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 21' 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