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BSOL2015-0189�. 13 4�� SCANNED VOICE (760) 777-7125 78-495 CALLE TAM PICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 10/6/2015 Application Number: - BSOL2015-0189 Property Address: 54415 EISENHOWER DR APN: 774252020 Application Description: UNITS/ 4.2KW (15)ROOF MOUNTED PANELS (1) INVERTER Property Zoning: Application Valuation: $25,000.00 Applicant: UNITED FIELD REMODELING INC DBA ADDITION D 17855 VANOWEN STREET in, RESEDA, CA 91335 Ill I OCT 0 6 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: /V J Contractor: ✓Yi�� r��iC �Gdid.�0% 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 Owner: JEFFREY UNITIS 54415 EISENHOWER LA QUINTA, CA 92253 Contractor: UNITED FIELD REMODELING INC DBA ADDITION ' 17855 VANOWEN STREET RESEDA, CA 91335 (818)402-5656 Llc. No.: 896912 WORKER'S COMPENSATION DECLARATION I her by affirm under penalty of perjury one of the following declarations: j 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- 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, 1 shall forthwith comply with those provisions. Date: o Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO ER 3E IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AID C IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION JOJHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 F 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 it to enter u on the. above-mentioned property for inspection purposes. Date: ✓ Signature (Applicant or Agent): : DESCRIPTION FINANCIAL •• • ACCOUNT* QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/6/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNITED FIELD REMODELING INC DB CASH R9816 SGU 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 10/6/15 w PAID BY METHOD RECEIPT # CHECK # CLTD BY UNITED FIELD REMODELING INC DB CASH R9816 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE .PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 10/6/15 PAID BY METHOD RECEIPT # . CHECK # CLTD BY UNITED FIELD REMODELING INC DB CASH R9816 SGU 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 10/6/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY UNITED FIELD REMODELING INC DB CASH 119816 SGU Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: UNITS / 4.2KW (15)ROOF MOUNTED PANELS (1) INVERTER Type: SOLAR Subtype: Status: APPROVED Applied: 9/24/2015 SKH Approved: 10/5/2015 LUR Parcel No: 774252020 Site Address: 54415 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA ATVALE LA QUINTA Block: 299 Lot: 8 Issued: UNIT 27 9/24/2015 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 10/5/2015 Details: 4.2kW SOLAR ARRAY - (15) 285W SOLARWORLD PANELS W/ (1) PVI -3.6 -OUTS -US INVERTER.[277SF] 2013 CALIFORNIA ELECTRICAL CODE. CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK PICKED UP STEPHANIE KHATAMI 9/24/2015 9/24/2015 TELEPHONE CALL LUIS URIBE 10/5/2015 10/5/2015 LET APPLICANT KNOW PERMIT IS READY TO BE ISSUED CONDITIONS NAME TYPE NAME ADDRESSI' CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT UNITED FIELD REMODELING INC DBA ADDITION 17855 VANOWEN STREET RESEDA CA 91335 CONTRACTOR UNITED FIELD REMODELING INC DBA ADDITION 17855 VANOWEN STREET RESEDA CA 91335 OWNER JEFFREY UNITIS 54415 EISENHOWER LA QUINTA CA 92253 Printed: Tuesday, October 06, 2015 4:20:38 PM 1 of 2 C SYSTEti1S INSPECTIONS PARENT PROJECTS Printed: Tuesday, October 06, 2015 4:20:38 PM 2 of 2 CBMSYS7Eti1S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT #. CHECK # METHOD PAID BY . BY,: BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 10/6/15 R9816 CASH UNITED FIELD SGU REMODELING INC DB Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM -ARRAY, 101-0000-42403 0 $24.17 $24.17 10/6/15 R9816 CASH UNITED FIELD SGU FIRST 20 REMODELING INC DB PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 10/6/15 R9816 CASH UNITED FIELD SGU FIRST 20 PC REMODELING INC DB Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 10/6/15 R9816 CASH UNITED FIELD SGU REMODELING INC DB Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $141.19 $141.19 INSPECTIONS PARENT PROJECTS Printed: Tuesday, October 06, 2015 4:20:38 PM 2 of 2 CBMSYS7Eti1S Bin City of La Quinta Building St Safety Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 (! ( Building Permit Application and Tracking Sheet Permit ft Project Address: IS f- Owner's Name:th 1 A. P. Number: Address: q I 1 SP,/v+i1h/B l Legal Description: City, ST, Zip: LC, Kt CA I 1,Telephone: Contractor: v. k?u Tele h n e: p� Address: I /�h Project Description: In m6/ / Q / City, ST, Zip: phG�fGr l� Y . (� f0�, '1 t f1•� Com-- �� 1� �' H�/ Telephone: State Lic. # : City Lie. Arch., Engr., Designer: 14 Address: 2J3 O qA 4n �C le City, ST, Zip: �� (�A Tele hone:y � ...... ancY Occupancy: •C n Type: Pe: o strucii e ic#• Repairair Demo Project one): New Add'n Alter Name of Contact Person: t5� Sq. Ft.: # Stories: �I # Units: Telephone # of Contact Person: - Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Revicwed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance. Title 24 Cafes. Plans picked up Construction . Flood plain plan Plans resubmitted Mechanical Grading plan 2q° Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.l. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- c '"! 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