BSOL2015-01424
78-495 CALLE TAMPICO Tit!/ D 4 Q"
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSOL2015-0142 Owner:
Property Address:
54356 CANTERBURY PGA WEST RESI
APN:
775030002 P 0 BOX 1060
Application Description:
PGA WEST RESIDENTIAL ASSOCIATION SOLAR POOLSYSTEM LA QUINTA, CA
Property Zoning:
Application Valuation:
$19,880.00
Applicant: Contractor:
MOHR POWER SOLAR INC DBA 21ST MOHR POWER
1452 POMONA ROAD 1452 POMONA
CORONA, CA 92882 CORONA, CA 9-,
(951)736-2000
Llc. No.: 661434
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - J - - - - - - - - - - - - - - - - - - - - -
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 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 CCllass:/ License No.: 661434
Date: 7/!� / Contractor: �T
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.).
(� 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project. (Sec. 7044, Business and Professlons 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:
WORKER'S COMPENSA
I hereby affirm under penalty of perjury one c
_ I have and will maintain a certifical
compensation, as provided for by Section 370
52ork for this permit is issued.
ave and will maintain workers' c
Seetlon 3700 of the labor Code, for the perfo
Is Issued. My workers' compensation Insuran
Carrier:_ Policy Number: _
_ 1 certify that In the performance o'
shall not employ any person in any manners(
compensation laws of California, and agree tt
workers' compensation provisions of Section
comply with those prov ons.
Date: Applicant: --
WARNIN : FAILURE TO SECURE WORKERS'Cl
AND SHALL SUBJECT AN EMPLOYER TO CRIMi
ONE HUNDRED THOUSAND DOLLARS ($100,C
COMPENSATION, DAMAGES AS PROVIDED K
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKh
IMPORTANT:Application Is hereby made to
the conditions and restrictions set forth on i
1. Each person upon whose behalf this ap
request and for whose benefit work is perfc
Issued as a result of this application, the ov
shall defend, Indemnify and hold harmless t
employees for any act or omission related t
following issuance of this permit.
2. Any permit Issued as a result of this ap
not commenced within 180 days from date
work for 180 days will subject permit to can
I certify that 1 have read this application and
I agree to comply with all city and county or
construction, and hereby authorize represer
mentioned property or Inspection purpose!
Date:/.7 5 Signature (Appllca
ON DECLARATION
the following declarations:
of consent to self -Insure for workers'
of the Labor Code, for the performance
npensation Insurance, as required by
ante of the work for which this permit
carrier and policy number are:
the work for which this permit Is Issued, I
as to become subject to the workers'
at, If I should become subject to the
1700 of the Labor Code, I shall forthwith
IPENSATION C9VER_AA UNLAWFUL,
tL PENALTIES AND CIVIL FINES UP TO
). IN ADDITION TO THE COST OF
IN SECTION 3706 OF THE LABOR CODE,
! Building Official for a permit subject to
application.
ation is made, each person at whose
ed under or pursuant to any permit
r, and the applicant, each agrees to, and
City of La Ctuinta, Its officers, agents, and
le work being performed under or
:atlon becomes null and void If work Is
Issuance of such permit, or cessation of
!te that the above information is correct.
lances and state laws relating to building
lives of this city to enter upon the above.
or Agen : ��
FINANCIAL INFORMATION
DESCRIPTION ACCOUNTQTY'
AMOUNT
PAID
PAID DATE
BSAS SB1479 FEE 101-0000-20306
0
$1.00
$0.00
PAID BY, METHOD _
RECEIPT #
CHECK #
CLTD BY
. Total Paid for BUILDING 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 forPLUMBING FEES: $24.18 $0.00
TOTALS:00
Description: PGA WEST RESIDENTIAL ASSOCIATION SOLAR POOLSYSTEM
Type: PLUMBING Subtype: Status: APPROVED
Applied: 8/21/2015 PJU
Approved: 9/3/20151FU
Parcel No: 775030002 Site Address: 54356 CANTERBURY LA QUINTA,CA 92253
Subdivision: TR 24317-1 Block: Lot: 4
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $19,880.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ACTION -DATE
Details: SOLAR POOL WATER HEATING SYSTEM - (1) 868 SF COLLECTOR, ELECTRICAL CONTROL AND 2" PVC PIPING TO EXISTING POOL
EQUIPMENT. THIS PERMIT DOES NOT INCLUDE ADDITIONAL OR ALTERATION TO EXISTING POOL PUMP. 2013 CALIFORNIA BUILDING
CODES.
Applied to Approved
Printed: Tuesday, September 15, 2015 10:59:43 AM 1 of 2
SYS TEI4IS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION -DATE
COMPLETION DATE
NOTES
TELEPHONE CALL JAKE FUSON
9/3/2015
9/3/2015
NOTIFIED FRANK HERNANDEZ WITH MOHR POWER SOLAR
THAT PLANS WERE APPROVED AND PERMIT WAS READY TO
ISSUE.
CONDITIONS
CONTACTS
NAME TYPE• NAME
ADDRESSI
CITY
STATE
ZIP PHONE FAX EMAIL
APPLICANT MOHR POWER SOLAR INC DBA 21ST
1452 POMONA ROAD
CORONA
CA
92882 (951)736-2000
CONTRACTOR MOHR POWER SOLAR INC DBA 21ST
1452 POMONA ROAD
CORONA
CA
92882 (951)736-2000
OWNER PGA WEST RESIDENTIAL HOMEOWN
P 0 BOX 1060
LA QUINTA
CA
92253 (951)736-2000
Printed: Tuesday, September 15, 2015 10:59:43 AM 1 of 2
SYS TEI4IS
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID .B I
Y TCUTD
-
'
BY
BSAS 581473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
PERMIT ISSUANCE
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:00
Printed: Tuesday, September 15, 2015 10:59:43 AM 2 of 2
' NAff
SYSTEMS
INSPECTIONS
SEQID. INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS" NOTES
SOLAR FINAL" BLD
Printed: Tuesday, September 15, 2015 10:59:43 AM 2 of 2
' NAff
SYSTEMS
Bin.#
City 'f. La Quinta
Building 8T Safety Division
Box 1504,•78.495 Calle Tampico
v La.Quinta, CA 92253 - (760) 7777012
SH -3'5t=, Building Permit• Application and Tracking Sheet
Penult #P.O.
O`
ProjectAddress: '' �fSUf2
Owner's Name: (� i ;,1
A. P. Number.
Address: p So t r d #1, ( -L1-
LLegal
Legal Description: 7.7
Contractor.
Alk (�
City, ST, Zip: '
Telephone: (� j W
M:.
Address://�� y) 0
Project Description:
City, ST, Zip: W A 5r4. Oto_
Sd/.(}{� CSL r-S� S S'E/w
Telephone: % G Cj rcity
State Lia #: Lic. #:
Arch, Bngr., Designer:
Address:
City., ST, Zip:
.J
Telephone: *�
_ q
State Lic. #: :
Name of Contact Person: rl p,,j
Construction Type:551,A Occupancy:
Project type (circle one) a Add'n Alter Repair Demo
Sq. Ft.: QCo # Stories:
#Units:
Telephone # of Contact Person: !� J -c O
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
Submittal
Req'd
'Reed
TRACKING
PERMITTEES
Plan Sets
Plan Check submittedItun
Amount
Swgdulad Calcs
Reviewed, ready lot ' 4 �� ✓�
$ -
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cala
Plans picked up
Construction
1-104A plain plan
Plans resubmitkd"' .
2`! Review, ready for correctie
)tiechariical
Grading plan
Electrical
Plumbing
Subcontactor List
Called Contact Person
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IR lIOUSL:-
''d Review; ready for eorrectionvIssae
Developer Impact Fee
Planning Approval
COW Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees