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BELC2015-009078-495.CAU-F •TAM PICO LA QUINTA,'CALIFORNIA 92253 Application Number` BELC2015-0090 Property Address: 61499 TOPAZ DR APN: 764530010 Application Description: GIESE RESIDENCE/ PANEL Property Zoning: Application Valuation: $2,000.00 C& 0 V 1 Qukroj VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/25/2015 Owner: 11�\ ALFRED GIESE 61499 TOPAZ DR LA QUINTA, CA 92253 SEp 2 5 215 Applicant:Contractor: �_— QUIMA SMART ENERGY SOLAR INC 01iy OF �`ME%IT pEppR�MEM 1641 COMMERCE STREET �OMM�N�SY d�E1,OP SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 CORONA, CA 92880 (951)273-9595 Llc. No.: 990049 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: C46 License No.: 990049 Date: �t'��-�S 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).: ( ) 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 bf 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. . BAP.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 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: _ 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 -� S Applicant 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: `'\ S Signature (Applicant or Age 9. w y FINANCIAL •• • K•. AHSCAWT40+4, ,=,ACCOUNT QTY- IPAID gx. PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/25/15 PAID BY. :"METHOD ^ °' ' RECEIPT # CHECK # Y CLTD BY SMART ENERGY SOLAR INC CHECK R9502 21274 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 • ,. DESCRIPTION : - ; ' 4 ACCOUNT .. QTY ' j ' AMOUNT, . �. _ `PAID- PAID DATE. SERVICES 101-0000-42403 .0 $24.17 $24.17 9/25/15 PAID BYi METHOD RECEIPT #} CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R9502 21274 MFA DESCRIPTION F ACCOUNT. qTY: AMOUNT -.PAID PAID DATE SERVICES PC 101-0000-42600 0 $12.09 $12.09 9/25/15 PAID BY ','METHOD,-` r -RECEIPT #:.CHECK # - CLTD.BY , SMART ENERGY SOLAR INC CHECK R9502 21274 MFA Total Paid for ELECTRICAL: $36.26 $36.26 - .,DESCRIPTION ACCOUNT' QTY AMOUNT. PAID•. � a 'PAID _ DATE PERMIT ISSUANCE • 101-0000-42404 0 $91.85 $91.85 9/25/15 PAID BY.;,.METHOD RECEIPT # = CHECK # ,. `' CLTD BY SMART ENERGY SOLAR INC CHECK R9502 21274 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 Description: GIESE RESIDENCE / PANEL CHANGE OUT NAMEsTYPE NAME•-, ADDRESSI _ Type: ELECTRICAL Subtype: Status: ISSUED Applied: 9/25/2015 MFA Approved: 9/25/2015 MFA Parcel No: 764530010 Site Address: 61499 TOPAZ DR LA QUINTA,CA 92253 Subdivision: TR 30023-7 Block: Lot: 16 Issued: 9/25/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,000.00 Occupancy Type: Construction Type: Expired: 3/23/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details:. PANEL UPGRADE 225 AMP PER 2013 CALIFORNIA BUILDING CODE OWNER ................ - . . . . .... ADDITIONAL SITES , , CONDITIONS NAMEsTYPE NAME•-, ADDRESSI _ CONTACTS CITY. -STATE' : ;; ZIP PHONE g ' FAX ^„ `T EMAIL APPLICANT SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA CA 92880 (760)564-3823 CONTRACTOR SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA CA 92880 (760)564-3823 OWNER ALFRED GIESE 61499 TOPAZ DR LA QUINTA CA 92253 (760)564-3823 Printed: Friday, September 25, 2015 11:27:01 AM 1 of 2 CRW.IYSTEMS _.PARENT PROJECT • 5 •. Printed: Friday, September 25, 2015 11:27:01 AM 2 of 2 C SYSTEAAS `I CLTD DESCRIPTION 'ACCOUNT QTY AMOUNT PAID t• PAID DATE RECEIPT # CHECK #� METHOD PAID BY _ BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/25/15 R9502 21274 CHECK SMART ENERGY MFA SOLARINC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: SERVICES 101-0000-42403 0 $24.17 $24.17 9/25/15 R9502 21274 CHECK SMART ENERGY MFA SOLAR INC SERVICES PC 101-0000-42600 0 $12.09 $12.09 9/25/15 R9502 21274 CHECK SMART ENERGY MFA SOLAR INC Total Paid for ELECTRICAL: $36.26 $36.26 SMART ENERGY PERMIT ISSUANCE 101-0000-424040 $91.85 $91.85 9/25/15 R9502 21274 CHECK MFA SOLAR INC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 r _.PARENT PROJECT • 5 •. Printed: Friday, September 25, 2015 11:27:01 AM 2 of 2 C SYSTEAAS Bin # Qty of La Quinta ' Building U Safety Division Permit # r\ G 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: 6 '�d Owner's Name: A. P. Number: Address: GkL-0Ac' Legal Description: City, ST, Zip: t= � ntra tr: Co 0 c Telephone: ele one: b .. P 3 Address: \(oLA \ &0 m Lei Project Description: City, ST, Zip: Telephone: 1 S 2 7 State Lic. # : 1V\ -00.-\6k City Lie. #.- ;Arch., Arch.,Engr., Designer: Address: City, ST, Zip: Telephone: . Construction Type: Occupancy: aneY State Lie. Pr Je ttYPe(cir le ne): New Add'n Alterte air Demo Name of Contact Person:. S�m�� Sq. Ft.: # Stories: # Units: Telephone # of Contact Person.:60 20•'-7-�, 6-,Q Estimated Value of Project: Z 640 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rcc'd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cales. Revicived, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan'. Plans resubmitted Mechanical Grading plan 2nd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrcctions/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