14-0561 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000561
Property Address: 45390 SUNBROOK LN
APN: 604-421-001-1 -23995 -
Application description: SOLAR
Property Zoning:, LOW DENSITY RESIDENTIAL
Application valuation: 6500
Applicant:
Architect or Engineer:
(\IKDJ
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CENSED CONTRACTOR'S DECLARATION
44
f�'�GitrGv
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury th t m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine a d ProfessioQals itode, and my License is in full force and effect.
License Clas 46 Li rise No.: 969780
Date: if. Contractor:
04 NER-BUILDER DECLARATION
1 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.). _
(_ 1 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.I.
Lender's Name: _
Lender's Address:
LQPEPMIT
Owner:
LAMB CHARLES & MARY ANN
45390 SUNBROOK LN
LA QUINTA, CA 92253
(760)345-3873
Contractor:
SUNX SOLAR INC
1558 STERLING COURT
ESCONDIDO, CA 92029
(760)267-1500
Lic. No.: 969780
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/14
-----------------------------------------------
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
1' issued.
11, have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
K- Code, for the performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are: '
Carrier STATE FUND Policy Number 9059435-2013
_ I certify that, in the perforLai
the work for which this permit is issued, I shall not employ any
person in any manner come ubject to the workers' compensation laws of California,
and agree that, if I shoe su ct to the workers' compensation provisions of Section
700 of the Labor Codorth i omply with those provisions.
Date: I Applicant:
U �
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 Director of Building and Safety 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 thework being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application4nstr'
and void if work is not commenced
within 180 days from date of issuance of suchssation of work for 180 days will subject
permit to cancellation.
certify that I have read this application and state that the aion ' correct. I agree to comply with all
city and county ordinances and state laws relating to buildinn, hereby authorize representatives
of this county to enter upon the above-mentioned property
Date:_ Signature (Applicant or Agent):
Application Number . . . . . 14-00000561
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue.Date . . . Valuation . . .
. 0
Expiration Date 12/13/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG BACKFLOW DEVICE
11.92
Special Notes and Comments
SOLAR WATER,HEATING SYSTEM - 480SF
COLLECTOR UTILIZING EXITING PUMP
EQUIPMENT. 2013 CALIFORNIA BUILDING
CODES.
June 10, 2014 1:20:42 PM AORTEGA
-------------------_--------------------------------------------------------
Other Fees . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
Fee summary Charged Paid Credited
Due
Permit Fee Total 11.92 .00 00
11.92
Plan Check"Total .00 .00 .00
.00
Other Fee Total 91.57 .00 .00
91.57
Grand Total 103.49 .00 .00
103.49
UZPERMIT
L
'r
CttV of La Quttlta
BuMg 8C Safety Division I �JQY
i P.O Box 1504,•78.495 Caffe Tampfw Cj 1 Z��
Pemtir # [,a.Qukita, CA 92253 -:(760) 777:7012 7Y OF'
NI LA QUI
Building Permit -Application and Tracking � � 1Y p q
ProjectAddtrss: O ✓/ P>i2�-o Lnl t?wrcer'sName . �; V ai ,� • • A MS EI
J.
A. P. Number. (o o4 . -42-4 r LU 1 — e Addr�: Jrl) .L.1J
Legal Description: L A5 T 1 v �3- .Z2 5 7 City, ST, Zip: f-4 J/�A C4
Contractor. OtJ X c� (—.A Telephone:
Address: 15 � $ �" TfitZi.-i j.' GT, Project Description: V. _ (pD �i GYM I (o
city, sT, zip: CA. 6otAv..•
`j Telephone: 7ifJ� - %JS -S
-� State i:,ia # : ' � $ City Lia th. l4: 5�xx-1 � �s> ���h�t.t%✓� L�7 t
Aref', Engr., Designer.
Address:
City., ST. Zip:
Telephone: ConstrndionTypm . `J' d L Av— Ooaipancy: Z
I State Lie. 9: %syslaimproiect type (circle one): New dd' Altar Repair Demo
i
Name of contact Person: �� Sq. FL: 0 Stories: ( Units
Telephone # of Contact Person: Z g - � - ��(�( Estimated Value of Project: (d ;
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Sabmlttal ReVd Ree'd TRACKING PERNUFEFS-
y Pb+n Sets Plan Ckeck submitted C t Itnu Amount
Structueal CRICL Reviewed, ready for corrections Pian Check Deposit. .
t
v Tru" Calcs. Called Contact Pawn Pian Check Balance.
! Titre 24 Cales. Plans picked up Consttuctian
Flood plain plan Plans resubmiUM Mechanical
Grading plan 2`! Review, ready for correetionMiissue � Electrical
Subeontactor List Called coatactPerson Plumb[ug
Grunt Deed Plans plcked up. SMJL .
H.O.A. Approval Plans resultultted Grading
IN ROUSE:- ''`Review; ready for torra Developer Impact Fee .
PlanningApproval- QlledcoutactPerson �. A".P.
Pub. Wks. Appr ' Date of permit issue
School Fees
Total Permit Fees
514jio,q - MrINff kin
1�I0 Sleet PttPaC�CD+iwkk f�/t�` 6'1'C..•
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