HomeMy WebLinkAboutBRES2015-016578-495 CAtLE"TAMPiQO
LA QUIINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2015 0165 L336537 �Property Address: 80423 CHAMPIONS WY
APN: 775220021 r�Application Description: THE SIGNATURE PH 1 ESTATES LOT 83 AY ® / 2 15Property Zoning: —
Application Valuation: $224,126.10 'l Ty
Tv"!T0EP4PiMENT
Applicant:
MSA CONSULTING, INC.
34200 BOB HOPE DRIVE
RANCHO MIRAGE, CA 92270
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 Clas ' B License No.: 927267
Date:' 7 /- 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 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
(_) 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 .or
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/5/2015
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
Contractor:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
Uc. No.: 927267
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 t "ose rovisions.
Date: � 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
constructioffignature
uthorize representatives of this city to ente Pon the above•
mentiopection purposes.
Date: (Applicant or Agent):/
BUILDING PERMIT
DESIGN & DEVELOPMENT
DEPARTMENT
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
PHONE (760) 777-7125
WWW.LAQUINTACA.GOV
APPLIED DATE: 04/28/2015
ISSUED DATE: 05/07/2015
Permit Type:
Permit Number:
Property Address:
APN:
Legal Description
Property Zoning:
Valuation:
Building Residential
80423 CHAMPIONS WY
BRES2015-0165
775220021
$224,126.10
Owner:RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110, CARLSBAD, CA
92008
Applicant:MSA CONSULTING, INC.
34200 BOB HOPE DRIVE, RANCHO MIRAGE, CA
92270
Contractor:CALIFORNIA WEST CONSTRUCTION I
5927 PRIESTLY DRIVE STE 110, CARLSBAD, CA
92008
Declaration / Acknowledgement
PRIOR TO THE ISSUANCE OF THIS PERMIT FOR CONSTRUCTION, ALTERATION, IMPROVEMENT, DEMOLITION, OR REPAIR THE OWNER, APPLICANT AND/OR
CONTRACTOR UNDER PENALTY OF PERJURY HAVE AFFIRMED WHEN APPLICABLE, THROUGH THE SUBMITTAL OF FORMS OR BY OTHER ELECTRONIC MEANS, THE
FOLLOWING:
LICENSED CONTRACTOR OR OWNER-BUILDER DECLARATION (1 or 2)
1) They are licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professions Code, and the
referenced
License is in full force and effect, or;
2) That they are exempt from the Contractors’ State License Law for the
reason(s) indicated by either (2)(a) and/or (2)(b), or (2)(c) where he or
she is exempt from licensure by a valid exemption. [Section 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
Contractors’ State License Law (Chapter (commencing with Section 7000)
of Division 3 of the Business and Professions
Code] 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).)
a) As owner of the property, or my employees with wages as their sole
compensation, will do all of or portions of the work, and the structure is
not intended or offered for sale (Section 7044, Business and Professions
Code: The Contractors’ State License Law does not apply to an owner of
property who, through employees’ or personal effort, builds or improves
the property, 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 it was
not built or improved for the purpose of sale.).
b) As owner of the property, will be exclusively contracting with licensed
c) Are exempt from licensure under the Contractors’ State License Law.
As an Owner-Builder, they acknowledge that, except for their personal
residence in which they must have resided in for at least one year prior to
completion of the improvements covered by this permit, they cannot legally
sell a structure built as an owner-builder if it has not been constructed in
its entirety by licensed contractors. It is understood that a copy of the
applicable law, Section 7044 of the Business and Professions Code, is
available upon request when this application was submitted at the
following Web site:
http://www.leginfo.ca.gov/calaw.html.
DECLARATION REGARDING CONSTRUCTION LENDING AGENCY (If
applicable)
A construction lender will be used for completion of the improvements
covered by this permit and the name and information of which is on file for
public inspection during the regular business hours of the public entity.
WORKERS’ COMPENSATION DECLARATION (1, 2 or 3)
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.
1) Has and will maintain a certificate of consent to self-insure for workers’
compensation, issued by the Director of Industrial Relations as provided for
by Section 3700 of the Labor Code, for the performance of the work for
which this permit is issued.
2) Has 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.
3) Certifies that, in the performance of the work for which this permit is
issued, shall not employ any person in any manner so as to become subject
to the workers’ compensation laws of California, and agree that, if should
become subject to the workers’ compensation provisions of Section 3700 of
the Labor Code, shall forthwith comply with those provisions.
NOTICE TO APPLICANT (1, 2 and 3)
1) Each person upon whose behalf this application was made, each person
at whose request and for whose benefit work is being 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 360 days from date of issuance of such
permit, or if cessation of work for 180 days will subject permit to
cancellation. On or after January 1, 2019, every permit issued shall become
invalid unless the work on the site authorized by such permit is commenced
within 12 months after its issuance, or if the work authorized on the site by
such permit is suspended or abandoned for a period of 12 months after the
time the work is commenced.
3) Certified that they read the application and state that the information
provided is correct. 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.
IMPORTANT: An Application for Permit was made to the Building Official,
subject to the conditions and restrictions set forth at the time of application,
which is now hereby an Issued Permit. If any part of the information being
supplied on this permit is inaccurate or untrue, please contact the City of La
Printed: 7/16/26 11:41 am Page 1 of 5
Permit Type:
Permit Number:
Property Address:
Building Residential
BRES2015-0165
80423 CHAMPIONS WY
BUILDING PERMIT
Failure of the applicant to indicate the construction lender on the
application does not relieve that person of the requirement to give the
construction lender preliminary notice from that duty.
Quinta at (760) 777-7125 immediately for correction.
Printed: 7/16/26 11:41 am Page 2 of 5
Permit Type:
Permit Number:
Property Address:
Building Residential
BRES2015-0165
80423 CHAMPIONS WY
BUILDING PERMIT
THE SIGNATURE PH 1 ESTATES LOT 83 TM 36537 *** FINAL PERMIT EXTENSION GRANTED TO APRIL 2, 2017 TO PASS AN
INSPECTION, SEE CHRONOLOGY FOR ADDITIONAL INFORMATION. #|||# THE SIGNATURE PH 1 ESTATES LOT 83 TM 36537 *** FIRE
PERMIT IS EXPIRED AND MUST BE RE-ISSUED TO CURRENT FIRE CODES. PLANS AND DOCUMENTS HAVE BEEN DISCARDED.
3/21/2018. KH. # LAQ-16-RS-035.
NO FURTHER INSPECTIONS WERE PERFORMED ON THIS SFD AND PERMIT HAS BEEN EXPIRED. SEE AJ'S NOTE IN CHRONOLOGY
#|||# THE SIGNATURE PH 1 ESTATES LOT 83 TM 36537 *** 2,528 SF DWELLING 79 SF DECK 257 SF OUTDOOR LIVING PLAN TYPE
1CR, LOT 83 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH.
2013 CALIFORNIA BUILDING CODES. #|||# THE SIGNATURE PH 1 ESTATES LOT 83 TM 36537 *** PERMIT EXTENSION GRANTED
UNTIL MAY 2, 2016 TO PASS INSPECTION
Use of Permit
Construction Details
Dwelling - Single Family
Attached
Residential Work Type 2528Conditioned Square
Footage
521Garage Square
Footage
336Patio Square Footage 3049Fire Sprinkler Square
Footage
V-BConstruction Type
2013Code Edition 1Number of Floors 3Number of Bedrooms
1Number of Units R-3: 1 & 2 Family
Dwellings, U: Utility/Misc
Structures
Building/Unit
Occupancy
Classification(s)
NoGrading Required?
1Dwelling Units per
Acre (CVMSHCP)
0Number of Flag or
Light Pole(s)?
3049New Electrical Square
Footage
YesTemporary Power
Service?
1Number of Forced Air
Furnace(s)
1Number of
Condenser(s)
6Number of Ventilation
Fan(s)
1Number of Exhaust
Hood(s)
16Number of Plumbing
Fixtures/Traps
1Number of Water
Heater(s)
YesWater System Install
or Alteration?
YesBack Flow Prevention
Device?
8Number of Gas
Outlet(s)
YesSewer Connection?
Valuation Details
Type Group Sq Ft Value
Printed: 7/16/26 11:41 am Page 3 of 5
Permit Type:
Permit Number:
Property Address:
Building Residential
BRES2015-0165
80423 CHAMPIONS WY
BUILDING PERMIT
Financial Information
Fee AmountFee Amount PaidInvoice No.
PERMIT-BRES2015-016
5
$1,292.00 MULTI-SPECIES RESIDENTIAL 0-8 UNITS $1,292.00
$72.54 VENT FAN $72.54
$12.09 BUILDING SEWER PC $12.09
$24.17 GAS SYSTEM, 5+ OUTLETS PC $24.17
$60.31 ART IN PUBLIC PLACES - RESIDENTIAL $60.31
$12.09 BACKFLOW DEVICE $12.09
$7.25 WATER HEATER/VENT PC $7.25
$24.17 TEMP POWER SERVICE $24.17
$12.09 WATER SYSTEM INST/ALT/REP PC $12.09
$36.26 FURNACE $36.26
$145.03 RESIDENTIAL, FIRST 1,000SF $145.03
$15.24 RESIDENTIAL, EA ADDITION 1,000SF, PC $15.24
$1,837.44 SINGLE FAMILY DETACHED $1,837.44
$12.09 BUILDING SEWER $12.09
$40.00 DIF - PARK MAINTENANCE $40.00
$1,264.76 NEW CONSTRUCTION PLAN CHECK $1,264.76
$133.43 RESIDENTIAL PRECISE GRADING - TRACT HOME $133.43
$344.00 DIF - LIBRARIES $344.00
$2,842.00 DIF - TRANSPORTATION $2,842.00
$36.26 CONDENSER/COMPRESSOR $36.26
$12.09 EXHAUST HOOD $12.09
$9.00 BSAS SB1473 FEE $9.00
$193.44 FIXTURE/TRAP PC $193.44
$4.83 BACKFLOW DEVICE PC $4.83
$28.98 VENT FAN PC $28.98
$193.44 FIXTURE/TRAP $193.44
$36.99 RESIDENTIAL, EA ADDITION 1,000SF $36.99
$595.57 NEW CONSTRUCTION PERMIT $595.57
$2,048.00 DIF - PARKS/REC $2,048.00
$47.86 RESIDENTIAL, FIRST 1,000SF, PC $47.86
$4.83 EXHAUST HOOD PC $4.83
$12.09 WATER SYSTEM INST/ALT/REP $12.09
$24.17 FURNACE PC $24.17
$116.00 DIF - STREET MAINTENANCE $116.00
$29.14 SMI - RESIDENTIAL $29.14
$24.17 CONDENSER/COMPRESSOR PC $24.17
$36.26 GAS SYSTEM, 5+ OUTLETS $36.26
$942.00 DIF - CIVIC CENTER $942.00
$16.92 TEMP POWER SERVICE PC $16.92
$433.00 DIF - FIRE PROTECTION $433.00
$129.00 DIF - COMMUNITY CENTERS $129.00
$12.09 WATER HEATER/VENT $12.09
$13,173.09 $13,173.09 Total for Invoice PERMIT-BRES2015-0165
Grand Total for Permit $13,173.09 $13,173.09
Printed: 7/16/26 11:41 am Page 4 of 5
Permit Type:
Permit Number:
Property Address:
Building Residential
BRES2015-0165
80423 CHAMPIONS WY
BUILDING PERMIT
Workflow / Inspections
Workflow Step / Action Name Action Type Start Date End Date
Inspections v.1 04/28/2015 0:00
FOOTINGS v.2 Inspection
FOOTINGS v.1 Inspection
UNDERGROUND PLBG v.1 Inspection
Construction or work for which a permit is required shall be subject to inspection by the building official and such construction or work
shall remain visible and able to be accessed for inspection purposes until approved. Approval as a result of an inspection shall not be
construed to be an approval of a violation of the provisions of the applicable code and other ordinances of the jurisdiction. Inspections
presuming to give authority to violate or cancel the provisions of the applicable code and other ordinances of the jurisdiction shall not be
valid. It shall be the duty of the owner or the owner's authorized agent to cause the work to remain visible and able to be accessed for
inspection purposes. Neither the building official nor the jurisdiction shall be liable for expense entailed in the removal or replacement of
any material required to allow inspection.
It shall be the duty of the holder of the building permit or their duly authorized agent to notify the building official when work is ready for
inspection. It shall be the duty of the permit holder to provide access to and means for inspections of such work that are required by this
code.
Inspections
A building or structure shall not be used or occupied in whole or in part, and a change of occupancy of a building or structure or portion
thereof shall not be made, until the building official has issued a certificate of occupancy therefor as provided herein. Issuance of a
certificate of occupancy shall not be construed as an approval of a violation of the provisions of the applicable code and other ordinances
of the jurisdiction. Certificates presuming to give authority to violate or cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid.
Certificate of Occupancy
A person shall not make connections from a utility, a source of energy, fuel, or power, or a water system or sewer system to any building
or system that is regulated by the applicable code and other ordinances of the jurisdiction for which a permit is required, until approved by
the building official.
Service Utilities
Printed: 7/16/26 11:41 am Page 5 of 5
PERMIT INSPECTION HISTORY REPORT (BRES2015-0165)
FOR CITY OF LA QUINTA
Building Residential 04/28/2015Application Date:Permit Type:775220021Parcel
Building Residential 05/07/2015Work Class:Issue Date:80423 CHAMPIONS WY
LA QUINTA, CA 92253
Address:
Expired 10/04/2016Expiration Date:Status:Description:THE SIGNATURE PH 1 ESTATES LOT
83 TM 36537 *** FINAL PERMIT
EXTENSION GRANTED TO APRIL 2,
2017 TO PASS AN INSPECTION, SEE
CHRONOLOGY FOR ADDITIONAL
INFORMATION. #|||# THE SIGNATURE
PH 1 ESTATES LOT 83 TM 36537 ***
FIRE PERMIT IS EXPIRED AND MUST
BE RE-ISSUED TO CURRENT FIRE
CODES. PLANS AND DOCUMENTS
HAVE BEEN DISCARDED. 3/21/2018.
KH. # LAQ-16-RS-035.
NO FURTHER INSPECTIONS WERE
PERFORMED ON THIS SFD AND
PERMIT HAS BEEN EXPIRED. SEE AJ'S
NOTE IN CHRONOLOGY #|||# THE
SIGNATURE PH 1 ESTATES LOT 83
TM 36537 *** 2,528 SF DWELLING 79
SF DECK 257 SF OUTDOOR LIVING
PLAN TYPE 1CR, LOT 83
[VB/RES-3/CLASS A-FR/13D] THIS
PERMIT DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY
APPROACH. 2013 CALIFORNIA
BUILDING CODES. #|||# THE
SIGNATURE PH 1 ESTATES LOT 83
TM 36537 *** PERMIT EXTENSION
GRANTED UNTIL MAY 2, 2016 TO
PASS INSPECTION
Owner:Contractor:Applicant:RREF II CWC LAQ LLC CALIFORNIA WEST CONSTRUCTION I MSA CONSULTING, INC.
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
03/28/2016 Underground
Plumbing
MFA:15042811220
01463
Approved Jake Fuson No Complete
NOTES Created By TEXT Created Date
Jake Fuson NO JOB CARD ON SITE.03/28/2016
04/06/2016 Footing JFU:160405051401
2666
Disapproved Jake Fuson No Complete
NOTES Created By TEXT Created Date
Jake Fuson REVISE FOOTING STEEL AT STRONG
WALLS. ADD STIRRUPS PER SSW DETAIL
(INCLUDING SPACING, ETC) AND ADD (3) #4
BARS AT STRONG WALLS PER
FOUNDATION PLAN. ADDITIONALLY,
PROVIDE APPROVAL LETTER FROM EOR
FOR SHOWER DISPLACEMENT BOXES
LOCATED WITHIN FOOTING.
04/06/2016
04/07/2016
78-495 Calle Tampico Page 1 of 2July 16, 2026
PERMIT INSPECTION HISTORY REPORT (BRES2015-0165)
Building Residential 04/28/2015Application Date:Permit Type:775220021Parcel
Building Residential 05/07/2015Work Class:Issue Date:80423 CHAMPIONS WY
LA QUINTA, CA 92253
Address:
Expired 10/04/2016Expiration Date:Status:Description:THE SIGNATURE PH 1 ESTATES LOT
83 TM 36537 *** FINAL PERMIT
EXTENSION GRANTED TO APRIL 2,
2017 TO PASS AN INSPECTION, SEE
CHRONOLOGY FOR ADDITIONAL
INFORMATION. #|||# THE SIGNATURE
PH 1 ESTATES LOT 83 TM 36537 ***
FIRE PERMIT IS EXPIRED AND MUST
BE RE-ISSUED TO CURRENT FIRE
CODES. PLANS AND DOCUMENTS
HAVE BEEN DISCARDED. 3/21/2018.
KH. # LAQ-16-RS-035.
NO FURTHER INSPECTIONS WERE
PERFORMED ON THIS SFD AND
PERMIT HAS BEEN EXPIRED. SEE AJ'S
NOTE IN CHRONOLOGY #|||# THE
SIGNATURE PH 1 ESTATES LOT 83
TM 36537 *** 2,528 SF DWELLING 79
SF DECK 257 SF OUTDOOR LIVING
PLAN TYPE 1CR, LOT 83
[VB/RES-3/CLASS A-FR/13D] THIS
PERMIT DOES NOT INCLUDE POOL,
SPA, BLOCK WALLS OR DRIVEWAY
APPROACH. 2013 CALIFORNIA
BUILDING CODES. #|||# THE
SIGNATURE PH 1 ESTATES LOT 83
TM 36537 *** PERMIT EXTENSION
GRANTED UNTIL MAY 2, 2016 TO
PASS INSPECTION
Owner:Contractor:Applicant:RREF II CWC LAQ LLC CALIFORNIA WEST CONSTRUCTION I MSA CONSULTING, INC.
Scheduled
Date Inspection Type Inspection No.Inspection Status Primary Inspector Reinspection
Required?CompleteActual
Start Date
Footing JFU:160407044142
2662
Approved Jake Fuson No Complete
78-495 Calle Tampico Page 2 of 2July 16, 2026