10-0195 (SOL)P.O. BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY. DEPARTMENT
BUILDING PERMIT
Application Number: r-
10-000-0.0.195
Property_ Address:
80180 VISTA -GRANDE
APN:
600-120-009- - -
Application description:
SOLAR
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
75000
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner: .
BETTY FISHER
80180 VISTA GRANDE
LA QUINTA, CA 92253 /
4/06/10
t rac t •"��
-- •-- ---•— -- -•-- •--._ _ .•.. --- - ------ - ------------- - ---__...— . _.. ...-- - ._._ ___..... .. __ - -...Con or.. �f ... .. .
Applicant: Architect or Engineer SALVESON; KENT E.
28391 AVENIDA LA MANCHA .\
SAN JUAN CAPISTRANO, 'CA 92675
(949)291-7393
LiC. No.: 777413
LICENSED C NTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION:
hereby affirm under penalty of perjury that I am lic sed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and essionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: B C20 Cl License No.: 777413 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued..
Kat q ntractor. - _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
WTCode, for the performance of the work for which this permit is issued. 'My workerscompensation
OWNER -BUILDER DECLARATION insurance carrier and policy number are: _
I hereby affirm under. penalty of perjury that I am exempt from the Contractor's State License Law for the . Carrier EXEMPT Policy Number EXEMPT '
.following reason (Sec. 7031.5, Business and Professions Coder Any city or county that requires a permit to I certify that, in the performance of thew k for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to becom ubject to the workers' compensation laws of California,
. "permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State . and agree that, if I should become ject`o the workers' compensation. provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business. and Professions Code) or 3700 of the Labor Code, I shall ith comply with those provisions.
that he or she is exempt therefrom and the basis for'the alleged exemption. Any violation of Section 7031.5 by ry/(`//-I��®
any applicant for a permit subjects the applicant to a. civil penalty of not more than five hundred dollars ($500).: e: e/ cant:
(_ 1 1, 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 • WARNING: FAI URE TO SECURE WORK RS OMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the_ DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE,.INTEREST, AND ATTORNEY'S FEES.
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.). APPLICANT ACKNOWLEDGEMENT -
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License.Law does not apply to an owner of conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractods),licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for . .
pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued ase result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason 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 omissionrelated to the work being
performed under or following issuance of this permit.
Date: Owner: 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 c ssation of work for 180. days will subject
CONSTRUCTION LENDING AGENCY - permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above info ation is correct. I agree to comply with all _
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws 7elating,to building con on, and hereby authorize representatives
of this county o enter upon the above-mentioned property for i on purposes. '
Lender's Name:
.\ - ate: ® Si twe (Applicant or Agent):
fit Lender's Address:
LQPERMIT
r.:
. Application Number .: . . . . 10-00000195
Permit . . SOLAR PERMIT
Additional desc .
• Permit Fee 25.50 Plan Check Fee
6.38
Issue Date Valuation -
75000
Expiration Date 10/03/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
'2.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS
6.00
------------------------
Special Notes and Comments
--------------
--'----- -------.- ---_ _-----. ._:..,8":OkW SOLAR, ARRAY= (36)--230 WATT PANELS
---
W/ (2) 4000W INVERTER• [625SF] 2007
CALIFORNIA ELECTRICAL CODE. ***PANELS
SHALL NOT.BE VIEWABLE TO THE -UNDERSIDE
FROM NEIGHBORING PROPERTIES***
April•6, 2010 12:43:41 PM AORTEGA
- ------------------------------------
Other Fees . . BLDG STDS.ADMIN"(SB1473)
3.00
Fee summary Charged Paid Credited
Due
----- - ------
.Permit Fee Total 25.50 00 00
--------
25.50
Plan Check Total 6.38 .00 .00
6.38
Other Fee. Total 3.00 .00 .00
3.00
- Grand Total 34.88 .00. .00
34.88
LQPERMIT
Bin
Qty of ra Qu►nta
Building 8L Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit 11
u
Project Address:
Owner's Name:.
A. P. Number:
Address: J fig
Legal Description:
City, ST, Zip: Z. � T S"
Contractor e o_� / lJil/
:.:,:.....; ;• <:<:>><>:>:?:<.<: <:>:::
Telephone :::..... :. ii:::.:ti <;•;;>:•;:<;s<•:
Address: y L IJ 1y,4,.Ve-j1,4
Project Description:
City, ST, Zip: A/ � G _ P x'26
O /L ��✓1 /a L L"� y d f!
Telephone: 20113�
�::,•;:<:>:«�;;::;;;;:>+::.>.<;i>:,::�:A;:r;><:,°i";>':.,'.
r+J.•i%�\vrNiS%i:iJ':ii:(j<y:,,v';%�}j::i;oiiti'4:C.'•.
State Lic. # : % 3 City Lic. #; �+
Arch., Engr., Designer: O U S TL
25 �t6ti-t
Address: ( C 1- v !Ll A T�
City., ST, Zip:
Telephone:??:hN:;}%•5:;?vj•\`hY :;:?fi :y+v axr
'';•ri:J:iS%:SL:•S.w^i n'ii::i4:;C:ty 4:�� i
State Lic. #: f K#r'syfs. 4».
Name of Contact Person: /-6CA/
Construction T e• <'&Iit . Occupancy:
project type (circle one): New Add'n Alter Repair. Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: `e/ '2
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact PersonPlan
I to
Check Balance
Tide 24 Calcs.
Plans picked up t0
Construction "
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"Review, ready fo correcti issue L;
Electrical
Subcontactor List
Called Contact Person 4 fig 120jaPlumbing
Grant Deed
Plans picked upS.M.I. 4l 6r
H.O.A. Approval
Plans resubmitted qJ
Grading
IN HOUSE:-
''" Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
12JUD auk
yl lg-JRw�►TCL�C WK0
is Iwo - sa.04-4--