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BSOL2014-003081418 Amundson Ave BSOL2014-0030 f ' I IIIIIII VIII III VIII IIII 45 IE 78-49'5 CALLE TAMPICO D VOICE (760) 777-7125 O i FAX (760) 777-7011 LA gUINTA, CALIFORNIA 92253 COMMUNITY'DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 'iU 'LDING PERMIT Date: 11/10/2014 Application Number: BSOL2014-0030 Owner: Property Address: 81418 AMU NDSEN AVE GEORGE HEUSER APN: 767690013 3031 GARDENUA AVE Application Description: 16.2kW PV SYSTEM - (54) 300W/12A LG AC PANELS/ (1)200A SUB LONG BEACH, CA 0 Property Zoning: Application Valuation: $54,000.00 Applicant: DENALI DEVELOPMENT GROUP, INC. 6233 CHERRY AVE LONG BEACH, CA 90805 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 PPofessions Code, and my License is in full force and effect. License Class: License No.::LIC176248801 .Date: Contractor: G 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 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 Name: i Lender's Address: A DEC 12 2014 CITY OF LA QUINTA Contractor: DENALI DEVELOPMENT GROUP, INC. 1ERRY AVE ,EACH, CA 90805 ::LIC -762488 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. V 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 -he labor Code, I shall forthwith comply with those provisions. Date: / / 7 / Applicant: L F 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 t nter upon the above• mentioned property for inspection purposes. Date: ' / Signature (Applicant or Agent): 4vv FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE X4101 -00p0-20306 0 $3.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $3.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD - RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE• PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $96.68 $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: 16.2kW PV SYSTEM - (54) 300W/12A LG AC PANELS/ (1)200A SUB Type: SOLAR Subtype: Status: APPROVED Applied: 10/21/2014 MFA Approved: 11/5/2014 JFU Parcel No: 767690013 Site Address: 81418 AMUNDSEN AVE LA QUINTA,CA 92253 Subdivision: TR 33076-2 Block: Lot: 21 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $54,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 16.2kW SOLAR ARRAY- (54) 300W/12A LG MONOX AC PANELS AND 200A SUBPANEL [972SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Monday, November 10, 2014 2:16:14 PM 1 of CRIff 3 MW W SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAILED NATHAN LOW WITH DENALI DEVELOPMENT TO E-MAIL JAKE FUSON 11/5/2014 11/5/2014 SCHEDULE TIME FOR IN-PERSON SUBMITTAL OF PLANS AND APPROVAL STAMPING. PLAN CHECK PICKED UPJAKE FUSON 11/4/2014 11/4/2014 PLANS AND CORRECTION LIST PICKED UP BY NATHAN OF DENALI DEVELOPMENT. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP . PHONE FAX EMAIL APPLICANT DENALI DEVELOPMENT GROUP, INC. 6233 CHERRY AVE LONG BEACH CA 90805 CONTRACTOR DENALI DEVELOPMENT GROUP, INC. 6233 CHERRY AVE LONG BEACH CA 90805 OWNER GEORGE HEUSER 3031 GARDENUA AVE LONG BEACH CA 0 Printed: Monday, November 10, 2014 2:16:14 PM 1 of CRIff 3 MW W SYSTEMS FINANCIAL •• • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $3.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $3.00 $0.00 BSA: . PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $0.00 FIRST 20 PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $0.00 - FIRST 20 PC PV SYSTEM - MISC 101-0000-42403 0 $24.17 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $24.17 $0.00 EQUIPMENT PC Total Paid forELECTRICAL: $96.68 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Printed: Monday, November 10, 2014 2:16:14 PM 2 of 3 CN?WYSrEMS PLAN REVIEWED VIA EMAIL. APPLICANT TO NON-STRUCTURAL JAKE FUSON 11/5/2014 11/12/2014 11/5/2014 APPROVED SCHEDULE TIME FOR IN-PERSON SUBMITTAL OF PLANS AND APPROVAL STAMPING. ATTACHMENTS Attachment Type. ` CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 11/4/2014 JAKE FUSON SOLAR 1ST REVIEW.pdf SOLAR 1ST REVIEW.pdf 0 Printed: Monday, November 10, 2014 2:16:14 PM 3 of 3 C8?wsrsrEMs BL o City of La Quinta Building &r Safety Division h V PA Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # S OL Project Address: %' ._ 4//,K /NV vl 50 44-.:ZOwner's Name: m r? US • A. P. Number: Address: J - y%Q (JtR SO t L Legal Description: City, ST Zip: Contractor: i L _ y` 2 Telephone: — Address: V ss C'1"-'-V' Project Description: PV 's City, ST, Zip: L,6, 0,5-- o, G✓ Telephone: q(V - 919 7_7 7$ S - l y s State Lic. # : 06 `/y 3 C- /D City Lie. #; Arch., Engr., Designer: Lot A Address: f e G6 y ► LG City, ST, Zip: Telephone: Construction Type: Occupancy: a .# State teLci Project type (circle one): New Add'n Alter Repair Demo Name of Contact on: fiJ4 ,/ La Sq. Ft.: #stories: #Units: Telephone # of C c _ (> p'_ 7 -Estimated Value of Project:JAL Q APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted pto Jtcm Amount Structural Calcs. Reviewed, ready for corrections I/ Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans picked up I' '1 Construction Flood plain plan Plans resubmitted Mechanical Grading plan god Review, ready foraonaosii*rs/issue 0 Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked. up S.M.I. H.O.A. Approval Plans resubmitted Grading IN IiOUSE:- Reyiew, ready for correctionstissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 164 '101 • Slo , :M•ft, --7 5Y TK+Ftk+'["