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BSOL2016-0073I Applicant: SMART ENERGY SOLAR INC' 1641 COMMERCE STREET CORONA, CA 92880 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: 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, after, 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 f& 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. . 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 Na Lender's Add Contractor: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 (951)273-9595. Llc. No.: 990049 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: 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. 1 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: Signature (Applicant or Agent): 78-495 CALLE TAMPICO 4 aw VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 fAX (760) 777-7011COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/23/2016 Application Number: BSOL2016-0073 Owner: Property Address: 77345 AVENIDA MONTEZUMA BOYEA; JENNIFER MAE APN: 773121001 52916 AVENIDA OBREGON Application Description: BOYEA/7.41kW PV SYSTEM - (26) 285W PANELS/(1) INV+125A MSP LA QUINTA, CA 92253 Property Zoning: Application Valuation: $26,900.00 Applicant: SMART ENERGY SOLAR INC' 1641 COMMERCE STREET CORONA, CA 92880 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: 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, after, 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 f& 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. . 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 Na Lender's Add Contractor: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 (951)273-9595. Llc. No.: 990049 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: 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. 1 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: Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 201605057291140908 ECON Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $2.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE Credit Card Fee 101-0000-43505 0 $4.19 $4.19 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 2016050421140908579 ECON Total Paid for Credit Card Fee: $4.19 $4.19 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 5/4/16 PAID BY METHOD RECEIPT # ., CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 2016050421140908579 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV.SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 2016050421140908579 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 $24.17 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 20160505721140908 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 $24.17 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 201605 5721140908 ECON Total Paid for ELECTRICAL: $96.68 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY FELIPE CORDERO CREDIT WEB762 2016050 421140908 ECON Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: BOYEA/7.41kW PV SYSTEM - (26) 285W PANELS/(1) INV+125A MSP Type: SOLAR (WEB) Subtype: RESIDENTIAL LESS THAN Status:.ISSUED Applied: 3/21/2016 ECON 1OKW Approved: 4/11/2016 JFU Parcel No: 773121001 Site Address: 77345 AVENIDA MONTEZUMA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA . Block: 23 Lot: 10 Issued: 5/4/2016 ECON UNIT 2 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $26,900.00 Occupancy Type: Construction Type: Expired: 10/31/2016 ECON No. Buildings: 0 No. Stories: 0 No. Unites: 0 `NOTES Details: 7.41 kW SOLAR ARRAY- (26) 285W SOLARWORLD SW285 MONO BLACK PANELS+SOLAREDGE P300 OPTIMIZERS W/ (1) SOLAREDGE SE766OA-US-ZB-U-AFCI INVERTER + MAIN SERVICE PANEL UPGRADE TO 125A W/ 100A MAIN BREAKER (468 SF) 2013 CALIFORNIA ELECTRICAL CODE. j Applied to Approved Approved to Issued 23 Printed: Thursday, June 23, 2016 4:07:21 PM ' 1 of 4 CJ sysreMs P ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE `NOTES NOTIFIED SMART ENERGY SOLAR THAT PLAN REVIEW WAS E-MAIL JAKE FUSON 3/24/2016 3/24/2016. COMPLETE, REVISIONS WERE REQUIRED, AND THAT REDLINES AND CORRECTION LIST WERE VIEWABLE ONLINE. NOTIFIED SMART ENERGY SOLAR E-MAIL JAKE FUSON 4/11/2016 4/11/2016. (PERMIT$.SEUSA@GAMIL.COM) THAT PLANS WERE APPROVER AND PERMIT WAS READY TO ISSUE ONLINE. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT. SMART ENERGY SOLAR INC 1641 COMMERCE CORONA CA 92880 (619)922-2350 permits.seusa@gmail.c STREET om Printed: Thursday, June 23, 2016 4:07:21 PM ' 1 of 4 CJ sysreMs P Printed: Thursday, lune 23, 2016 4:07:21 PM 2 of 4 SYSTEMS CONTACTS CITY STATE ZIP PHONE FAX EMAIL NAME TYPE NAME ADDRESSI CONTRACTOR SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA CA 92880 (619)922-2350 permits.seusa@gmail.c om OWNER BOYEA, JENNIFER MAE 52916 AVENIDA OBREGON LA QUINTA CA 92253 (619)922-2350 DESCRIPTION ACCOUNT Printed: Thursday, lune 23, 2016 4:07:21 PM 2 of 4 SYSTEMS FINANCIAL INFORMATION ' CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 201605042 BSAS SB1473 FEE 101-0000-20306 0 $2.00 $2.00 5/4/16 WE6762 114090857 CREDIT FELIPE CORDERO ECON 9 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $2.00 BSA: 201605042 Credit Card Fee 101-0000-43505 0 $4.19 $4.19 5/4/16 WE6762 114090857 CREDIT FELIPE CORDERO ECON 9 Total Paid for Credit Card Fee: $4.19 $4.19 201605042 PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 5/4/16 WEB762 114090857 CREDIT FELIPE CORDERO ECON FIRST 20 9 201605042 PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 5/4/16 WEB762 114090857 CREDIT FELIPE CORDERO ECON FIRST 20 PC. 9 201605042 PV SYSTEM - MISC 101-0000-42403 0 $24.17 $24.17 5/4/16 WEB762 114090857 CREDIT FELIPE CORDERO ECON EQUIPMENT 9.. 201605042 PV SYSTEM.- MISC 101-0000-42600 0 $24.17 $24.17 5/4/16 WEB762 114090857 CREDIT FELIPE CORDERO ECON EQUIPMENT PC 9 Total Paid for ELECTRICAL:. $96.68 $96.68 Printed: Thursday, lune 23, 2016 4:07:21 PM 2 of 4 SYSTEMS Printed: Thursday, June 23, 2016 4:07:21 PM 3 of 4 9?SYSTEnAS a BOND INFORMATION Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE ' RECEIPT # CHECK•# METHOD PAID BY 1 PLAN PLAN.pdf. BY DOC 3/24/2016 JAKE FUSON 1ST REVIEW REVIEW CORRECTION 201605042 PERMIT ISSUANCE LIST.pdf 101-0000-42404 0 $91.85 $91.85 5/4/16 WEB762 114090857 CREDIT FELIPE CORDERO ECON 3/24/2016 JAKE FUSON 1ST REVIEW REDLINED REVIEW REDLINED 1 9 PLAN PLAN.pdf Total Paid for PERMIT ISSUANCE: $91.85 $91.85 $194.72 $194.72 PARENTPROJECTS RETURNED REVIEWS STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE 1ST BLDG NS - JAKE FUSON 3/21/2016 3/22/2016 3/24/2016 REVISIONS REQUIRED ETRAKIT (1 DAY) 2ND BLDG NS — JAKE FUSON 4/7/2016 4/8/2016 4/11/2016 APPROVED ETRAKIT (1 DAY) Printed: Thursday, June 23, 2016 4:07:21 PM 3 of 4 9?SYSTEnAS a BOND INFORMATION Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BSOL2016-0073 - 2ND DOC 4/7/2016 AJ ORTEGA 2ND SUBMITTAL SOLAR SUBMITTAL SOLAR 1 PLAN PLAN.pdf. BSOL2016-0073 -1ST DOC 3/24/2016 JAKE FUSON 1ST REVIEW REVIEW CORRECTION 1 CORRECTION LIST LIST.pdf BSOL2016-0073 - 1ST DOC 3/24/2016 JAKE FUSON 1ST REVIEW REDLINED REVIEW REDLINED 1 PLAN PLAN.pdf Printed: Thursday, June 23, 2016 4:07:21 PM 3 of 4 9?SYSTEnAS a Printed: Thursday, June 23, 2016 4:07:21 PM 4 of 4 ' srsrrnns ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BSOL2016-0073 -1ST DOC 3/24/2016 JAKE FUSON 1ST SUBMITTAL SOLAR SUBMITTAL SOLAR 1 PLAN PLAN.pdf BSOL2016-0073 - DOC 4/11/2016 JAKE FUSON APPROVED SOLAR PLAN APPROVED SOLAR 1 PLAN.pdf Printed: Thursday, June 23, 2016 4:07:21 PM 4 of 4 ' srsrrnns