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BSOL2016-007478-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT' BSOL2016-0074 49963 AVENIDA MONTERO 646192042 DIMARE / 12.6kW PV SYSTEM - (40) 315W PANELS/(2) INVERTERS $5,000.00 ,Applicant: SUSTINEO SOLAR SYSTEMS -INC 6977 NAVAJO ROAD SUITE 139 SAN DIEGO, CA 92119 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, C10. C27. B License No.: 992442 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, 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 sheds 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 for the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: Lender's Add VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/23/2016 Owner: THOMAS DIMARE P O BOX 517 NEWMAN, CA 92253 Contractor: SUSTINEO. SOLAR SYSTEMS INC 6977 NAVAJO'ROAD SUITE 139 SAN DIEGO, CA 92119 (858)270-9333 Llc. No.: 992442 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to . the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made,. each person at whose request.and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void.if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: . Signature (Applicant or Agent): INFOWATiONi �L�yDESCRIPTION �F r 4�A000UNTfi� QTY$ AMOUNT `; F x PAID�k # . a _ BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 5/12/16 PAIDBY:e '_ # CHECK #t,. 'CLTU BY,, •.4 s.,, t ,METHOD rvRECEIPT , PERMIT RUNNER CHECK R15389 7005 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $'1.00 $1.00 .4t DESCRIPTION ACCOUNT~ QTY �„ PAID`DATEk �> AMOUNT -,. #PAID PV SYSTEM - ARRAY, FIRST 20 10170000-42403 0 $24.17 $24.17 5/12/16 r PAID'BY41, ` "s»tMETHOD`+RECEIPT # ' CHECK #i CLTD BY PERMIT RUNNER CHECK R15389 7005 SKH '�'DESCRIP,TION r _ ` ",ACCOUNT' QTY$ AMOUNT; PAID fPAID'DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0* $24.17 $24.17 5/12/16 �xPAID �� METHOD a �' � RECEIPT # il $ ` � CHECK # n� CLTD BYs By � PERMIT RUNNER CHECK R15389 7005 SKH Total Paid for ELECTRICAL: $48.34 $48.34 < DESCRIPTIONS x r ACCOUNT`x QTY `�,#AMOUNT `.i��$ PAIDkx7` iPAIDxDATE t' PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/12/16 `PAIDBY �g's?�a'} METHODRECEIPT# ` "CHECK#'CLTD BY . . , PERMIT RUNNER CHECK R15389 7065 SKH'. Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $141.19 $141.19 ''�� PAID,DATE Description: DIMARE / 12AW PV SYSTEM - (40) 315W PANELS/(2) INVERTERS Type: SOLAR (WEB) Subtype: RESIDENTIAL GREATER Status: ISSUED Applied: 3/24/2016 ECON THAN 10KW Approved: 5/23/2016 MFA Parcel No: 646192042 Site Address: 49963 AVENIDA MONTERO LA QUINTA,CA 92253 Subdivision: TR 3448 Block: Lot: 4 . Issued: 5/23/2016 MFA Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: 11/19/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0' Details: 12.6kW SOLAR ARRAY - (40) 315W CANADIAN SOLAR PANELS W/(1) SMA SB-600TL-US AND (1) SMA SB -7000 -TL -US INVERTERS AND . 125 AMP SUBPANEL [720SF] 2013 CALIFORNIA ELECTRICAL CODE. 60 / 0 i _;Applied to Approved ''..' Approved to Issued Printed: Thursday, June 23, 2016 3:59:53 PM1 of 3 i SYSTEMS INSPECTIONS PARENT PROJECTS .. Printed: Thursday, June 23, 2016 3:59:53 PM 2 of 3 sysrrm,s 2ND BLDG NS (1 I AJ ORTEGA I 5/5/2016 I ' 5/6/2016 I 5/6/2016 I APPROVED I BOW •' • ;Attachment Type , = s ;`� _._.:...._ .-'CREATED-.7.-.: z.. OWNER -DESCRIPTLON P47i AME SUBDIR ETRAKIT:ENABI ED ` BSOL2016-0074= 1ST DOC 3/28/2016 AJ ORTEGA . 1ST REVIEW SOLAR REVIEW SOLAR PLAN 1 PLAN (REDLINED) (REDLINED).pdf DOC 5/9/2016 AJ ORTEGA SOLAR PLAN BSOL201,6-0074 - SOLAR 1 ' - (APPROVED) PLAN (APPROVED).pdf - BSOL2016-0074 - IST DOC 3/24/2016 EtrakitContractor- 1ST SUBMITTAL SOLAR SUBMITTAL SOLAR 1 PLAN PLAN.pdf ' l BSOL2016-0074 - 2ND DOC 5/5/2016 STEPHANIE KHATAMI 2ND SUBMITTAL SUBMITTAL 1 RESPONSES RESPONSES.pdf N BSOL2016-0074 - 2ND DOC 5/5/2016 ' STEPHANIE KHATAMI 2ND SUBMITTAL SUBMITTAL 1 SPECIFICATIONS SPECIFICATIONS.pdf BSOL2016-0074 - 2ND J DOC 5/5/2016 .STEPHANIE KHATAMI 2ND SUBMITTAL SOLAR SUBMITTAL,SOLAR 1 PLAN PLAN.pdf .