SOL (13-0336)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000336
Property Address: 78710 AVENIDA NARANJA
APN: 770-101-003-33 -000000-
Application description: SOLAR
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 40000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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 Professionals Code, and my License is in full force and effect.
License Class: 10 Li a No.: 845653
A Dat 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).:
(_ 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 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.).
(_ 1 1, 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:
Lender's Address:
LQPERMIT
Owner:
KELLER, THOMAS & KELLI
78710 AVENIDA NARANJA
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/29/13
t?L
Contractor:
DESERT SOLAR ELECTRI69096 CLUB ROAD APR 2 9 2013
CATHEDRAL CITY, CA 9
(760) 831-2032 CITy0FLgQUINTA
Lic. No.: 845653 FIAIBue+r.._-_
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 _EVCMPT Policy Number EXEMPT
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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes.
Signature (Applicant or Agent):
Application Number . . . . . 13-00000336
Permit
SOLAR PERMIT
Additional desc .
Permit Fee . . . .
22.50 Plan Check Fee
5.63
Issue Date . . . .
Valuation . . .
. 40000
Expiration Date
10/26/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 4.5000
EA SOLAR COLLECTOR < 1000
4.50
1.00 3.0000
----------------------------------------------------------------------------
EA SOLAR EQUIP MISCELLANEOUS
3.00
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
30.00 Plan Check Fee
7.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
10/26/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00 _
2.00 7.5000
w
EA ELEC PWR APP >1 TO <=10
15.00
-------------
Notes and Comments
13.2kW SOLAR ARRAY -
(55) 240W SHARP
PANELS W/(1) 5,000W &
(1) 7,000W FRONIUS
INVERTER [990SF] 2010
CALIFORNIA
ELECTRICAL CODE.
April 29, 2013 9:05:15
AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
2.00
Fee summary Charged Paid Credited
-----------------
Due
----------
Permit Fee Total
------------------------------
52.50 .00 .00
52.50
Plan Check Total
13.13 .00 .00
13.13
Other Fee Total
2.00 .00 .00
2.00
Grand Total
67.63 .00 .00
67.63
v
LQPERAfIT
Bin .#
CI Of % QL(Inta
Bu110e 8T Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: % r - 7/D /Vf z gA_J1 4
Owner's Name:. p pf E e e- E2
A. P. Number.
Address: 7 9 — 7 / O Ave 114&-,+A1 Z-.4
Legal Description:
City, ST, Zip. A a,,,V Tr4 e ! 2 ZS 3
Contractor: E5E/LT SGLA2 4.tFe
Telephone:
Address: 6 Q O 4b C L O.3 Po *-b
Project Description:
City, ST, Zip: &f-7-ff Grp oCf}L L o- eo 9LL 3ef
s o s. a R
Telephone:760j�
� -L4 W 5N►
State Lic. # : C/d —F tsd s r City Lic #; 4015W
+ 1a�a. v t Iv
Arch., Engr., Designer:
O Sl`
Address.
City, ST, Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
State Lic. #:
Name of Contact Person: eA.-_&t-� //jam L e—
Telephone # of Contact Person: 76 O —9 / = d Z_
Estimated Value of Project: Dy O
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted '
Item Amount
Structural Cities.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calm
Plans picked up
Construction
Rood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctione)
Electrical
Subcoutactor List
Called Contact PersonPlumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Gradiog
IN HOUSE:-
Review; ready for correctio*Wissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.U.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
bl� 3 • _ sem. leo �(� .
��V coo-:4�s��Y
13.2 KW PHOTOVATAIC SYSTEM
for TONT KELLER
78-710 Avenida Naranja
La Quints Ca. 92253
Site Plan
Roof Plan
Single Line Drawings
Grounding
CITY Or -LA QUANTA
BUILDING & SAFE T Y DEPT.
APPROVE®
FOR CONSTRUCTION
DATE BY—$—
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13.2 ►wJ lal �
Rack Mounting Details W I 41 eL SwM q
Fast Jack Roof Connection Details of b tS so, -
Rack Layout Details
Fast Jack Structural Engineering Report
Weight Load Analysis
CSI System Watt Rating
Panel Specifications
Labeling
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