09-0992 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: C`09'-00060992
Property Address: 81469 RUSTIC CANYON DR
APN: 764-280-999-49 -300236-
Application description: SOLAR
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 22000
T4ht 4 a (P 0"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
--------------------------------------------------
CENSED CONTRACTOR'S DECLARATION
LI
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7001 of ivision 3 of the Business and Professionals Code, and my License is in full force and effect.
Lice I s: B ic'nse No.: 855368
�te: ontr ctor: _drNok
.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 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
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 Name: �
Lender's Address: Y /] t
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner: D
Date: 9/15/09
� n
SHEA LA QUINT ll
C/O JEFF MCQ
8800 N GAINE C NTER9310� Q
SCOTTSDALE, Z 5258 U CuJ�
TA
Contractor.
SHEA HOMES LIMITED PARTNERSH3P-
60800 TRILOGY PKWY
LA QUINTA, CA 92253
(760)777-6032
Lic. No.: 855368
-----------------------------------------------
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 NTL UNION INS Policy Number WC6987825
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' compFftation provisions of Section
3700 of the Labor Code, I shall f rtf with comply wQith os r VI,2 s.
'ate: plicant:
WARNING: FAILURE TO SECURE WO KE S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINA 4NALTIES 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 co y with all
city and county o*ente,'
dinaand state laws relating to building construction, and hereby authorize rep se tatives
of unt n the above-mentioned property for inspe ton 'rposes.
fSate ture (Applicant or Agent):
LQPERMIT
Application Number . . . . . 09-00000992
Permit . . SOLAR PERMIT.
Additional desc .
Permit Fee 22.50. __ Plan Check Fee_
5.63
Issue Date . . . . Valuation . . .
. 22000
Expiration Date 3/14/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
1 nn i nnnn FA SOLAR FnTTTP MTSCELLANEOUS
:
3.00.,
----------------------------------------------
Notes .and Comments
ADD SOLAR PACKAGE (1.10A,& 3KW) TO
PREVIOUSLY PERMITTED SFD (BP #08-1401)..
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
----------------------------------------
Due
-----------------
Permit Fee Total 22.50 .00 .00
22.50
Plan Check Total 5.63 .00 .00
5.63
Other Fee Total 1.00 .00 .00
1.00
Grand Total 29.13 .00 .00
29.13
t
s.
OCR
SOLAR & ROOFING
707 ALDRIDGE ROAD, SUITE "A".
VACAVILLE, CALIFORNIA 95688
PH: 707-469-7470
FX: 707-469-6248
WWW.00RSERVICES.NET
CA. LICENSE NO.# 907158 .
CUSTOMER:
SHEA HOMES
0
Td
\
60-800 TRILOGY PARKWAY
LA QUINTA, CALIFORNIA 92253.
PROJECT NAME:
TRI LOGY - AT
0
LA QU I
U
z
IN
LOT 49, 81459 RUSTIC CANYON DRIV
LA QUINTA, CALIFORNIi
DRAWING NOTES:
BP SOLAR PV ENERGY TILE MODULE
c
MODEL: SP365TS c 'AI
65W
=
MODULE RATED AT:
MULTIPLY BY CITY. OF MODULES: `ro
ARRAY SYSTEM SIZE: MAW
0
APPROX. SYS. AZIMUTH: 270
MAGNETIC (NORTH) •2820SETTING
OF ARRAY:
ORIENTATION OPTIONS ARE PRELIMINARY,
AND ARE SUBJECT TO REVISION FOR
OPTIMAL USE. '
1j�
SOLAR ARRAY LOCATIONS ARE TO BE
REVIEWED AND APPROVED BY OWNER
AND/OR ARCHITECT OF RECORD TO VERIFY
SYSTEM LOCATION, FOR VENTILATION
OBSTRUCTION AND POSSIBLE RELOCATION
OF VENT AND/OR .PIPE JACKS.
FIELD VERIFICATION OF ROOF STRUCTURE,
AND SOLAR ARRAY LOCATION IS REQUIRED
PRIOR TO INSTALLATION FOR ALL EXISTING
STRUCTURES WHERE NEW SOLAR ARRAYS
ARE TO BE INSTALLED.
ARCHITECT FIELD DRAWING INFORMATION
0
PHASE
LOT
PLAN
'6s
-
11
4q
64204
DRAWN BY: EF
DRAWN DATE: 12.03.08
@2008 OCR SOLAR & ROOFING,
a
INC. ALL RIGHTS RESERVED
P.O. BOX 1504. .
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number Ly 0'9-00000992 ,
Property Address: 81469 RUSTIC CANYON DR
APN: 764-280-999-49 -300236-
Application description: SOLAR
Property Zoning: MEDIUM HIGH DENSITY RES
Application va!tlation: . ??nnn
Ta!t
4aQ"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
SHEA LA QUINTA
C/O JEFF MCQUEEN
8800 N GAINEY CENTER 350
SCOTTSDALE, AZ 85258 10
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Contractor:
Applicant: Architect or Engineer: SHEA HOMES, INC. 4
60800 TRILOGY P WA
LA QUINTA, CA 9 253
>.T
(760)777-6005 �lT 1v
Lic. No.,:"672285
Vol,
LICENSED CONTRACTOR'S DECLARATION '
I hereby off m and r penalty of perjury at I am licensed under provisions of Chapter 9 (commencing with
Section 70 0 of i.vision 3 of the Mils and Profe si nals Code, and my License is in full, force and effect. -
Licens 'ma s License.No.: 672285
ate: r actor•
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 _ 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 provingthat he or she did not build or
improve for the purpose of sale.).
(_ 1 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.).
( 1 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 Name:
Lender's Address:
LQPERMIT
Date: 10/08/09
F//
WORKER'S COMPENSATION DECLA TI
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 worke 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 NTL UNION INS Policy Number WC6987825
_ 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 t ecome subject to the workers' compensation laws of California,
and agree that, if I should b o e subject to th workers' compensation provisions of Section
70 the Labor Code, I hall forthwit co rth those provisions.
4p_ p )*cant:
WARNING: FAILURE TO SECURE WORKERS' C ENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT N EMPLOYER TO CRIMINAL PENAL S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,0001. 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
jp�i:
y an county ordinances and state laws relating to buildin construct* , and hereby authorize representatives "
sr ountu enter upon the above-mentioned prope for inspect' urposes.
ature (Applicant or Age ! i_
LQPERMIT
Application Number . . . 09-00000992
Permit . ... SOLAR PERMIT
Additional desc .
' Permit Fee . . . . 22.50 Plan Check Fee*.
5.63
Issue Date . . . 9/28/09 Valuation . . .
. 22000
Expiration Date 3/27/10
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 EOUIP MISCELLANEOUS
3.00
----------------------------------------------------------------------------
Special Notes and Comments
ADD SOLAR PACKAGE (1.10A & 3KW) TO
PREVIOUSLY PERMITTED SFD (BP #08-1401).
CHANGE OF CONTRACTOR FEE ASSESSED TO
INSERT SHEA HOMES INC. AS NEW CONTRACTOR
OF RECORD.
----------------------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
------
1.00
CHANGE OF CONTRACTOR
4.50
Fee summary Charged Paid Credited
--------------------------------------=------------------
Due
Permit Fee Total 22.50 22.50 00
.00
Plan Check Total 5.63 5.63 .00
.00
Other Fee Total 5.50 1.00 .00
4.50
Grand Total 33.63 29.13 .00
4.50
LQPERMIT