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BSOL2015-022978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: T4'it 4 441ftr(u COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2015-0229 51820 EISENHOWER DR 773175004 TAMAYO/4.5kW PV SYSTEM - (14) 327W PANELS/(1) INVERTER $18,000.00 Applicant: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 E 2015 I' 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: Jn. ra' lY1lJ 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 cr 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 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: Lender's Address: 11111111111111111111 41 VOICE (760) 777-7125 FAX (760) 777-7011. INSPECTIONS (760) 777-7153 Date: 11/30/2015 Owner: RUBEN TAMAYO 51820 EISENHOWER DR LA QUINTA, CA 92253 Contractor: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 (951)273-9595 LIc. 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. 4-1 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._ Aegl:Ll 73 —g_51 111-1 !—c1 _ 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: I (/3U�(i Applicant: 1 _ 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: (< iv ( -Signature (Applicant or Agent) FINANCIAL •• • DESCRIPTION ACCOUNT QTY., AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU ' Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: ' $1.00 $1.00 DESCRIPTION ACCOUNT - QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 11/30/15 PAID BY METHOD: . RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-02600 0 $24.17 $24.17 11/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 $24.17 11/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 $24.17 11/30/15 PAID BY METHOD RECEIPT #, CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU Total Paid for ELECTRICAL: $96.68 $96.68 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-02404 0 $91.85 $91.85 11/30/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11140 21749 SGU Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Permit Details PERMIT NUMBER City of La Quinta BSOU20115,0229 Description: TAMAYO/4.5kW PV SYSTEM - (14) 327W PANELS/(1) INVERTER Type: SOLAR Subtype: Status: APPROVED Applied: 11/13/2015 SKH Approved: 11/24/2015 LUR Parcel No: 773175004 Site Address: 51820 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 117 Lot: 21 Issued: NO 12 NOTES Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $18,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 4.5kW SOLAR ARRAY - (14) 327W SUNPOWER SPR-327-NE-WHT-D PANEL W/ (1) AMS AMERICA SB380OTL-US-22 INVERTER [246SF] MAIN BREAKER DERATE TO 175AMP. 2013 CALIFORNIA ELECTRICAL CODE. Printed: Monday, November 30, 2015 11:00:18 AM 1 of 2 U l.i LJ A.,J SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES TELEPHONE CALL LUIS URIBE 11/24/2015 11/24/2015 SPOKE WITH ISMAEL TORRES, PERMIT IS APPROVED AND READY TO BE ISSUED CONIDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA CA 92880 CONTRACTOR SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA CA 92880 OWNER RUBEN TAMAYO 51820 EISENHOWER DR LA QUINTA I CA 92253 Printed: Monday, November 30, 2015 11:00:18 AM 1 of 2 U l.i LJ A.,J SYSTEMS Permit Details PERMIT NUMBER �rn B50L2015=0229 City of La Quinta n PARENT PROJECTS BOND INFORMATION Printed: Monday, November 30, 2015 11:00:18 AM 2 of 2 SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHODPAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 11/30/15 R11140 21749 CHECK SMART ENERGY SGU SOLAR INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 R11140 21749 CHECK SMART ENERGY SGU FIRST 20 SOLARINC PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 E11/30/15 /15 R11140 21749 CHECK SMART ENERGY SGU FIRST 20 PC SOLAR INC . PV SYSTEM- MISC 101-0000-42403 0 $24.17 $24.17 11/30/15 R11140 21749 CHECK SMART ENERGY SGU EQUIPMENT SOLAR INC PV SYSTEM - MISC 101-0000-42600 0 $24.17 $24.17 11/30/15 R11140 21749 CHECK SMART ENERGY SGU EQUIPMENT PC SOLAR INC Total Paid for ELECTRICAL: $96.68 $96.68 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 11/30/15 R11140 21749 CHECK SMART ENERGY SGU SOLAR INC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 PARENT PROJECTS BOND INFORMATION Printed: Monday, November 30, 2015 11:00:18 AM 2 of 2 SYSTEMS B,rl # City of La Quin to Building 87: Safety Division . . 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #1 S" 1 81(7 �isPe�a►rG� Q u a �•�3 r Project Address:Owner's k . Name: . ,� MM01y p jkV ril A. P. Number: Address: )t , 5etl Legal Description: City, ST, Zip: Leo, CA 72-29-) Contractor: sA N TeleP hone: Address: 16q I Cc, -M f'► -ref 5 S1 Project Description: R y e>c /-1 o c/;' F d SO alr, City, ST, Zip: 'Ce, lana CA $ $0 Tel eh on e: � 3- P 5l2 % s State Lic. # : g 00 City Lic. #.: Arch., Engr., SMG the' Oki%•.•. /Designer: Address: (6 �( CGCKreQJ C 5 r City, ST, Zip: C(y.l ow4t C/4 Telephone: 9SI — z 7 3�� .............................................. d aney l u/Occupancy: Construction Ty P e:S P . State Lic. 0 ProJeettYPecit le one • New Add'n Alter Repair air De m o Name of Contact Person: j Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: c-2- 73-0 S0 y 1 Estimated Value of Project: p6,0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction ' Flood plain plan Plans resubmitted Mechanical .Grading plan 2". Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN.HOUSE:- 3'' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees