BSOL2016-0105ii
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Twr 4 lw4"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/11/2015
Application Number:
BSOL2016-0105
Owner: '
Property Address:
44465 BLAZING STAR TR
JESUS RODRIGUEZ
APN:
604083008
44465 BLAZING STAR TR.
Application Description:
RODRIGUEZ / 5.9kW PV.SYSTEM - (21) 285W PANELS+M250 MICROINV
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$23,940.00
Applicant:
Contractor:
ERICA PEREZ
MOSHE YACOBY ELECTRICAL CONTRACTOR
6301 ELLENVIEW AVE
6301 ELLENVIEW AVE
WEST HILLS, CA 91307
�z• •
:-WEST.HILLS; CA 91307
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: C10 License No.: 465649
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 (Chapter9.(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.).
( 11, 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 contractors) licensed pursuant to
the Contractors' State License Law.).
I 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
Lender's
(818)535-4477.
Llc. No.: 465649
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 fcr 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 polity number are:
Carrier: _ Polity 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):
DESCRIPTION
•• •
ACCOUNT QTYAMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00
$1.00
6/1/16
PAID BY
METHOD RECEIPT #
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT WE6846
2016060115313315198
ON
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
Credit Card Fee
101-0000-43505
0
$4.17
$4.17
6/1/16
PAID BY,
METHOD
RECEIPT #
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT
WE6846
2016060 9185313315
ECON
Total Paid for Credit Card Fee: $4.17 $4.17
DESCRIPTION
ACCOUNT
QTY
AMOUNT '
PAID
PAID'DATE
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$24.17
6/1/16
PAID BY
IVIETHOD
RECEIPT #
CHECK #
CtTD BY
ERICA ARMENTA
CREDIT
WE6846
2016060115313315198
ECON
-DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$24.17
6/1/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT
WE6846
201606019185313315
ECON
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID'
PAID DATE
PV SYSTEM - MISC EQUIPMENT
101-0000-42403
0
$24.17
$24.17
6/1/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT
WE6846
2016060115313315198
ECON
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PV SYSTEM - MISC EQUIPMENT PC
101-0000-42600
0
$24.17
$24.17
6/1/16
PAID BY ;,
METHOD
RECEIPT # .
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT
WE6846
201606011185313315
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
6/1/16
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
ERICA ARMENTA
CREDIT
WEB846
201606019185313315
ECON
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:•
Description: RODRIGUEZ / 5.9kW PV SYSTEM - (21) 285W PANELS+M2SO MICROINV
Type: SOLAR (WEB) Subtype: RESIDENTIAL LESS THAN Status: ISSUED
Applied: 5/20/2016 ECON
1OKW
Approved: 6/1/2016 AOR
Parcel N6: 604083008 Site Address: 44465 BLAZING STAR TR LA QUINTA,CA 92253
Subdivision: TR 22982 Block: Lot: 71
Issued: 6/1/2016 ECON
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $23,940.00 Occupancy Type: Construction Type:
Expired: 11/28/2016 ECON
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 5.9kW SOLAR ARRAY - (21) 285W MONO PANELS+ENPHASE M250-60 MICROINVERTERS W/(1) 100 AMP SUBPANEL AND DERATING
OF MAIN BREAKER TO 100A [378SF] 2013 CALIFORNIA ELECTRICAL CODE.
Applied to Approved !
Approved to Issued
Printed: Monday, July 11, 2016 5:46:33 PM 1 of 4 J
ffff SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
EMAIL SENT TO APPLICANT (ERICA.SADP@GMAILCOM) THAT
E-MAIL
AJ ORTEGA
5/23/2016
5/23/2016
PUANS ARE READY FOR CORRECTIONS.
E-MAIL
AJ ORTEGA
6/1/2016
6/1/2016
EMAIL SENT TO APPLICANT (ERICA.SADP@GMAILCOM) THAT
PLANS ARE APPROVED AND READY TO ISSUE.
CONDITIONS
CONTACTS
NAME TYPE
NAME _.._...
ADDRESS3
CITY
STATE
ZIP
PHONE FAX
EMAIL
APPLICANT
ERICA PEREZ
6301 ELLENVIEW AVE
WEST HILLS
CA
91307
(818)535-4477
ERICA.SADP@GMAIL.0
OM
CONTRACTOR
MOSHE YACOBY ELECTRICAL
6301 ELLE_ NVIEW AVE
WEST HILLS
CA
91307
(818)535-4477
ERICA.SADP@GMAILC
CONTRACTOR
OM
OWNER
JESUS RODRIGUEZ
44465 BLAZING STAR
LA QUINTA
CA
92253
(818)535-4477
TR.
Printed: Monday, July 11, 2016 5:46:33 PM 1 of 4 J
ffff SYSTEMS
Printed: Monday, July 11, 2016 5:46:33 PM 2 of 4 c§? ,•
' SYSTEMS
FINANCIAL
INFORMATION
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECk #
METHOD
PAID BY
BY
201606011
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON.
8
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
201606011
Credit Card Fee
101-0000-43505
0
$4.17
$4.17
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON
8
Total Paid for Credit Card Fee: $4.17 $4.17
201606011
'
A
PV SYSTEM -ARRAY,
101-0000-42403
0
$24.17
$24.17
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON
FIRST
8
201606011
PV SYSTEM - ARRAY,
101-0000-42600
0
$24.17
$24.17
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON
FIRST 20 PC
8'.
201606011
PV SYSTEM - MISC
101-0000-42403
0
$24.17
$24.17
6/1/16
WEB846
531331:519
CREDIT
ERICA ARMENTA
ECON
EQUIPMENT
201606011
PV SYSTEM - MISC
101-0000-42600
0
$24.17
$24.17
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON
EQUIPMENT PC
8
Total Paid for ELECTRICAL: $96.68 $96.68
201606011
.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/1/16
WEB846
531331519
CREDIT
ERICA ARMENTA
ECON
8.'
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS;• $193,70
Printed: Monday, July 11, 2016 5:46:33 PM 2 of 4 c§? ,•
' SYSTEMS
BOND INFORMATION
REVIEWS
RETURNED STATUS
"REMARKS
REVIEW TYPE REVIEWER SENT DATE : DUE DATE
NOTES
ATTACHMENTS
DATE
1ST BLDG NS -
AJ ORTEGA 5/20/2016 5/23/2016
5/23/2016 REVISIONS REQUIRED
OWNER
SEE ATTACHED COMMENTS AND REDLINED
ETRAKIT (1 DAY)
SUBDIR
ETRAKIT ENABLED
PLANS
2ND BLDG NS — AJ ORTEGA 5/26/2016 5/31/2016
6/1/2016 APPROVED
BSOL2016-0105 -1ST
ETRAKIT (1 DAY) 1
DOC
5/23/2016
BOND INFORMATION
Printed: Monday, July 11, 2016 5:46:33 PM 3 of 4
SYSTEMS
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
PATHNAME
SUBDIR
ETRAKIT ENABLED
BSOL2016-0105 -1ST
DOC
5/23/2016
AJ ORTEGA
1ST SUBMITTAL SOLAR
SUBMITTAL SOLAR
1
PLAN
PLAN.pdf
BSOL2016-0105 - 1ST
DOC
5/23/2016
AJ ORTEGA
IST SUBMITTAL
SUBMITTAL
1
SPECIFICATIONS
SPECIFICATIONS.pdf
BSOL2016-0105 - 1ST
1ST SUBMITTAL
DOC
5/23/2016
AJ ORTEGA
STRUCTURAL
SUBMITTAL
1
STRUCTURAL
CALCULATIONS
CALCULATIONS.pdf
BSOL2016-0105 - 1ST
DOC
5/23/2016
AJ ORTEGA
1ST REVIEW
REVIEW CORRECTION
1
CORRECTION LIST
LIST.pdf
BSOL2016-0105 - 1ST
f
DOC
5/23/2016
AJ ORTEGA
1ST REVIEW SOLAR
REVIEW SOLAR PLAN
1
PLAN (REDLINED)
(REDLINED).pdf
BSOL2016-0105 -
DOC
6/1/2016
AJ ORTEGA
REFERENCE SHEETS
REFERENCE SHEETS
1
(APPROVED)
(APPROVED).pdf
DOC
6/1/2016
AJ ORTEGA
SOLAR PLAN
BSOL2016-0105 - SOLAR
1
(APPROVED)
PLAN (APPROVED).pdf
Printed: Monday, July 11, 2016 5:46:33 PM 3 of 4
SYSTEMS
Printed: Monday, July 11, 2016 5:46:33 PM 4 of 4
sysrrMs
ATTACHMENTS
Attachment Type
CREATED
OWNER
DESCRIPTION
-PATHNAME
SUBDIR , .
ETRAKIT ENABLED
BSOL2016-0105 -
STRUCTURAL
DOC
6/1/2016
AJ ORTEGA
CALCULATIONS
STRUCTURAL
1
(APPROVED)
CALCULATIONS
(APPROVED).pdf
BSOL2016-0105 - 1ST
DOC
5/20/2016
EtrakitContractor .
IST SUBMITTAL PLANS
SUBMITTAL PLANS
1
COMPLETE
COMPLETE.PDF
BSOL2016-0105 - 2ND
2ND SUBMITTAL SOLAR
DOC
5/26/2016
EtrakitContractor
PLAN (WITH.
SUBMITTAL SOLAR
1
PLAN (WITH
RESPONSES)
RESPONSES).pdf
Printed: Monday, July 11, 2016 5:46:33 PM 4 of 4
sysrrMs