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BSOL2016-010978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 4vQuiK1w DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/2/2016 Application Number: BSOL2016-0109 Owner: Property Address: 78670 BOTTLEBRUSH DR GILBERT UNGER APN: 646311034 78670 BOTTLEBRUSH DR Application Description: UNGER / 4.8kW PV SYSTEM - (17) 285W PANELS+M250 INV/100A SUB LA QUINTA, CA 92253 Property Zoning: Application Valuation: $19,380.00 1 . Applicant: Contractor: SOUTH WEST SOLAR INC DBA SOUTH WEST BUIL SOUTH WEST SOLAR INC DBA SOUTH WEST BUIL 12517 SHERMAN WAY UNIT B 12517 SHERMAN WAY UNIT B NORTH HOLLYV,1O'?n, !;A 91.,505 "' NORTH HOLLYWQOD, CA 91605 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: B. C-7, C10 License No.: 1012298 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 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 hot 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 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 (818)859-5348 Llc. No.: 1012298 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 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: STATE COMPENSATION INSURANCE FUND Polity Number: 9156289 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. 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): Lender's Address: t Date: 8/2/2016 Application Number: BSOL2016-0109 Owner: Property Address: 78670 BOTTLEBRUSH DR GILBERT UNGER APN: 646311034 78670 BOTTLEBRUSH DR Application Description: UNGER / 4.8kW PV SYSTEM - (17) 285_ W PANELS+M250 INV/100A SUB LA QUINTA, CA 92253 Property Zoning: Application Valuation: $19,380.00 Applicant: Contractor: SOUTH WEST SOLAR INC DBA SOUTH WEST BUIL SOUTH WEST SOLAR INC DBA SOUTH WEST BUIL 12517 SHERMAN WAY UNIT B 12517 SHERMAN WAY UNIT B NORTH HOLLYWOOD, CA 91605 NORTH HOLLYWOOD, CA 91605 (818)859-5348 --------=------------------------------------------------------------------------------------ Llc. No.: 1012298 Detail: 4.8kW SOLAR AitRAY = (17) 285W SOLARWORLD PANELS+ENPHASE M250-60 MICROIl VERTERS W%(11166 AMP'SU8PANEL [307SF] 2013 CALIFORNIA ELECTRICAL CODE. FINANCIAL / + DESCRIPTION _ ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT Credit Card Fee 101-0000-43505 0 $4.17 Total Paid for Credit Card Fee: $4.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM.- ARRAY, FIRST 20 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 DESCRIPTION ACCOUNT QTY 'AMOUNT PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 Total Paid for ELECTRICAL: $96.68 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $91.85 Total Paid for PERMIT ISSUANCE: $91.85. Description: UNGER / 4.8kW PV SYSTEM - (17) 285W PANELS+M250 INV/100A SUB Type: SOLAR (WEB) Subtype: RESIDENTIAL LESS THAN Status: FINALED Applied: 6/29/2016 ECON 1OKW Approved: 7/1/2016 DCL Parcel No: 646311034 Site Address: 78670 BOTTLEBRUSH DR LA QUINTA,CA 92253 Subdivision: DESERT CLUB MANOR TR 1 Block: Lot: 34 Issued: 7/6/2016 ECON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: 7/12/2016 jfu Valuation: $19,380.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 E-MAIL Details: 4.8kW SOLAR ARRAY - (17) 285W SOLARWORLD PANELS+ENPHASE M250-60 MICROINVERTERS W/(1) 100 AMP SUBPANEL [307SF] 2013 CALIFORNIA ELECTRICAL CODE. 6 5 j Applied to Approved Approved to Issued q Issued to Finaled Printed: Tuesday, August 02, 2016 7:38:39 AM 1 of 4 ,- SYSYENiS CHRONOLOGY CHRONOLOGY TYPE° STAFF NAME ACTION DATE COMPLETION DATE NOTES EMAIL SEN ;;TO (erica.sadp@gmail.com) THAT PLANS ARE E-MAIL AJ ORTEGA 6/30/2016 6/30/2016 APPROVED BUT A CITY BUSINESS LICENSE IS REQUIRED FOR THE CONTRACTOR TO PULL THE PERMIT. CONDITIONS CONDITION DATE DATE DATE CONTACT STATUS REMARKS NOTES TYPE ADDED REQUIRED SATISFIED ..CONTRACTOR IS REQUIRED TO OBTAIN A -CITY READY TO ISSUE BUSINESS LICENSE AJ ORTEGA 6/30/2016 7/1/2016 PENDING CHECKLIST • BUSINESS LICENSE OBTAINED, UPDATED STATUS TO APPROVED. Printed: Tuesday, August 02, 2016 7:38:39 AM 1 of 4 ,- SYSYENiS Printed: Tuesday, August 02, 2016 7:38:39 AM 2 of 4 CPEAff EYff SYSTrms EMAIL NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE- FAX APPLICANT SOUTHWEST SOLAR INC DBA SOUTH WEST BUIL 12517 SHERMAN WAY UNIT B NORTH HOLLYWOOD CA 91605 (818)859-5348 erica.sadp@gmail.com CONTRACTOR SOUTHWEST SOLAR INC DBA SOUTH WEST BUIL 12517 SHERMAN WAY UNIT B NORTH HOLLYWOOD CA 91605 ' (818)859-5348 METHOD erica.sadp@gmail.com OWNER GILBERT UNGER 78670 BOTTLEBRUSH DR LA QUINTA CA 92253 (818)859-5348 Printed: Tuesday, August 02, 2016 7:38:39 AM 2 of 4 CPEAff EYff SYSTrms FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY . 201607070 BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/6/16 WEB903 304280171 CREDIT erica armenta ECON r 9 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 2016017.070 Credit Card Fee 101-0000-43505 0 $4.17 $4.17 7/6/16 WEB903 30428b171 CREDIT erica armenta ECON Total Paid for Credit Card Fee: $4.17 $4.17 201607070 PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 7/6/16 WEB903 304280171 CREDIT erica armenta ECON FIRST 20 9' 201607070 PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 7/6/16 WEB903 30428Q171 CREDIT erica armenta ECON FIRST 20 PC 9 PV SYSTEM - MISC 101-0000-42403 0 $24.17 $24.17 7/6/16 1201607070 WEB903 304280171 CREDIT erica armenta ECON EQUIPMENT . 9' Printed: Tuesday, August 02, 2016 7:38:39 AM 2 of 4 CPEAff EYff SYSTrms INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED I RESULT REMARKS NOTES DATE DATE SOLAR FINAL" JFU 7/12/2016 7/12/2016 1 APPROVED PARENT PROJECTS BOND INFORMATION Printed: Tuesday, August 02, 2016 7:38:39 AM 3 of 4 sysrcnns _..._.......... ... .._-------- _._ CLTD DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RECEIPT # CHEO # METHOD PAID BY BY 201607070 PV SYSTEM - MISC 101-0000-42600 0 $24.17 $24.17 7/6/16 WEB903 304280171 CREDIT erica armenta ECON EQUIPMENT PC 9.. Total Paid for ELECTRICAL: $96.68 $96.68 201607070 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 7/6/16 WEB903 304280171 CREDIT erica armenta ECON 9 Total Paid for PERMIT ISSUANCE:. $91.85 $91.85 TOTALS:• INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED I RESULT REMARKS NOTES DATE DATE SOLAR FINAL" JFU 7/12/2016 7/12/2016 1 APPROVED PARENT PROJECTS BOND INFORMATION Printed: Tuesday, August 02, 2016 7:38:39 AM 3 of 4 sysrcnns Printed: Tuesday, August 02, 2016 7:38:39 AM 4 of 4 ,. SYSTC:Iv1S ATTACHMENTS Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BSOL2016-0109 - STRUCTURAL STRUCTURAL DOC 6/30/2016 AJ ORTEGA CALCULATIONS 1 CALCULATIONS - (APPROVED) (APPROVED).pdf BSOL2016-0109 - 1ST 1ST SUBMITTAL SOLAR SUBMITTAL SOLAR DOC 6/29/2016 EtrakitContractor PLAN WITH 1 PLAN WITH CALCULATIONS CALCULATIONS.pdf Printed: Tuesday, August 02, 2016 7:38:39 AM 4 of 4 ,. SYSTC:Iv1S