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BSOL2016-0106Applicant: Contractor: ERICA ARMENTA MOSHE YACOBY ELECTRICAL CONTRACTOR 6301 ELLENVIEW AVE C` [,VEST HILLS, CA 91307 WEST HILLS, CA 91',30,.: .. . 78-495,CALLETAMPICO D 4 --------------------------------------------------------------------------------------------- VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/11/2016 Application Number: BSOL2016-0106 Owner: Property Address: 45010 DESERT FOX DR SARAH EVANGELISTA APN: 604280024 45010 DESERT FOX DR Application Description: EVANGELISTA/5.7kW PV SYSTEM -(20) PANELS W MICROINV+200A MSP LA QUINTA, CA 92253 Property Zoning: Application Valuation: $22,800.00 Applicant: Contractor: ERICA ARMENTA MOSHE YACOBY ELECTRICAL CONTRACTOR 6301 ELLENVIEW AVE 6301 ELLENVIEW AVE [,VEST HILLS, CA 91307 WEST HILLS, CA 91',30,.: .. . (818)535-4477 --------------------------------------------------------------------------------------------- LIc. No.: 465649 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 (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).: U 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.). (� 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.). (_J 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 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:_ Policy 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 15 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' FINANCIAL INFORMATION ACCOUNT. QTY. AMOUNT 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 WEB847 201606 11 413601 ECON 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 $5.23 $5.23 6/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERICA ARMENTA CREDIT WEB847 201606 303 413601 ECON Total Paid for Credit Card Fee: $5.23 $5.23 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 METHOD RECEIPT # CHECK # CLTD BY ERICA ARMENTA CREDIT WEB847 201606 11 413601 ECON DESCRIPTIONACCOUNT 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 WEB847 201606 11 413601 ECON DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $48.34 $48.34 6/1/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ERICA ARMENTA CREDIT WEB847 201606 11 413601 ECON DESCRIPTION ACCOUNT QTY AMOUNT' PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $48.34 $48.34 6/1/16 PAID BY - METHOD RECEIPT # . CHECK # CLTD BY ERICA ARMENTA CREDIT WEB847 201606 11 413601 ECON Total Paid for ELECTRICAL: $145.02 $145.02- 145.02DESCRIPTION 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 WEB847 201606 11 413601 ECON Total Paid for PERMIT ISSUANCE: $91.85 $91.85 . TOTALS: Description: EVANGELISTA/5.7kW PV SYSTEM -(20) PANELS W MICROINV+200A MSP Type: SOLAR (WEB) Subtype: RESIDENTIAL LESS THAN Status: ISSUED Applied: 5/26/2016 ECON 1OKW Approved: 5/31/2016 SFU Parcel No: 604280024 Site Address: 45010 DESERT FOX DR LA QUINTA,CA 92253 Subdivision: TR 23935-4 Block:. Lot: 25 Issued: 6/1/2016 ECON Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $22,800.00 Occupancy Type: Construction Type: Expired: 11/28/2016 ECON No. Buildings: 0 No. Stories: 0 No. Unites: 0 91307 (818)304-0810 i Details: 5.7 kW SOLAR ARRAY - (20) 285W SOLAR WORLD SW 285 MONO PANELS W/ (20) ENPHASE M250 MICRO -INVERTERS + MAIN SERVICE PANEL UPGRADE TO 200A [360 SF] 2013 CALIFORNIA ELECTRICAL CODE. __j Applied to Approved IM Approved to Issued FINANCIAL INFORMATION Printed.- Monday, July 11, 2016 5:47:20 PM 1 of 3 • srs arts CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT ERICA ARMENTA 6301 ELLENVIEW AVE WEST HILLS CA 91307 (818)304-0810 i ERICA.SADP@GMAIL.0 OM CONTRACTOR MOSHE YACOBY ELECTRICAL 6301 ELLENVIEW AVE CONTRACTOR WEST HILLS CA 91307 (818)304-0810 ERICA.SADP@GMAIL.0 OM OWNER SARAH EVANGELISTA 45010 DESERT FOX DR LA QUINTA CA 92253 1 (818)304-0810 FINANCIAL INFORMATION Printed.- Monday, July 11, 2016 5:47:20 PM 1 of 3 • srs arts INSPECTIONS PARENT PROJECTS Printed: Monday, July 11, 2016 5:47:20 PM 2 of 3 c srsrcros 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 WE6847 541360130 CREDIT ERICA ARMENTA ECON 3 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 201606011 Credit Card Fee 101-0000-43505 0 $5.23 $5.23 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON 3 Total Paid for Credit Card Fee: $5.23 $5.23 PV SYSTEM - ARRAY, 201606011 101-0000-42403 0 $24.17 $24.17 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON FIRST 20 3 PV SYSTEM - ARRAY, 201606.011 101-0000-42600 0 $24.17 $24.17 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON FIRST 20 PC. 3 PV SYSTEM - MISC 201606011 101-0000-42403 0 $48.34 $48.34 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON EQUIPMENT 3u 201606.011 PV SYSTEM.- MIC 101-0000-42600 0 $48.34 $48.34 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON EQUIPMENT C 3, Total Paid for ELECTRICAL:. $145.02 $145.02 201606011 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/1/16 WEB847 541360130 CREDIT ERICA ARMENTA ECON Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS;t INSPECTIONS PARENT PROJECTS Printed: Monday, July 11, 2016 5:47:20 PM 2 of 3 c srsrcros RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES 1ST BLDG NS - JAKE FUSON 5/26/2016 5/31/2016 5/31/2016 APPROVED ETRAKIT (1 DAY) Printed: Monday, July 11, 2016 5:47:20 PM 3 of 3 sysrrms BOND INFORMATION Attachment Type CREATED ATTACHMENTS OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED BSOL2016-0106 - DOC 5/31/2016 JAKE FUSON APPROVED SOLAR PLAN APPROVED SOLAR 1 PLAN.pdf BSOL2016-0106 -1ST DOC 5/31/2016 JAKE FUSON IST SUBMITTAL SOLAR SUBMITTAL SOLAR 1 PLAN PLAN.pdf Printed: Monday, July 11, 2016 5:47:20 PM 3 of 3 sysrrms