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BSOL2016-0078?I✓t, auuw 78-495 CALLS TAMPICO ." LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125 FAX (760)777-7011 INSPECTIONS (760) 777-7153 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. Licensee C lass: C39 B C46 C36 C20 C10 C43 <ic se No.: 468117 Date: `� ` /i ' C► Contra or: 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 703.1.5 by any applicant fora 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 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 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 Na Lender's Add WORKER'S COMPENSATDN DECLARATION I hereby affirm under penalty of perjury one oftlie following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700of the Labor Code, for the performance of the work -for which this permit is issued. 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 es to become* subject to the workers' compensation laws of California, and agree that, if I shoulvvflcme.subject to the workers' compensation provisions of Section 3:00 of t ab9r Code, I shall forthwith comply with those provisions. Date: y'�.3- 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 cancelltion. I certify that I have read this applicatiori and sta-e that thea bove in n is correct. I agree to comply with all city and county ordinances and state laws r ti g to building construction, and hereby authorize representatives of this ci er on the above-mentioned property for inspection purpcses. Date: _4t�fS'/lCi Signature (Applicant crAgentT ate: Application Number: BSOL2016-0078 Owner: Property Address: 53705 AVENIDA NAVARRO GOODS JOHN SJF TRUST T I APN: 774134020 A . ' �-� 53705 AVE NIDA r,AVARRO • = Q Application Description: GOODE / 7.8kW PV SYSTEM - (28) 280W PANELS/(2) INVERTERS LA QUINTA, CA 92253 Property. Zoning: t� "a Application Valuation: $28,000.00 �� Q Applicant`. Contractor: �9 y cV PETERSEN-DEAN INC DBA PETERSENDEAN PETERSEN-DEAN iNC DBA PETERSfN EAN 39300 CIVIC CENTER DRIVE 39300 CIVIC CENTER%D rr ✓d t a FREMONT; CA 94538 FRENIONT, CA 94 38 -C (510)371-6500 . Llc. No.: 468117 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. Licensee C lass: C39 B C46 C36 C20 C10 C43 <ic se No.: 468117 Date: `� ` /i ' C► Contra or: 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 703.1.5 by any applicant fora 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 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 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 Na Lender's Add WORKER'S COMPENSATDN DECLARATION I hereby affirm under penalty of perjury one oftlie following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by Section 3700of the Labor Code, for the performance of the work -for which this permit is issued. 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 es to become* subject to the workers' compensation laws of California, and agree that, if I shoulvvflcme.subject to the workers' compensation provisions of Section 3:00 of t ab9r Code, I shall forthwith comply with those provisions. Date: y'�.3- 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 cancelltion. I certify that I have read this applicatiori and sta-e that thea bove in n is correct. I agree to comply with all city and county ordinances and state laws r ti g to building construction, and hereby authorize representatives of this ci er on the above-mentioned property for inspection purpcses. Date: _4t�fS'/lCi Signature (Applicant crAgentT FINANCIAL INFORMATION i DESCRIPTION �`.`i�A000UNT QTY> AMOUNTs <� PAID :.+,PAID DATE' k .k. t --z� ? k f E BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 G 'PAID ss+4^I BY RECEIPT7 # r &r � ..�,r�'.< kr.. 2u, �i� r. #'. CHECK # f CLTD BY t."4 sxY. Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00. .� r.DESCRIPTION�> T= ACCOUNT a 'QTY 4� AMOUNT � ; PAID ' PAID DATEF PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17. $0.00 &,` PAID:BY METHOD " " ,: & r° RECEIPT#q -' CHECK# }CLTDBY ".DESCRIPTION 'X� ",� r ACCOUNT4 QTY g ;AMOUNT�'°PAID~ K PAID:DATE, PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 3, _-,.., tix. 9 spMETHOD RECEIPT# _ syr y 3q CHECK#p CLTDBY q" „ T E DESCR.IPTIONY'�h" Fg i- ACCOUNTg ire } =QTYrk AMOUNT A �� PAIDs PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17• $0.00 PAID,BY r �'," `. ` ,Aa `` ° -" METHOD f` g ': a��.�' '- RECEIPT # - i CHECK #� . 'CLTD BY-� DESCRIPTION;,As" ACCOUNT " 'QTY r.e�'AMOUNT ti w ;w PAID',,PAID:.yD ATE '. PV SYSTEM =.MISC EQUIPMENT PC 101-0000-42600 0 $24.17 $0.00 PAID BYn METHOD .u�` A ��. v RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $96.68 $0.00 DESCRIPTION`iQTY P AMOUNT ? PAID e. yi 10AD DATE;. PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 � 3 ,� PAID BY.:st 1; *.'METHOD` ` g RECEIPT # ` ,CHECK #wj CLTD BYE`. Total Paid for PERMIT ISSUANCE: $91.85 $0.00'. TOTALS:•• • 0• e C6�fOE't1;F'� Description: GOODE / 7.8kW PV SYSTEM - (28) 28OW PANELS/(2) INVERTERS Type: SOLAR Subtype: Status: APPROVED Applied: 4/4/2016 RSE Approved: 4/13/2016 AOR Parcel No: 774134020 Site Address: 53705 AVENIDA NAVARRO LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 241 Lot: 10 Issued: UNIT 23 Lot Scl Ft: 0 Building Scl Ft: 0- Zoning: Finaled: Valuation: $28,000.00 Occupancy Type: Construction Type:. Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 7.8kW SOLAR ARRAY - (28) 280W SOLARWORLD PANEL/(1) FRONIUS PRIMO 5.0-1 AND (1) 3.8-1 INVERTER W/ (1) 100 AMP SUBPANEL [504SF] 2013 CALIFORNIA ELECTRICAL;CODE. . TPRI 73 04 Printed: Wednesday, April 13, 2016 2:37:02 -PM ': 1 of 3 5 CEWSYSTEMS CHRONOLOGY ^a`: ;. ^ .. '.^ .�.a ...•ri.' ...n':',.: - s. .'..!E SSTAEF NAME =;;ACTION DATE ' COMPLETION GATE j r NOTES ;CHRONO,LOGS(;TYPE _ ^ ,a ,' r..: ,, _ INFORMED APPLICANT OF COMMENTS, HE SAID IT IS FINE TO MAKE WHATEVER NOTES ON THE PLANS THAT ARE TELEPHONE CALL AJ ORTEGA 4/12/2016 4/12/2016 NECESSARY FOR ISSUANCE, I WILL COMPLETE THE NOTES AND LET HIM REVIEW AND APPROVE THE COMMENTS. PHONED APPLICANT THAT PLANS ARE APPROVED WITH TELEPHONE CALL AJ ORTEGA 4/13/2016 4/13/2016 COMMENTS AND READY TO ISSUE CONTACTS ^}:?tiF .^A sA-': .. u -a .,-": '5-�' �� � 3 !''..; NAMETYPE_NAME,- <} '.enl?a` •.��i.�.:^ :.ec _. "e �, _.83' '_ DDRE551', a CITY STATEr `.. :.-z.�. �.a.aS' _ .E ZIP ;PHONE FAX a EMAIL `? ::.. _ _ . Mx -�a APPLICANT PETERSEN-DEANINC DBA .39300 CIVIC CENTER FREMONT CA 94538 PETERSENDEAN DRIVE CONTRACTOR PETERSEN-DEAN INC DBA'. 39300 CIVIC CENTER FREMONT- . CA 94538 PETERSENDEAN, • DRIVE Printed: Wednesday, April 13, 2016 2:37:02 -PM ': 1 of 3 5 CEWSYSTEMS INSPECTIONS PARENT PROJECTS Printed: Wednesday, April 13, 2016 2:37:02 PM 2 of 3 SYSTEMS FINANCIAL INFORMATION DESCRIPTION , -ACCOUNT QTY AMOUNT :' PAID PAID DATE RECEIPT.# CHECK # . METHODpq�p gy CLTD. _. ; BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: PV SYSTEM -ARRAY, 101-0000-42403 0 $24.17 $0.00 FIRST 20 PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $0.00 FIRST 20 PC PV SYSTEM - MISC 101-0000-42403 0 $24.17 $0.00 EQUIPMENT PV SYSTEM -MISC 101-0000-42600 0 $24.17 $0.00, EQUIPMENT PC Total Paid for ELECTRICAL: $96.68 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 . Total Paid for PERMIT ISSUANCE: $91.85 $0.00 • •0 00 INSPECTIONS PARENT PROJECTS Printed: Wednesday, April 13, 2016 2:37:02 PM 2 of 3 SYSTEMS 1ST BLDG NS (1 WK) AJ ORTEGA. 4/4/2016 4/11/2016--1 4/12%2016 APPROVED - CONDITIONS TEMPERATURE DERATING FACTORS INCORRECT FOR LOCAL AREA, MINIMUM (.50) DERATING AT ROOF TOP CONDUCTORS IN CONDUIT AND (.82) AMBIENT TEMPERATURE DERATING REQUIRED. ADDITIONALLY, THE COMBINED (IF BEING PROPOSED, NEED TO CONFIRM WITH DESIGNER) GROUNDING ELECTRODE AND EQUIPMENT CONDUCTOR NOT CONTINUOUS FROM INVERTERS TO EXISTING GROUNDING. ELECTRODE. SPOKE WITH APPLICANT, APPROVED REDLINING PLAN WITH REVIEWER COMMENTS - SIZED COMBINED INVERTER OUTPUTS TO #6 CONDUCTOR AND SIZED COMBINED DC GEC/AC EGC PER THE LARGER OF 250.122/250.166, AND INCLUDED "UNSPLICED OR IRREVERSIBLY SPLICED" NOTE ON PLAN. STATUS CHANGED TO APPROVED WITH CONDITIONS Bin # Qty of La Quinta Building 8z- Safety Division 78-495 Calle .'Tampico La Quinta, CA 92253 - (760) 777-7012 00-7� Building Permit Application,and Tracking Sheet Permit # �b►i20 I to Project Address: S37aS AtreN�t Nvaotmo Owner's Name: �ab�c1c tit A. P. Number: Address: S 3 70 •f A y N N IBJ o R as Legal Description: City, ST, Zip; ate, � �w zaS3 Contractor: ♦ R S a1D ".) • TP ele hone• Z -2 L L2- o Address: kDZp Project Description: f"GS tlbR KOVV� �� City, ST, Zip: I ✓eesThe l� 14 �l �SrD9 S' .stet t -A - 7. 8eW eS -mO Du%es. Telephone --760 1 % 0 0 Z '4 ............ Z L I G1�TC!/S i!'O t71ap v i State Lic. # : L 811-7 City Lie. #.: vnTtR. Arch., Engr., Designer: Address: City., ST, Zip: Telephone: e one: Cons n TY Pe: Occupancy: : aLi c. te Lac. #: Project type (circle ne • New Add'n After Repair Dem 0 Name of Contact Person: 4VIabot � Sq. Ft.:# Stories: # Units: Telephone # of Contact Person: ? (� p • q O Estimated Value of Project:.. APPLICANT: DO NOT WRITE BELOW THIS LINE H Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, readyfor corrections Plan CheckDeposBt Truss Calcs. Called Contact Person Plan Check Balan -e Title 24 Calcs. Plans picked upConstruction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd Review, ready for%corrections/ ssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. I-I.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for corrections/issue Developer Impact pee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees