BSOL2017-0012-tt
78-495 CALLE TAMPICO C� 0' D 4 all
NILICl/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-70L1
DESIGN &DEVELOPMENT DEPARTMENT FAX
(760) 777-7113
BUILDING PERMIT
Date: 6/8/2017
Application Number: BSOL2017-0012 Owner:
Property Address: 43810 SKYWARD WAY DENNIS SADORRA Lrti a
APN: 609470012 43810 SKYWARD W U
Application. Description: SADORRA / 6.0 kW PV SYSTEM (20) 30OW PANELS/(1) INVERTER LA QUINTA, CA 922 JUN
1N ®8 201
Property Zoning:
Application Valuation: $18,000.00 --
C�(pF LA QUINTA
COMMUNITY DEVELOPMENT DEP*IMENT
Applicant: Contractor:
FREEDOM SOLAR SERVICES DBA FREEDOM SOLAR FREEDOM SOLAR SERVICES DBA FREEDOM SOLAR
25819 JEFFERSON STE 110 25819 JEFFERSON STE 110
MURRIETA, CA 92562 MURRIETA, CA 92562
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 ofthe Business and Professions Code, and
my License is in full force and effect.
License Class: C10, B, C39, C46 License .: 9 892
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 C
subjects the applicant to a civil penalty of,not more than five hundred dollars ($500).:
I ) 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 ) I, as owner of the property, am exclusively contracting with licensed contractors10
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' Stste
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 foo
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address
(951)239-4161
Lic. No.: 982892
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'
compensa on, as provided for by Section 3700 of the Labor Code, for the performance
of the rk for which`this permit is issued.
—_ 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9052248
_ I certify that in the performance of the work for which this permit is issued, 1
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 Lab Code, I shall forthwith
comply with those provisions.
Date:,__lX C>'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, ANUATTORNEY'S FEES.
. APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject'.o
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 iss Jed
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.
1 agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this 'ty t enter upon the abo,.e-
mentioned property for inspection purposes.
Datec__ Sign a ture.(Applicant or Agent—):
Date: 6/8/2017
Application Number: BSOL2017-0012
Owner:
Property Address: 43810 SKYWARD WAY
DENNIS SADORRA
APN: 609470012
43810 SKYWARD WY
Application Description: SADORRA / 6.0 kW PV SYSTEM (20) 300W PANES/(1) INVERTER
LA QUINTA, CA 922S3.
Property Zoning:
Application Valuation: $18,000.00
Applicant:
Contractor:
FREEDOM SOLAR SERVICES DBA FREEDOM SOLAR
FREEDOM SOLAR SERVICES DBA FREEDOM SOLAR
.25919 JEFFERSON STE 110
25819 JEFFERSON STE 110
MURRIETA, CA 92562
MURRIETA, CA 92562
(951)239-4161
Llc. No.: 982892
Detail: 6.0 kW SOLAR ARRAY - (20) 300W HANWA Q PEAK -G4.1 300 PANE: -S + SOLAREDGE P400
OPTIMIZERS W/ (1) SOLAREDGE SE5000A-US-ZB-U-AF®
INVERTER [360 SF] 2013 CALIFORNIA ELECTRICAL CODE.
NNCIAL INFO
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 1OKW
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 10KW PC
101-0000-42600
0.
$25.33'
Total Paid for ELECTRICAL. $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY .
AMOUNT
TECHNOLOGY ENHANCEMENT. FEE
502-0000-43611
0,
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:. $5.00
TOTALS: $152.93
w
Bin #
City of La Quinta
Building u Safety Division
78-495 Calle Tampico.
N La Quinta, CA 92253 - (760)'777-7012
Building Permit Application and Tracking Sheet
Per ' #
Project Address: O'
Owner's Name:
A. P. Number:
Address: y B / -1:111 S' c� t
City, ST, Zip: L, f u
Telephone:
Legal Description:
Contractor:
0
Address: S �a-F�a /L S
Project Description:
City, ST, Zip: KIZA,S f ei �9.Z S6
O S O z2 44
TeleP h0 ne• - r
I �
3
'
State Lie. # : (g '2 00 ((— City Lie. #.::
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lie. # • :>::>:<:>rs�''.»..�..�>....>....»..�.�><...>>z>....ProJe
......?
............
Name of Contact Person: 'Sq.
Construction Type: F Occupancy:
ct. type �ci rcone): New Add'n Alter Repair Demo
Ft:.. # Stories: r #Units:
Telephone# of Contact Person:
Estimated Value of Project: o v
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
ItWd
TRACIONG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
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:-
'^' 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