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BSOL2015-005678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BSOL2015-0056 Property Address: 79345 STONEGATE APN: 776040015 Application Description: RICHARDSON / SOLAR Property Zoning: . Application Valuation: $25,000.00 Applicant: REVCO SOLAR ENGINEERING INC 2663 CABOT RD STE B LAGUNA HILLS, CA 92653 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed u der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the mess and P sions Code, and my License is in full force and effect. License Class: B 6 CIO License No.: 3 l Date: r_0))0 /Contract i 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).: •( ) 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 Name: Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: ANDREA RICHARDSON Date: 5/29/2015 Contractor: REVCO SOLAR ENGINEERING INC 2663 CABOT RD STE B LAGUNA HILLS, CA 92653 (949)367-0740 Llc. No.: 387219 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 tfor which this permit is issued. WI have and will maintain workers' compensation insurance, as required by . Pion 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 Is 0 become sub to the workers' compen ation �Apploicc�antction ions e 37 of • e Labor all forthwith comply with t s Date: : 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 pct 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 infor tion i rrect. I agree to comply with all city and county ordinances and state la ela i to building construction, and hereby authorize representatives of this ci en on th ove- mentioned p ope y r inspection purposes. Date: Signature (Applican�� DESCRIPTION.." FINANCIAL INFORMATION I ? AMOUNT¢' x PAID PAID DATE: � ACCOUNT ;''..�. ` , BSAS SB1473 FEE 101-0000-20306 0 $1.00 11.00 5/29/15 PAID BY w , METHOD & T` ,r ;RECEIPT. # CHECK #� CLTD BY; REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA Total'Paid for BUILDING STANDARDS' ADMINISTRATION BSA $1.00 $1.00 z, DESCRIPTION `= t -ACCO UNT ' FQTY ; 'r' AMOUNT . PAID ` PAID DATE PV SYSTEM - ARRAY, -FIRST 20 101-0000-42403 0 $24.17 $24.17 5/29/15 ' s ; ` PAID .BY ^ . t METHOD RECEIPT # e CHECK :# " '�`� eCLTD BY REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA "DESCRIPTION ACCOUNT - - QTY AMOUNT.;-- PAID, PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 5/29/15 PAID BY = ` : METHODy� a ^ RECEIPT # x„ ..CHECK # ` CLTD BY REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA } DESCRIPTION r ; ' .µ * ACCOUNT x . kQTY t " AMOUNT.,,- Yi PAID',!"" PAID DATE. PV SYSTEM - MISC EQUIPMENT 101-0000-42403 - 0 $24.17 $24.17 5/29/15 PAI DBY. °��zT,�METHOD ��'_ ..- RECEIPT #-`„�,�`CHECK#' LTD BY REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA DESCRIPTION` �< .. ' _ ACCOUNT ::, : :"'..'' :QTY AMOUNT ., PAID PAID DATE: PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $24.17 $24.17 5/29/15 .PAID BY ; ' -METHOD i. RECEIP.T # ' : . • CHECK # CLTD BY REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA Total Paid forELECTRICAL: $96.68 $96.68 DESCRIPTION' `` F r. ,.ACCOUNT ` ,; = -QTY. F<L 4 AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/29/15 BY,,. -METHOD r RECEIPT CHECK # CLTD BY.., REVCO SOLAR ENGINEERING INC CHECK R6535 46369 AZA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 -------- TOTALS: $189.53 $189.53 Description: RICHARDSON / SOLAR Type: SOLAR Subtype: Status: APPROVED Applied: 5/8/2015 SKH Approved: 5/26/2015 JFU Parcel No: 776040015 - Site Address: 79345 STONEGATELA QUINTA,CA 92253 Subdivision: TR 26524 Block: ' Lot: 37 Issued: Lot Sq Ft.' 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 26.13 kW SOLAR ARRAY - (78) 335W X21-335 PANELS W/ (2) FRONIUS IG PLUS ADV 7.5-1UN1 INVERTERS & (1) IG PLUS -ADV 10.0-1UNI INVERTER + (1) 150A SUBPANEL + (2) MAIN BREAKER DOWNGRADES TO 150A [1,248SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Friday, May 29, 2015 10:51:14 AM 1 of 3 CRW"YSTEMS t i CHRONOLOGY TYPE:;,' STAFFNAME C ACTION DATE_, ,. COMPLETION DATE° - - , NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 5/8/2015 5/8/2015 RECEIVED , LEFT MESSAGE FOR JOE W/ REVCO SOLAR (760-625-3479) TELEPHONE CALL JAKE FUSON 5/19/2015 5/19/2015 THAT PLAN REVIEW WAS COMPLETE AND REVISIONS WERE REQUIRED. NOTIFIED JOE DEISENROTH W/ REVCO SOLAR (760-625-3479) TELEPHONE CALL JAKE FUSON 5/26/2015 .5/26/2015 THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONTACTS NAME TYPE NAME ADDRESS1. CITY STATE " _-. --� ^'FAX' ' ;. - - .. MAI > ZIP,' PHONE - .'�E APPLICANT REVCO SOLAR ENGINEERING INC 2663 CABOT RD STE B LAGUNA HILLS CA 92653 Printed: Friday, May 29, 2015 10:51:14 AM 1 of 3 CRW"YSTEMS t i Printed. Friday, May 29, 2015 10:51:14 AM 2 of 3 SYSTEMS . e • SEQID INSPECTION TYP,E - INSPECTOR '" SCHEDULED � COMPLETED „ - - DATE DATE RESULT REMARKS : <: NOTES _ SOLAR FINAL*" BLD DESCRIPTION% ; ` ACCOUNT QTY. ,.AMOUNT PAID,_- PAID DATE! ;,RECEIPT# CHECK # .; •METHOD . PAID BY' , ,CLTD BSAS SB1473 FEE 101-00.00-20306 0 $1.00 $1.00 5/29/15 R6535 46369 CHECK' REVCO SOLAR AZA ENGINEERING INC Total Paid forBU1LDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17. $24.17 5/29/15 R6535 .46369 CHECK REVCO SOLAR AZA FIRST 20 ENGINEERING INC PV SYSTEM - ARRAY, 101-0000-42600 0. $24.17 $24.17 5/29/15 R6535 46369 CHECK REVCO SOLAR AZA FIRST 20 PC ENGINEERING INC PV SYSTEM - MISC 101-0000-42403 0 $24.17 $24.17 5/29/15 R6535 46369 CHECK REVCO SOLAR - AZA EQUIPMENT ENGINEERING INC PV SYSTEM - MISC 101-0000-42600 0 $24.17 $24.17 5/29/15 R6535 46369 CHECK RESOLAR AZA EQUIPMENT PC NE ENGINEERING INC Total Paid for ELECTRICAL: $96.68 $96.68 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 5/29/15 R6535 46369 CHECK REVCO,SOLAR AZA ENGINEERING INC Total Paid for PERMIT ISSUANCE:. $91.85 $91.85 " Printed. Friday, May 29, 2015 10:51:14 AM 2 of 3 SYSTEMS . INSPECTIONS SEQID INSPECTION TYP,E - INSPECTOR '" SCHEDULED � COMPLETED „ - - DATE DATE RESULT REMARKS : <: NOTES _ SOLAR FINAL*" BLD Printed. Friday, May 29, 2015 10:51:14 AM 2 of 3 SYSTEMS . PARENT PROJECTS REVIEWS d . _ RETURNEDW � .STATUS REMARKS REVIEW TYPE `:REVIEWER SENT DATE sDUE DATE, _ :—_.«'' ti `' .. ,: ` ,.-� w„ NOTES BOND, M9,91 ATION Bin # Qty. Of'.La Quinta Building at Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92233 - (760) 777-7012 Building Permit Application* and Tracking Sheet r t i Bin # Qty. Of'.La Quinta Building at Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92233 - (760) 777-7012 Building Permit Application* and Tracking Sheet Permit # ProjectAddtess79345 Stonega a Owner'sNarne: bone is ar son . A. P: Number. Address: 79345 Stonegate Legal Description: City, ST, zip: LaQuinta, CA 92253 Conftdo, Revco Solar Engineering Telephone: Project Description: Address: 3 Cabot R- ,- Ste 8 City, ST, Zip: Laguna Hills, CA 92653 PV Solar System per plan Telephone 760-625-3479 State Lia # 387219 City Lie- iaArch. Arch.Eagt., Designer Address: City., ST, Zip: Telephone: Construction Type:. Occupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Joe Deisenroth Sq. FL; #Stories; #Units. Telephone # of Contact Peison:760-625-3479 EWruatcd V8h'e of Project:$25000 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Recild Ree'd TRACMG PERMir FM Plan Sets Plan Cheek submitted Item Amount Structural Calces Revlewed, ready for corrections l Plan Check Deposit. . Truss Calcv. Called Contact Person 5 f Pian Check Balance _ Title 24 Calls. Pians picked cep Construction Flood plain plan Plans resubmitted.'. Mechafiieal Grading pian 2" Review, ready for correctio 9 � Z (p Electrical Subcontaetor List Called Contact Person Plumblug Grant Deed Plans picked up S.M.I. H.O.A. Approval Pians resubmittedGrading IN HOUSB:- 'id Review; ready for correetionsAssue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr - Date of permit issue School Fees Total Permit Fees