14-0303 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO -
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000303
Property Address: 78770 SUNBROOK LN
APN: 604-293-007-38 -23995
Application description: SOLAR
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 400.00
4
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
WICHERT, JONATHAN
78770 SUNBROOK LN
LA QUINTA,' CA 92253
Contractor:
Applicant: Architect or Engineer: POTERE
69930 HIGHWAY 111 STE 10C
RANCHO MIRAGE', CA 92270
(760)324-9300
LiC. No.: 941529
VOICE (760) 777-7012
. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/-09/14
-------------------------------------------------------'------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION '
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty. of perjury one of the following declarations:
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License ass B License No.: 941529
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
Gln -
issued. -
,a �►/� Contractor:
,<a
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 workerscompensation
OWNER -B ILDER DECLARATION
insurance carrier and policy number are:
'I hereby affirm under penalty of pefthatm exemp rom the Contractor's State License Law for the
Carrier STATE FUND Policy Number 194927314 '
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the pe rmaDce of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for -the
person in any ner so as to -b come subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
/ and agree tha should become bject to the workers' compensation provisions of Section
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 byany
/ 3700 of th a I shall forth ith comply with those provisions.
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
Dater Applicant:
1 _ 1 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
WARN' G FAILURE TO SECURE VOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however; the building or improvement is sold -within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1.. Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
_
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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 Address:
LQPFPNIIT '
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 co nt ordinances and state jaws r Ild'�construction, and hereby authorize representatives
of this o ty ent upon the above -me oned pertyR ection purposes.
Date:7tS ignature (Applicant or Age
Application Number . . . . . 14-00000303
Permit . . . ELECTRICAL 2013
Additional desc .
Permit Fee . . . . 47.66 Plan Check Fee
.00
Issue Date Valuation . . .
. 0
Expiration Date 11/05/14
- Qty Unit Charge Per
Extension
1.00 23.8300 LS ELEC DEVICES, FIRST 20
23.83
1.00 23.8300 EA ELEC OTHER EQUIP
23.83
Special Notes.and Comments
7.8kW SOLAR ARRAY - (24) 327W SUNPOWER
PANELS W/ (1) AURORA PVI -3.0 AND (1)
AURORA PVI74.2 INVERTERS [408SF] 2013
CALIFORNIA ELECTRICAL CODE.
May 9, 2014 3:32:14 PM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . . BLDG STDS ADMIN (SB1473)
2.00
PLAN CHECK, ELECTRICAL
47.66
PERMIT ISSUANCE M/P/E
90.57
`= Fee summary Charged Paid Credited
Due
Permit Fee Total 47.66 .00 .00
47.66
Plan Check Total .00 .00 .00
.00
Other Fee Total 140.23 .00 .00
140'.23
Grand Total 187.89 .00 .00
_ 187.89
Bin #
City of La Quin'ta
Safety Buildin 8r Safe Division
g
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
�� X303
Project Address: 70
N
Owner's Name: Jer
A. P. Number: '� g�'�'1gn@E��,
Address: 6
Legal Description:
City, ST, Zip: 124 r4 ` 1 CA
9'139 b
Contractor: O A—,P0
Tele h ne• 4o/
Address: �/ 1
LA --)Project
Description:
City, ST, Zip:
Telephone:760 30 •0iCj1
•
L j
State Lic. # :
City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
':•:i>'j;sy::%r:,taij�::ijT:�ti:Sf:l::Ci>.Lv(:.`•:::
:.:.:..,:;.:..;;...::; :::::;:•:::. ::::::.:::::.
:v y4......
>' z> `•'' :<..N :::>:..:: »s>;<:::<:i>:..........
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Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add, n Alter Repair
Demo
Name of Contact Person: A AK Ori
1► v 6L5V d
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: '] Go - 3 v (vo
Estimated Value of Project: o
-
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING
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 j 0j;
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready f orrectio s/issu
Electrical
Subcontactor List
Called Contact Person u
Plumbing
Grant Deed
Plans picked up S
S.M.I.
H.O.A. Approval
Plans resubmitted j/
Grading
IN HOUSE:-
"Review, ready for correctio Assue
Pcvcloper Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
111'4t'%1 — Seu"AFc-.
�,r$
W4 �e.AA.-(Xfi