BSOL2015-0014�Q�iaw
78-495 CALLE TAMPICO-U-
LA QUINTA; CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: _ BSOL2015-0014
Property Address: 44341 W SUNDOWN CREST DR
APN: 6041100622
Application Description: 8.175 kW SOLAR PV SYSTEM - (25) 327W MODULES/(1) INVERTER
Property Zoning: -
Application Valuation: $25,000.00
Applicant:
REVCO SOLAR ENGINEERING INC
2663 CABOT RD STE B
LAGUNA HILLS, CA 92653 ,
LICENSED -CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed and provisions of
9 (commencing with Section 7000) of Division 3 of the Busi s and Profess'
and my, License is in full force and effect.
License Class: C46 C10 License No.: 3872
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).:
(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 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.).
(1 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ADA GATHERUM
44341 W SUNDOWN CREST DR
LA QUINTA, CA 92253
Contractor:
REVCO SOLAR ENGINEERING INC
2663 CABOT RD STE B
LAGUNA.HILLS,CA92653 -
(760)625-3479
LIc. No.: 387219
Date: 4/15/2015
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 • n, as provided for by Section 3700 of the Labor Code, for the performance
of ther-I
r which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
Sef the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity 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 su ,ct to the w s'
compensation laws of California, and agree that, if I shout ome su t e
workers' compensation provisions of Section 3700 of abor C ,1 s forthwith
comply with hose provisions.
i /� /r A_
WARNING: FAILURE TO SECURE WO' 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 office rs,.age nts, 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 info atio
I agree to comply with all city and county ordinances and state I rela ' g to
construction, and hereby authorize representativesof this.ci ent u on
mentioned pr pert for inspection purposes.
Dat Signature (Applicant or A
-1 i1.
FINANCIAL
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DESCRIPTION �F ^ACCOUNTt' QTY<Zr. AMOUNTS t ' :
PAID ` PAID DATE
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BSAS S91473 FEE
101-0000-20306 0
$1:00 $0.00
&rPAID BY
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MET,WOD ' "RECEIPT#us rs CHE CK #
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Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
``
ti ACCOUNTS
',QTY
-E AMOUNTg. *
I(PAIDPAIO
DATE'
;DESCRIPTION{ M�
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PV SYSTEM - ARRAY, FIRST 20y
101-0000-42403
0
$24.17
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;DESCRIPTIONm
,. fACCOUNT#
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xtPAIDE Q
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
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RECtliwEIPT #
CHpECK #
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Total Paid for ELECTRICAL: $48.34 $0.00
�� �� UESCRIPTIONr-r��!"�
a:A000UNT; �<�'QTYAMOUNi`_
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PERMIT ISSUANCE
101-0000-42404.
0
$91.85
$0.00
4 PAIOtiBY
e METHOD$n,
" RECEIPT #A � "
�r CHECK #
�CLTD BY
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Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
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Description: 8.175 kW SOLAR PV SYSTEM - (15) 327W MODULES/(1) INVERTER
Type:SOLAR 'Subtype: Status: APPROVED
Applied: 3/2/2015 MFA
Approved: 3/16/2015 JFU
Parcel No: 604110062 Site Address: 44341 W SUNDOWN CREST DR LA QUINTA,CA 92253•
Subdivision: TR 19903 Block:. Lot: 98
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:*
Finaled:
Valuation: $25,000.00 ' Occupancy Type: - coristru6on Typei.
Expired: + -
No. Buildings: 0 No'. Stories: 0 No. Unites: 0
,...
°CHRONOLOGY TYPE.
Details: 8.175 kW SOLAR ARRAY - (25) 327W SUNPOWER E20/SPR-327NE PANELS W/ (1) FRONIUS IG PLUS ADV. 7.5-1UN1 INVERTER + MAIN
BREAKER DERATE TO 100A [400SF] 2013 CALIFORNIA ELECTRICAL CODE.
14''
CHRONOLOGY
,...
°CHRONOLOGY TYPE.
... .. .:.......•-,---a..,. - --
;<STAFF NAME«t ACTION DAtE,M
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ADDITONAL SITE—
Printed: Wednesday, April 15, 2015 1:30:55 PM 1 of 3 r .
' SYSTEMS
CHRONOLOGY
,...
°CHRONOLOGY TYPE.
... .. .:.......•-,---a..,. - --
;<STAFF NAME«t ACTION DAtE,M
_-.>.-� --
COMPLETION ATE"
-
NOT
F,
4 ...- ._.. m .
NOTIFIED DENNIS W/ REVCO SOLAR THAT PLAN WAS
E-MAIL
JAKE FUSON 3/16/2015
3/16/2015
-
APPROVED AND PERMIT READY TO ISSUE.
RESUBMITTAL
JAKE FUSON 3/11/2015
3/11/2015
,
NOTIFIED JOE W/ REVCO SOLAR THAT HIS PLAN REVIEW WAS
TELEPHONE CALL
JAKE FUSON 3/9/2015
3/9/2015
COMPLETE AND REVISIONS WERE REQUIRED. SENT REDLINED
PLAN SET AND CORRECTION LIST VIA EMAIL.
CONDITIONS
CONTACTS
. .:Ff. -•moi?- ., fyN� j:'n.� 1 lV4VNNNMNIIi �:' �m Ill - .i 1VNIN.IV yl-�nwTT' 1'�1V�:�AWY ;'� .lNll1V A'...'•.' <m ..au."u.w. u':�,..........l�ovvf. AWM'"YW''.".'uw4y`LLWnr.- A•',
°�NdMETYPEsh u N/ME w�.�w
- :`� :ADDRESSl .CITY SI ATEr ZIP rtPHONE3 FAX:' " EMAIL
..zea: s ,ro.='.-''P
APPLICANT REVCO SOLAR ENGINEERING INC
2663 CABOT RD STE B
LAGUNA HILLS
CA _
.92653 (760)772-2375
CONTRACTOR REVCO SOLAR ENGINEERING INC
2663 CABOT RD STE B
LAGUNA HILLS
CA
92653. (760)772-2375
Printed: Wednesday, April 15, 2015 1:30:55 PM 1 of 3 r .
' SYSTEMS
;w NAME_ 1 STATE ZIP'
�EMAIL�'':
;;,ADDRES51..-CITY
_ m
OWNER
ADA GATHERUM
44341 W SUNDOWN
LA QUINTA CA92253 (760)772-2375
CREST DR
FINANCIAL
i " + i
CONTACTS
-DESCRIPTION ,ACCOUNT„: QTY kAMOUNT ?� PAID - PAID: DATE ,RECEIPT.# CHECK#.'j METHOD *rePAID BYE,;
'Ariisei;'. � ^' ' t r'"�,.f ...♦. .� !-':::i. �' u'-�-%2s s� ��. '.'i` �3aiL..y..L'� �, f
, m” n 5� ML.: � ie u� :.fir � � 3
r.
NAME:TYPE
1 4I
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
PV SYSTEM -ARRAY,
101-0000-42403
0
;w NAME_ 1 STATE ZIP'
�EMAIL�'':
;;,ADDRES51..-CITY
_ m
OWNER
ADA GATHERUM
44341 W SUNDOWN
LA QUINTA CA92253 (760)772-2375
CREST DR
FINANCIAL
i " + i
irxR,,. , �•A k k'..5 .....
-DESCRIPTION ,ACCOUNT„: QTY kAMOUNT ?� PAID - PAID: DATE ,RECEIPT.# CHECK#.'j METHOD *rePAID BYE,;
'Ariisei;'. � ^' ' t r'"�,.f ...♦. .� !-':::i. �' u'-�-%2s s� ��. '.'i` �3aiL..y..L'� �, f
, m” n 5� ML.: � ie u� :.fir � � 3
r.
BSAS 561473 FEE
101-0000-20306 0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$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
-
Total Paid for ELECTRICAL: $48.34
$0.00 '
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85
$0.00
SEQID INSPECTION'TYPE _ INSPECTOR SCHEDULED COMPLETED RESULT , r REMARKS _ NODES -
= r.„
DATE
.v
AT
D E
k
.,
SOLAR FINAL**
PROJECTSPARENT
REVIEWSyF r.•. .. z, .. �y..-._ µi.a-* ,per � :':.
-
-DATE
r "REVIEW TYPE; REVIEWER SENT DATE:: DUE
*: ,STA US -. :.REMARKS w ,
71,
SEE. FIRST REVIEW CORRECTION LIST AND
NON-STRUCTURAL' JAKE FUSON 3/2/2015 3/16/2015
3/9/2015
REVISIONS REQUIRED CORRECTIONS
REDLINES.
Printed: Wednesday, April 15, 20151:30:55 PM 2 of 3
sysrrmts
V240115
Qu mita.
INFORMATION
ATTACHMENTS
Attachment Trp
FIRST REVIEW
DOC
3/9/2015,�_
JA,KE FUSON
FIRSTAEVIEW REDLINES
0
FIRST REVIEW
FIRST REVIEW..
DOC,
3/9/2015
JAKE FUSON
CORRECTION -
0
CORRECTION N LIST
CO'
LISTidocx.Odf
p
DOC
3/30/2015
JMEFUSON
G
rLOAD'CALC - DWELLING
Load Calc.pcif
0
BIR #
City 0f a Quln�
8uiiding 8r Safety Division
oOl P.O. Box 1504,78-495 Calle Tampico
La..Quinta, CA 92253 -:(760) 777-7012
Building Permit Application'and Tracking Sheet
un own resOwner's Name:. • a Jeanne a erum.
Permit #
� 6
Project Add 1
A. P. Number.
Address: 44341 W Sundown Crest Dr
Legal Description:
City, ST, Zip: LaQuinta, CA 92253
CorhacorRevco Solar Engineering
772-23
Telephone:
Project Description:
Address31 Cabot , e
:
City, ST, Zip: Laguna Hills, CA 92653
PV solar system per plan
Telephone.760-625-3479 •Q
State Lic. # 387219 YCity Lia #,
Arch., Eng., Designer.
Amount
Address:
City., SL Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Units:
_
:z
State Lic. #:
Name of Contact Person: Joe Deisenroth
Telephone # of Contact Person: 760-625-3479
Estimated Value of Project 25000
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMITFEES
'
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs
Reviewed,ready for corrections
3
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
.3/9
Plan Check Balance_
Title 24 Calck
Planscited u
Pi P
Construction
Flood plain plan
Plans resubmitted • .
Mechanical
Grading plan
2'd Review, ready for cssr e
5//v
Electrical
Subcoatactor List
Called Contact Person
6
Plumbing
Grant Deed
Plans picked up
S.M L
HOA Approval
Plans resubmitted
Grading
IM IiUUSIis-
ready for corrections/issue
Developer Impact Fee
Pr'oval.
Planning APon
Called Contact PersReview,
A LP.Y.
Pub. Wks. Appr
Date of permit issue
..
School Fees
Total Permit Fees
01