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BSOL2014-000178-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: . Application Valuation: c&�p 4 4 QuIA& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2014-0001 54105 AVENIDA DIAZ 774194025 9.5kW PV SYSTEM - (38) 25OW PANELS+OPTIMIZERS/(2) INVERTERS $47,500.00 Applicant: HELIOPOWER INC 25747 JEFFERSON AVENUE 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 of the Business and Professions Code, and my License is in full force and effect. License Class: C46 C_ 10 License No.: 915598 Date: f3- -2 -2 ` ti 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).: (_) 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 emplcyees, 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 N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: GREG KAIN 54105 AVENIDA DIAZ LA QUINTA, CA 92253 Contractor: HELIOPOWER INC 25747 JEFFERSON AVEN MURRIETA, CA 92562 (951)677-7755 Llc. No.: 915598 Date: 8/22/2014 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 th ork for which this permit is issued. 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 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply 7with those provisions. Date: `� �Z' 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 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 county ordinances and state laws relating to MIding construction, and hereby authorize representatives of this city to enter upon t ove• mentioned property for inspection purposes. I— „ a Date: Signature (Applicant or Agent): 6 / FINANCIAL •• • "DESCRIPTION T ACCOUNTQTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $95.32 $0.00 ~ .. DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 Permit Details. PERMIT NUMBER ` City of La Quinta BSOL-201'40001 Description: 9.5kW PV SYSTEM - (38) 250W PAN ELS+OPTI M IZERS/(2) INVERTERS Type: SOLAR Subtype: Status: ISSUED Applied: 6/30/2014 PJU Approved: 8/19/2014 AOR Parcel No: 774194025 Site Address: 54105 AVENIDA DIAZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 256 Lot: 5 Issued: UNIT 24 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $47,500.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 9.5kW SOLAR ARRAY - (38) 250W HYUNDAI PANELS W/13300 SOLAREDGE OPTIMIZERS, (2) SOLAREDGE SE3800A-US-U INVERTERS AND (1) 100A SUBPANELS [684SF] 2013 CALIFORNIA ELECTRICAL CODE. • • •• CHRONOLOGY - • CONDITIONS CONTACTS NAME TYPENAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT INC 25747 JEFFERSON AVENUE MURRIETA CA 92562 ( Printed: Friday, August 22, 201410:30:36 AM 1 of 3 CRWsrsrEMs Printed: Friday, August 22, 2014 10:30:36 AM 2 of 3 C SYS iEMS CL DESCRIPTION ACCOUNT . QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 TEMP USE OF PERM PWR Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $23.83 $0.00 ROUGH ELEC FIRST 20 PV SYSTEM - ARRAY, 101-0000-42600 0 $23.83 $0.00 FIRST 20 PC PV SYSTEM - MISC 101-0000-42403 0 $23.83 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $23.83 $0.00 EQUIPMENT PC Total Paid for ELECTRICAL: $95.32 $0.00 PERMIT ISSUANCE: PERMIT 101-0000 42404 0 $90.57 $0.00 Total Paid forPERMIT ISSUANCE: $90.57 $0.00 TOTALS:• 00 Printed: Friday, August 22, 2014 10:30:36 AM 2 of 3 C SYS iEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE COMPLETED DATE RESULT REMARKS NOTES SOLAR FINAL" TEMP USE OF PERM PWR ROUGH ELEC Printed: Friday, August 22, 2014 10:30:36 AM 2 of 3 C SYS iEMS BOND INFORMATION ATTACHMENTS Printed: Friday, August 22, 201410:30:36 AM 3 of 3 Din # Cit} Of % Qulnta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints,. CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # 5�� Project Address: d Agehi iaez Owner's Name: A. P. Number: Address: LI i c)A D Legal Description: City, ST, Zip: CA OT22-5j Contractor:�� 916 Telephone:, ;.;.•: > :»%;''-# :...::: Address:1-5 z4 e 4 ( le Project Description: Pv Sp Gr S. 4e(1n City, ST, Zip:.C, Telephone: 5 — `=`::%<`-;:<%<>%:' «%>% :M<<: tjwk A" State Lic. # : q �j �j� City Lic. Arch., Engr., Designer: ".A& 0s. J i Address: 1 1a City, ST, Zip: `A 1#Mp0 a Telephone:`,=. <;r:<-.:: ,=>:::>.: ^ :>::; <'::> :> Construction Type: Occupancy: - State Lic. # • g;:<t; n - :;; :> : <::• _ :.< ;,>,.:;>::::-:-:;- .%:z::r:�;>.;;:{;;;:::,:->:`�»>:•::<:«s;:>;<>��- Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: l C� Sq. Ft.: # Stories: T-# Units: Telephone # of Contact Person: Estimated Value of Project: 0 0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACKNG PERMIT FEES. Plan Sets Plan Check submitted (9Item Amount Structural Calcs. Reviewed, ready for corrections I AA Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up 6"hwa Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correctio ss Electrical Subcontactor List Called Contact Person Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`d Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees