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11-0823 (SOL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA; CALIFORNIA 92253 BUILDING_& SAFETY DEPARTMENT INSPECTIONS (760).777-7153. BUILDING PERMIT Date: 10/27/11 Application Number: 11-00000823 Owner: - Property Address: 78465 VIA PALOMINO WALKER KAREN APN- 604-032-99.9-115'-305212- 78465 VIA'PALOMINO Application description: SOLAR LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 40000 Contractor: " Applicant: Architect or Engineer:. SALVESON, KENT E . d 28391 AVENIDA LA MANCHA SAN JUAN CAPISTRANO, CA 75. (949) 291=7393 ft y GKT +ti Lib'. No.:` 777413 0 ✓ 1 20'1 Fl,�Ati�E Q UTA1 � ---------.-------------- ----------------- ------------ =--•--------------------- ------ �`�'x--==--=-- LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION ' I 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). Division 3 of the Business and ProfessionalsCode, 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 Class: C20 C12 License No.:. 777413 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: Contractor: _ 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 - .. - • OWN R -BUILDER DECLARATION - insurance carrier and policy number are: - I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law'for the Carrier EXEMPT Policy Number EXEMPT following reason (Sec: 7031.5,'Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the'work for w ' h this permit is issued,.l 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 manner so as to become subfec o the workers' compensation laws of California, permit to file a signedstatement that he or she is licensed pursuantto the provisions of the Contractor's State and agree that, if I should become subjegi Vthe workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall fort omply with those provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by /J'�J//, any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: K Date: ���� / Applicant: - i _ 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 WARNING: FAILURE TO SECURE WORKERS' 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, (_ I I am exempt under Sec. , BAP.C. for thisreasonthe 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. " Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. - I hereby affirm under penalty of perjury that there is a construction lending agency for the performance :of the I certify that I have read this application avid state that the above informatio s correct. I agree to comply with all . work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construcii ad hereby authorize representatives ' of this county to nter upon the above-mentioned property for inspec '� rposes - Lender's Name: - late :• 6 . Signature (Applicant or Agent): Lender's Address: LQPERMIT - - - - Application Number . . . . 11-00000823 Permit SOLAR PERMIT Additional desc Permit Fee 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation 40000 Expiration Date 4/24/12 Qty -Unit Charge Per Extension " BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS 3.00 Permit ELEC-MISCELLANEOUS Additional desc Permit Fee 22.50 Plan Check Fee .. 5.63 _ Issue.Date Valuation 0 Expiration Date''. 4/24/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 7.5000 EA." ELEC PWR APP >1 TO <=10 7.50 -------------------------------------------------------------- Special Notes and Comments 11.1kW SOLAR ARRAY -.(48) 230W CANADIAN .. PANELS W/.(2) 5,000W SMA INVERTERS [884SF] PLAN APPROVED WITH.COMMENTS: 2010 CALIFORNIA ELECTRICAL CODE. October 27, 2011 8:39-:22 AM AORTEGA ---------------------------------------------------------- Other Fees. . . . . . . BLDG STDS ADMIN (SB1473) 2.00 Fee summary Charged Paid Credited Due Permit Fee'Total 45.00 .00 .00 45.00 Plan Check Total 11.26 .00 .00 11.26 Other Fee Total. 2.00 .00 .00 2.00 Grand Total 58.26 .00 .00• 58.2.6 ' LQPERMIT • _ .. ... ic ISO Dac+A,. S;a90 • yob � _ �'�� � � + 740. talo POW r ,6 3 VA* kers t�.� (,iso • �-� _ i, l.N.�.�o�R _ �• �-. = too Secti o' n AU�'l 5ZI Y A-0, Wet stamp signature added J p Section B BY %ra X I].,) A-6, Single Line Diagram added 1) A-0, 1, 3.1,4,6 AC Disconnect location and information per NEC 690.17 added IV I)A-6 THV*rN-2 wire ambient temperature de -rating factors per CEC 690.31, table 31,0:116 •added, Adjtfiied-cond'uctor sp=ies "number of conductors in raceway [EMT conduit]" per table 3)A-1,4,6 Adjusted conductor sizes "number of conductors in raceway [EMT conduit]" per table 310.15(B)(2)(a) added -added "EMT conduit secured to wood blocks, raised 3 inches off roof V 1) A-1,4, 6 Grounding information in Single Line Diagram, Roof Plan, and Fire Plan per article 690 added -added "10 AWG staid capper Ground}WiW fastened to all equipment, and each module/ and/ or every 3 1/2 feet ;n racking using copper grounding lugs and nuts and bolts" Section D 2) A-1, 4, 6 Single Line Diagramand Floor Plan added 47. e, Bin # tG Qty of Ta Quin Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # i7 l g Project Address: 77 q p �h Owner's Name: l-er! WA Ike � A. P. Number: — O — OG Address: z 111ce fg1,9M1k7. Q Legal Description: �i / Contractor: S�7 City, ST, Zip: Lot H i telephone: Address: 2�3 �� ,�/� Gvf C Lj Project Description:0117 ��/�•F - ' ;' ' City, ST, Zip:ti/� Telephone: - Z 1. % , ::>:>:<:>:;>. { •x..:,. . ;fir::. . s:�ir%;;;•fir :.•:::•: : � .. State Lic. # :777411-3 CityLic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: State Lic. #: � ti�Y>a �•:�r� r� •..� �:�� ••; Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: e �R ��C S® ;P') ` Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: T oyty— `� ®�e.— �j 94/1&* Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Pian Sets Plan Check submitted 8 I Item Amount Structural Calcs. Reviewed, ready for corrections 6 Plan Check Deposit Truss Calm Called.Contact Person Plan Check Balance. r Title 24 Cities. Plans picked up I , Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for rection ue Z. Electrical S,b 'jfl�►� Subcontactor List Called Contact Person Plumbing r+ Grant Deed Plans picked up /u S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for rection issue tj Developer Impact Fee Planning Approval Called Contact Person 91 A.I.P.P. ..— Pub. Wks. Appr Date of permit issue AN 41, School Fees 1911 Total Permit Fees 0 u Sett et — So,Nw l�- %A I N -- 4c11.tAf w'