BSOL2016-014478-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSOL2016-0144
Property Address: 78230 VIA PAVION
APN: 604600008
Application Description: LAI / 9.6kW PV SYSTEM - (28) 345W AC PANELS W/100A SUB
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 uncle ovisions of Chapter
9 (commencing with Section 7000) of Division 3 of the XPrsio
and.my License is in full force and effect.
License Class: B C4fr, C10 License No.: 387
Date, Contracto
OWNER- EERATION
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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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Owner: Oj
CHUN LAI Z
n
78230 VIA PAVION
LA QUINTA, CA 92253 fp
O n
D
Contractor: m _o
REVCO SOLAR ENGINEERII
2663 CABOT RD STE B � D rn
LAGUNA HILLS, CA 92653
(949)367-0740 Z
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 the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sectio 700 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9003164
_ I certify that in the performance of the work forwto& this permit is issued, I
shall not employ any person in any manner so as to bec ubject to the workers'
compensation laws of California, and agree that, if I d m ubject to the
workers' compensation provisions of Section 37 de, I s I forthwith
comply
/wi thos rov' ' s.
Da✓•Applic
WARNING: FAILURE TO SECURE WO COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER 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 in ation is correct.
I agree to comply with all city and county ordinances and state I relating t b in
construction, and hereby authorize representatives of this cit enter u
above -mention proerty for inspection purposes.
Date Signature (Applicant or J
Date: '12/29/2016
Application Number:
BSOL2016-0144
Owner:
Property Address:
78230 VIA PAVION
CHUN LAI
APN:
604600008
78230 VIA PAVION
Application Description:
LAI / 9.6kW PV SYSTEM - (28) 345W AC PANELS W/100A SUB
LA QUINTA, CA 92253
Property Zoning: •.
Application Valuation:
$25,000.00
Applicant:
Contractor:
REVCO SOLAR ENGINEERING INC
REVCO SOLAR ENGINEERING INC
2663 CABOT RD STE B
2663 CABOT RD STE B
LAGUNA HILLS, CA 92653
LAGUNA HILLS, CA 92653
(949)367-0740
Llc. No.: 387219
-------------------•--------=--------------------------=------------------------------
Detail: 9.6kW SOLAR ARRAY - (28) 345W SUBPOWER AC PANELS. W/(1) 100 AMP SUBPANEL [491SF] 2013 CALIFORNIA ELECTRICAL CODE.
r DESCRIPTION
ACCOUNT CITY
AMOUNT
BSAS'SB1473.FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:.
$1.00
•
DESCRIPTION
ACCOUNT.
CITY
AMOUNT
PV SYSTEM LESS THAN 1OKW
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PV SYSTEM LESS THAN lOKW PC'
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL:
$50.66
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE:
$96.27.
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- P.O. Box 1504,7849S Calle Tampico
La.Qulnta, CA 92233 -:(760) 777-7012
Building Permit Application and Tracking Sheet -.
ProjectAdd la aVlon
-31
Owner's Name:.
.
A- P. NumberAddress:
is avion'
.
Legal Description:1
City, ST, Zip: LaQuinta, CA 92253
Con>mctor Revco Solar Engineering
Telephone:
a o e
Address:'
Project Description:
City, ST, Zip: Laguna Bills, CA 92653
PV solar system per plan -'
Telephoae!60-625-3479
-
State Lia #?87219 City Lic #;
Arch., Engr., Designer
Address:
Citi', ST, Zip:
Telephone:. ,
State Lia #:
Construction Type'. Occupancy:
Project type (circle one): New Add'n ' Alter Repair Demo
Name of Contact Person: Joe Deisenroth .
3Sq. Ft : # Stories: ». - #Univ
Telephone # of contact Person 760-625-3479
Estimated value of Project $25000.
APPLICANT: DO NOT WIM BELOW THIS UNE
#
Submittal
EWd
Recd
TRACMG - PERMIT FEES
Plan Sets
i in
Plan Check submitted Item - Amount
Structural Calcs.
Reviewed, ready Ior corrections t7/ Plan Check Deposit" .
Truss Cates..
Called Contact Person Plan Cheek Balance -
Title 24 Cates.
Plans picked up Construction
Flood plain plan
Plans resubmitted. • Mechanical
Grading plea
2, ° Review, ready for correctiou&rmue Electrical,
Subeoutaetor List
Called Contact Person Plumbing
Grant Deed -
Plans picked up S.NLL
H.O.A. Approval
Plans resubmitted Gradlug
IN IiOUSZ--
"6 Review; ready for corrects a eveloper Impact Fee
Planting Approval
Called Contact Person U.P.
Pub. Wks. Appr
- c
Date of permit Issue -
School Fees
' Total Permit Fe es
- c