BSOL2015-024378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSOL2015-0243
Property Address: 45140 BRIDGETTE WAY
APN: 604342010
Application Description: WILLIAMS / 4.4kW PV SYSTEM - (17) 260W PANELS/(1) INVERTER
Property Zoning:
Application Valuation: $9,724.00
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Applicant:
VIVINT SOLAR DEVELOPER LLC 9102 6 );..
3301 N THANKSGIVING WAY
STE 50I - a
LEHI, UT 84043 -
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 C10 License No.: 973756
�te: 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 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. _ BAP.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
69
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 2/9/2016
Owner:
CHARLES WILLIAMS
45140 BRIDGETTE WAY
LA QUINTA, CA 92253
Contractor:
VIVINT SOLAR DEVELOPER LLC
3301 N THANKSGIVING WAY
STE 500
LEHI, UT 84043
(855)877-2974
LIc. No.: 973756
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'
compensatio , as provided for by Section 3700 of the Labor Code, for the performance
of the_wo for which this permit is issued.
LZ
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, with hose provisions.
Date: "L Applicant: ������/d�B)
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 building
construction, and hereby authorize representatives of this city to enter upon the
above-mentined prope
y for inspection purposes. f
Date: Q Signature (Applicant or Agent):
l 1 • / .
.1;R � ¢ k�.
DESCRIPTION � ACC0UNT QTY '� CtAMOUNT '.: PAID PAIDsDATE
x ., =r P�
�,.a"s. .s`h3t..A .i `i�.
BSAS SB1473 FEE 101-0000-20306
.0 $1.00 ' $0.00
rz5 ' PAID'BY :*° tMETHOD�
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RECEIPT#�' CIiEC1C#+:CL•TDBYy
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,h..^aEu:;. Vit'
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Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:,$1.00 $0:00
DESCRIPTION b
n'x ACCOUNT
s <, ,�
QTY vAMOUNT
PAID
PAID DATE.
t: K .Er
,
PV SYSTEM - ARRAY; FIRST'20
10110000-42403
'0 $24.17
$0.00
METHOD'"'
zYRECEIPT #�
�`CHECK�#
C Y�
i
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DESCRIPTIONr
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QTY��A,MOUNT.g.'
'�Y 1
{ {"LIQ '" !. h
PAIDDATE'
. .. ,
f.f• n ACCQUNTx E
�
xyPAIDr x
PV SYSTEM,- ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAIb..BY
?METHOD
RECEIPT #'
CFIEGK #
* CLTU BY':r
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s
SFs+'., .:+�. �.�.�.��,; ��.:3 r,;;�'. "m,� 'i
d,, u : a..wu. at_ :W
Total Paid for ELECTRICAL: $48.34
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-DESCRIPTION
uSX _
R04QTY;AMOUNT
} "�PAIpv�k�
DATE
�r apt-ACCOUNT
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PAID
�.!.K
PERMIT ISSUANCE
101-0000-42404
0
$91:85
$0:00
e _ ,-r.-- z ,<^/ rs �:+ r& ri^' 'Y.ify
PAID BY �e
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_yEMETHOD
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a�"k#
RECEIPT,r.nV,.
. a-.s '_.vi'S .
CHECK #
CLTO BYE
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Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• 1 • 0i
Permit Details � PERMIT NUMBER'y^V _--�
City of La Quinta BSOL2015=02-4
Description: WILLIAMS / 4.4kW PV SYSTEM - (17) 260W PANELS/(1) INVERTER
Type: SOLAR
Subtype: Status: APPROVED
Applied: 12/18/2015 SGU
Approved: 2/9/2016 AOR
Parcel No: 604342010 Site Address: 45140 BRIDGETTE WAY LA QUINTA,CA 922S3
Subdivision: TR 25363-1
Block: Lot: 17
Issued:
Lot Sq Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $9,724.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
PAULA HOFFMAN FROM VIVINT SOLAR TOOK PLANS TO
Details: 4.4kW SOLAR ARRAY - (17) 260W YINGLI PANELS W/ (1) FRONIUS PRIMO 3.8-1 AFCI INVERTER [2975F] 2013 CALIFORNIA ELECTRICAL
CODE.
Applied to Approved
Printed: Tuesday, February 09, 2016 2:00:27 PM 1 of 3 NAP
SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
NOTE
STEPHANIE GUMPERT
12/21/2015
12/21/2015
PAULA HOFFMAN FROM VIVINT SOLAR TOOK PLANS TO
REVISE.
PLAN CHECK SUBMITTAL
STEPHANIE GUMPERT
12/18/2015
12/18/2015
RECEIVED
RESUBMITTAL
ANGELICA ZARCO
2/1/2016
2/1/2016
TELEPHONE CALL
AJ ORTEGA
2/9/2016
2/9/2016
PHONED APPLICANT (PAULA HOFFMAN 760-328-8916) THAT
PLANS ARE APPROVED AND READY TO ISSUE.
CONDITIONS
NAME TYPE
NAME
ADDRESS1
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT VIVINT SOLAR DEVELOPER LLC
3301 N THANKSGIVING
LEHI UT
84043 businesslicensing@vivi
WAY
nsolar.com
Printed: Tuesday, February 09, 2016 2:00:27 PM 1 of 3 NAP
SYSTEMS
Permit Details PERMIT NUMBER
Pi .may ..
City of La Quinta BSOLc2015-0243
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE RECEIPT #
CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid for BUILDING 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
I 101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:$0.00
INSPECTIONS
PARENT PROJECTS
Printed: Tuesday, February 09, 2016 2:00:27 PM 2 of 3 cRMI
SYSTEMS
NON-STRUCTURAL -
1 WK
I I I I I I
ADDRESS
SHE WANTS TOTCORRECTIONS.
AKE THES PSAID'
LANS ALSO
LUIS URIBE 12/18/2015 12/29/2015 1 12/21/2015 I REVISIONS REQUIRED
2ND BLDG NS (1I AJ ORTEGA I 2/1/2016 I 2/8/2016 I 2/9/2016 I APPROVED I I
WK)
BOND INFORMATION
BECAUSE THEY WILL HAVE THE SAME TYPE OF
CORRECTION SINCE THEY WERE UN AWARE OF
OUR REQUIREMENTS HERE AT LA QUINTA. SHE
WILL USE THE OTHER PLANS TO CREATE A
EMPLATE. NO REVIEW WAS COMPLETED BY LUIS
URIBE WAITTING ON REVISED PLANS.
Printed: Tuesday, February 09, 2016 2:00:27 PM 3 of 3 C
SYSTEMS
8►,1. #CIt/
Of La Quflltd ' .. .
Blrikring 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La.QLdnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Addross: _571 '7 D
Owner's Name:.
A. P. Number.
Address:
Legal Description:
City, ST, Zip: 0.0-
C a 6? �3
I
Contractor. i U h -p d oi- ! J j� 1% e (0 4 r LLC
TeI hone:
� 1
Project Description: J_je J4J G�✓ /hJ��
Address: 5�inct P/c, ia
City, ST, Zip: C,4 C t?c C14 / 2 49.3 Y h J t
Telephone: a-3 M C J
State Lic. # : 3 City Lic. #LIC- 3l�rD
Arch, EW., Designer-
esignerAddress:
Address:
City, ST, Zip:
Telephone:
State Lic. #: .aw ;�
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft : # Stories: # Units:
Name of Contact Person: Q — -J/ra /1
Telephone # of Contact Person: �.3 a
Estimated Value of Project 471 ' Vl, 00
APPLICANT: DO NOT WRITE BELOW THIS EINE
#
Submittal
Req'd
Reed
TRACKING
PERK rr FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Platt Check Balance.
Title 24 Calcs.
Pians picked up
Construction
Flood plain pian
Plans resubmitted..
Mechanical
Grading plan
2'' Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
3" Review; ready for eorrectionslissae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP'.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees