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BSOL2016-000578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: HOT PURPLE INC P 0 BOX 261 PALM SPRINGS, CA 92263 T�� 4 4 Q": COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2016-0005 58703JEREZ 764650010 4.69kW PV SYSTEM - (14) 335W PANELS/(1) INVERTER $14,000.00 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: B C46 . License No.: 940550 S� 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 1, 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 Lender's 7, VOICE (760)777-71 25 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: RICHARD BARTEAUX Contractor: HOT PURPLE INC P 0 BOX 261 PALM'SPRINGS, CA 92263 (760)322-4433 Llc. No.: 940550 Date: 2/5/2016 . 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 w'o'rk for which this permit. is issued. C1 1 have and will maintin 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:_ Polity 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 those provisions. Date: Applican • Z WARNING: FAILURE TO SE RKERS' 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-mentioned property for inspection purposes. Date: • 9 /(signature (Applicant or.Agen CID a N O L go ® d Q CID Lfw O C c LaJ z . 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 w'o'rk for which this permit. is issued. C1 1 have and will maintin 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:_ Polity 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 those provisions. Date: Applican • Z WARNING: FAILURE TO SE RKERS' 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-mentioned property for inspection purposes. Date: • 9 /(signature (Applicant or.Agen J. 7 ,.�FINANCIAL INFORMATION I PTI ClNj�klff,.-,;w ACC .0 00 m BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 'ID,BY"-'g a 1.0 A (CHECK M '0� Ti us' Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:. $1.00 $0.00., 'ME EV -.0 DESCRIPTION qfM tg IS K- Z 25, PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0., $24.17 $0.00 PAID'BY r:--' WET HO WIN.-RECEIPT y HEC CL ft�`T DBY D DESCRIPTION �,Z=- ACCOUNT AIV 10 U NTg PAI PAID DATE B- PV SYSTEM -'ARRAY, FIRST 20 PC 101-0000-42600 0:. $24.17 $0.00 14 'K -Irm =Qllli m H Mn g*, _RMETHOW-01 W # Total Paid for ELECTRICAL: $48.34 .$0.00 DES �CRIPTWNJ' W IT od5Vfl&=n I OUNTIOW wW,-NACCOUN ROOM PERMIT ISSUANCE .101-0000-42404 0 '01.8.5 $0.00 PAID By -M NWET HW�� V11 �w *1.1:,1nWfREC!EI T P CHECK �W;;:? L',T' D BYE -z rk Total Paid for PERMIT ISSUANCE: $91.85 •.:. ` $0.00 JOTALS: $141.19 0 00 Description: 4.69kW PV SYSTEM - (14) 335W PANELS/(1) INVERTER Type: SOLAR • Subtype: Status: APPROVED Applied: 1/15/2016 LUR Approved: Parcel NO: 764650010 Site Address: 58703 JEREZ LA QUINTA,CA 92253 Subdivision: TR 31681-3 Block: Lot: 10 Issued: Lot Sci Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $14,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: G Details: 4.69kW SOLAR ARRAY - (14) 335W SUNPOWER SPR-X21-335-BLK W/ (1) SMA AMERICA S95000TL-US-22-AFCI INVERTER [210SF] 2013. CALIFORNIA ELECTRICAL CODE. ADDITIONAL SITES Printed: Friday, February 05, 2016 10:08:38 AM 1 of 3 C sysrrMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE MARY FASANO 1/25/2016 1/25/2016 PICKED UP FOR REVISIONS PLAN CHECK -SUBMITTAL RECEIVED LUIS URIBE 1/15/2016 1/15/2016 TELEPHONE CALL LUIS URIBE 1/20/2016 1/20/2016 SPOKE WITH ROMEL AT HOT PURPLE ENERGY. 1ST REVIEW IS COMPLETE AND CORRECTIONS ARE REQUIERD TELEPHONE CALL LUIS URIBE 2/2/2016 2/2/2016 SPOKE WITH BIRAN. PERMIT IS APPROVED AND READY TO BE ISSUED. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT HOT PURPLE INC P 0 BOX 261 PALM SPRINGS CA 92263 Printed: Friday, February 05, 2016 10:08:38 AM 1 of 3 C sysrrMS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR HOT PURPLE INC P 0 BOX 261 PALM SPRINGS CA 92263 OWNER RICHARD BARTEAUX FINANCIAL INFORMATION REVIEWS CLTD DESCRIPTION ACCOUNT QTY- AMOUNT PAID , PAID DATE RECEIPT # CHECK # METHOD PAID BY 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 NOTES NON-STRUCTURAL - LUIS URIBE 1/15/2016 1/22/2016 1/20/2016 FIRST 20 1 -WK PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $0.00 APPROVED WK) 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 TOTALS:• 00 INSPECTIONS Printed: Friday, February 05, 2016 10:08:38 AM 2 of 3 ' c9C:1 w-lYS7EMS REVIEWS RETURNED STATUS REMARKS REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE NOTES NON-STRUCTURAL - LUIS URIBE 1/15/2016 1/22/2016 1/20/2016 REVISIONS REQUIRED 1 -WK 2ND BLDG NS (1 LUIS URIBE 2/2/2016 2/2/2016 2/2/2016 APPROVED WK) Printed: Friday, February 05, 2016 10:08:38 AM 2 of 3 ' c9C:1 w-lYS7EMS Printed: Friday, February 05, 2016 10:08:38 AM 3 of 3 Cg?WSYSTEMS 1 1 Attachment Type CREATED OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 1/20/2016 LUIS URIBE REDLINED PLAN SET BSOL2015-0005 - 0 REDLINED PLAN SET.pdf BSOL2016-0005- IST DOC 1/20/2016 LUIS URIBE 1ST REVIEW REVIEW CORRECTIONS 0 CORRECTIONS LIST LIST.docx Printed: Friday, February 05, 2016 10:08:38 AM 3 of 3 Cg?WSYSTEMS Bfn.# City. 0f La Qurtita Bui(t BE Safety Dn+ision P.O. Box 1504,•78-495 Calle Tampico j La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: r ame: . A P. Number. T.Addrcw-. Legal Description: � 1t71kk3 �%�J 2 ( ip: C( ZZ Contractor. o Telephone: , .• Address:C, Project Description: g City, ST, Zip: : C: Telephone: M10:61 44 State Lic. City Lic. #; 2 Arch, Engr., Designer. Address: City., ST, Zip: Telephone: •. State Lic. #: �` ", Name of Contact Person: �0 /s?L Construction Type: • Occupancy: Project type (circle one): New Add'n Alter Repair Demo # Stories: nit;: Sq. Ft :#U Telephone # of Contact Person: . 6 G.r 3 Estimated Value of Project APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Pian Check Balance. Title 24 Cates. Plans picked up Construction ' Flood plain plan Pians resubmitted.'. Mechanical Giading plan 2'! Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. 1I.O.A- Approval Plans resubmitted Gradlag IN ROUSE:- 3" Review; ready for eorrectionslissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees