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BSOL2015-017078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: `&tr4sw4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2015-0170 SIGNATURE PROJECT 775220021 MASTER SOLAR PV PLAN - SIGNATURE HACIENDAS Applicant: SUNPOWER CORPORATION SYSTEMS 1414 HARBOUR WAY SOUTH #1901 RICHMOND, CA 94804 n F_� 0,1 1' 2015 1 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. C10, C46, A Lice No.: 890895 11 - Date: t Contract 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 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.). (� 1, 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: 32 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/16/2015 Owner: RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 CARLSBAD, CA 92008 Contractor: SUNPOWER CORPORATION SYSTEMS 1414 HARBOUR WAY SOUTH #1901 RICHMOND, CA 94804 (941)720-3850 Llc. No.: 890895 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. have and will maintain workers' compensation insurance, as required by Secti n 700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier a policy number are: Carrier: � Policy Number: Tcertify 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: At It, Applicant:IV ' 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 -me tinned roperty for inspection purposes. Date: %k �C Signature (Applicant or A -z;l Description: MASTER SOLAR PV PLAN - SIGNATURE HACIENDAS Type: SOLAR Subtype: Status: ISSUED Applied: 9/3/2015 SKH Approved: 9/17/2015 JFU Parcel No: 775220021 Site Address: SIGNATURE PROJECT, Subdivision: Block: Lot: Issued: 11/16/2015 SGU Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $0.00 Occupancy Type: Construction Type: Expired: 5/14/2016 SGU No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details:. MASTER SOLAR PHOTOVOLTAIC PLAN FOR SIGNATURE HACIENDAS ONLY. INCLUDES (4) PLAN TYPES WITH (3) SYSTEM SIZES [1.74kW, 2.76kW, & 3.68 kW]. EACH PLAN TYPE AND SIZE HAS UP TO 4 DIFFERENT PANEL LOCATION LAYOUTS. ALL SYSTEMS USE SUNPOWER SPR-230NE-BLK-D PANELS AND SUNNYBOY 3000TL-US OR 380OTL-US INVERTERS. SYSTEMS RANGE FROM 144 S.F. TO 288 S.F. 2013 CALIFORNIA ELECTRICAL CODE. NO SOLAR PERMIT BASED ON THIS PLAN CHECK SHALL BE ISSUED UNTIL ALL PLAN CHECK FEES HAVE BEEN PAYED IN FULL. ADDITIONAL SITES 60 I / 14 !e __j Applied to Approved In Approved to Issued Printed: Monday, November 16, 2015 1:03:27 PM 1 of 2. ' - RSYSTfMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED JOHN BRANDOLI W/ NTS ASSOCIATES THAT PLANS WERE APPROVABLE. NOTIFIED HIM THAT PLANS WOULD TELEPHONE CALL JAKE FUSON 9/18/2015 9/18/2015 ' ONLY BE OFFICALLY APPROVED AFTER THE PAYMENT FOR THE PLAN CHECK HAS BEEN RECEIVED. NO SOLAR PERMIT BASED ON THIS PLAN CHECK SHALL BE ISSUED UNTIL FEES HAVE BEEN PAYED. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SUNPOWER CORPORATION SYSTEMS 1414 HARBOUR WAY RICHMOND CA 94804 (760)918-2839 (760)918 - SOUTH #1901 6749 Printed: Monday, November 16, 2015 1:03:27 PM 1 of 2. ' - RSYSTfMS INSPECTIONS FINANCIAL INFORMATION SOLAR FINAL" BLD CLTO' DESCRIPTION. ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CONTACTS BY HOURLY CHARGE - 101-0000-42600 1 NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL CONTRACTOR SUNPOWER CORPORATION SYSTEMS 1414 HARBOUR WAY SOUTH #1901 RICHMOND CA 94804 (760)918-2839 (760)918 - 6749 OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 CARLSBAD CA 92008 (760)918-2839 (760)918- 6749 LBELLOSO@CALIFORNI AWESTCOMMUNITIES. COM INSPECTIONS FINANCIAL INFORMATION SOLAR FINAL" BLD CLTO' DESCRIPTION. ACCOUNT QTY AMOUNT. PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY HOURLY CHARGE - 101-0000-42600 1 $145.00 $145.00 11/16/15 R10867 DEBIT JOHN BRANDOLI SGU BLDG CITY STAFF Total Paid for BLDG CITY STAFF - PER HOUR: $145.00 $145.00 TOTALS:00 $145.00 INSPECTIONS SEQID • - INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE .. . RESULT REMARKS NOTES SOLAR FINAL" BLD BOND INFORMATION ATTACHMENTS Printed: Monday, November 16, 2015 1:03:27 PM 2 of 2 IVEY SYSTEMS