BSOL2017-0010E
78-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
1ST LIGHT ENERGY INC
1869 MOFFAT BLVD
MANTECA, CA 95336
c&t�p 4 449mrA
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/27/2017
SOLAR/COMMERCIAL Owner:
6SOL2017-0010 EXTRA SPACE MANAGEMENT INC.
46600 ADAMS ST 2795 E COTTONWOOD PKWY STE 400
600390008 SALT LAKE CITY, UT 84121
EXTRA SPACE / 120.1kW PV SYSTEM - (414) PANELS/(3) INVERTERS
$165,600.00
n
Contractor:
IST LIGHT ENERGY INC
51�1869
MOFFAT BLVD
c�
DEC 2 % 2017
MANTECA, CA 95336
CITY OF LA-d6-WAA (209)824-5500
COMMUNITY DEVELOPMENT DEPARTMENT Llc. No.: 921371
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 License No.: 921371
Date: 1Z 2% Contractor:
OWNER -BUILDER RATION
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.).
( ) 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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
1 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
Sectic1d3700 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: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG Policy
Number: 022298272
_ I certify that in the performance ofthe 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:. Applicant:
WARNING: FAILURE TO SECURE WORKERS' C PENSATION 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: Signature (Applicant or Agent): '
Date: 12/27/2017
Application Number:
BSOL2017-0010.
Owner:
Property Address:
46600 ADAMS ST
EXTRA SPACE MANAGEMENT INC.
APN:
600390008
2795 E COTTONWOOD PKWY STE 400
Application Description:
EXTRA SPACE / 120.1kW PV SYSTEM - (414) PANELS/(3) INVERTERS
SALT LAKE CIT~, UT 84121
Property Zoning:
Application Valuation:
$165,600.00
Applicant:
Contractor:
1ST LIGHT ENERGY INC
1ST LIGHT ENERGY INC
" 1869 MOFFAT BLVD
1869 MOFFAT BLVD
MANTECA, CA 95336
MANTECA, CA 95336
(209)824-5500
Llc. No.: 921371
Detail: 120.1kW SOLAR ARRAY
- (414) 290W TWINPEAK PANELS+P600 SOLAREDGE OPTIMIZERS W/(3) SE33.3K-US SOLAREDGE INVERTERS, (1)
150A/480V SUBP.ANEL AND (1) 112.5kVA 480/208V TRANSFORMER [7,452SF] 2016 CALIFORNIA ELECTRICAL
CODE.
FINANCIAL • •
DESCRIPTION -ACCOUNT QTY AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 4 $624.00
DESCRIPTION ACCOUNT QTY AMOUNT
HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER 101-0000-42600 1 $120.00
Total Paid for BLDG CITY STAFF - PER HOUR: $744.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$7.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM GREATER THAN 10KW
101-0000-42403.
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM GREATER THAN 10KW PC
101-0000-42600
0
$38.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM MISC EQUIPMENT
101-0000-42403
0
$50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
'PV SYSTEM MISC EQUIPMENT PC
101-0000-42600
0
$50.66
Total Paid for ELECTRICAL: $177.32
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
.101-0000-42404
.0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
TOTALS: