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BSOL2019-0014V 1� VOICE (760) 777-7125 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/8/2019 Permit Type/Subtype: SOLAR/RESIDENTIAL LESS THAN 10KW Owner: Application Number: BSOL2019-0014 GARY J. & EMILY L. SODIKOFF Property Address: 57620 BLACK DIAMOND 57620 BLACK DIAMOND APN: 762380028 LA QUINTA, CA 92253 Application Description: SODIKOFF / 11.4kW PV SYSTEM - (38) 30OW PANELS/(1) INVERTER Property Zoning: Application Valuation: $45,600.00 Applicant: L�—1 ] Contractor: SEMPER SOLARIS CONSTRUCTION INC F SEMPER SOLARIS CONSTRUCTION INC 1805 JOHN TOWERS AVENUE 1805 JOHN TOWERS AVENUE JUL 08 2019 EL CAJON, CA 92020 EL CAJON, CA 92020 (619)715-4054 Llc. No.: 978152 CITY OF LA QUINTA _ _ . - DESIGN & DE VELOPMEN1 DEPARTMENT - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: B, C10, C46, C39 License No.: 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 Address: 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 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: A MPEN ATI N INSURANCE FUND Policy Number: 9029275 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. 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 foltowing.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. Sig6aE' N (Applicant or Agent): �„ Date: 7/8/2019 Application Number: BSOL2019-0014 Owner: Property Address: 57620 BLACK DIAMOND GARY J. & EMILY L. SODIKOFF APN: 762380028 57620 BLACK DIAMOND Application Description. SODIKOFF / 11.4kW PV SYSTEM - (38) 300W PANELS/(1) INVERTER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $45,600.00 Applicant: Contractor: SEMPER SOLARIS CONSTRUCTION INC SEMPER SOLAMS CONSTRUCTION INC 1805 JOHN TOWERS AVENUE 1805 JOHN TOWERS AVENUE EL CAJON, CA 92020 EL CAJON, CA 92020 (619)715-4054 II i - LIc-No- 978152 -- - - -- --- - -- -- -------- ----`j------ ter- --------------------- Detail: SODIKOFF / 11.4kW SOLAR ARRAY - (38) 300W SILFAB SLA300M PANELS + SOLAREDGE P320 OPTIMIZERS W/ (1) SOLAREDGE SE11400AH-US INVERTER + DERATE MAIN BREAKER TO 175A [684SF] 2016 CALIFORNIA ELECTRICAL CODE. 1i.)L ATv W�d ilj Yl:', Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 DESCRIPTION ACCOUNT CITY AMOUNT PV SYSTEM LESS THAN 10KW 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM LESS THAN 10KW PC 101-0000-42600 0 $26.68 DESCRIPTION ACCOUNT QTY AMOUNT PV SYSTEM MISC EQUIPMENT 101-0000-42403 0 $26.68 DESCRIPTION ACCOUNT CITY AMOUNT PV SYSTEM MISC EQUIPMENT PC 101-0000-42600 0 $26.68 Total Paid for ELECTRICAL: $106.72 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION ACCOUNT CITY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 I Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 # 15So (. 20(9 - Oo I - CAI fl ORNI i Project Address: �� 7,0 APN #: Applicant Name: Address: 1 Z 1 g' City, ST, Zip: ��" GA2 17Z Telephone: 2Qqq--1 7 —17 3 ) Email: Cc7�men. � c7�r`erc7� s�r�®cr�oLr�t•s. Project Description: � 1- V00 !mow Pv S y'C' Jew �.,. �cP �'] � 1►, 5 e. v�cc � A C D/sco k-cc� Valuation of Project $ 100 Property Owner's Name: S New Commercial / Tenant Improvements: Address: S �?,�Zo ZI r7 vq D`am Total Building 6-Lf5L SF City, ST, Zip Z <7 v,' h /) GA 1115 3 Construction Type: Py , Occupancy: Telephone: 2 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 ey