Loading...
BSOL2014-0002LICENSED 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, C1�0ff License No.: 915598 / Date: - 1 Contractor:. 7'1Q'101'/� 6 wQ r 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. , 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 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 rk for which this permit is issued. 0 1 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 those provisions. Date:` r_ Applicant: 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 building construction, and hereby authorize representatives of this city to enter up th above- mentioned property for inspection purposes. Date: Z Z L Signature (Applicant or Agent): c&t,, 4 Qum& VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA 4UINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/22/2014 Application Number: BSOL2014-0002 Owner: Property Address: 77914 GREY WOLF TR BRUCE IWAMOTO APN: 623510007 ; Property Zoning: R Application Valuation: $45,000,00 a � Applicant: N Contractor: N 3 HELIOPOWER INC HELIOPOWER INC p AV N z 25747 JEFFERSON AVENUE MURRIETA, CA 92562 25747 JEFFERSON MURRIETA, CA 9256 a (951)677-7755 LIc. No.: 915598 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, C1�0ff License No.: 915598 / Date: - 1 Contractor:. 7'1Q'101'/� 6 wQ r 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. , 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 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 rk for which this permit is issued. 0 1 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 those provisions. Date:` r_ Applicant: 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 building construction, and hereby authorize representatives of this city to enter up th above- mentioned property for inspection purposes. Date: Z Z L Signature (Applicant or Agent): DESCRIPTION FINANCIAL •1• ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $23.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $95.32 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $90.57 $0.00 • • •• Description: 9.OkW PV SYSTEM - (36) 25OW PAN ELS+OPTI M IZERS/(2) INVERTERS Type: SOLAR Subtype: Status: APPROVED Parcel No: 623510007 Site Address: 77914 GREY WOLF TR LA QUINTA,CA 92253 Subdivision: TR 29436 Block: Lot: 90 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Valuation: $45,000.00 Occupancy Type: Construction Type: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Applied: 6/30/2014 PJU Approved: 8/19/2014 AOR Issued: Finaled: Expired: I Details: 9.OkW SOLAR ARRAY- (36) 25OW HYUNDAI PANELS W/P300 SOLAREDGE OPTIMIZERS, (2) SOLAREDGE SE380OA-US-U INVERTERS AND (1) 100A SUBPANELS [648SF] 2013 CALIFORNIA ELECTRICAL CODE. 1 Applied to Approved FINANCIAL INFORMATION Printed: Friday, August 22, 2014 10:35:48 AM 1 of 3 or',R SYSTEMS EMAIL NAMETYPE NAME ADDRESS3 CONTACTS CITY STATE ZIP PHONE FAX APPLICANT HELIOPOWER INC 25747 JEFFERSON AVENUE MURRIETA CA 92562 ( CONTRACTOR HELIOPOWER INC 25747 JEFFERSON AVENUE MURRIETA CA ` 92562 1 ( OWNER BRUCE IWAMOTO I ( FINANCIAL INFORMATION Printed: Friday, August 22, 2014 10:35:48 AM 1 of 3 or',R SYSTEMS Printed: Friday, August 22, 2014 10:35:48 AM 2 of 3 !f srsren S NOTES CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY BY BSAS SB1473 FEE 1 101-0000-20306 0 $2.00 $0.00 TEMP USE OF PERM PWR Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $0.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $23.83 $0.00 FI RST 20 PV SYSTEM - ARRAY, 101-0000-42600 0 I $23.83 $0.00 FIRST 20 PC PV SYSTEM - MISC 101-0000-42403 0 $23.83 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $23.83 $0.00 EQUIPMENT PC Total Paid for ELECTRICAL: $95.32 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $90.57 $0.00 Total Paid for PERMIT ISSUANCE: $90.57 $0.00 TOTALS:00 Printed: Friday, August 22, 2014 10:35:48 AM 2 of 3 !f srsren S NOTES SEQID INSPECTION TYPE INSPECTOR SCHEDULED DATE INSPECTIONS COMPLETED DATE RESULT REMARKS SOLAR FINAL" TEMP USE OF PERM PWR ROUGH ELEC Printed: Friday, August 22, 2014 10:35:48 AM 2 of 3 !f srsren S Printed: Friday, August 22, 2014 10:35:48 AM 3 of 3 YSTEMS ATTACHMENTS Attachment Type CREATED I OWNER DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 8/18/2014 AJ ORTEGA BSOL2014-0002 corr response.pdf BSOL2014-0002 Corr response.pdf 0 DOC 8/18/2014 AJ ORTEGA Revl (Full Set) BSOL2014-0002 Revl fullset.pdf 0 Printed: Friday, August 22, 2014 10:35:48 AM 3 of 3 YSTEMS Bin # Permit # o% d l �-{ p� Project Address: _ cf I . City of La Quinta Building & Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet --1 `e W O • Owner's Name:f3ruceQ A. P. Number: Address: GireqyVb I ('. Legal Description: City, ST, Zip: lJ } q22 5'3 Contractor:ell Telephone: , ' Address: J f Project Description: P f +i � � l a r- s4PY yy.AA City, ST, Zip: it e Ct7J C A 12 -:SV Z 9Z 0—T Y1 D U 1(1 Telephone: l _ _ 7 �S'':'=f u �jiD a Yl St I's ?SD State Lic. # : ) City Lic. #; • ❑ �� W y�, Arch., Engr., Designer: Address: 1 City, ST, Zip: Telephone: w� Construction Type: Occupancy: type circle one New Add'n Alter Repair Demo State Lic. It:Project Name of Contact Person: 1V 1CAL 'E�Ci n dk ps po Sq. Ft.: # Stories: 111 Inits: Telephone #,of Contact Person: ' Estimated Value of Project: (jC c� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING — PERMIT FEES Plan Sets Plan Check submitted ( )Item Amount Structural Calcs. Reviewed, ready for corrections +�� r� flan Check Deposit Truss Cales. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted echanical Grading plan 2"" Review, ready for correctio is e`s Electrical Subeontactor List Called Contact Person t Y Plumbing Grant Decd Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 'rd Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 0