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BSOL2015-0233 Revision 1/ S 78=495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 , COMMUNITY DEVELOPMENT DEPARTMENT Applicant: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 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: C46 License No.: 990049• ,,, .\;_ p _ Q a e: 7 2--2JIV d0 ontra or: X01 x'13\ V 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 (comlhencing 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 f9Ka 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 contractors) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 NV 92253 SMART -ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 (951)273-9595 Llc. No.: 990049 Date: 7/22/2016 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 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: - 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: `7 ZL krcant: _ n/lict-W. . WX2 WARNING: FAILURE TO SECU E 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 countybrdinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. gAfe: 7J -AJ ure (Applicant or Agent): BUILDING PERMIT Application Number: BSOL2015 0233 Ow�ner�: Property Address: 48775 AVENIDA FERNANDO JrJ NNEAPN: 658300001 ~"' _P- BOX Application Description: fINV,200� THERESE/24.198kW PV SYSTEM -(74)327W PANELS/(_;SU EP YHRProperty Zoning: � Application Valuation: $90,000.00 C'?Y0,, YpEI�r0F;,QU/A Applicant: SMART ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 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: C46 License No.: 990049• ,,, .\;_ p _ Q a e: 7 2--2JIV d0 ontra or: X01 x'13\ V 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 (comlhencing 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 f9Ka 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 contractors) 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 NV 92253 SMART -ENERGY SOLAR INC 1641 COMMERCE STREET CORONA, CA 92880 (951)273-9595 Llc. No.: 990049 Date: 7/22/2016 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 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: - 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: `7 ZL krcant: _ n/lict-W. . WX2 WARNING: FAILURE TO SECU E 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 countybrdinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. gAfe: 7J -AJ ure (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION ACCOUNTQTY AMOUNT PAID PAID DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 1 $145.00 $145.00 3/4/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' SMART ENERGY SOLAR INC CHECK R13543 21242 RSE DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY CHARGE - BLDG CITY STAFF 101-0000-42600 0.5 $72.50 $72.50 6/2/16 -PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R15938 22382 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HOURLY CHARGE - CITY BUILDING STAFF 101-0000-42600 0.75 $108.75 $108.75 7/22/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R17309 22699 MFA Total Paid for BLDG CITY STAFF - PER HOUR: $326.25 $326.25 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $4.00 12/10/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 $4.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 12/10/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 12/10/15 PAID BY METHOD_ RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $48.34 $48.34 12/10/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT PC 101-0000-42600 0 $48.34 $48.34 12/10/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH Total Paid for ELECTRICAL: $145.02 $145.02 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 12/10/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SMART ENERGY SOLAR INC CHECK R11411 20777 SKH Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $567.12 $567.12 Description: THERESE/24.198kW PV SYSTEM -(74)327W PANELS/(4) INV+200A SUB Type: SOLAR Subtype: Status: ISSUED Applied: 11/24/2015 SGU Approved: 12/4/2015 LUR Parcel No: 658300001 Site Address: 48775 AVENIDA FERNANDO LA QUINTA,CA 92253 Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 73 Issued: 3/4/2016 RSE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $90,000.00 Occupancy Type: Construction Type: Expired: 8/31/2016 RSE No. Buildings:.0 No. Stories: 0 No. Unites: 0 NOTES Details: 24.198 kW SOLAR ARRAY - (74) 327W SUNPOWER SPR-327-NE-WHT-D PANELS W/ (2) SMA AMERICA SB6000TL-US-22 INVERTERS & (2) SMA AMERICA SB5000TL-US-22 INVERTERS + 200AMP LOAD CENTER, MAIN BREAKER DERATE TO 350A. [1,302 SF] 2013 CALIFORNIA ELECTRICAL CODE. REVISION'3 - LAYOUT CHANGE AND CONDUIT QUANTITY REVISION. SEE REVISION 3 PLANS. 2013 CALIFORNIA ELECTRICAL CODE. Applied to Approved IM Approved to Issued Printed: Friday, July 22, 2016 10:55:17 AM 1 of 4 SYSTEMS ADDITIONAL CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED SMART ENERGY SOLAR'S PERMITTING E-MAIL JAKE FUSON 3/1/2016 3/1/2016 DEPARTMENT (PERMITS.SEUSA@GMAIL.COM) THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. NOTIFIED SMART ENERGY SOLAR E-MAIL JAKE FUSON 7/19/2016 7/19/2016 (PERMITS.SEUSA@GMAIL.COM) THAT REVISION 3 PLANS WERE APPROVED AND REVISION WAS READY TO ISSUE. This permit was not issued electronically so we will need hard E-MAIL LUIS URIBE 2/5/2016 2/5/2016 copies and the approved job set to be submitted. PLAN CHECK SUBMITTAL RAMSES SEVILLA 7/11/2016 7/11/2016 RECEIVED PLAN CHECK SUBMITTAL STEPHANIE GUMPERT 11/24/2015 11/24/2015 RECEIVED PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 2/18/2016 2/18/2016 1ST REVISION RECEIVED RECEIVED Printed: Friday, July 22, 2016 10:55:17 AM 1 of 4 SYSTEMS ' �� �• Permit Details PERMIT NUMBER City of La Quinta BSOL-2015=0233'`; e Printed: Friday, July 22, 2016 10:55:17 AM 2 of 4 C> SYSTEMS NOTIFIED MINERVA D. W/ SMART ENERGY SOLAR THAT TELEPHONE CALL JAKE FUSON 5/31/2016 5/31/2016 INFORMATION REVISION 2 WAS APPROVED AND READY TO ISSUE. CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID LEFT ISMAEL A MESSAGE, PERMIT IS APPROVED AND READY TELEPHONE CALL LUIS URIBE METHOD 12/4/2015 12/4/2015 BY HOURLY CHARGE - TO BE ISSUED. 1 $145.00 $145.00 CONDITIONS R13543 21242 CHECK SMART ENERGY RSE BLDG CITY STAFF CONTACTS SOLAR INC HOURLY CHARGE - NAME TYPE 0.5 NAME ADDRESS1 CITY R15938 STATE ZIP, PHONE FAX EMAIL APPLICANT SMART ENERGY SOLAR INC 1641 COMMERCE CORONA CA 92880 SOLAR INC permits.seusa@gmail.c HOURLY CHARGE - CITY 101-0000-42600 0.75 STREET $108.75 7/22/16 R17309 22699 CHECK SMART ENERGY om CONTRACTOR SMART ENERGY SOLAR INC 1641 COMMERCE CORONA CA 92880 permits.seusa@gmail.c Total Paid for BLDG CITY STAFF - PER HOUR: $326.25 $326.25 BSAS SB1473 FEE STREET 1 0 $4.00 T$4.00' 12/10/15 R11411 20777 om OWNER JEANNE THERESE P 0 BOX 112 ZEPHYR COVE NV 92253 Printed: Friday, July 22, 2016 10:55:17 AM 2 of 4 C> SYSTEMS FINANCIAL INFORMATION CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY - BY HOURLY CHARGE - 101-0000-42600 1 $145.00 $145.00 3/4/16 R13543 21242 CHECK SMART ENERGY RSE BLDG CITY STAFF SOLAR INC HOURLY CHARGE - 101-0000-42600 0.5 $72.50 $72.50 6/2/16 R15938 22382 CHECK SMART ENERGY MFA BLDG CITY STAFF SOLAR INC HOURLY CHARGE - CITY 101-0000-42600 0.75 $108.75 $108.75 7/22/16 R17309 22699 CHECK SMART ENERGY MFA BUILDING STAFF SOLAR INC Total Paid for BLDG CITY STAFF - PER HOUR: $326.25 $326.25 BSAS SB1473 FEE 101-0000-20306 1 0 $4.00 T$4.00' 12/10/15 R11411 20777 CHECK SMART ENERGY SKH SOLAR INC Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $4.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 12/10/15 R11411 20777 CHECK SMART ENERGY SKH FIRST 20 SOLAR INC PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 12/10/15 R11411 20777 CHECK SMART ENERGY SKH FIRST 20 PC SOLAR INC Printed: Friday, July 22, 2016 10:55:17 AM 2 of 4 C> SYSTEMS Permit Details PERMIT NUMBER -r - - City of La Qu inta BSO 1.�201�5!0233�� Printed: Friday, July 22, 2016 10:55:17 AM 3 of 4 Rsrstrrts CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY PV SYSTEM - MISC 101-0000-42403 0 $48.34 $48.34 12/10/15 R11411 20777 CHECK SMART ENERGY SKH EQUIPMENT SOLAR INC PV SYSTEM - MISC 101-0000-426000 1 1 $48.34 $48.34 1 12/10/15 1 R11411 1 20777 CHECK 1 SMART ENERGY 1 SKH EQUIPMENT PC SOLAR INC Total Paid for ELECTRICAL: $145.02 $145.02 PERMIT ISSUANCEF101-0000-424041 0 $91.85 $91.85 12/10/15 R11411 20777 CHECK SMART ENERGY SKH SOLAR INC Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES, DATE DATE EQUIPMENT NOT OPEN FOR INSPECTION, SOLAR FINAL" AOR 4/19/2016 4/19/2016 NOT READY NO ACCESS TO ROOF, AND REQUIRED LABELING NOT IN PLACE, RECALL WHEN READY CORRECTIONS: -1/0 CONDUCTOR REQUIRED PER APPROVED PLAN FROM SERVICE TO SUBPANEL -IRREVERSIBLE SPLICING REQUIRED FROM SOLAR FINAL" AOR 6/15/2016 6/15/2016 DISAPPROVE COMBINED EQUIPMENT/ELECTRODE D CONDUCTORS PER 690.47(C)(3) -CONDUIT FILL DOES NOT MATCH APPROVED PLAN FROM ROOF TOP TO INVERTERS Printed: Friday, July 22, 2016 10:55:17 AM 3 of 4 Rsrstrrts NON-STRUCTURAL - LUIS URIBE 11/24/2015 12/3/2015 ' 12/4/2015 APPROVED 1 WK IST BLDG NS (1 WK) JAKE FUSON 2/18/2016 2/25/2016 3/1/2016 APPROVED REVISION 1 IST BLDG NS (1 WK) JAKE FUSON 5/27/2016 5/31/2016 5/31/2016 APPROVED REVISION 2 REVISED MAIN BREAKER SIZE. REVISION 3 - LAYOUT CHANGE AND CONDUIT 3RD BLDG NS (1 WK) JAKE FUSON 7/11/2016 7/18/2016 7/19/2016 APPROVED REVISION 3 QUANTITY REVISION. SEE REVISION 3 PLANS. BOND INFORMATION Attachment Type CREATED __. r. OWNER - ATTACHMENTS DESCRIPTION PATHNAME . , SUBDIR ET.RAKIT ENABLED BSOL2015-0233 - REVISION 1- 1ST REVISION 1- 1ST DOC 3/1/2016 JAKE FUSON SUBMITTAL SOLAR 1 SUBMITTAL SOLAR PLAN PLAN.pdf Printed: Friday, July 22, 2016 10:55:17 AM 4 of 4 . SYST[MS Uv t'`� t`6 N Bin # Qty 11 z of La Quin to Building &r Safety Division Permit # 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 ^3 3 Building Permit Application and Tracking Sheet Project Address: y� 75 A\1ev , Pdyy�(o ,rn Owner's Name: e(�StZ A. P. Number: Address: Lig-77!) \I - QW i Legal Description: City, ST, Zip:�j 2"LS3 Jt Contractor: v� S 1 0. : Address: I(A C 111my ?f— ST, Zip: Corov�c, �, 61ag ga tProject scription: A-aY1S InsS41 rpvise�iCity, eukt' c% 2 TelP e hone S fl'1 1 Ll State Lic. # : C11 OD Dial City Lie.:.# Arch., Engr., Designer: Address: City., ST, Zip: h Telephone: one: '. Occupancy: Construction s on TYP e-Oecuane State• Lic. # Project type (circle one): New* Add' n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. II.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"! Review, ready for eorrectionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees, Total Permit Fees