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HomeMy WebLinkAboutSOLR20-0256CITY OF PALM DESERT Department of Building & Safety 73-510 Fred Waring Drive Palm Desert, CA 92260 TEL: 760-776-6420 EMAIL: building@cityofpalmdesert.org CONTRACTOR DECLARATION CONTRACTOR LIC#:_________________ PERMIT#:______ ______ 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. Worker’s Compensation Declaration: 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. I hereby affirm under the penalty of perjury ONE of the following declarations (SELECT ONE): OWNER BUILDER DECLARATION PERMIT#:___________________ ______ I have and will maintain a certificate of consent to self-insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit 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: ______ 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:________________ PRINT NAME:_______________________________ SIGNATURE:____________________________________ ______ I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 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 Contractors' 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 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 the property, 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 it was not built or improved 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 Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a licensed contractor pursuant to the Contractors' State License Law.) ______ I am exempt from Licensure under the Contractors' State License Law for the following reason: DATE:________________ PRINT NAME:_______________________________ SIGNATURE:____________________________________ 750184 07-07-2020 David Vitela 73-510 Fred Waring Drive, Palm Desert, CA 92260 • (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org Project Address: _______________________________________________________Suite #_____________________ Total Value of work: $_______________ Note: Plan Review Fees may be adjusted after Plan Review Project Description (be specific): Contractor Business Name Property Owner Name Address Address City Zip City Zip Phone Phone Fax Fax E-mail E-mail Contractor License No. Architect Name Designer Name Engineer Name Address Address City Zip City Zip Phone Phone Fax Fax E-mail E-mail License No. License No. PLEASE COMPLETE THE REVERSE SIDE Applicant Name Signature Date Contact Telephone Number E-Mail (For Office Use Only) JOB ID: __________________ PLANS FILED: ____________ City of Palm Desert Department of Building and Safety Building Permit Application ROOF MOUNT PV SYSTEM 15.12KW DC, 13.6KW AC 48 PANELS, 48 MICROINVERTERS, NEW 200A MAIN PANEL UPGRADE SUNRUN INSTALLATION SERVICES 1125 RESEARCH DR. STE. B REDLANDS 92374 909-609-1604 david.vitela@sunrun.com 750184 David Vitela 909-609-1604 david.vitela@sunrun.com 77697 ASHBERRY CT PALM DESERT, CA, 92211 77697 ASHBERRY CT PALM DESERT 92211 (760)285-1765 KURT SCHOPPE X HIROKI NAKAJIMA 1125 RESEARCH DR STE B REDLANDS 92374 415-580-6920 EXT 3 81,740 07-07-2020 Ü·¹·¬¿´´§ ­·¹²»¼ ¾§ Ó¿¬¬¸»© Éò Þ¿·´»§ ÐÛ Ü¿¬»æ îðîðòðéòðê ïéæðêæðï óðêùððù Ü·¹·¬¿´´§ ­·¹²»¼ ¾§ Ó¿¬¬¸»© Éò Þ¿·´»§ ÐÛ Ü¿¬»æ îðîðòðéòðê ïéæðëæëî óðêùððù UR-40 RAIL | UR-60 RAIL FOR USE WITH SNAPNRACK ULTRA SERIES RAILS S TILE REPLACEMENT FLAT TILE REPLACEMENT W TILE REPLACEMENT TILE REPLACEMENT WITH FLEXIBLE FLASHING PENETRATION DETAIL AA DESCRIPTION:DRAWING NUMBER:SCALE:DESIGNER: APPROVED BY: REVISION: Sunrun South LLC 595 MARKET STREET, 29TH FLOOR Ɣ SAN FRANCISCO, CA 94105 USA PHONE (415) 580-6900 Ɣ FAX (415) 580-6902 THE INFORMATION IN THIS DRAWING IS CONFIDENTIAL AND PROPRIETARY. ANY REPRODUCTION, DISCLOSURE, OR USE THEREOF IS PROHIBITED WITHOUT THE WRITTEN CONSENT OF SUNRUN SOUTH LLC. ULTRA RAIL, ATTACHMENT DETAIL, TILE REPLACEMENT TO RAFTERSNR-DC-00341 1 5/7/2019 NEW DETAIL REV: 1DATE: DNS 5/7/2019 DRAFTER:M.AFFENTRANGER B.PETERSON D.RYAN Solar Mounting Solutions MJA BIN: 4SNAPNRACK TILE REPLACEMENT FOR MOUNT ON TILE ROOFS REFER TO SNAPNRACK ENGINEERING CHARTS FOR APPLICABLE RAIL SPANS. "BIN" NUMBER ON CHART SHOULD MATCH "BIN" NUMBER ON THIS DRAWING 5 16 "‘ S.S. LAG SCREW MUST EMBED A MIN. OF 21 2 " INTO STRUCTURAL MEMBER REFER TO SNAPNRACK INSTALLATION MANUAL FOR 5 16 "‘ HARDWARE TORQUE SPECIFICATIONS RAIL CAN BE MOUNTED ON EITHER SIDE OF THE L-FOOT FOR LEVELING DETAILS, REFER TO SNAPNRACK DETAIL DRAWING "SNR-DC-00332 ULTRA RAIL, COMPONENT DETAIL, LEVELING EXTENSION KIT" 15 8 " 11 2 " 11 2 " 21 4 " SNAPNRACK TILE REPLACEMENT, VARIES WITH TILE PROFILE 5 16 "P-18 S.S. THREADED STUD APPLY SEALANT AROUND BOTH HOLES BETWEEN ROOF AND BASE SNAPNRACK ULTRA RAIL 5 16 "P X 31 2 " S.S. LAG SCREW AND S.S. WASHER, TYP. 5 16 "P-18 X 1" S.S. FLANGE BOLT PILOT HOLES, 3 16 "P MAX 11 4 "P ALUMINUM STANDOFF, LENGTH VARIES WITH TILE PROFILE SNAPNRACK 6" TRAVEL TILE BASE APPLY FLEXIBLE FLASHING AS SPECIFIED SNAPNRACK ULTRA RAIL UMBRELLA L FOOT 45 16 " FLASHING HEIGHT OFF DECK: , S TILE PROFILE 31 8", W TILE PROFILE 23 4 ", FLAT TILE PROFILE PLYWOOD DECKING AND UNDERLAYMENT, TYP. STRUCUTRAL MEMBER, WOOD RAFTER, TYP. FLEXIBLE FLASHINGS COVER UP-SLOPE LAG, TYP. MODULE HEIGHT OFF FLASHING, RANGE: UR-40: 33 8" - 43 8 " UR-60: 4" - 5" 21 2 " MIN. EMBEDMENT INTO WOOD MEMBER. 348/366 R E E N I IGER LARUTCURTS AINROFILACFOETAT S G N E LANOISSEFORPDERETSE H C A Z HTENEKL N AP Exp. 3-31-21 No. S3878 R U 6/25/2020 [CA 02 5-3-2019] PK39KNFCVFCA Page 1 of 20 Costco Wholesale Corporation/999 Lake Drive, Issaquah, WA 98027/Phone: 1-877-483-6226 California Contractor's License No. 858087 (Class B General Contractor) The above address is to be used if submitting a “Notice of Cancellation” HOME IMPROVEMENT SALES CONTRACT (California) Print Customer(s) Name: Kurt Schoppe Date: \d1\ Address of Property: 77697 Ashberry Ct, Palm Desert, CA 92211 Year Home Built:\txthm\ Phone: Home \ph1\Work or Cell \txtph\Email: \em1\ SOLAR ENERGY SYSTEM DISCLOSURE DOCUMENT This disclosure shall be printed on the front page or cover page of every solar energy contract for the installation of a solar energy system on a residential building. The TOTAL COST for the solar energy system (including financing and energy / power cost if applicable) is: $81,742.40 To make a complaint against a contractor who installs this system and/or the home improvement salesperson who sold this system, contact the Contractors State License Board (CSLB) through their website at www.cslb.ca.gov (search: “complaint form”), by telephone at 800321CSLB (2752), or by writing to P.O. Box 26000, Sacramento, CA 95826. If the attached contract was not negotiated at the contractor's place of business, you have a ThreeDay Right to Cancel the contract, pursuant to Business and Professions Code (BPC)section 7159, as noted below. For further details on canceling the contract, see the Notice of Cancellation, which must be included in your contract. Three-Day Right to Cancel You, the buyer, have the right to cancel this contract within three business days. You may cancel by emailing, mailing, faxing, or delivering a written notice to the contractor at the contractor's place of business by midnight of the third business day after you received a signed and dated copy of the contract that includes this notice. Include your name, your address, and the date you received the signed copy of the contract and this notice. By signing below, you hereby acknowledge that you have read and understand these documents, including the terms and conditions on pages 2-5 of this Contract, and have received a completed, signed and dated copy of this Contract. You also acknowledge that you were verbally informed of your right to cancel this Contract. Signature of Member(s):\s1\/ \s2\Date:\d1\ \n2\ Signature of Dealer's Representative:\r1\Date: \txtr5\ Print Name of Dealer's Representative: \r2\ Dealer Company Name: Sunrun Installation Services Inc.\ Dealer Company Address and Phone Number: 225 Bush Street, Suite 1400, San Francisco, CA 94104 Dealer Company Contractor License No.: CSLB No. 750184 Print Name and Registration No. of Home Improvement Salesperson:\r4\ \r3\ DocuSign Envelope ID: 59A250E6-1CEF-4283-8B3A-42028435441F 6/24/2020 7605334185 6/24/2020 (760) 285-1765 kurt.schoppe@icloud.com 01/01/1998 Christopher Samarin 105556 6/25/2020 6/25/2020 [CA 02 5-3-2019] PK39KNFCVFCA Page 11 of 20 INTERNET CONNECTION. You agree to provide the System with continuous access to a functioning broadband internet connection with one (1) wired Ethernet port and standard electrical outlet, at your cost. You understand that the Monitor may use your internet connection and that prolonged periods without working internet connections may alter the manufacturer's warranty for your battery. Please consult your manufacturers' warranties and user's manual for details. Signature of Member(s):\s1\ /\s2\Date:\d1\ \n2\ Signature of Dealer's Representative:\os\Date:\od\ DocuSign Envelope ID: 59A250E6-1CEF-4283-8B3A-42028435441F 6/24/2020 6/25/2020 My Custom S olar Desig n Prepared by Christopher Samarin, 06/24/2020 \s 1\ Customer S ignature \d1\ D ate My Information Kurt S choppe 77697 Ashberry Ct Palm D esert, CA 92211 System Annua l Usa ge 22,807 kWh Estimated System Size 15.12 kWp Estimated Energy Offse t 102% Modules (48) LONGi Green Energy Technology Co Ltd, L R6- 60HPH-315M Inverters 48 x Enphase Energy IQ 7-60-x-US Approval I have reviewed My Custom Solar D esign and approve of the placement of solar panels identified above. I understand that the actual number of panels and their precis e placement may vary based on engineering, installation, and s olar energy production considerations, including roof type, shade, and other factors. DocuSign Envelope ID: 59A250E6-1CEF-4283-8B3A-42028435441F 6/24/2020