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Home My WebLink About103 EARTHWOOD_EPM-0484-2022Blildlng & Safety OiYialon • 919 Palm Street• San Luis Obispo, CA 9:W01-3218 BUILDING PERMIT Photovoltaic -Single Family EPM-0484-2022 Issuance Date: 2/26/2022 Project Address: 103 Earthwood Ln Assessor's Parcel Number: 053-259-014 Unit or Sulte(s): Square Footage: 0.00 Project Description: I/l'ISTALL ROOF MOUNTED PY SYSTEM· 4 55KW l13 Legal Description: Contractor: Owner: Fire Sprinklers: Census: Occupancy: Group Manual FNName PANELS}· LOT l' STOCK PLAN 1-CLUSJER · SunPower Corporation Systems Monique Oloreslslmo Business: (510) 439-4691 License Type: callfornia State Contractor License License Number: 890895 Classification: B -General Building Contractor License Type: California State Contractor License License Number: 890895 Classification : C10 -Electrical Contractor WCP Developers LLC Business: (559) 432-8181 License Type: callfomia State Contractor License License Number: 1035148 Classification: B -General Building Contractor License Type: Worker's Compensation License Number: WCWC214711 Stories ~ Code Year: 2019 Dwelling Units: Valuation T~ SQ. Ft Factor Valuation $13,000.00 Fees FHAmount Data Motel Rooms: Construction Type: Payments Rac:elpt I Amount Residential Photovoltaic System $179.06 2128122 34,411-02-28-2022 Total Paid: S179.06 Total FNa: $179.0I $179.0I Plan Check Account Payment by Contact _c_on_tact __ N_a_m_e ____ k_c_o_u_nt_N_a_m_e ______________ Statu• Total Credits Total Debits kcount Balance Total kcount Balance: Balance Due: $0.00 ·-~---Legal Declarations 12 IDENTIFY WHO WI.L PERFORM THE WORK 2a -CALIFORN IA LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjll)' that I am licensed under provisions of Chapter 9 commencing with Section 7000 ol Division 3 of the Business and Professions Code , and my license ls In full force and effect. f:3 IDENTIFY WORKERS' COMPENSTATION COVERAGE AND LENDING AGENCY WARNING: Failure to secure wor1un' compensation coverage Is unlawful, and shan subject an employer to criminal penalties and civil fines up to $100 ,000, In addition to the cost of compensation, damages as provided for in section 3706 of the labor code, interest, and attorney's fees. I have and will maintain wor1(ers ' compensation insurance, as required by Section 3700 of the Labor Code, for the perfcnnance of the work for which this permit Is issued. 14 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify each of the following : I am a CA Licensed Contractor. ~-ORES ISi MO Signature of Contractor, Authorized Agent or Owner March 031 2022 Date PVA-1 / O 3 .f1!r-th J.,OOOd... ~ oramance or s1a1e ,aw Folder/ Tab/ Section -Title Crisp Imaging-Minimal Information Index Shet • Building & Safety Division Construction Permit Application Community Development 919 Patm Street, San Luis Obispo, CA 93401-3218 #1 IDENTIFY YOUR BUil.DiNG PROJECT Property Address: 103 EARTHWOOD LANE , SAN LUIS OBISPO , CA 93401 Property Owner: WCP DEVELOPERS , LLC (WATHEN-CASTANOS) Owner's Mailing Address: 2505 ALLUVIAL AVENUE , CLOVIS , CA 93611 T 805 .781.7180 F 805.781 .7182 Auessor's Parcel# __ -__ -__ Phone: 805 723 4479 IZ]ucensed Design Professional In Responsible Charge or □Non-Licensed Designer (when allowed by statutes): Name: SUNPOWER CORPORATION SYSTEMS License No. 890895 ------- Address : 1414 HARBOUR WAY SOUTH , RICHMOND, CA 94804 Phone: 510 439 4691 Description of work: IN STALLATION OF ROOF MOUNTED PV SYSTEM -4.ss KW (13 PANELS )-LOT 01 -REFER T~l~~'"-... o ____ m_g_U_n_i-ts-:==== Occupancy Group: __________ Const Type ___ Fire Sprinklers __ Project Value$ _1_3o_o_o ___ _ Floor Area (Sq . Ft): Living _______ Garage ______ Deck _____ Other _______ _ Permit Types Required: IZ]Building □Mechanical □Electrical □Plumbing []Grading-C.Y __ □Demolition Select Plan Check Consultant: Dccc [}NILLDAN □BUREAU VERITAS fi. IDENTIFY WHO WILL PERFORM THE WORK (Select and Complete e1111er2a or 2b) lt.J 2a -CALIFORNIA l,ICEN§EQ CQ~JBACIOR'§ DECLARATION I hereby affirm under ~natty 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. contractor Name: SUNPOVVER CORPORATION SYSTEMS License Class B, C10 License No. 890895 n 2b -(fflNEP .,,. AID PIA NTIQN I hereby affirm under penalty of perjury that I am exempt from the Contractors··""'se-,,tat-e"""Lice.,..._ -ns-e""'L_a_w-:i,-or- ilie 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 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 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 from licensure and the basis for the alleged exemption. An,Y...¥iolation of Section 7031.5 by any applicant for a permit subjects the applicant to a ci vi l penalty o f not more than fi~hundred dollars ($500).): LJI, as owner of the property, or my employees with wages as their sole compensation, will do Dall of orLJportlons of the work, and the structure is not intended or offered for sale. (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, 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 u as not built or improved for the purpose of sale) LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 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 licensed Contractor pursu ant to the Contractors' State License Law). DI am exempt from llcensure under the Contractors' State License Law for t he following reason:. _____________ _ By my signature below I acknowledge that, except for my personal res idence In which I must have r esided for at least one year pri or to completion of the Improvements covered by this permit, I cannot legally sell a structure that I have built as an owner-builder if it has not bee n constructed in its entirety by licensed contractors. I understand that a copy of the appli cable law is avail able upon request or at http://WwwJegjnfp ,ca,~/calaw.html. #3 IDENTIFY WORKERS ' COMPENSTATION COVERAGE AND LENDING AGENCY (Complete 3a and 3b) WARNING: Failure to secure workers' compensation coverage Is unlawful, and shall subjf>':.1 an employer to criminal penalties and civil fines up to $100,000, in addition to the cost of compensation, damages as provided for in section 37V6 of the labor code, Interest, and attorney's fees. --WORKERS' COllflmJIAN·DfP WTION I hereby affirm under pena lty of perjury one of the following declarations: U1 have and wlll maintain a certificate of consent to self-Insure for workers' compensation, Issued by the Director of Industrial Relations ~ vided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued . Policy No. B C1 O I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for ch this permit is issued. My workers' compensation insurance carrier and poli cy number are: • Carrier HARTFORD FIRE Policy No 57VWWQ0015 Expiration Date 04/01/2022 Phone 4 08 564 4016 DI certify that, In the perfonnance of the work for which this pennlt Is Issued, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of Callfomla, and agree that, if I should become subject to the workers' compensation provi sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions . 3b -CONSTRUCTION L-INQINQ tef SY QIGURAJION I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for whi ch this permit is issued (Section 3097, Civil Code) as follows : Lender's Name and Address. ____________________________________ _ 14 DECLARATION BY CONSTRUCTION PERMIT APPLICANT By my signature below, I certify each of the following : I amlZ]a California licensed contractor or0the property owner"' orOauthorlzed to act on the property owner's behalf"*. I have read this permit application and the information I have provided is correct. I agree to comply with applicable city and county ordinances and state laws relating to building construction . I authorize,r!Wresentatives of this city o~unty to enter the above-identified property for inspection purposes. This pennlt Is to be Issued in the name of the ILi Licensed Contractor orLJthe Property Owner as the pennlt holder of record who will be responsible and Hable for the construction. Print Name MONIQUE OLORESISIMO * requires separate verification form **requires separate authorization fomr APPLICATION # Revised 2014 l