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11-1081 (SOL),.--I.r P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 11-00001081 Property Address: 54745 RIVIERA APN: 775 -031 -008 - Application description: SOLAR Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Ta�/ 4 4 Q" Applicant: Architect or Engineer: �� 1'l1�/lCta9�• �A LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING 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 Professionals Code, and my License is in full force and effect. License Class: C46 II License No.: 904190 x Date: to( I 3/)01tontractor: V l ri car �n L If 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.). 1 _ 1 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/12/11 Owner: JENSEN DENNIS J & ROYA 54745 RIVIERA LA QUINTA, CA 92253 Contractor: SUNVALLEY SOLAR u 398 LEMON CREEK VE #A WALNUT, CA 9178, iI �; 2011 { (909)598-0618 a Lic. No.: 9041900 041 t0 Gp�_ , . r _ fUINiA _ 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 TOWER SELECT Policy Number WC416715218 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 com ly ith those provisions. C Date10 ' ' I Applicant: ia I I �� I /� . 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 ($100,0001. 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 Director of Building and Safety 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, indemnity 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 1.80 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, an hereby authorize representatives uo_f this county to enter upon the above-mentioned property f r in action pur oses. KDate: Signature (Applicant or Agent): Application Number . . . . 11-00001081 Permit . . . SOLAR PERMIT Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 15000 Expiration Date 4/09/12 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 4.5000 EA SOLAR COLLECTOR < 1000 4.50 1.00 3.0000 EA SOLAR EQUIP MISCELLANEOUS ---------------------------------------------------------------------------- 3.00 Permit . . . ELEC-MISCELLANEOUS' Additional desc .. Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 4/09/12 Qty Unit Charge Per Extension BASE FEE 15..00 1.00 7.5000 EA ELEC PWR APP >1 TO <=10 : 7.50 ----------------------------------------- Notes and Comments 5.4kW SOLAR ARRAY - (24) 224W SHARP PANELS W/ (1) 5200W PVPOWERED INVERTER (520SF] 2010 CALIFORNIA ELECTRICAL CODE. October 12, 2011.2:18:52 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited -------------------- Due ------------------------------------- Permit Fee Total 45.00 .00 .00 45.00 Plan Check Total 11.26 .00 .00 11.26 Other Fee Total 1.00 .00 .00 1.00 Grand Total 57.26 .00. .00 57.26 LQPERMIT Bin # City of La Quin -ta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' `o Project Address: v' &fZA Owner's Name: O A. P. Number: t) U Address: Legal Description: City, ST, Zip: R 1 r Z� Contractor:„<.:s.>::?;::<,;#:•. �, Telephone: Address:G � Project Description: O O City, ST, Zip: Al, 001. 6A f Telephone: p � .: :.:.>:.:>>}».>.>. �::<z^[�:`>Y::'.:::>•::,:..:. State Lic. # : (� t7 O City Lic. #; Arch., Engr., Designer: Address: City, ST, Zip: Telephone: 4i:4,:v%iviiiiiiiii:::: %:jiu'.f•«4$:k'}:i.}' ” "" "'''" `'" ::4,°» s.:'s <:s:< Construction Type: Occupancy: State Lic. #: Pro'ect type circle one): New dd'n Alter Repair Demo Name of Contact Person: I Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 6 Estimated Value of Project: Cay-7) APPLICANT: DO NOT WRITE BELOW THIS LINE ' # Submittal Req'd Rec'd TRACKING PERMIT FEES Plan Sets Plan Check submitted V Item Amount Structural Caics. Reviewed, ready for corrections Plan Check Deposit -� Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked upConstruction Flood plain plan Plans resubmitted Mechanical Grading plan Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading �. IN HOUSE:- ''" Review, ready for correctionstiissue Developer Impact Fee 1 PlanningApproval PP Called Contact Person A.I.P.Y. Pub. Wks. Appr Date of permit issue I School Fees Total Permit Fees '.i� • �� 101t?.1301t — SIKAI%, 0010 PkIA-6 S1