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14-0581 (SOL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000581 - Property Address: 53345 AVENIDA NAVARRO - APN: 774-094-016-5 -000000- Application description: SOLAR Property Zoning: COVE RESIDENTIAL- ADDIiCation valuation: 14192 App7��/) 6 "4�� Architect or Engineer: - • !4 4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: SHAW DALE M 53345 AVENIDA NAVARRO LA QUINTA,' CA 92253 Contractor: RENOVA ENERGY CORP 75181 MEDITERRANEAN AVENUE PALM DESERT, CA 92211 (760)568-3413 Lic. No.: 910836 VOICE (760) 777-7012 FAX (760).777-701 f INSPECTIONS (760) 777-7153. Date: 5/19/14 ------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION - ----------------------------------------------— WORKER'S COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: 13 C10 C46 License No.: 910836 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is `/ J. Date: - 4 i `�. Contractor: -- 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier HDI-GERLING AMR Policy Number EWGCC000104313 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State _ and agree that, if -I should become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or. 3700 of the Labor Code, I shall forthwith comply withthose provisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 bye-/�/ any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: G �� Applicant:L l _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and - the structure isnot intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S. FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. " property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT 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 ISO 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, and hereby authorize representatives of this county to enter upon the above-mentioned pppe or irapection purposes.. • Date: Z ` ��"� Signature (Applicant or Agentl: Application Number . . . . 14-00000581 Permit . . . ELECTRICAL 2013 Additional desc . Permit. Fee . . . . 23.83 Plan Check Fee .00 Issue Date ... Valuation . . 0 Expiration Date 11/15/14 Qty Unit Charge Per Extension 1.00 23.8300 LS ELEC DEVICES, .FIRST 20 23.83 ------------------------------------------------------------------- Special Nates and Comments 6.8kW SOLAR ARRAY - (21) 327W SUNPOWER PANELS W/ (1) 6000US-12 SMA SUNNY BOY INVERTER [381SF] 2013,CALIFORNIA ELECTRICAL CODE. May 19, 2014 4:09:53 PM AORTEGA Other Fees . . . . . . . . . BLDG.STDS ADMIN (SB1473) 1.00 PLAN CHECK, ELECTRICAL 23.83 PERMIT ISSUANCE M/P/E 90.57 - Fee summary Charged Paid Credited Due Permit Fee Total 23.83 .00 .00 23.83 Plan Check Total .00 .00 .00 .00 Other -Fee Total 115.40 .00 .00 115.40 Grand Total 139.23 .00 .00 139.23 LQPERMIT - - /��Clt� Bin. . Cly}/ Of %a QUlilta �o�, �I � �� X04 Btdldtng 8t Safety Division�NI P.O. Box 1504,'78-49S Caffe Tampico La.Quinta, CA 92253 - (760j 777-7012 Building Permit Application and Tracking Sheet Permit N Project Address:53345 Avenida Navarro Owner's Name: pale Shaw A. P. Number. 774094016-2 Address: 53345 Avenida Navarro Legal Description: City, ST, zip: La Quirita, CA 92253• contractor. Reriova Energy Corp. Telephone: Project Description: Residential Roof mounted Sour kW DC Address: 75181 Mediterranean Ave City, sT, zip: Palm Desert, CA 92211 sty Telephone: 760-568-3413 �. %4.7 W' ^ City Ll' #:104947 cT,- tZ- State Lic. 4: 910836 Arch., Engr., Designer s Address: City., ST. Zip: Telephone: State Lic. #: Name of Contact Person: Lea Waki - 760-568-3413�;�; Construction Type:. Occupancy: Residential . Project type (circle one): New Add'n Alter Repair Demo #Unita: Telephone # of Contact Person: lea@rerfovasolar.com Estimated Value of Project: $14,352;00 APPLICANT: DO NOT WRITE BELOW THIS LINE U Submittal ReWd Recd TRACKING PERMTP FEE . Plan Sets Plan Check submitted 94Y Item Amount Strgdaral CaIcs Reviewed, ready for corrections Plan Check Ceposit. . Truss Cates. Called Contact Person Phu Check L2lance Title 24 Cates. Plans picked up Constructlom Flood plain plan Plans resubmitted.'. Mecharileal Grading plan 2' Review, ready for corrections/issue Electrical Subeontaetor list Called Contact Person Plumbing Grant Deed Plans picked up 3 M1 H.O.A. Approval Pians resubmitted Grading IN HOUSE:- '" Review; ready for eorreetionvissue Developer Impact Fee Planning Approval. I Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total P rmit Fees 5�lia `'1oL`� Se'*t O&V t"-- W;Ttt 1,kT% '5V&4fia. 0kC.a MGU4.#*