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14-0773 (SOL)P.O.. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 14-00000773 - Owner: Property Address: 79250 TORONJA LONGENECKER STANLEY R APN: 772-340-024- - - 318 DOWNEY LN Application description: SOLAR PLACENTIA, CA 92870 Property Zoning: LOW DENSITY RESIDENTIAL (214) 412-3300. Application valuation:' 10000 - ` Contractor: Applicant: Architect or Engineer: MD ENERGY LLC 9291 9TH STREET - RANCHO CUCAMONGA, CA 91 (909)321-2000 Lic. No.: 674694 -----------------------,--------------------------- LICENSED C RACTOR'S DECLARATION , _ I hereby affirm under penalty of perjury that I am lic s under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a ionals Code, and my License is in full force and effect. License Class: /A B C10 ALice 674694 Dat`/X26 �Contractor�r _' v OWNER -BUILDER DECLARATION I hereby affirm under penalty of perju 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).: 1—) 1, 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, 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: , 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 Name: Lender's Address: - LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153, Date: 6/26/14 . --.-_tee• 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 g/ Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier STATE FUND Policy Number 906827013 _ 1 certify that, in the performance of the ork for which this permit is issued, I shall not employ any person in any manner so as to becom subject to the workers' compensation laws of California,, and agree that, if I should becomy su )ect to the workers' compensation provisions of Section / 3700 of the Labor Code, I shall o w' c ith those provisions. Date, tD Applicant:�J WARNING: FAILURE TO SECURE WO g RS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINft' 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 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, 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, oration of work for 180 days will subject permit to cancellation. certify that I have read this application and state that the above infgi.�,&ni n is correct. I agree to comply with all city and county ordinances and state laws relating to building cons u l hethorize representatives _ of,this �sccou nu y to enter upon the above-mentioned property foci ti urp e Date: ��Signature (Applicant or Agentl:, - �( Application Number . . 14-00000773 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 12/23/14 - -- Qty Unit Charge Per Extension 1.00 23..8300 LS ELEC DEVICES, FIRST 20 23:83 Special Notes and Comments 5.2kW SOLAR ARRAY - (20) 255W ORION PANELS W/ (1) 5,000W FRONIUS IG PLUS ADVANCED INVERTER [340SF]"2013 CALIFORNIA ELECTRICAL CODE. - June 24, 2014`3:39:02 --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 LQPERM►T - . Bin # Permit # Project Address:O City of La Quinta -Building a Safety Division P.O. Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Owner's Name: 0 A. P. Number: ©_ j Address: Legal Description: T- T_� ki0 , City, ST, Zip: 2 Contractor: Telephone: / Z - q Address: fa Project Descri tion: 2nov City, ST, Zip: 61Z j� Telephone State Lic. # : Arch., Engr., Designer: City Lie. #; Q �� Address: City, ST, Zip:. Telephone: :::«•<>;:>;<.:;::<;.::::' ::a g;:::; :. :i'`'r.:!i:ii.`ir4i: ii`•::i:`v�>i.: i:::..i�:i:'$i" z:u<:>:>';:>:<::.::»::::.<;:.,::>:.>;%> ................................................. Construction Type: Occupancy: State Lic. #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person2 �- � Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: — Estimated Value of Project:00(3 it Submittal APPLICANT: DO NOT WRITE BELOW THIS LINE Req'd Rec'd TRACKING PERMIT FEES. Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Caics. Called Contact Person Plan Check Balance Tidc 24 Caics. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2' Review, ready for corrections/issue Electrical Subcontactor List Called Contaet Pcrso1l Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted loGrading IN HOUSE:- WT 'rd Review, ready for corrections s Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees 11Ai�