08-0200 (SOL)s. P.O. BOX 1504. VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011 "
LA QUINTA, .CALIFORNIA 92253 _ µ BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
x BUILDING PERMIT
Date: 1/28/08
Application Number: 08=00000200 Owner:.
Property Address:- 44185 SWEETBUSH LN LESLIE GERMANO
APN: 604-081-028-120 -22982 - 44-185 SWEET BUSH LN
Application description: SOLAR LA QUINTA; CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 39000 `
Contractor:
Applicant: Architect or Engineer: GENSELF CORPORATION _ JAN 2008.
" - 43 CORPORATE PARK STE`202
IRVINE', CA 92606
. (949)417-0750. CITY OFLAQUINFA
Lic. No.: 829374 PINANCEDEPT,
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LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury Lone of the following declarations: ,
Section 7000) of Division 3 of the Business a Professionals ode, 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 ss: 10 Li : 8.29374 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
te: tractor: % I have and will maintain workers" compensation insurance, as required by Section 3700 of the Labor
1 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:
Ihereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FUND INS - Policy Number 1845134
y 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 tot a wort ers' compensation provisions of Section
u - -License Law (Chapter 9.(commencin9 with Section 7000) of Division 3 of the Business and Professions Code) or - 3 00 of the Labor C de, hall rtliwith cotr�ly '( those provisions. 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 penally of not more than five hundred dollars (5500).: ate:/ 9p¢�cant: "�: .
1 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 offeied 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, providedthat the - DOLLARS ($100,0000' 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 ovshe did not build or
improve for the purpose of sale.).' "-i , , ' APPLICANT ACKNOWLEDGEMENT
(. ) I, 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 Cade: 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
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. -
Date: Owner: • - "' 21 Any permit issued as a result of this application becomes null and void if,work is not commenced
' - - within 780 days from date of issuance of such permit, or cessation of work for 780 days will subject -
- -CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there,is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued ISec. 3097, Civ. C:1: . _ u • • - , ..city and _county ordinances and state laws relating to building construction, and hereby authorize representatives
Lender's Name:
f thismy tonter upon the e•m
o abov entioned prope for pecti purposes.
Lender's Address:-
_
1h//1 • - ate Si twe (Applicant or Agent): - r-
_/ .
LQPERMIT - - - - -
;.'Application,Number08=00000200
,..• -Permit SOLAR PERMIT
Additional desc .
Permit .Fee: y 190.50 Plan. Check
Fee
47.63
Issue`•..Date. r° . .. Valuation
" ..
39000-
Expiration Date 7/26/08
Qty Unit Charge Per
Extension
BASE FEE
15.00.
..•39'.00 4.50.00 EA SOLAR COLLECTOR < 1000
- 175:50
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Special Notes and Comments
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-8.OKW7DC/7.1KW-AC SOLAR SYSTEM. 2007
CALIFORNIA ELECTRICAL CODE.
January . 2 8,.- 2 0 0 8; . 4.:_11: 4 8. PM_,AORTEGA
..Fee summary'. Charged Paid-- Credited
Due
--<----------------
------.----
Permit Fee Total. 190.'50 .00
.00
190.-50-
Plan Check Total.47.63 00
00
47.63 '
Grand Total 238.13. .00_
00
238.13 1
LQPERMIT
Bin #
City of La Quinta.
Building & Safety Division
Permit.#
P.O. Box 1504, 78-4.95 Calle Tampico
Quinta, CA 92253
4 - (760) 777-7012
r`
. Building Permit Application and Tracking Sheet;
Project Address:
Owner's Name:.
A: P. Number:14
/
Address:'
Legal Description:
City, ST, Zip:
L n
Contractor:
—
Telephone:-76 ),
Address:
Project Description:
City, ST, Zip: �
j. U
Telephone:
State Lic. # :
,
City Lic#:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:Construction
Type:. Occupancy:
State Lie. #: -
Project type (circle'one): New Add'n. Alter Repair Demo.
Name of Contact Person:
Sq. Ft :
#Stories:.
#Units:
Telephone # of Contact Person: it,'
Estimated Value of Project:
3.S- G% �': APP' ICAN AOT .WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING.'
''PERMTr FEES
Plan Sets
Plan Check submitted .
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plari Check Deposit
Truss Calcs.
Called Contact-Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading.plan
2" Review, ready for correctionsrssue
I'
Electrical
Subcontactor List
r
:Called Contact Person
Plumbing
-
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval •
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for correctionsrssue _
Developer Impact Fee
,
Planning Approval
• Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue - -
is
-
School Fees
5:
Total Permit Fees