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09-1275 (SOL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 09-00001275 ) Property Address: 44775 VIA ALONDRA APN: 604-032-999-66 -305212- Application description: SOLAR Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 25000 Tiht 4 4 Q" Applicant: Architect or Engineer: --- - - -- —LICENSED CONTRAHTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury that 1 am licens der provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business a�fg Code, and my License is in full force and effect. License Clas C20 C12cense No.: 777413 Date: Contractor: ` 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 ISec. 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 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.). 1 _ 1 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 Owner: TURNER PAM 44775 VIA ALONDRA LA QUINTA, CA 92253 (760)413-6699 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 DO Date: 1/06/10 JAiN 0 C 2� CITY OF LA QUINTA FINN I:,F DE PT. Contractor: SALVESON, KENT E. 28391 AVENIDA LA MANCHA SAN JUAN CAPISTRANO, CA 92675 (949)291-7393 Lic. No.: 777413 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 EXEMPT Policy Number EXEMPT I certify that, in the performance of thew rk for which this permit is issued, I shall not employ any person in any manner so as to be a subject to the workers' compensation laws of California, and agree that, if I should beco ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I s rthwith comply with those provisions. Date: Applicant: WAR INE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). 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 Quint_ a, 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 vo' if work is not commenced within 180 days from date of issuance of such permit, or cessat' of work for 780 days will subject permit to cancellation. I certify that I have read this application and state that the above inform is correct. I agree to comply with all city and county ordinances and state laws relating to building const ,and hereby authorize representatives of this county to enter upon the above-mentioned property for i s n purposes. Date: Signature (Applicant or Agent): LQPERMIT Application Number 09-00001275 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee. 18.00 Plan Check Fee 4.50 Issue Date . . . . Valuation . . . . 0 Expiration•Date 7/05/10 - Qty Unit Charge Per Extension BASE FEE 15.00 1.00 3.0000 EA ELEC PWR APP <=1 ---------------------------------------------------------------------------- 3.00 Permit . . . SOLAR PERMIT Additional desc -. Permit Fee 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 25000 Expiration Date 7/05/10 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 ---------------------------------------------------------------------------- Special Notes and Comments 5.5kW SOLAR ARRAY - (24) 230 WATT PANELS W/ (1) 6000W INVERTER [417SF] 2007 - CALIFORNIA ELECTRICAL CODE. January 6, 2010 12:44:34 PM.AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00. Fee summary Charged Paid Credited --------- ------------------------------ Due --------------------------- PermitFee Total 40.50 .00 .00 Permit-Fee 40.50 Plan Check Total 10.13 .00 .00 10.13 Other Fee Total 1.00 .00 .00 1.00 Grand Total 51.63 .00 .00 51.63 LQPERMIT Bin # aP City of La Quinta Building & Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quints CA 92253 - (760) 777-7012 Building Permit APP11cation and Tracking Sheet Project Address:-1�/ ' D Owner's Name: 011A A. P. Number. Address: ' 3 1ii,`9 , % L o ilJ Oft i9 Legal Description: City, ST, Zip: v N i/91 ZZ S Contractor: `% Telephone:7,& 9 Address: Project Description: City, ST, Zip: A,r/ ✓�/9 -t/ C So 4 /Z— Telephone: 9 q State Lic. # : /3 City Lic. #; Arch., Engr., Designer. Address: S' /" City, ST, Zip: t/� of SaR- I Telephone: `„•� Construction Type: Occupancy: State Lic. #: G f rn>�. • Project type (circle one): NewCA FR n Alter Repair Demo Name of Contact Person: `� ' G✓ Sq. Ft.: # Stori Telephone # of Contact Person: y 2 % Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE 4 Submittal Reald Recd TRACT UNG Plan Sets PERMIT FEES Pian Structural Cafes. em Amount Reviefor corrections Truss Cates. Plan Check Deposit 54emitted CalledersonPlan Check BalanceTitle 24 Cafes.Plans Flood plain plan Construction Plans d Grading plan t A Mechanical 2•! Review, ready for corrections/issue �p �p Electrical Subcontactor List Called Contact Person Grant Deed Plumbing Plans picked up H.O.A. Approval S.M.L Plans resubmitted IN HOUSE: Grading Review, ready for corrections/issue Planning Approval Developer Impact Fee Called Contact Person I.P.P. Pub. Wks. App r Date of permit issue School Fees I?.�,�`�o�j • its RFc. r .�� t `b 114%0 - -cb tO WroA fe+ v4at2 �- os. No. ems] Total Permit Fees