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14-0404 (SOL)I P.O. BOX 1504 4 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING R. SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/30/14 Application Number: 1.4-00000404 Owner: Property Address: 79835 HORSESHOE RD LYLE JAMES BRUCE APN: 649-062-002-35 -2180 - 79835 HORSESHOE RD Application description: SOLAR LA QUINTA, CA 92253 Property Zoning: LOW DENSITY RESIDENTIAL )Inl A p�l A lication valuation: 22498 4r-1 i Contractor: Applicant: Architect or Engineer: RENOVA ENERGY CORP 75181 MEDITERRANEAN AVENUE PALM DESERT, CA 92211 n� r , f .irt"Te4 (760)568-3413 :_ Lic. No.: 910836 LICENSED CONTRACTOR'S DECLARATION 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: B C10 C46 ll License -No.: 910836 Da�9f / �`I O L•t- Contrac� 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 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 _ 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: IS LQPERAIIT 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. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor V Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier HDI-GERLING AMR Policy Number EWGCC000104313 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 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I s II fort ith comply with those provisions. Date: Applicant 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 ($100,000). 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, or cessation of work for 180 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 property ins ection purpos ! Date, it Q « Signature (Applicant or Agent ;fir Application Number . . . . . 14-00000404 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee . . . 23.83 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/27/14 Qty Unit Charge Per Extension 1.00. 23.8300 LS ELEC DEVICES, FIRST 20 23.83 ---------------------------------------------------------------------------- Special Notes and Comments 10.4kW SOLAR ARRAY - (32) 327W SUNPOWER PANELS W/ (1) 10,000W FRONIUS IG PLUS INVERTER [576SF] 2013 CALIFORNIA ELECTRICAL CODE. April 28, 2014 12:26:10 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 �fi I'7I"W l�'^ ✓VM/�Y � W��I{M`Mq(i ��1+� ) !tel t•1/��w!�.Ci� Y!'`'� To ISSr,.c W .40�Itd te�riZ uPoit�te' l Bin.# :. Cit of La Quinta Bollding 8r Safety Division P.O. Box 1504,78-495 Calle Tampico La.Qutnta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # ' ProjectAddress:79835 Horseshoe Rd Ownet'sName:Jinn Lyle A. P. Number. 600051001-5 Address: 79835 Horseshoe Rd Legal Description: City, sT, zip: La Quin'ta, CA 92253 Contractor: Rehova Energy Corp. Y �gs� . Telephone:rG°3 $ s Address: 75181 Mediterranean Ave Project Description: Residential Roof Mounted Solar PV kW DC City, ST, zip: Palm Desert, CA 92211 lo.4 1w y,(st z, W soatbl��o- Telephone:760-568-3413 „t :'': V 1 rmuglus. It. fLo$ t • =+i*ttM State Lic. 4:910836. Ciry Lie'. 104947. ch., Engr., Designer.dress: F y., ST, Zip: Telephone: Y1 `Construction State Lie. #: fi w :A •;iii;�'�; Name of Contact Person: Lea Waki - 760-568-3413. Type: . occupancy: : Residential . Project type (circle one): New Add'n Alter Repair Demo Sq.*Ft: #Stories: #Units: Telephone # of contact Person: lea@rerrOVaS01ar.COm Estimated Value of Project $22,498M APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRAC1(3NG PERMIT FEES Plan Sets Plan Check submitted Item Amount Stmetural Cales. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance l Title 24 Calcs. Plans picked up A Construction Flood plain plan Plans resubmitted Mecharitcal Goading plan 2a6 Review, ready for correctio fissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review; ready for correctionsAssue Developer Impact Fee Planning Approval Called Contact Person d.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees or A --- �fi I'7I"W l�'^ ✓VM/�Y � W��I{M`Mq(i ��1+� ) !tel t•1/��w!�.Ci� Y!'`'� To ISSr,.c W .40�Itd te�riZ uPoit�te' l