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10-0666 (SOL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-00000666 Property Address: 45540 DESERT FOX DR APN: 604-241-001-1 -23935 - Application description: SOLAR Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 3500 Applicant: T4ht 4 4 Q" Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT - 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 gio LicenseNo.: 910836 �— Date: � �`&ntractor: 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 Cade: 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 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 contractors) licensed pursuant to the Contractors' State License Law.). (_ 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: LQPER111IT Owner: CHUANG GEORGE/JOHNSON JEFF I&L Contractor:._ lu. RENOVA ENERGY CORP 75181 MEDITERRANEAIJ A PALM DESERT, CA 9211.1 (760)568-3413 Lid. No.: 910836 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/21/10 _ .__...�+�L. • 2.2 2010 LAOwruTicO WORKER'S COMPENSATION DECLARATION 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 NORGUARD INS Policy Number REWC017796 _ 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 I should become subject to the workers' compensation provisions of Section 700,uof the Labor Code, I shall forthw' rrpfPwMT 1 --provisions. Date: �stpplicant: ���� .• WARNI G: AILURE TO SECURE WORKERS' CATION 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 constructio u orae repre ntatives of this county to en er upon the above-mentioned property for i ton purposes,— Date: 2 Signature (Applicant or Agent): Application Number . . . . . 10-00000666 Permit . . . ELEC-MISCELLANEOUS Additional desc . Permit Fee . . . . 15.75 Plan Check Fee 3.94 Issue Date Valuation . . . . 0 Expiration Date 1/17/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20 ---------------------------------------------------------------------------- .75 Permit . . . SOLAR PERMIT Permit Fee 19.50 Plan Check Fee 4.88 Issue Date . . . . Valuation . . . . 3500 Expiration Date 1/17/11 t Qty Unit Charge *Per Extension BASE FEE 15.00 I c' _' 1:1.00 4.5000 EA SOLAR COLLECTOR < 1000 - 4.50 - -- -------"------------------------------------------=--------------------------- ': Special Notes and Comments SOLAR POOL WATER HEATING SYSTEM.- 360SF COLLECTOR, ELECTRICAL CONTROL AND PIPING TO EXISTING POOL PLUMBING. THIS PERMIT " DOES NOT INCLUDE ADDITIONAL OR ALTERATION TO EXISTING POOL PUMP. 2007 CALIFORNIA BUILDING CODES. July 20, 2010 5:04:39 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due --------------------------------------------=•------------ Permit Fee Total 35.25 .00 .00 35.25 Plan Check Total 8.82 .00 .00 8.82 - Other -Fee Total 1.00 .00 .00 1.00 Grand Total 45.07 .00 .00 45.07 LQPERDIIT Driveway vac- vUrn K61r'e� Val ve %- S� al i/ k Spa 0 Lo N X 0 0) C LL �U U E m p :3 z 0 d a a 0 "tJ Drawn By: M.D. Checked By: T.H. Date Drawn: 07/16/2010 Revision No. 0 Sheet No. �.1 a ru o (L) T >o 04 .irnM cD ."go w N ai `n >�0. c c�; E� a W— m ra C o E 0 Lo N X 0 0) C LL �U U E m p :3 z 0 d a a 0 "tJ Drawn By: M.D. Checked By: T.H. Date Drawn: 07/16/2010 Revision No. 0 Sheet No. �.1 Bin # City Of La Quinta .e� Building & Safety Division- , . 2- (;)L Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 10 • oblob Building Permit Application and Tracking Sheet Project Address; _ "(�' Owner's Name: �.�� e v / A. P. Number: Address: +S- Legal Description: City, ST, Zip: / --,. 22 Contractor: Q V1 v Telephone: >w�{ ' " ": �`a f�Ns, Address: rpQ Project Description: City, ST, Zip: � l P ��—S�S-3 MIKTelephone: N'`,,. :i«s SUNNI:y:.:4. ::=:7 State Lic. # : ' City Lie. #: Arch., Engr., Designer: Am.` 002 eAl L&14 S Address: - — — -City, ST; -Zip:-—_ Telephone: State Lic. #: Name of Contact Person: V ' .s i Y ��r/— C e i/l ta' Construction Type: Occupancy: Project type(circle one): New Add'n Alter Repair Demo Sq. Ft: #Stories: #Units: Telephone ,# of Contact Person: — Estimated Value of Project: (� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural CalcsReviewed, ready for corrections Plan Check Deposit Truss Cates. Called Contact Person Plan Check Balance Title 24 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°4 Review, ready for correctionsrssue Electrical Subcontactor List i Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: ''' Review, ready forcor�etlo, 1 Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees I Total Permit Fees ���� — POW U t%&* O staTb ern t Pg4o�t-r