11-0090 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA .92253
Application Number:
Property Addressr
APN:
Application description:
Property Zoning:
Application valuation:
:Applicant:
i1-00000090
47795 DUNE PALMS RD
600-020-041- -
SOLAR
REGIONAL COMMERCIAL
19131
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.
Uoense'Class: B C10 C46 LicerseNo.: 910836
x Date: ZS Contractor:
O ERLATION
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„aker,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'sheJs;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 oroffered,forsale (Sec..7044, Business and Professions Code:The
Contractors' State License Law doesnot apply to an owner of property who builds orlrnprovescthereon,
and'who does the work himself or herself through his or her own employees, provided'4hat the
improvements are not intended or offeredfor 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.j.
(_ I 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 Ucense.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
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:
Owner:
COACHELLA VALLEY
45101 MONROE ST
INDIO, CA 92201
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
HOUSING COALI
1-G
Contractor:
RENOVA ENERGY CORP
75181 MEDITERRANEAN AVENUE,
PALM DESERT, CA 92211
(760)568-3413
Lic. No.: 910836
Date: 1/25/117
JAN 2 - 1011
WORKER'S COMPENSATION DECLARATION
Lhereby affirm under penatty of perjury one of the following'deelarations:
_ I have and will maintain a certificate of consent to seM-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 bySection 3700 of the Labor
Code, for the performance of the work for which this permitis'issuad. My workeW compensation
insurance carrier and policy number are:
Carrier NORGUARD INS Policy Number REWC128450
_ 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' compensatiomprovisions of Section
3700of the Labor Code, I shall forthwith,comply with those provisions.
kbate: __,I”
�Hoeft.
WARNING: FAILURE TO SECURE W KERS' 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 3708 OF THE LABOR CODE, INTEREST, AND.ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made-to,the Director of Building and Safety fora,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 pursuamto 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 Quints, its officers; agents and employees for any acuor omission related to the'work being
performed under or following issusnoe,of'this permit.
2. Any permit°issued as a result of this application becomes null-andrvoid'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 certifythat-1 have reed 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 too enter upon the above-mentioned property for inspection purposes.
ate:..../ _ nature (Applicant or Agent):
Application Number . . . . . 11-00000090
Permit . . . SOLAR, PERMIT
Additional desc . .
Permit Fee . . . . 19.50 Plan Check Fee
4.88
Issue Date Valuation.
19131
Expiration Date 7/24/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 4.5000 EA SOLAR COLLECTOR < 1000
4.50
Permit . . . 'ELEC-MISCELLANEOUS
Additional desc . . 1
Permit Fee . . 22.50 Plan Check.Fee
5.63
Issue Date '. Valuation
0
Expiration Date 7/24/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 7.5000 EA ELEC PWR APP'>1 TO <=10
7.50
Special'No_tes and Comments
3.24kW PV SYSTEM - (`12) 270W PANELS W/'
(1)SOLECTRIA PVI 3000 INVERTER (251SF]
2010 CALIFORNIA ELECTRICAL CODE.
(BUILDING: 3200 - CARPORT: 5)
January 25, 2011 10:27:39 AM AORTEGA
-----------------_-_--------------------------------------------------------
Other Fees . . . . . . . BLDG SIDS ADMIN (SB1473.)
- 1.0'0
Fee summary Charged Paid Credited
Due
------------------------------------.-------------------------
Permit Fee Total 42.00 .00 .00
42.00
Plan Check Total 10.51 .0:0 .00
.10.51.
Other Fee Total 1.00 .00 .00
1.00
Grand Total 53.51 .00 .00
53.51