11-0093 (SOL)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777=7011
INSPECTIONS (760) 777-7153
Date: 1/25/11
Application Number 11-00000093 Owner:,
Property Ad_ dress: 47795 DUNE PALMS RD COACHELLA. VALLEY HOUSING COALI
APN: 600-020_-041 - - 45701 MONROE ST 1-G
Application description: SOLAR INDIO, CA 92201 ::�
Property Zoning: REGIONAL COMMERCIAL w 'l
Application valuation: 593088 j- ;
Applicant: Architect or Engineer:,
LICENSED CONTRACTOR'S' DECLARATION
I: hereby affirm under penalty of perjury, that 1 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 end effect.
.Licens_e Class: B C10 C46 License_No.: 910836.
IL Date: Contractor:
OWNEWBUI LARA71ON
I hereby affirm underpanalty of perjury. that I am exempt'from t - Contractor's State License Law for"the
following reason (Sec. 7031.5, Business end Professions Code. Any c4V,or county that requires a permit to
construct, alter, improve,- demolish; or repair anystructure, prior to its issuance, also requires the applicant for the
pennitto file a signed:statement-ihat.he orshe '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
anyapplieent fore permit subjects theapplicant 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'Profess)ons Code: The:
Contrectors''State License Law does not apply wan owner of,property'Who builds or improves thereon,
and who does the work himseff or Herself through his:or her own employees, providedahat the
improvements are not intended or offered forsale. If, however, the building or improvement is sold within
one year of completion, the owner -builder will 'haveahe burden, of proving that he or she did not build.or
improve for the purpose of:sale:):
1, as owner of the,property,em 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 ou
propertywho builds or improves thereon, and who contracts for the projects with a,contractor(s) licensed
pursuant to the Contractors' Stete'Ucerise Law:)..
(_) I a"exampt under Sec. , B.&PC.'for thi
m s reason
Date: Owner:
CONSTRUCTION LENDING AGENCY'
I' Hereby affirm under penalty of perjury that-th _r is a construction lending agency for the performance of the
work for which this;permit'is issued (Sec. 3097, Civ. CJ.
Lender's:Name: _
Lender's Address:
LQPERMIT
Contractor: EU JAN RENOVA ENERGY CORP 1 2 6' 2011
75181 MEDITERRANEANP.
PALM DESERT_, CA 92211 lT59F LA r.
(760)568-3413• "1�irrYrlyr�rltlN�r�
ePrl;
LiC: NO.; 91083,6
-------------------
WORKER'S COMPENSATION DECLARATION
I hereby,affirm under penattyof=perjury one of thefollowing 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 forwhich this permit is
issued.
1rhave and will maintain workers' compensation insurance, as raquired by Section 3700 of the,Labor
Code, for the.performance of the work-forwhich this permit is issued. My. workers' compensation
insurance;cartierand-policy number are:
Carrier NORGUARD INS- - Policy Number _ REWC128450
_ Loert'rfythat, 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' compensationlaws of California,
and agree that, if I should become.subject to the workers'"compensation provisions of Section
3 O0 of the Labor Code, I shall forthwith comply 'tth'tho" 'rovisions.
Applicant:
WARNING: FAILURETO SECURE RKERS"COMPEN ION COV__E GEIS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A " _ CIVIL_ FI ' UP TO ONE HUNDRED THOUSAND
DOLLARS (5100,000). IN ADDITION TO THE COSTO SATION, DAMAGES AS'PROVIDED FOR.IN
SECTION, 3706OF THE LABOR CODE, INTEREST, AND ATTORNEY'S'FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is herebymade:to the Director of Building and Safety for a permit subject to the.
conditione.and restrictions setforth on this application:
1. Each person upon:whose behatf this' application is made, each person at.whose'request and for
whose benefit work is performed under or pursuant tc any permit issued'as,a result of this�application,
the owner, and the:applicent, each agrees to, and shall,defend, indemnify and hold harmless the City
oYLa Quints, its officers, agents and employees4orany'act or, omission relatedto1he work being
performed under or following issuance of this permit:
2. Any permit issued as a rmft,of this application becomes null and void if work ismot commenced
within 180 days from date of issuance of such permit, or cessation of work4or 180 days will subject.
permiCto cancellation.
I certify that I have read this application and state that the above'nformation is correct. I' agree to, comply with all
eityand county ordinances;and state laws relating to building construction, and hereby authorize representatives
of this county to enter upon thesabove-mentioned property for inspecti purposes.
4ate:. 1 ?_% //_SiJnature (Applicant:or Agerip: -
Application Number . . . . 11-0.0000093
Permit SOLAR PERMIT
Additional des_c .
Permit:Fee . . . . 28.50 Plan Check Fee:.
Issue Date . . . . Valuation
5930'88
Expiration Date 7/24/11
Qty Unit Charge PerExtension
BASE FEE
15.00
1..00 7.500..0 EA SOLAR COLLECTOR.1,001-2000
7.50
6.00 1.0000 EA SOLAR COLLECTOR EA ADDL 1000
6.00
Permit ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee,.
11.,25
Issue Date . . . . Valuation
0
Expiration Date 7/_24/11
Qty Unit Charge Per
Extension
BASE FEE.
15.00
1.00 30.0000 EA ELEC PWR APP >50 TO <=10.0
16-06
------------------------
Specal Notes and Comments
1.00.4kW PV SYSTEM - (372) 270W PANELS' W/
(1.) PV POWERED PVP100KW INVERTER
[7,775SF] 2010 CALIFORNIA ELECTRICAL
CODE. [BUILDING: '940.0 - CARPORT: 5-1'1)
January 25, 2011 10:53:20 AM AORTEGA
------------------------------------------------------------------------------------
Other'Fees . . . . . BLDG STDS ADMIN (SB1473)
24:00
Fee summary Charged Paid Credited
Due
Permit. Fee Total 73.5.0 .00 .00
73.50
Plan Check Total 18.38 .00 .00
18.38
Other Fee Total. 24.00 .0.0 .0.0
24.00
Grand Total 115.88 .00 .00
115.88
LQPERMrr