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12-0289 (SOL)P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICOFAX (760) 777-7011. LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 3/23/12 Application Number: 12-000 002 89 Owner. Property Address: 79625 VISTA CORALINA LN BLDG B LA QUINTA HOUSING AUTHORITY APN:1 600-020=054- - 78495 CALLE TAMPICO Application description: SOLAR LA QUINTA, CA 92253 Property Zoning: COMMERCIAL PARK D Application valuation: 0 Q n Contractor: Jq'� p Applicant: Architect or Engineer: OPTIMUS CONSTRUCTION INC MAR-2612. 6�n1%. 440 WESTERN AVE #202 f 47jC LA QUINTA, CA 92253 CJi`y�rs,A;` (808)550-8411 F'P1G}u�. tilllVTi4 , LiC ' NO.: 902939 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with , _ I hereby affirm under penalty of perjury one of the following declarations: - - -- Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. - I have and will maintain a certificate of consent to self -insure -for workers' compensation, as provided ' License Class: B License No.: .902939 ,for by Section 3700 of the Labor. Code, for the performance of the work for whichthis permit is issued. ,/0"oate32� ontractor _ 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 OWNER -BUILDER DECLARATIONinsurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State license Law for the Carrier STATE FUND Policy Number 0000506-2010' following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish; or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers'bompensation laws of California, ' permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if 1 should become subject to the workers' compensation provisions of Section License Law(Chapter9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor e, shforthwith comply with those provisions. that he or she is exempt therefrom and the basis for the'alleged exemption. Any violation of Section 7031.5 by - �� any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)•: ate: ✓—�'L1/Applicant: - - (_) 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 - WARNING: FAILURE TO'SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL - - Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES�UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the - DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT. ACKNOWLEDGEMENT - (_ 1 I, as dwner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. • IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1. Eachperson upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). _ whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAR.C� for this reason 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. - Date: Owner: 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 CONSTRUCTION LENDING AGENCY - permit to cancellation. hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all - work for which this permit is issued (Sec. 3097, Civ. C.). - city and county ordinances and state laws relating to building construction, and hereby authorize representatives - - - of this county to enter upon the above-mentioned prop f r ins ection purposes. Lender's Name: - - ��%� . rale5 �w'f/5ignature (Applicant or Agent): �J� ��-�� - • Lender's Address: .: Application Number 12-00000289 Permit ELEC-MISCELLANEOUS Additional 'desc . Permit Fee 40.25 Plan Check Fee 10.06 Issue Date . . . Valuation . . . . Expiration Date 9/19/12 .0 Qty Unit Charge Per Extension BASE FEE 15.00 9.00 .7500 PER ELEC DEVICE/FIXTURE IST 20 6:75 1.00 18.5000 EA ELEC SVC <=600V/<=200A 18.50 Permit : . . . SOLAR PERMIT Additional des_c Permit Fee 22.50 Plan Check Fee _ 5.63 Issue Date . . Valuation 0 Expiration Date 9/19/12 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 - 12.3 KVA SOLAR -ARRAY - 57 - 250 WATT CANADIAN SOLAR MODEL CS6P-250M PANELS: ' 2010 CA ELECTRICAL CODE.' -------------------------------------------------------------------- Other Fees . . BLDG STDS ADMIN (SB1473) - 1.00 . Fee. summary, Charged. Paid." Credited Due Permit Fee. Total-... 62,:75 00 00 Plan Check Total • 15.69 .00 .00 15.69 Other Fee Total 1.00 .00 .00 1.00 Grand"Total 79.44 00 .00 79.44 MAR -04-2014 TUE 06;09 PM RIVERSIDE COUNTY FIRE FAX NO, 17608637072 P. 03 Riverside County Fire Department Fire Protection Planning Section RiMratlo O(fltt; 2300 Market 9t., Ste. 150. Rlversltle, CA 92601 PK (851) 866-4777 F— (961) 868-4888 Palm Daum Ofllce: 77-9d3 Ws mantanas Rd.,8 201 Palm Desert, CA 92211-4131 Ph. (760) 863.8886 Fax (760) 863-7072 Fire Department Clearance/Release i Date: 3/4/2014 To: LA QUINTA B&S Fax: -Tract/Parcel Map #: CORAL MOUNTAIN APTS ^ BLDG B (2) " Permit/Lot #: LAQ-I2-BP-011 Job Site Address. 79625 VISTA CORALINA City, State, Zip LA QUINTA' ` . ® Final For Recordation . rl Final for Alarm System - Final for Fire Suppression System 4 ❑ Shell Final Only.(No Tenant) _ __ _ ❑ Release For Residential Sprinkler installation . ❑Building Plan Check Fees Paid, Water Requirement Met- if water applicable II Building Plan Check Fees Not Paid _❑ Residential Sprinkler Plan Check Fees Paid n' Residential Sprinkler Plan Check Fees Not Paid Q Other Fees t ❑ Fees Not Requireii If you should have any questions, please contact the appropriate, Riverside County Fire Protection Planning office for further assistance. KOHL HURICK Print Name of Plan Revlewer/Inspector Approved Release Sent By`. Print Name Form C - Revised 3/0112012 u