13-0617 (SOL)P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO i FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/14/13
Application Number: 13-00000617/ , -`` Owner:
Property Address: 79625 VISTA CORALINA LN6j '�(ZQ'W 6►lt�p �J LA QUINTA HOUSING AUTHORITY
APN: 600-020-054- `` 78495 CALLE TAMPICO
Application description: SOLAR ' LA QUINTA, CA 92253
Property Zoning: COMMERCIAL PARK
Application valuation' 266666
Contractor.
Applicant: Architect or Engineer: OPTIMUS CONSTRUCTION INC
440 WESTERN -AVE #202
GLENDALE,.CA 91201
iy► IiA�slw= �hSM�� (818) 550-8411 ;
Lic. No:: 902939
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LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I 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 _ Ifor by Section 3700 of the labor Code, for the performance of the work for which this permit is
issued.
Date: Contractor: 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 DECLARATION - insurance carrier and policy number are:
I hereby affirm under penalty of perjury that 1 am exempt.from the Contractor's State License Law for the Carrier SCOTTSDALE INS Policy Number 041050658812. ,
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 anymanner so as to become subject to the workers' compensation 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 I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor Code, I shall forthwith 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: Applicant:
( 1 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 WORKERSCOMPENSATION 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 1, as owner 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 contractor(s) licensed 1 . Each person 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,
(_) I am exempt under Sec. , B.&P.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. '
I 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, ad hereby authorize representatives
- - of this county to enter upon the above-mentioned property for Inspection purposes.
Lender's Name:
Date: Signature (Applicant or Agent):
Lender's Address: -
LQPERMIT - -
Ap-i'�-%cation Number
13-00000617
Let
SOLAR PERMIT
fional descPeYmit
Fee . . . .
30.00 Plan Check Fee
10.00
Issue Date . . . .
Valuation . . . .
1200000
Expiration Date
2/10/14
Qty Unit Charge
Per
Extension
BASE FEE
15.00
4.00 1.0000
EA SOLAR COLLECTOR EA ADDL 1000
4.00
1.00 5.0000
EA SOLAR COLLECTOR > 2000
5.00
2.00 3.0000
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EA SOLAR EQUIP MISCELLANEOUS
6.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc . .
(1)SRVC/(26)ARRAYS/(2)LOADCTR
Permit Fee . . . .
108.60 Plan Check Fee
37.88
Issue Date . . . .
Valuation . . . .
0
Expiration Date . . •
2/10/14
Qty Unit Charge
Per -
Extension
BASE FEE
15.00
20.00 .7500
PER ELEC DEVICE/FIXTURE 1ST 20
15.00
.00 37.5000
EA ELEC SVC <=600V/>200A/<=1000A
.00
1.00 75.0000
EA ELEC SVC >600V OR >1000A
75.00
.00 11.0000
EA ELEC MISC
.00
8.00 .4500
EA ELEC DEVICE/FIXTURE >20
3.60
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Special Notes and Comments
PV LOAD CENTERS 3 & 4
AND 2,000A PV
SYSTEM ELECTRICAL SERVICE AT NORTHWEST
TRASH ENCLOSURE [CARPORTS 8-11 AND
15-171 PV ARRAY (3) &
(4) 38.4kW EACH =
(304) 255W SUNIVA PANELS W/M215
MICROINVERTERS TOTAL.
2010 CALIFORNIA
BUILDING CODES.
August 12, 2013 4:31:17
PM AORTEGA
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Other Fees . . . . .
. . . . BLDG STDS ADMIN (SB1473)
11.00
Fee summary Charged
----------
Paid Credited
------------------------------
Due
-----------------
Permit Fee Total
138.60 .00 .00
138.60
Plan Check Total
47.88 .00 .00
47.88
Other Fee Total
11.00 .00 .00
11.00
Grand Total
197.48 .00 .00
197.48
a
LQPERMIT