13-1006 (SOL)TW�14
-
P.O. BOX 1504 VOICE (760) 777 7012
78-495 CALLE TAMPICO —; / rAA �/ou) iui 1
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT \•J INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 8/14/13
Application Number: .13-00001006 11 Owner:
Property Address: 79625 VISTA CORALINA LN (1401mw moi-
LA QUINTA HOUSING AUTHORITYAPN:
.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
�p►1'M n7 bll.. 1 s -Z
.( 818) 550-841,1
%A
Lia. No.: 902939
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LICENSED CONTRACTOR'S DECLARATION-
WORKER'S COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencingwithI
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 tabor Code, for the performance of the work for which this permit is
_
Issued..
�t
Date: Contractor:
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 I am exempt from the Contractor's State License Caw 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 any manner 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 ecome subject to the workers' compensation provisions of Section
- License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professioris Code) or
0 of the Labor Code, hallIlrlhwith 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 ($5001•: -
Dater Applicant:
(_) 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
WARNING: FAILURE TO SECURE W ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an ownei.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 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,
1 am exempt under Sec. ,18.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnity 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 relatingto building c nstruction, and hereby authorize representatives
of this courVy to enter upon the above-mentioned property for spec ion purposes. -
Lender's Name:fjl�-
ate: Signature (Applicant or Agent): -
Lender's Address:
I OPRR M IT
AR1Ni:cat'ion Number
d
Permit . .
Additional desc . .
Permit Fee . . . .
Issue Date . . .
Expiration Date . .
. . . . . 13-00001006
SOLAR PERMIT
29.00 Plan Check Fee . .
Valuation . . . .
2/10,/14
7.25
266666
Qty .'Unit Charge Per
Extension
BASE FEE
15.00
3.00 1.0000 EA SOLAR COLLECTOR EA ADDL 1000
3.00
1.00 5.0000 EA SOLAR COLLECTOR > 2000
5.00
2.00 3.0000 EA. SOLAR EQUIP MISCELLANEOUS
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6.00
Permit . . . ELEC-MISCELLANEOUS
Additional desc (28)ARRAYS/(2)LOADCTRS
Permit Fee 34.50 Plan Check Fee
8".63
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
10.00 .4500 EA ELEC DEVICE/FIXTURE >20
4.50
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Special Notes and Comments
PV LOAD CENTERS 8 & 9 AT NORTHEAST TRASH
[BUILDING E, AND CARPORTS 21-251 PV
ARRAY (8) 40.5kW AND (9) 31.4kW - (282)
255W SUNIVA PANELS W/M215 MICROINVERTERS
TOTAL. 2010 CALIFORNIA BUILDING CODES.
August 12, 2013.5:10:16 PM AORTEGA
L
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Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
11.00
Fee summary Charged Paid Credited
------------------------------
Due
---------------------------
Permit Fee Total 63.50 .00 .00
63.50
Plan Check Total 15.88 .00 .00
15.88
Other Fee Total 11.00 .00 .00
11.00
Grand Total 90.38 .00 .00
90.38
LQPERMIT