BELC2018-0014.78-495 CALLE TAMMIX.
LA"QUINTA, CALIFORNIA"92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
INFINITY ENERGY INC
1108 TINKER ROAD STE 150
ROCKLIN, CA 95765
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
ELECTRICAL/
BELC2618-0014
51505 AVENIDA HERRERA
773132013
ADD DISCONNECT TO PV SYSTEM
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 Professions Code, and
my License is in full force and effect.
License Class: B. C10 License No.:98627
Date: Contractor
OWN ILDER DECLARATION
I hereby affirm under penalty of perjury that lam 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, alter, 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 she 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 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 'or offered for sale.
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of property who builds or improves thereon, and who does the work
himself or herself through his or her own employees, provided that the improvements
are not intended or offered for 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.).
( 11, as owner of the property, am 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 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
Date:
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:
VOICE (760) 777-7125
FAX -(760) 777-7011
INSPECTIONS (760).777-7153
Date: 2/12/2018
Owner:
JAMES GREEN
51505 AVENIDA HERRERA
LA QUINTA, CA 92253
Contractor:
INFINITY ENERGY INC
1108 TINKER ROAD STE'150
ROCKLIN, CA 95765
(888)244-2513
Llc. No.: 998627
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following 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 for which this permit is issued.
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 insurance carrier and polity number are:
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9146613
_ 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' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 2 �2 `Applicant:
WARNING: FAILURE TO SECURE 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 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a 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 whosebenefit work is performed under or pursuant to 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 Quinta, its officers, agents, and
employees for any act or omission related to the work being performed under or .
following issuance of this permit.
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 permit to cancellation.
I certify that I have read 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 city to enter upon the above-
mentioned property
for inspection purposes.
Date: ` 2 �v Signature (Applicant or Agentj�
Dater 2/12/2018
Application Number: BELC2018-0014
Owner:
Property Address: 5115 AVENIDA HERRERA
JAMES GREEN
APN: 773132013
51505 AVENIDA HERRERA
Application Description: ADD DISCONNECT TO PV SYSTEM.
LA QUINTA, CA 92253
Property Zoning:
-
Application Valuation:
Applicant:
Contractor:
INFINITY ENERGY INC
INFINITY ENERGY INC
1108 TINKER ROAD STE 150
1108 TINKER ROAD STE 150
ROCKLIN, CA 95765
ROCKLIN, CA 95765
(888)244-2513
-----------------------------------------------
Llc. No.: 998627
-------------------------------------
Detail: INSTALLATION OF A NON-FUSABLE AC DISCONECT TO AN EXISTING 2.9kW SOLAR ARRAY
- (10) 290W SUNMOBILE PANELS+ENPHASE IQ -6
MICROINVERTERS (180SF] REFERENCE PERMIT NUMBER BSOL2017-0025 FOR EXISTING SYSTEM.
DOES NOT INCLUDE ANY ALTERATIONS TO EXISITING
SYSTEM, OTHER THAN THOSE NOTED ABOVE. 2016 CALIFORNIA ELECTRICAL CODE.
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FINANCIAL
IPTION
INFORMATION
ACCOUNT QTY
AMOUNT
POWER APPARATUS
101-0000-42403 0
$78.02
Total Paid for ELECTRICAL:
$78.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE:
$10.00
DESCRIPTION
ACCOUNT
QTY.
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
,Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00