BSOL2017-002378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ECOLIVING INC
42575 MELANIE PL STE S
PALM DESERT, CA 92211
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
SOLAR/RESIDENTIAL LESS THAN 1OKW
BSOL2017-0023
81945 VIA LA SERENA
767660038
O'MEARA / 6.OkW PV SYSTEM - (20) 30OW PANELS+IQ6 MICRO INV
$21,000.00
VOICE (760) 777-7125
1. FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
KATHERINA O:MEARA
81945 VIA LA.iERENA
LA QUINTA, CA 92253
f ` ® Contractor:
ECOLIVING INC
I' 42575 MELANtE.PL STE S
m®v 1 b Z F7 j� PALM DESERT, CA 92211
it
t (760)671-2440
CITY OF I- u'' ' �' Llc. No.: 918267
oESIGN AND DEVELCV .',; l ) o".2 I Y ENT
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: C10, A License No.: 918267
Dater
//( ?C'64tractor:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am 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).:
(_J 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 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. lf, 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.).
(_) I,'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
Contractots' 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:
Date: 11/15/2017
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury oneof 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
aft w rk for which this permit is issued.
I have and will maintain workers' =ompensation insurance, as required by
ion 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: STATE COMPENSATION INSURANCEIFUND Policy Number: 9214620
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 Sectior 3700 of the Labor Code, 1 shat forthwith
comply with those prov' ions. y
G'Applicant:
Date: �� / ��,
WARNING: FAILURE TO SECURE WORKERS' 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 _he Building Official for a permit subject to
the conditions and restrictions set forth on tiis application. .
1. Each person upon whose behalf -this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit issued
as a result of this application , the owner, an4 the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Citi of La Quinta, its officers, agents, and
employees for any act or omission related tothe 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 issiance of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and :;tate that the above information is correct.
I agree to comply with all city and county oranances and state laws relating to building
construction, and hereby authorize represen-atives of this city to enter upon the ab—.v
mentioned propertyforinspection purposes- p�
Date: /t
i l / Signature (Applicant or Agentt)!�K///
Date: 11/15/2017
Application Number: BSOL2017-0023
Owner: 4
Propert7ldd�ess °'?: '` 7`81945 VIA�LA SERENA
KATHERINA O'MEARA
APN: 767660038
81945 VIA LA SERENA
Application Description: O'MEARA / 6.OkW PV SYSTEM - (20) 30OW PANELS+IQ6 MICRO INV
LA QUINTA, U. 92253
Property Zoning:
Application Valuation: $21,000.00
Applicant:
Contractor:
ECOLIVING INC
ECOLIVING INC
42575 MELANIE PL STE S
42575 MELAN E PL STE S
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)671-244C
---------------------------------------------------------------------------------------
Llc. No.: 9182E7
Detail: 6.0kW SOLAR ARRAY - (10) 30OW CANADIAN SOLAR PANELS+EN PHASE IQ6-60 MICROINVERIBRS W/(1) 60 AMP AC COMBINERBOX [360SF] 2016
CALIFORNIA ELECTRICAL CODE.
FINANCIAL INFORMATION
J. DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
Credit Card Fee
101-0000-43505
0
$3.00
Total Paid for Credit Card Fee: $3.00
Total Paid for ELECTRICAL: $52.02 .
ACCOUNT
QTY
AMOUNT
101-0000-42404
0
$98.83
Total Paid for PERMIT. ISSUANCE: $98.83
ACCOUNT
QTY
AMOUNT
•101-0000-42416
• 0
$10.00.
Total Paid for RECORDS MANAGEM=NT.FEE: $10.00.
ACCOUNT
QTY
AMOUNT
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
�TOTALS:
$169.85
1
DESCRIPTION
TECHNOLOGY ENHANCEMENT FEE
s
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