HomeMy WebLinkAboutAVENIDA SOLANA 40868 SOLR18-0273City of Palm Desert
PERMIT NUMBER:
ISSUE DATE:
Building and Safety Department
SOLR18-0273
916/2018
73510 Fred Waring Drive
Palm Desert, CA 92260
Permit Type: PHOTOVOLTAIC
Appl. Date: 8/2812018
Permit RESIDENTIAL 10KW OR
Appr, Date: 914/2018
Subtype: LESS
Job Valuation: $34,500.00
Exp. Date: 3/5/2019
Project Address: 40868 AVENIDA SOLANA
Project Description:
APN1Tract/Lot No:
Owner:
Contractor:
Applicant:
622300024
MARYAM GHIASI
RENOVA ENERGY CORP
RENOVA ENERGY CORP
TR 29045
40610 VENTANA CT
75-181 MEDITERRANEAN AVE
75-181 MEDITERRANEAN AVE
5
PALM DESERT, CA 92260
PALM DESERT, CA 92211
PALM DESERT, CA 92211
(760)568-3413
(760)568-3413
Licensed Contractor Declaration
Fee Summary
ere y affirm under penalty of penury that I am licensed under provisions of Chapter 9
ARCHIVE FEE - 8.5X11 UP TO 11X17 GL-110DOD0-3411600 $0.98
co encing with Section 7000) of Division 3 of the Business and Professions Code,
arty license is in full farce and effect.
GREEN BLDG FEE SB1473 GL-61000DO-2281DOO $2,00
Initia
MINIMUM INSPECTION FEE GL-11000003221100 $159.00
PERMIT ISSUANCE FEE GL-1100000-3411400 $105.00
Owner -Builder Declaration
nI
hereby affirm under penalty of oedury that I am exempt from the Conlractors' State
PLAN CHECK MINIMUM FEE GL-1100000-3411400 $168.00
License Law for the reason(s) indicated below by the checkmark(s) I have placed next
Total Fees Paid: $434.98
10 the applicable ilem(s) Section 7031,5 Business and Professions Code: Any city or
f herebyatrrrm under the penalty of perjury that there Is a construction lending agency for the
county which requires a perm to construct, alter, improve, demolish, or repair any
structure, prior to issuance, also requires the applicant for the permit to rile a signed
performance of the work for which this permit is issued (See 3097, Civil Code)
statement that he or she is licensed pursuant to the provisions of the Contractors' State
Lenders Name and address
License Law(Chapler 9(commencing with Section 7000) of Division 3 of the Business
and Professions Cade) or that he or she is exempt and the basis for the alleged
Asbestos Declaration
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).)
Written asbestos notification pursuant to Part 61 of Title 40 of the Code of Federal Regulations is required
ElI,
as owner of the property, or my employees with wages as their sole compensation,
when asbestos exists in buildings, or portions thereof, undergoing demolition. I hereby declare that
demolition authorized by this permit is from construction that does or does not contain
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
asbestos, or that no demolition is authorized by This permit.
an owner of property who builds or improves the properly, provided that the
improvements are not intended or offered for sale. If, however, the building or
NOTICE: You may protest any of the fees for this permit in accordance with CA Gov Code Sec. 66020
improvement is sold within one year of completion, the Owner -Builder will have the
and must be filed within 90
020 the
The protest must satisfy fire requirements m Gov. Code payment
days
clays the date of this notice. In addition, youme must tender payment d the protested fees at the time of
burden of proving that it was not built or improved far the purpose of sale.)
the payment or provide evidence of arrangements to pay the protested fees or exactions at the time they
y
are due if they are not already due.
I, as owner of the property, am exclusively contracting with licensed contractors to
construct the project (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon,
and who contracts far such projects with a licensed contractor pursuant to the
Contractors' State License Law.)
I am exempt from Licensure under the Contractors' Slate License Law for the
following reason:
Date/Signature of property owner or agent
Workers' Compensation Declaration
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO 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 ATTORNEYS FEES.
'
I hereby affirm under the penalty of pedury ONE of the following declarations;
I have and will maintain a certificate of consent to self -insure for workers'
compensation, issued by the Director of Industrial Relations as provided for by Section
3700 of the Labor Code, for the performance of the work for which this permit issued.
Initial
Policy No.
.I have and will maintain workers' compensation insurance, as required by Section
r0 of the Labor Code, for the performance of the work for which this permit is
ssued. My workers' compensation insurance carrier and pollcy number aro:
Initial
Carrier & Policy Number
Expiration Date
I certify that In the performance of the work for whicMA s permit is issued, I shall not
employ any person in any manner so est—oliiecorv.a subject to the orkers'
compensation laws of Califamia and ree I sho d becom ubject to the
workers' rn saUon provisions of actioof t' Labor C e, I shall forthwith
471
compl i h g e visions.
Date �' Applicant
_
Initial
Project Address:
City of Palm Desert
Department of Building and Safety
Building Permit Application
40868 Avenida Solana
(For OfficeUseUse�Olnly)
JOB ID: 50(.. 1 U �� �3
PLANS FILED:
Suite #
Total Value of work: $ 34 , 500.00 Note: Plan Review Fees may be adjusted after Plan Review
Project Description (be specific):
Roof mounted solar PV System. Cash. 8.3 kW AC.
Contractor Business Name
Renova Energy Corp.
Property Owner Name Kam Newman
Address 75181 Mediterranean Ave.
Address 40868 Avenida Solana
city Palm Desert 92211 Zip
city Palm Desert "P 92260
Phone 760-568-3413
Phone (760) 568-3413
Fax
Fax
E-mail permits@renovaenergy.Com
E-mail
Contractor License No. 910836
❑Architect Name []Designer Name
Engineer Name
Address
Address
City Zip
City Zip
Phone
Phone
Fax
Fax
E-mail
E-mail
License No.
License No.
A
Applicant Name
Signature
Date
Christian Cordero
8/24/18
Contact Telephone Number
E-Mail
760-568-3413
permits@renovaenergy.com
PLEASE COMPLETE THE REVERSE SIDE
73-510 Fred Waring Drive, Palm Desert, CA 92260 a (760) 776-6420 • (760) 776-6392 fax • www.cityofpalmdesert.org
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M M 3 0 �, 40868 AVENIDA SOLANA 75-181 Mediterranean Ave.
Palm Desert, CA 92211
co o PALM DESERT, CA 92260 (760)568-3413
Contractor's License #910836
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,cuSign Envelope ID: E044DD97-216E-4072-8AB4-00774884C1F9
City of Palm Desert
to Department of Building and Safety
Phone: (760) 346-0611
www.c!tVofpalmdesert.org
SMOKE AND CARBON MONOXIDE ALARM RETROFIT VERIFICATION
Kam Newman
(Print Property Owner's Name)
, and I, SAME
(Tenant's Name - if same as Owner write "Same")
who own and/or live in the dwelling located at: , 40868 Avenida Solana, Palm Desert, CA 92260
(Address)
verify that the smoke and carbon monoxide alarms required by the California Residential Code (CRC) have
been installed in the dwelling, in compliance with the code and with the manufacturer's instructions and further
that they have been tested and do function properly.
In an effort to enhance life safety within dwellings, CRC Section R314.6, R315.2 and CBC 420.4 require the
retrofit of these alarms in existing dwellings when alterations, repairs or additions requiring a permit and
exceeding $1,000 in value are made. Generally, the alarms must be hard wired (110 volt) with battery back-up
and all alarms are to be interconnected. If the installation of the alarms will require the removal of wall or ceiling
finishes or there is no access by means of attic, basement or crawl space, then alarms may be solely battery
operated and not interconnected. Alarms must be installed in all of the following locations within the existing
dwelling:
➢ in all bedrooms (only require Smoke Alarms)
➢ Immediately outside of each separate bedroom. (require Smoke and Carbon Monoxide Alarms)
➢ In each story level of the dwelling, including basements and habitable attic rooms (require Smoke and
Carbon Monoxide Alarms)
These safety devices must be installed by the time a final inspection is requested for your project.
I understand the above requirements and certify that we now have smoke alarms and carbon monoxide
alarms installed that comply. We agree to comply with the CRC in regards to smoke alarms, carbon
monoxide alarms.
Doau$Igned by.
64 i . m#aA. 7/27/2018 1 9:54 AM PDT
1&qMfffiVR9f0wner Date Signature of Tenant Date
ATTENTION OWNER - OCCUPANT:
This is a Voluntary Smoke and Carbon Monoxide Alarm verification procedure. If you prefer a Building
Inspector to perform the verification, you must arrange to have an adult present at the time of
inspection.
NOTE: This Verification is only used when normal access to the interior of the dwelling by the City of Palm Desert Building Inspector is
not achieved during the course of project construction. It is normally used for projects such as re -roofing, re -siding, patio covers,
swimming pools and the like.
Newman
12730
RESIDENTIAL INSTALLATION AGREEMENT
HOME IMPROVEMENT CONTRACT
EFFECTIVE DATE: July 21, 2018 FILE NO: 12730
"CUSTOMER": "CONTRACTOR":
Kam Newman Renova Energy Corp.
40868 Avenida Solana 75-181 Mediterranean Ave.
Palm Deser�CA 92260 Palm Desert, CAA 92211
Telephone: 858.243.4495 California Contractors State License
System size kilowatts (DC): 9.36 Board Contractor License #910836
Service Number: 3-046-1657-68
Meter number: 222011-778053 This is the address to which the Notice of
Cancellation should be mailed
Date customersigned this agreement: Jul 21, 2018
Consultant: JG
Customer is entitled to a completely filled -in copy of this Agreement signed by both parties before work
may be started.
i
1.. Project. Name and Address of the Project: 2. Construction Funds. Name and address of the
Newman Residence construction lender (if any):
40868 Avenida Solana
Palm DeserVA 92260
3. Description of the Project and Description of the Si nificant Materials to be Used and Equipment to be
Installed. Contractor will install the following solar and electrical and sustainability equipment atthe Project
address set forth above. Contractor will secure and pay for all required building permits, but Customer will
pay assessments and charges required by public agencies and utilities for financing or repaying the cost of
sewers, storm drains, water service and other utilities (including sewer and storm -drain reimbursement
charges, revolving fund charges, hookup charges, and the like), as applicable. Contractor will be responsible
for filing rebate and incentive forms with agencies on Customer's behalf, where applicable.
renova.energy
Corporate Headquarters
75-1.81 Medlterranean Ave. I Palm DeseM CA 92211
1• C a � � A P W
..: 1
e p
energy
r ova ° Newman
12730
36. Three -Day Right to Cancel (Civil Code §1689.7(a)(4) and Business and Professions Code §7159(e)(5)(B)).
Customer has the right to cancel this Agreement within 3 business days. You may cancel by e-mailing,
mailing, faxing or delivering a written notice to.Contractor at Contractor's place of business by midnight of
the third business day after you received a signed and dated copy of this Agreement. Include your name,
your address, and the date you received the signed copy of this Agreement. If you cancel, Contractor must
return to you anything you paid within 10 days of receiving the notice of cancellation. For your part, you
must make available to Contractor at the Project site, in substantially as good condition as you received it,
any goods delivered under this Agreement; or, you may, if you wish, comply with Contractor's instructions
on how to return the goods at Contractor's expense and risk. If you do make the goods available to
Contractor and Contractor does not pick them up within 20 days of the date of your notice of cancellation,
you may keep them without any further obligation. If you fail to make the goods available to Contractor, or
if you agree to return the goods to Contractor and fail to do so, then you remain liable for performance of
all obligations under the contract,
IN WITNESS WHEREOF, the parties hereto have executed this Agreement asof the Effective Date above.
DATED: July21,2018 "CUSTOMER"
DATED: July 21, 2018
Installation Agreement
SCE Residential
Customer's Signature
Kam Newman
Print Name of Customer
Customer's.Signature
Print Name of Customer
"CONTRA "
RENOV EVER CO
By:
Name: a Lewis
Title: Vice President of Sales & Marketing
8 CUSTOMER INITIALS