BSOL2016-0141w�
78-495 CALLE TAMPICO r �• ''' VOICE (760) 777-7125
4
LA QUINTA, CALIFORNIA 92253FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 12/29/2016
Application Number: BSOL2016-0141 Owner:
Property Address: 52560 DEL GATO DR BIHARI / CAMPBELL
APN: 770290004 52560 DEL GATO
Application Description: BIHARI-CAMPBELL / 6.89 kW P S E -(26) PANELS/(1) LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $26,000.00
Applicant:D<C Contractor:
PLANET SOLAR IN 2 9 2016 PLANET SOLAR INCORPORATED
716 BOND AVE DISI �'N
SANTA BA BARA, CA 93103 ANLI ftet p QU/NrA SANTA BARBARA, CA 93103
OMF�DEPgRTME (805)692-2700
N] LIc. No.: 938313
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 Profe Code,
and my License is in full force and effect.
License Class: B. C46 License No.: 938313
Z l t G tractor•
OWNER -BUILDER DECLARATION
I 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 aD
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.).
( ) 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 Contractors' State License Law.).
(� I am exempt under Sec. . B.&P.C. for this reason
Date:
Owner:
WORKER'S COMPENSATION DECLARATION
1 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 policy number are:
Carrier: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG Policy
Number: WC001645925
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 tgft
workers' compensation provisions of Section 3700 of the labor Code with
comply with those provisions.
f z(z.
Date: 1 Applica
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 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 whose benefit 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.
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name: q
e: ure (Applicant or Agen
Lender's Address:
lw_
Date: 12/29/2016
_
Application Number: BSOYL2016-0141
Owner:
Property Address: 52560 DEL GATO DR
BIHARI / CAMPBELL
APN:• 770290004
52560 DEL GATO
Application Description: BIHARI-CAMPBELL / 6.89 kW PV SYSTEM - (26) 265W PANELS/(1)
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $26,000.00
Applicant:
Contractor:
PLANET SOLAR INCORPORATED
PLANET SOLAR INCORPORATED
716 BOND AVE
716 BOND AVE
SANTA BARBARA, CA 93103
SANTA BARBARA, CA 93103
(805)692-2700
---------------------------------------------------------------------------------------------
Llc. No.: 938313
Detail: BIHARI-CAMPBELL /.6.89 kW SOLAR ARRAY - (26) 265W TRINA SOLAR TSM -265 DC05A.05
PANELS W/ (1) SOLECTRIA YASKAWA PV17600TL INVERTER
[468SF] 2013 CALIFORNIA ELECTRICAL CODE.
A
Total Paid for PERMIT ISSUANCE: $96.27
FINANCIAL i• f.
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $2.00
Total Paid for BUILDING. STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEMLESS THAN 10KW
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 1OKW PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BSOL2016-0141
Property Address: 52560 DEL GATO DR
APN
770290004
T-ity 4,4P Oulia
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Description. BIHARI-CAMPBELL / 6.89 kW PV SYSTEM - (26) 265W PANELS/(1)
Property Zoning:
Application Valuation: $26,000.00
Applicant:
PLANET SOLAR INCORPORATED
716 BOND AVE
SANTA BARBARA, CA 93103
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Cla$s: B, C46 License No.: 938313
Date: I r _Contractor:
OWNER UILDER DECLARATION
'I 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).:
(_) 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.).
(_) 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 Contractors' State License Law.).
( ) I am exempt under Sec. BAP.C. for this
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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/10/2017
Owner:
BIHARI / CAMPBELL
52560 DEL GATO
LA QUINTA, CA 92253
Contractor:
PLANET SOLAR INCORPORATED
716 BOND AVE
SANTA BARBARA, CA 93103
(805)692-2700
Llc. No.: 938313
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will malntain 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 policy number are:.
Carrier: NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURG Policy
Number: WC001645925
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 cf the Labor Code, ! sha rthwith
comply with those provisions.
Date: L ti Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SH ALL SU BJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIV1L 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 whose benefit work is performed under or pursuant to any permit
issued as a result ofthis 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: Signature (Applicant or Agent):
Date: 1/10/2017
Application Number:
BSOL2016-0141
Property Address:
52560 DEL GATO DR
APN:
770290004
Application Description.
BIHARI-CAMPBELL / 6.89 kW PV SYSTEM - (26) 265W PANELS/(1)
Property Zoning:
Application Valuation:
$26,000.00
Applicant:
PLANET SOLAR INCORPORATED
716 BOND AVE
SANTA BARBARA,CA 93103
Owner:
BIHARI / CAMPBELL
52560 DEL GATO
LA QUINTA, CA 92 25 3
Contractor:
PLANET SOLAR INCORPORATED
716 BOND AVE
SANTA BARBARA, CA 93103
(805)692-2700
Llc. No.: 938313
Detail: BIHARI-CAMPBELL / 6.89 kW SOLAR ARRAY - (26) 265W TRINA SOLAR TSM-265 DC05A.05 PANELS W/ (1) SOLECTRIA YASKAWA PV17600TL INVERTER
[468SF] 2013 CALIFORNIA ELECTRICAL CODE.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600 0.25 $38.00
Total Paid for BLDG CITY STAFF - PER HOUR: $38.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$2.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 1OKW
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 10KW PC
101-0000-42600
0
$25.33
Total Paid for ELECTRICAL: $50.66
DESCRIPTION ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE 101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
C
NO
Bill #
Permit #.
V V
LP"roje`cl Address: "�
f ,
= City of La Quinta
Building &• Safety Division
. 78-495 Ca//e Tampico
� La Quirita, CA 92253 - (760) 777-701,2
Building Permit Application and'Tracking Sheet
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wner'IN ame: a ((�21 Yh �A
A. P. Number:
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Legal Description:
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Contra ct r:
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-Tele ho ne:
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,Address: "� '1J.g z- (� (-j R�� S otter
Project Description: U
�ety, ST, zip: PCo-
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T hone: a—`fi ^ Z
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State Lic. # : 3 (?i
'City Lie.
Arch.; Engr., Designer:
Ajv
Address:
City, ST, Zip:
aneY
Cons tructton Type: Occupancy:
Sae Ltc. #�1.
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ProjecttYPe (circle one)• New Add'n Alter Repair. Demo
` Name *f Contact Person:t{(,
Sq. Ft.:
# Stories:
#Units:
Te-lep o e # of Contact Person: Z6 0 — g �(- L I VEstimated
Value of Project: O C.1
APPLICANT: DO NOT WRITE BELOW THIS LINE
ti
Submittal
Req'd
Rcc'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Floodplain plan
Plans resubmitted
Mechanical
Grading plan
2"a Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Dced
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Rcview, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. APPr
Date of permit issue
School Fees,
Total Permit Fces