BSOL2016-012978-495 CAL LETAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSOL2016-0129
Property Address: 46445 WASHINGTON Si
APN: 643182020
Application Description: NELSON / 9.8kW PV SYSTEM - (30) 325W PANELS+OPT/200A SERVICE
Property Zoning:
Application Valuation: $20,000.00
Applicant:
BEST VALUE SOLAR ENERGY SYSTEMS
5610 RIPPLE COVE WAY
BAKERSFIELD, CA 93313
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 {commencing with Section 70 00} of Division a Bu ' ess a Professions Code,
and my License is in full force and effect.
License Class: C46` License No.: 733942
X412- I -t'
Date: Contractor:.--- :f
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
3o ' f 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).:
(1 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. 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 I 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
C:1
D A.20]7
Owner:
FERNANDO NELSON
46445 WASHINGTON ST C5 c7
LA QUINTA, CA 92253 m
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Contractor: z
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BEST VALUE SOLAR ENEF�� WI EM5,4
5610 RIPPLE COVE WAY a
BAKERSFIELD, CA 93313
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(714)883-9501 y
Llc. No.: 733942
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 thew r for which this permit is issued.
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: EXEMPT Policy Number: _
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 agr if I should become subject to the
workers' compensation provisions of Se ion 3700 a abor C 1 shall forthwith
comply with hose provisions.
DAP
�y
ate: plicant:—
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.
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 I rel "' bui i g
construction, and hereby authorize representatives f this city ent upon h
above en 'oned property for inspection purposes.
Date 44 ) Signature (Applicant or Agent)
Date: 4/24/2017
Application Number: BSOL2016-0129
Owner: "
Property Address: 46445 WASHINGTON ST !
FERNANDO NELSON
APN: 643182020
46445 WASHINGTON ST
Application Description: NELSON / 9.8kW PV SYSTEM - (30) 325W PANELS+OPT/200A SERVICE
LA QUINTA, CA 92253
Property Zoning: -
Application Valuation: $20,000.00
Applicant:
Contractor:
BEST VALUE SOLAR ENERGY SYSTEMS
BEST VALUE SOLAR ENERGY SYSTEMS
5610 RIPPLE COVE WAY
5610 RIPPLE COVE WAY
BAKERSFIELD, CA 93313
BAKERSFIELD, CA 93313
(714)883-9501
Llc. No.: 733942
Detail: 9.8kW SOLAR ARRAY - (30) 325W SOLARWORLD PANELS+P400"SOLAREDGE OPTIMIZERS W/(1) SOLAREDGE SE10000 INVERTER AND 200A SERVICE
UPGRADE [540SF] 2013 CALIFORNIA ELECTRICAL CODE.
1 {
FORMATION
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
PV SYSTEM LESS THAN 10KW
101-0000-42403
0
$25.33
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 10KW PC
101-0000-42600
0
$25.33
r DESCRIPTION f
ACCOUNT-
QTY
AMOUNT
PV SYSTEM MISC EQUIPMENT
101-0000-42403
0
$24.17
DESCRIPTION
ACCOUNT'
QTY
bAMOUNT
PV SYSTEM MISC EQUIPMENT PC ,
'101-0000-42600
0
$24.17 t
J Total Paid for ELECTRICAL: $99.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
N
Bill #
Permit,
ProjectrAddcess:
City of Li Q uin to
1 Building 81- Safety Division l•
78 495 Calle Tampico
La Quinta, CA 92.253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
(,v ti �� Ownerls� Vame:
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A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor.
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Telephone:
P hone:
Address:
.roject Description: l p p i+ Q
City, ST, Zip:
Telephone:
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State Lic. # 11
City Lic. #;
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
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Con tructi e•
s on TY Occupancy:
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ProJect type (circle one):' New Add'n Alter Repair • Demo
[ LT Iame-o'�f Contact P.ers n:
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Sq. Ft.:#Stories:
# Units:
'T'elepho CC_#. of -Contact Person:
t) 4 — er -44p
ERimatediUalue.of PProje t: 66
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rcc'd
TRACKING.
PERMIT FEES
Plan Sets
Plan Check submitted „ .
Item
Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit '
Truss Cafes.
Called Contact ) crson
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person . ,
Plumbing
Grant Deed
Plans picked up`
S.M.I.
M.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jrd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I•P.P.
Pub. \YI<s. Appr
Date of permit issue
School Fees,
Total Permit Fees