BSOL2014-002978-495 CALLE TAMPICO T4/ D
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSOL2014-0029 Owner:
Property Address:
81540 BAFFIN AVE JAMES LIPPMAN
APN:
767710036 317 N ROCKINGHAM
Application Description:
17.01kW PV SYSTEM - (54) 315W PANELS/(3) INVERTER+125A SUB LOS ANGELES, CA 0
Property Zoning:
Application Valuation:
$63,000.00
Applicant:
PLANET SOLAR INCORPORATED
73820 DINAH SHORE
PALM DESERT, CA
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. C46 License No.: 938313
Date:.- b Contractor:
OWNER -BUILDER DECLARATION f
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 ) 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 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
Contractor:
PLANET SOLAR I NCORPORA'
719 E HALEY STREET
SANTA BARBARA, CA 93103.
(805)692-2700
Llc. No.: 938313
Date: 6/4/2015
C
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CJ1
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 wor ttich 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: _ Polity 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 agree that, if I should become sub' to the
workers' compensation provisions of Section 3700 of the Labor Co all forthwith
comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE W RKERS' 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 laws relating to buildin
construction, and hereby authorize representatives of this city to enter upon the o e
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
J
DESCRIPTION.',.
FINANCIAL INFORMATION
ACCOUNT `
QTY
a AMOUNT: ,.
PAID
PAID DATE
HOURLY CHARGE - BLDG CITY STAFF
101-0000-42600
0.8
$116.00
$0.00
PAID BY
'METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION y
ACCOUNT
QTY
-.AMOUNT'
PAID
PAID DATE
HOURLY CHARGE -BLDG CITY STAFF
101-0000-42600
0.75
$108.75
$0.00
PAID BY
: - ,METHOD ;
RECEIPT #
CHECK #
CLTD BY
Total Paid for BLDG CITY STAFF - PER HOUR: $224.75 $0.00
DESCRIPTION ..
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$3.00
$0.00
PAID BY j ` _'
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $3.00 $0.00
DESCRIPTION'
ACCOUNTS_
QTY,
AMOUNT
PAID`
PAID DATE
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$0.00
}PAID BY s
METHOD
RECEIPT #
CHECK #
CLTD BY
:DESCRIPTION , , -
, . ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
N PAID:BY : - . ` :
METHOD, ..
- . RECEIPT .#
CHECK # .
CLTD BY.
DESCRIPTION - :
ACCOUNT .
QTY-
' AMOUNT
PAID
;PAID DATE
PV SYSTEM - MISC EQUIPMENT
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION ...
ACCOUNT
QTY
AMOUNT
_ PAID
PAID DATE
PV SYSTEM - MISC EQUIPMENT PC,
101-0000-42600
0
$24.17
$0.00
- 'PAID BY' --.� ,.
- METHOD -
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $96.68 $0.00
''DESCRIPTION'. ''• i
ACCOUNT t�'
QTY
n -AMOUNT
- - PAID,
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY,
METHOD",-
RECEIPT#
CHECK#
CLTD BY,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• •-
10
Description: 17.01kW PV SYSTEM - (54) 315W PANELS/(3) INVERTER+125A SUB
Type: SOLAR Subtype: Status: APPROVED
Applied: 10/14/2014 SKH
Approved: 6/3/2015 JFU
Parcel No: 767710036 Site Address: 81540 BAFFIN AVE LA QUINTA,CA 92253
Subdivision: PM 36300 Block: Lot: 2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $63,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
COMPLETION DATE; ,.
Details: 17.01 kW SOLAR ARRAY - (54) 315W SOLAR WORLD SW315 MONO PANELS W/ (3) SMA SB6000TL-22 INVERTERS + 125A SUBPANEL
[972SF] 2013 CALIFORNIA ELECTRICAL CODE. "
232
r
JJ Applied to Approved
Printed: Thursday, June 04, 2015 3:50:44 PM 1 of,4 CR
SYSTEMS
ADDITIONAL
CHRONOLOGY
'CHRONOLOGY TYPE -
STAFF NAME::,"t
;;` 'ACTION:DATE
COMPLETION DATE; ,.
a" NOTES �..`
PLAN CHECK PICKED UP
KAY HENSEL
2/20/2015
2/20/2015
PLAN CHECK CORRECTIONS PICKED UP
PLAN CHECK PICKED UP
MARY FASANO
5/27/2015
5/27/2015
PLAN CHECK PICKED UP
STEPHANIE KHATAMI
4/8/2015
4/8/2015
PLAN CHECK PICKED UP BY STEVE PYLE.
PLAN CHECK SUBMITTAL•
MARY FASANO
6/1/2015
6/1/2015
RECEIVED
RESUBMITTAL
PHILIP JUAREZ
2/6/2015
2/6/2015
RESUBMITTAL
PHILIP JUAREZ.
4/2/2015
4/2/2015
plans resubmitted
SPOKE WITH CHRISTIAN FROM PLANET SOLAR VIA
TELEPHONE CALL
JAKE FUSON
11/14/2014
11/14/2014
TELEPHONE, NOTIFYING HIM 1ST REVIEW WAS COMPLETE,
REVISIONS WERE REQUIRED, AND PLANS/CORRECTION LIST
WERE READY TO BE PICKED UP
Printed: Thursday, June 04, 2015 3:50:44 PM 1 of,4 CR
SYSTEMS