BSOL2017-0015Date:
78-495 CALLE TAMPICO T4t!t D 4 Q "^CU
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: SOLAR/COMMERCIAL
Application Number: BSOL2017-0015
Property Address: 78935 HIGHWAY 111
APN: 643020029
Application Description: TARGET / 561kW PV SYSTEM - (1,862) PANELS/(7) 60kW INVERTERS
Property Zoning:
Application Valuation: $851,298.00 FD
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
TARGET CORP
1000 NICOLLET MALL TPN 12
MINNEAPOLIS, MN 92253
Date: 10/11/2018
Applicant: Contractor:
SOCORE INSTALLATION SERVICES LLC OCT
10 201810 BARNUM & CELILLO ELECTRIC INC
225 W HUBBARD ST STE 200 135 MAIN AVE
CHICAGO, IL 60654-4916 CITY OF kA QUINTA SACRAMENTO, CA 95838-2089
DESIGN & DEVELOPMENT DEPARTMENT
(916)646-4661
Llc. No.: 599724
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. D56. C46 License No., 4
Date: • � //— OV I Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law forthe following reason (Sec. 7031.5, Business and Professions Code: Any
city or countythat 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).:
(_)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 APPLICANT ACKNOWLEDGEMENT
or she did not build or improve for the purpose of sale.). IMPORTANT: Application is hereby made to the Building Official for a permit subject to
(_) I, as owner of the property, am exclusively contracting with licensed contractors to the conditlons and restrictions set forth on this application.
construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State 1. Each person upon whose behalf this application is made, each person at whose
License Law does not apply to an owner of property who builds or improves thereon, request and for whose benefit work is performed under or pursuant to any permit issued
and who contracts for the projects with a contractor(s) licensed pursuant to the as a result of this application , the owner, and the applicant, each agrees to, and shall
Contractors' State License Law.). defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
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
i have and will maintain a certificate of consent to self -insure for workers'
comp ' n, as provided for by Section 3700 of the Labor Code, for the performance
offwhich this permit is issued.
I have and wi11 maintain workers' compensation insurance, as required by
Set , n 3700 or
Labor Code, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrler: NU10NAL UNION FIRE INSURANCECOMPANY OF PITTSBURGPolity
Number: WC15a93671
— 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 becom 0 bject to the
workers' compensation provisions of Section of a Labor e, I shall forthwith
comply with those provisions.
Date: &-"Il ad1 / Applicant: f-
WARNING: FAILURE TO SECURE WORKERS' C MPENSATION 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.
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 la_ s relating to building
construction, and hereby authorize representatives of this ci nteg uporl theabove-
mentioned property for inspection purposes.
Date: - Signature (Applicant or Agen
r
Date: 10/11'/2618
Application Number:
BSOL2017-0015
Property Address:
78935 HIGHWAY 111
APN:
643020029
Application Description:
TARGET / 561kW PV SYSTEM - (1,862) PANELS/(7) 60kW INVERTERS
Property Zoning:
Application Valuation:
$851,298.00
Applicant:
SOCORE INSTALLATION SERVICES LLC
225 W HUBBARD ST STE 200
CH I CAG 0, IL 60654-4916
Owner:
TARGET CORP
1000 NICOLLET MALL TPN 12
MINNEAPOLIS, MN 92253
Contractor:
BARNUM & CELILLO ELECTRIC INC
135 MAIN AVE
SACRAMENTO, CA 95838-2089
(916)646-4661
Llc. No.: 599724
-----•-----------------------------------j-^----------------------------------------------
Detail: 561kW SOLAR ARRAY - (1,292) 30OW CANADIAN SOLAR & (570) 305W,JA SOLAR PANELS WITH (7) 60kWAC CHINT INVERTERS AND (1) 800 AMP
ci mDANICA r27 7nnW )nlr rai IFr)RNia FI FPTRirw Cnr)F_
. V!
ESCRIPT
�CONTR/ARCH/�OWNER
ACCOUNT
QTY
CHANGE OF PROCESSING
101-0000-42600
0
Total Paid for ADMINISTRATIVE:
DESCRIPTION
ACCOUNT
QTY
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
1.5
DESCRIPTION
ACCOUNT
QTY
HOURLY CHARGE - ESGIL STRUCTURAL ENGINEER
101-0000 42600
6
Total Paid for BLDG CITY STAFF
- PER HOUR:
DESCRIPTION
ACCOUNT
QTY
BSAS SB1473 FEE
101-0000-20306
p
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM EA ADDITIONAL STRING
101-0000-42403
p
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM EA ADDITIONAL STRING PC
101-0000-42600
p
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM GREATER THAN 10KW
101-0000-42403
p
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM GREATER THAN 10KW PC
101-0000-42600
p
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM MISC EQUIPMENT
101-0000-42403
p
DESCRIPTION
ACCOUNT
QTY
PV SYSTEM MISC EQUIPMENT PC
101-0000-42600
p
Total Paid for ELECTRICAL:
DESCRIPTION
ACCOUNT
QTY
PERMIT ISSUANCE
101-0000-42404
p
Total Paid for PERMIT ISSUANCE:
DESCRIPTION
ACCOUNT
QTY
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
p
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
AMOUNT
$104.55
$104.55
AMOUNT
$234.00
AMOUNT
$720.00
$954.00
AMOUNT
$35.00
$35.00
AMOUNT
$202.80
AMOUNT
$50.70
AMOUNT
$38.00
AMOUNT
$38.00
AMOUNT
$202.64
AMOUNT
$202.64
$734.78
AMOUNT
$96.27
$96.27
AMOUNT
$5.00
$5.00