BSOL2019-0022to. An"Mv
78-495 CALLE TAMPICO " 0 D � VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/19/2019
Permit Type/Subtype: SOLAR/RESIDENTIAL GREATER THAN 10KW Owner:
Application Number: BSOL2019-0022 REDEVELOPMENT AGENCY CITY OF
Property Address: 78101 HIDDEN RIVER RD P 0 BOX 1504
APN: 609040028 LA QUINTA, CA 92203
Application Description: WASHINGTON STREET APARTMENTS / 49.58kW PV SYSTEM (4
Property Zoning: ARRAYS)
Application Valuation:
$156,400.00
Applicant: D !/J�-'�\ Contractor:
JUDY HALLOCK NOV 19 2019 CALIFORNIA SOLAR INTEGRATORS INC
12582 2ND STREET 200S SAN PEDRO ST #500
YUCAIPA, CA 92399 LOS ANGELES, CA 90012
CITY OF LA QUINTA
DESIGN & DEVELOPMENT DEPARTMENT (800)784-7612
Llc. No.: 1004246
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 '1Class: �45B. C10 l,ioense 4 �'�: � 4 Canfr'dctar.
OWNER -BUILDER WILARATION
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. . 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 Addre:
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
oft k for which this permit is issued.
l have and will maintain workers' compensation insurance, as required by
Section 70o of the Labor Cade, for the performance of the work for which this permit is
issued. My workers' compensation insurance carrier and policy number are:
Carrier: Policy Number: 9133518
_ 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 of the Labor Code, I shall forthwith
complywiththose provisions.
1)atOr. Ap
WARNING: FAILURE TO SECURE 4W0RKEC0MPENJ5ATI0aNCOVER=A!6E 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 building
construction, and hereby authorize representatives o . city to enter upon the above-
mentlo ie praperty for inspection purposes.
DaM SrRIMMApplicant or Agent
Date: 11/19/2019
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
1UDY HALLOCK
12582 2 N D STREET
YUCAIPA, CA 92399
BSOL2019-0022
Owner:
78101 HIDDEN RIVER RD REDEVELOPMENT AGENCY CITY OF
609040028 P 0 BOX 1504
WASHINGTON STREET APARTMENTS / 49.58kW PV SYSTEM (4 ARRAYS) LA QUINTA, CA 92203
$156,400.00
Contractor:
CALIFORNIA SOLAR INTEGRATORS INC
2005 SAN PEDRO ST #500
LOS ANGELES, CA 90012
(800)784-7612
Llc. No.: 1004246
Detail: WASHINGTON STREET APARTMENTS / PHASE 2 / 49.58kW PHOTOVOLTAIC SYSTEM MOUNTED TO CARPORT STRUCTURES. (134) 370W HANWHA
Q.PEAK L-G4.2 PANELS + SOLAREDGE P400 OPTIMIZERS. (2) SOLAREDGE SE11400H-US+ (2) SOLAREDGE SE7600H-US INVERTERS (4 ARRAYS TOTAL). LINE
SIDE CONNECTION PER ENGINEERED TAP DESIGN TO BE RECERTIFIED BY UL OR OTHER NATIONALLY RECOGNIZED TESTING LABORATORY. 2016
CALIFORNIA BUILDING CODES.
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $7.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $7.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 10KW
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM LESS THAN 10KW PC
101-0000-42600
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM MISC EQUIPMENT
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PV SYSTEM MISC EQUIPMENT PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $106.72
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Quin�
PERMIT — oa
PLAN LOCATION:
Project Address: qj<W(j)Zp) h_6jD 1J �r
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN#:(6q Dorf &O OqZ) p
1 i OCW-r SDCAi-
O
k-11-
Applicant Name:
Address:
City, ST, Zip: y u4A I PA (2a C1259R
Telephone:
Email:..
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Valuation of Projects_
Contractor Name: I 7D�5
New SFD Construction:
Address: r-D # 66z)
Conditioned Space SF
City, St, Zip L, N con (,*2-
Garage SF
Telephone: $OO-T�04 2lp12-
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: [66q .—f 4 City Bus Lic;
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic.-
Property Owner's Name: 0 &��
New Commercial /Tenant Improvements:
Address: Cr
Total Building SF
City, ST, Zip qZl 13
Construction Type: Occupancy:
Telephone: —11
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000