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BSOL2015-0164r� ��1y� #3 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valubtion: Applicant: , SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 g'we °F lwQ" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2015-0164 51295 EISENHOWER DR 773091014 4.24kW PV SYSTEM - (16) 265W PANELS/(1) INVERTER $9,370.40 � SEp 1�ZW5 U I ' CIT(OF LA (QUINTA COMMUNITY DEVELOPMENT OEppF1TMENT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: WALTER HUNTER 51295 EISENHOWER DR #B LA QUINTA, CA 92253 Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 (650)963-4722 Llc. No.: 888104 Date: 9/14/2015 --------------------------------------------------------------------------------------------- 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 the Bu ie s and Professions Code, and my License is in full force and effect. t�ns�s�u� OWNER -BUILDER DECLARATIO I hereby affirm under penalty of perjury that I am exempt f 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 Lender's 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' *.n on, as provided for by Section 3700 of the Labor Code, for the performance for which this permit is issued. have and will maintain workers' compensation insurance, as required by 0 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 t i d beco a ubject to the workers' compensation provisions of Sectio 37 f e abor od , I shall forthwith compl t se rovisions. Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COV GE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND Cl IL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO 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 dinanc s a state la�pc� relating to building construction, and hereby author a represents 've s city to n ulppn the above Date:` -f I 1 1, 1 11" 1 Signature (Applicant or FINANCIAL INFORMATION `DESCRIPTION` ACCOUNT QTY ` AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/14/15 PAID BY METHOD RECEIPT# CHECK # CLTD BY SOLARCITY CORPORATION CHECK R9185 221033 AZA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID -PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 9/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R9185 221033 AZA DESCRIPTION ACCOUNT ' QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 9/14/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R9185 221033 AZA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT ' QTY. AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 9/14/15 PAID BY - METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R9185 221033 AZA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: 4.24kW PV SYSTEM - (16) 265W PANELS/(1) INVERTER ADDITIONAL Type: SOLAR Subtype: Status: ISSUED Applied: 8/31/2615 MFA Approved: 9/14/2015 LUR Parcel No: 773091014 Site Address: 51295 EISENHOWER DR LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 139 Lot: 2 Issued: 9/14/2015 AZA NO 14 9/14/2015 Lot Scl Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,370.40 Occupancy Type: Construction Type: Expired: 3/12/2016 AZA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 4.24kW SOLAR ARRAY - (16) 265W KYOCERA PANELS W/ (1) ABB#PVI-3.6-OUTD-S-US-Z-AFCI INVERTER [283SF] 2013 CALIFORNIA ELECTRICAL CODE. CONDITIONS 14 0 w j Applied to Approved { Approved to Issued FINANCIAL INFORMATION Printed: Monday, September 14, 2015 1:01:46 PM 1 of 2 ?kJl::! sys7cMs ADDITIONAL GY TYPE ST, .,...... CHRONOLO,..,. ,.. AFF NAME CHRONOLOGY ACTION DATE COMPLETION DATE NOTES E-MAIL LUIS URIBE 9/14/2015 9/14/2015 SENT ELENA AN EMAIL, PERMIT IS READY TO BE ISSUED PLAN CHECK SUBMITTAL RECEIVED MARY FASANO 8/31/2015 8/31/2015 CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (760)912-8430 CONTRACTOR SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (760)912-8430 OWNER WALTER HUNTER 51295 EISENHOWER DR #B LA QUINTA CA 92253 (760)912-8430 FINANCIAL INFORMATION Printed: Monday, September 14, 2015 1:01:46 PM 1 of 2 ?kJl::! sys7cMs BUND INFORIVIXI IUN ATTACHMENTS Printed: Monday, September 14, 2015 1:01:46 PM 2 of 2 C„ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL*" BLD CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/14/15 R9185 221033 CHECK SOLARCITY AZA' CORPORATION Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 9/14/15 R9185 221033 CHECK SOLARCITY AZA FIRST 20 CORPORATION PV SYSTEM -ARRAY, 101-0000-42600 0 $24.17 $24.17 9/14/15 R9185 221033 CHECK SOLARCITY AZA FIRST 20 PC CORPORATION Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 I9/14/15 R9185 221033 CHECK SOLARCITY AZA CORPORATION Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: BUND INFORIVIXI IUN ATTACHMENTS Printed: Monday, September 14, 2015 1:01:46 PM 2 of 2 C„ SYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL*" BLD BUND INFORIVIXI IUN ATTACHMENTS Printed: Monday, September 14, 2015 1:01:46 PM 2 of 2 C„ SYSTEMS # Cit}/ Of La QUinta Bulkft 8i Safety Division P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -{760) 777-7012 Building Permit Application and Tracking Sheet Penntt # n1( 6S Project Address 2 5 Owner's Name: . A P. Number. --!ICity, Address: 5I Legal Description: ST, zip: La Quinta, CA Contractor Solar City ' Telephone: ProjeaDescription: JW roof mounted solar ;el Address: 3055 Clearview Way. city, sr, Zip: San Mateo; CA, 94402 inverters • 2 . Telephone. 650-638-1028 state Lia # : 888104 City Li, &- Arch, Eng., Designer. Address: City, ST, Zip: Telephone: Construction Type:. Ocxupancy: State Lia #: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Elena Loya Sq. Ft.: # Stories= # Unit;:: Telephone # of Contact Person:(442.)256-1134 Estimated value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACKING PSItMiT Ft3FS Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . 'R uss Calcs. Caped Contact Person Plan Check Balance Title 24 Calks. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan 2" Review, ready for correctiowAssue Electrical Subeontaelor List Called Contact Person Plumbing Grant Deed Plans picked up S.M-L H.O.A. Approval Plans resubmitted Grading IN IIOUSE-, '"' Review; ready for correctlonslissae Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees