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BSOL2015-010078-495 CALLE TAMPICO D VOICE (760) 777-7125 FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO,CA 94402 BSOL2015-0100 45725 CAMINO VISTA 604440024 ESCOBAR / (17) ROOF MOUNTED SOLAR PANELS (1) 1 $9,956.00 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 Clas C46 B C10,A Lic -see 888 D4 Date: Contractor: i OWNER -BUILDER DECLARATION (\ I hereby affirm under penalty of perjury that I am exempt fro he 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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.). (1 1, 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.). (-1 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 Address: �✓ � A Owl her: " ULISES-ESC IO, FB R I II45775SCAM NIO VISTA FER4.505J�- G?QUIWT ,,CA'92253 C;—YOFL°. v;U:X�7^ �! COPA"1U':. v.9EVELOP "!2_NT. DEr.{Ri ".-.T'd Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO; CA 94402 (650)963-5630 Llc. No.: 888104 Date: 7/14/2015 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 for which this permit is issued. �� I have and will maintain workers' compensation insurance, as required by Pof the Labor Code, for the performance of the work for which this permit nworkers' compensation insurance carrier and policy number are: er: _ 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 agree that, if I should become subject to the workers' compensation provisions of Section 37 the L r Code, I shall forthwith comply w' thovi�s�io"ns. o pr ate: f — / 1 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO VERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ND 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 an tate law r lating to building construction, and hereby authorize repre a sof is ity to t r upon the above- mentioned bove mentioned �irqpert for inspection purpose-. ate: Signature (Applicant r Age DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA; $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $0.00 PAID BY 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 PAID BY METHOD . RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $48.34 $0.00 DESCRIPTION ACCOUNT QTY 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:$0.00 Description: ESCOBAR / (17) ROOF MOUNTED SOLAR PANELS (1) INVERTER 4.505 Type: SOLAR Subtype: Status: APPROVED Applied: 7/10/2015 SKH Approved: 7/13/2015 JFU Parcel No: 604440024 Site Address: 45725 CAMINO VISTA LA QUINTA,CA 92253 Subdivision: TR 27519 Block: Lot: 24 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $9,956.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY TYPE Details: 4.505 kW SOLAR ARRAY - (17) 265W KYOCERA KUS656ZPA PANELS W/ (1) ABB PVI-3.6-OUTD-US-Z-A INVERTER [306SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Tuesday, July 14, 2015 9:56:47 AM 1 of 2 RWYSiEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL JAKE FUSON 7/13/2015 7/13/2015 NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. PLAN CHECK SUBMITTAL RECEIVED STEPHANIE KHATAMI 7/10/2015 7/10/2015 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 CONTRACTOR SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 OWNER ULISES ESCOBAR 45725 CAMINO VISTA LA QUINTA CA 92253 Printed: Tuesday, July 14, 2015 9:56:47 AM 1 of 2 RWYSiEMS 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 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $0.00 FIRST 20 PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $0.00 FIRST 20 PC Total Paid forELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• 00 INSPECTIONS SEQID INSPECTION TYPE - INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL" BLD Printed: Tuesday, July 14, 2015 9:56:47 AM 2 of 2 RWSYSTEMS Bin. # pity Of La Quinta ' BWkgpg 8r Safety Aivhlon P.O. Box 1504,78-495 Calle Tampico La.Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Perrrlit# Project Address: 2 Owner's Name: . A P. Number. Address: -4522-5 (illff U')O- I Legal Description: city, ST, zip: La Quinta, .CA Contractor Solar City Telephone: Project Description: arobf mounted solar panels . Address: 3055 Clearview Way. city, ST, zip: San Mateo, CA, 94402 inverter(s)p Telephone:650-638-1028 ' State Lia # : 888104 City Lic. #, Arch., EW., Designer. Address: City., ST, zip: Telephone: State Lic. #: Construction Type:. Occupancy: Project type (circle one): New Add'n Alter Repair Demo NameofconwPerson:Elena Loya Sq. FL: #Stories: #Units: Telephone # of Contact Person: (442.)256-1134 Estimated Value of Project 'APPLICANT: DO NOT WRITE BELOW THIS UNE q Submittal Req'd Recd TRACKDVG PERNOrr FEES pip sets Pian Check submiued � item Amount Stmctund Calc& Reviewed, ready for 1$StJE %/13 Plan Check Deposit. . Truss CalcS. Called Contact Person &M a 1 L. % Plan Check Balance. Title 24 Calcs. Pians picked up Construction Flood plain plan Plans resubmitted.. Mechanical Giadiag plea Z'! Review, ready for correctionsfiasue Electrical Subcoutactor List Called Contact Person Plumbing Grant Deed Plana picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review; ready for corrections/issue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees