BSOL2014-0035Applicant:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
SOV 2 4 ZW4
OF Lk Wlt
COMMUNITY D
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: C46, B. C10, A License No.: 888104 A
Date: IIIIContracto .
1.
4 OWNER -BUILDER DECLARATION
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.).
(_J 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:
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-4722
Llc. No.: 888104
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 work for which 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: 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 3700 of the Labor Code, I shall forthwi
comply witp those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned roperty r inspection purposes. L
Date: 1 Signature (Applicant or Agent):
VOICE (760) 777-7125
78-495 CALLE TAMPICO
D
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
' — -BUILDING PERMIT
Date: 11/24/2014
Application Number:
BSOL2014-0035
Owner:
Property Address:
48530 CAPISTRANO WAY
PETER DELRIO
APN:
646390042
48530 CAPISTRANO WAY
Application Description:
8.16kW PV SYSTEM - (32) 255W PANELS/(2) INVERTER/(1)125A SUB
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$18,033.00
Applicant:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
SOV 2 4 ZW4
OF Lk Wlt
COMMUNITY D
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: C46, B. C10, A License No.: 888104 A
Date: IIIIContracto .
1.
4 OWNER -BUILDER DECLARATION
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.).
(_J 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:
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-4722
Llc. No.: 888104
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 work for which 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: 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 3700 of the Labor Code, I shall forthwi
comply witp those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' 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 building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned roperty r inspection purposes. L
Date: 1 Signature (Applicant or Agent):
PAID PAID DATE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY
AMOUNT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
PAID BY METHOD RECEIPT #
CHECK # CLTD BY
Total Paid forBUILDING 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
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
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:00
Description: 8.16kW PV SYSTEM - (32) 255W PANELS/(2) INVERTER/(1)125A SUB
Type: SOLAR Subtype: Status: APPROVED
Applied: 11/3/2014 PJU
Approved: 11/24/2014 JFU
Parcel No: 646390042 Site Address: 48530 CAPISTRANO WAYLA QUINTA,CA 92253
Subdivision: TR 27840 Block: Lot: 127
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $18,033.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 8.16kW SOLAR ARRAY - (32) 255W TRINA SOLAR TSM-255PA05.18 PANELS+SOLAREDGE P300 OPTIMIZERS W/ (2) SOLAREDGE
SE380OA-US-ZB-U INVERTERS AND (1) 125A SUBPANEL [512SF] 2013 CALIFORNIA ELECTRICAL CODE.
Printed: Monday, November 24, 2014 10:56:32 AM 1 of 3
R�SYSTEMS
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME y
ACTION DATE
COMPLETION DATE
NOTES
E-MAIL
JAKE FUSON
11/17/2014
11/17/2014
SENT CORRECTION LIST TO MELISSA QUINTERO W/ SOLAR
CITY VIA EMAIL.
E-MAIL
JAKE FUSON
11/24/2014
11/24/2014
EMAILED MELISSA Q. WITH SOLAR CITY TO NOTIFY HER
PLANS WERE APPROVED, AND PERMIT READY TO ISSUE.
TELEPHONE CALL
JAKE FUSON
11/17/2014
11/17/2014
CONTACTED MELISSA W/ SOLAR CITY VIA TELEPHONE TO
NOTIFY HER THAT REVIEW WAS DONE, REVISIONS WERE
REQUIRED, AND PLAN WAS READY TO BE PICKED UP.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT
SOLARCITY CORPORATION 3055 CLEARVIEW WAY
SAN MATEO CA
94402 (760)564-4896
CONTRACTOR
SOLARCITY CORPORATION 3055 CLEARVIEW WAY
SAN MATEO CA
94402 (760)564-4896
Printed: Monday, November 24, 2014 10:56:32 AM 1 of 3
R�SYSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
FINANCIAL
INFORMATION
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 forBUILDING 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
PV SYSTEM - MISC
101-0000-42403
0
$24.17
$0.00
EQUIPMENT
PV SYSTEM - MISC
101-0000-42600
0
$24.17
$0.00
EQUIPMENT PC
Total Paid for ELECTRICAL: $96.68 $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"
Printed: Monday, November 24, 2014 10:56:32 AM 2 of 3
?WYS iEMS
REVIEW TYPE REVIEWER
SENT DATE
DUE DATE
RETURNED , STATUS. REMARKS NOTES - 4
DATE r
NON-STRUCTURAL JAKE FUSON
10/31/2014
11/7/2014
11/17/2014 REVISIONS REQUIRED
NON-STRUCTURAL JAKE FUSON
11/21/2014
11/28/2014
11/24/2014 APPROVED
Printed: Monday, November 24, 2014 10:56:32 AM 3 of 3 Cff �
SYSTEMS
B,n.#
City. of La Quints
BulkUng 8L Safety Division
Box 1504,78-495 Calle Tampico
La.Quinta, C4 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet.
Permlr #P.O.
Project Address: L -d, S 3 0. i 5 r. cx_r) o w
ownees Name:. 1 U. �e -�2V`
A. P. Number. (p y Le U 2 U U 2 b.Address:
y W 530
Legal Description:
City, ST, Zip: La Quinta, CA 9 -2252,.
Contractor. Solar City
Telephone: --
Address: 3055 Clearview Way.
Prcje4Description:32 roof mounted solar panels .
city, ST, zip: San Mateo; CA, 94402
2 inverters S. b t<w
Telephone:650-638-1028 ;
state Lir. # : 888104
Lary Lie. #;
Arch , Eagr., Designer.
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lia #:
Name of Contact Person: Melissa Quintero
Scl.FL:
#Stories 9Univ:
Telephone # of Contact Person: 909-855-0038 1 Estimated value of Project
U I SD\aY --(0m APPLICANT: DO NOT WRITE BELOW THIS UNE
!�
Sabmlttal
Req'd
Recd
TRACMG
PERMU FEES
Plan Sete
Pian Check submitted
9N
Hem Amount
Structural Cala.
Reviewed, ready for cormdons
I 1
Plan Check Deposit. .
Tlvss Cake.
. Called Contact Person111
f'
Plan Check Balance _
Title 24 Cale&
Plans picked up
Construction
Flood plataplan
Plans resubmitted
Mechanical
Grading plan
Z'! Review, ready for correctionsrissue
Electrical
Snbeoatactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S3LL
H.O.A. Approval
Plans resabmttted
Grading
IN HOUSE:
2" Review; ready for correetionslissne
Developer Impact Fee
Planning Approval
called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
{ � f
RANCHO LA QUINTA
MASTER ASSOCIATION
Architectural Control Committee
October 31, 2014
Peter & Teresa Del Rio
48530 -Capistrano -Way
- La Quinta, CA 92253 - -
Re: 48530 Capistrano Way - Approval of Submission
Dear Mr. & Mrs. Del Rio,
The Architectural Committee reviewed your submission to install solar panels at your residence
located at the above address within the Master Association of Rancho La Quinta.
Your submission as presented is approved with the following conditions:
• Solar panels shall be integrated into the roof design and shall be flush mounted to the
roof.
• If frames are visible, color must be bronze anodized or painted to match the roof. Natural
aluminum is prohibited.
• Cables, connections or components shall be painted to match the surface upon which
they are mounted.
• All work is to be done in accordance with all applicable requirements of governmental
entities, including the City of La Quinta and in accordance with all Homeowners
Association architectural guidelines and governing documents.
• No other structural changes are approved with this submission.
Once completed, please submit the Notice of Completion and the Association's Architect will
schedule a review of the completed project so w -e can process your deposit for return.
If you have any questions, please contact the onsite office at (760) 777-8807.
Jamie Circ M'
Architectural & Communications Manager
Master Association for Rancho La Quinta
P.O. BOX 6419 • LA-QUINTA, CA 92248-6419. 760-777-8807 • FAX 760-777-8961