BSPN2014-004378-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
BSPN2014-0043
48530 CAPISTRANO WAY
Owner:
n PETER DELRIO
APN:
Application Description:
646390042 /�L111
SOLAR EQUIPMENT- LOCATION CHANGE 92253
Property Zoning:
u GG
Application Valuation:
$1,000.00
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Applicant:
SOLARCITY CORDORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
CITY OF �@1NTi;A__7_J_JJC0UA11J,Vi YDECrF,,ZPF Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-5630
Llc. No.: 888104
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 'n full force and effect.
License Class: C46 B. C10, A License No.: 888104
Date: 2 Contractor:
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, prier 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 th=_ 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 cr 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 ) 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
Date: 12/23/2014
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 fort ith
comply witPh those provisions.
Date: 12 I Applican
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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 be 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 rrope y for inspection purposes.
Date:12_125/19 Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION', ACCOUNT QTY AMOUNT'
PAID
PAID DATE
SPECIAL INSPECTION 101-0000-42404 1
$72.52
$72.52
12/23/14
PAID BY METHOD RECEIPT #
CHECK # .
CLTD BY
SOLARCITY CORPORATION CHECK R3274
220600
MFA
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72.52
Description: SOLAR EQUIPMENT - LOCATION CHANGE
CHRONOLOGY
Type: SPECIAL INSPECTION
Subtype:
Status: APPROVED
Applied: 12/23/20141FU
Approved: 12/23/20141FU
Parcel No: 646390042 Site Address: 48530 CAPISTRANO WAYLA QUINTA CA 92253
Subdivision: TR 27840
Block:
Lot: 127
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $1,000.00
Occu pa ncy Type:
Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0
No. Unites: 0
CONDITIONS
CONTACTS
Details: SOLAR EQUIPMENT- LOCATION CHANGE.
NAME TYPE NAME
ADDRESSI
loft
CHRONOLOGY
CHRONOLOGYTYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
E-MAIL JAKE FUSON
12/23/2014
12/23/2014
NOTIFIED MELISSA W/ SOLARCITY PLANS WERE APPROVED
AND PERMIT READY TO ISSUE.
PLAN CHECK SUBMITTAL
RECEIVED
JAKE FUSON
12/23/2014
12/23/2014.
PLANS SUBMITTED BY SOLARCITY VIA EMAIL.
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 PETER DELRIO
92253
FINANCIAL
INFORMATION
loft
DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY CLTO
BY
SPECIAL INSPECTION 101-0000-42404 1 $72.52 $72.52 12/23/14 R3274 220600 CHECK SOLARCITY MFA
CORPORATION
Total Paid forCOMPLIANCE SURVEY/SPECIAL INSPECTION: $72.52 $72.52
2 of 2
CRL717 SFSTEMS
INSPECTIONS
SEQID INSPECTION TYPE
INSPECTOR SCHEDULED COMPLETED RESULT REMARKS 'NOTES
DATE DATE
FINAL"
PARENT PROJECTS
REVIEWS
REVIEW TYPE REVIEWER
SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES
DATE
NON-STRUCTURAL JAKE FUSON
12/23/2014 12/23/2014 1 12/23/2014 1 APPROVED
BOND INFORMATION
ATTACHMENTS
2 of 2
CRL717 SFSTEMS