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BSOL2014-0053f t.. 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 QUA& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2014-0053 51860 AVE NIDA J UAREZ 773155005 10.455 kW PV SYSTEM - (41) 255W PANELS/(2) INVERTER/(2) SUB $23,106.00 IU LJAN .0� 2015 L C17Y OF LA (XjINTA COMMUNITY DEVELOPME DEPARTMENT 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 lass: C46 B C10 A License No.: 888104 Date: —` S 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, 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 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 fo a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_J 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 Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/9/2015 Owner: LUIS DIAZ , 92253 Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 (650)963-5630 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 f rthwith comply with those provisions. Date: S 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 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- mentionid prop rty for inspection purposes. /Date: Signature (Applicant or Agen . DESCRIPTION FINANCIAL ,• 1. 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 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 $48.34 $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 $48.34 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $145.02 $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: 10.455 kW PV SYSTEM - (41) 255W PANELS/(2) INVERTER/(2) SUB Type: SOLAR Subtype: Status: APPROVED Applied: 12/29/2014 SKH Approved: 1/8/2015 JFU Parcel No: 773155005 Site Address: 51860 AVENIDA JUAREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 32 Lot: 20 Issued: UNIT 2 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning_ Finaled: Valuation: $23,106.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 10.455 kW SOLAR ARRAY - (41) 255W KYOCERA KU2556XCA-LFB3 PANELS W/ (2) ABB PVI-4Z-OUTD-S-US-Z-A INVERTERS AND (2) 125A SUBPANELS [288SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Friday, January 09, 2015 9:12:07 AM 1 of 3 RWSYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL JAKE FUSON 12/30/2014 12/30/2014 NOTIFIED MELISSA W/ SOLAR CITY PLAN REVIEW WAS COMPLETE AND REVISIONS REQUIRED. SENT CORRECTION LIST AND REDLINED PLAN SET VIA EMAIL. E-MAIL JAKE FUSON 1/8/2015 1/8/2015 NOTIFIED MELISSA W/ SOLAR CITY PLANS WERE APPROVED AND PERMIT READY TO ISSUE. PLAN CHECK SUBMITTAL RECEIVED STEPHANIE KHATAMI 12/29/2014 12/29/2014 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (650)963-5630 CONTRACTOR SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (650)963-5630 Printed: Friday, January 09, 2015 9:12:07 AM 1 of 3 RWSYSTEMS CONTACTS NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL OWNER LUIS DIAZ 92253 (650)963-5630 PARENT PROJECTS 'Printed: Friday, January 09, 2015 9:12:07 AM 2 of 3 C Wrsrenu FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK #. METHOD PAID BY CLTD _,... 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 $48.34 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $48.34 $0.00 EQUIPMENT PC Total Paid forELECTRICAL: $145.02 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •• PARENT PROJECTS 'Printed: Friday, January 09, 2015 9:12:07 AM 2 of 3 C Wrsrenu REVIEW TYPE REVIEWER SENT DATE DUE DATE DATE STATUS REMARKS NOTES NON-STRUCTURAL JAKE FUSON 12/29/2014 1/5/2015 12/30/2014 REVISIONS REQUIRED SEE ATTACHED REVIEW. NON-STRUCTURAL JAKE FUSON 1/6/2015 1/13/2015 1/8/2015 APPROVED BOND INFORMATION ATTACHMENTS Attachment Type CREATED OWNER - DESCRIPTION PATHNAME SUBDIR ETRAKIT ENABLED DOC 12/30/2014 JAKE FUSON FIRST REVIEW - CORRECTION LIST SOLAR PLAN REVIEW - CORRECTION LIST.pdf 0 DOC 12/30/2014 JAKE FUSON FIRST REVIEW - REDLINES SOLAR PLAN REVIEW - REDLINES.pdf 0 Printed: Friday, January 09, 2015 9:12:07 AM 3 of 3 CN?WsrsTEMS ' " City of La QWho BuMg ar Safety Nm6n _ P.O Box 1504, "78-49S Cage Tallow La"QWnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet : Perink # laCtA. 2.,d) 14 -� Pnojed.Addrcs:S1 �Leb A veh icL " e Z - Owmr's Namm -,Do Z, LkIJ s dol f A- P: Number- -1-131 SSCO S- Adder: v eLli d a 2- Legal°01L city, s. zip: La Quinta, CA 2253 Solar City Telephone: — PmjeaDmipww _q/ roof mounted solar panels . Address: 3055 Clearview Way. city, g, Trp: San Mateo,- CA, 9440.2Z inverter(s)10 U K Telephoner 650-638-1028 "tyc. state lac # : 888104 Atcfi., EW, Dcsigaa: Addre= City.. ST. Z* Telephone: Slaw Lir. #: ConOuction Type:. Occupancy: Project type (emle a=) New AWn AIW Repair Demo sq F.: dUniu-, Name ofcon=Pason: Melissa Quintero Telephone# ofcamuapason:909-855-0038 EstimatedvaixofPmjm 23, 10 icc S6i4rcl �APMCANT: DO NOT WRITE mow TMS WYE U SnbroltWi Wel Rac'd TSACIOTIG PffitM[FFI31:S Plan 8eb Pisa Geek eabmimd �Zf Item Amount Strget�al Cahsi. Revictred, rndy for moons 30 Pl'aaChcescDeposit. - 11ma Cala CaAed Contact Person e&I'M L 13a Plan (meet; Balana- 14t1e 24 cdm PDas picked op Cansb'aedoa . fta PlIft P Pans resnbmitbed:. -,�^� 6 deal "tee P� Review, read7' ,,, , g ffiatr]eal Sabeo■tasaor List _ cancel Coataet Perm EMA I L Grant Dead Ph= iii op smy ROA. Approval = Plans ren&mWed IN SOISB� ''• Review, ready for oorrcelft.mi ssae Bavdoper Impact Fee PDnaft Approval- Called Contact Person A3Y P. Pub, WkL Appy Date of permit isms school Ft" Tota] Permit Feu