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BSOL2015-001878-495 CALLE TAMPICO LA.QUINTA, CALIFORNIX52253 Application Number: BSOL2015-0018 Property Address: 54100 AVENIDA CORTEZ APN: 774192005 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING°PERMIT Application Description: 8.58 k`W PV SYSTEM - (33).260W PANELS/(1) INVERTER Property Zoning: Application Valuation: $18,962:00 Applicant: SOLARCITY CORPORATION D 3055:CLEARVIEW WAY ATTN ZOE'STEELE SAN MATEO, CA 94402 MAR 17 2015 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm.under penalty ofperjury that l am licensed. under provisions of Chapter %(commencing with,Section 70001.of Division 3 ofthe Business andiProfessions Code, and my License is infuiPforce and effect. icense Class:.C46..8. CiO. A License No.: 888104 /at'. Contractor:�L,U/[o OWNER -BUILDER DECLARATION Fhereby 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,appllcant for the permit to file a signed statement that:he orshe 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 t basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fo permit subjects the applicant to a civil penalty of not more than,five hundred doll ($500).: . ( ) I, as owner of the property, or my employees with wages as their sole compensation, will dothe 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.). C_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:): U I am exempt under Sec. .,B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of pedury that.there is a: construction lending agency, for the performance of the work for which thisspermit is issued (Sec. 3097, Civ. C.). Lender's Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/17/2015 Owner: MARK RUIZ 54100 AVENIDA CORTEZ LA QUINTA, CA.92253 Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW'WAY ATTN ZOE STEELE SAN MATEO, CA 94402 (650)963-5630 . Lic. 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 bySectiorr3700 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 inthe 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.1.should become subjectto the workers' compensation provisions of Section 3700 of the Labor Code, I shalbforthwith comply with 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 herebymade 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 pursuantto any permit issued asa result of this application , the.owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Qulnta, its officers, agents, and employees:forany actor omission related to the,work being performed under or following Issuance of this permit: -.2. Any permit issuedas a result of this application becomes null and void if work is not commenced.within1W days from date of issuance of such permit, or cessation of work for.180 days will subject permit to cancellation. I certify that I haveread this application and state that the above information is correct. I agree to comply with all.city andcounty ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentioned bovementioned property for inspection purposes. 1te: ! Signature,(Applicant orAgent): Description: 8.58 kW PV SYSTEM - (33) 260W PANELS/(1) INVERTER Type: SOLAR, Subtype: Status: APPROVED Applied: 3/16/2015 SKH Parcel No: 774192005 Site.Address: 54100 AVENIDA CORTEZLA QUINTACA 92253 Approved: 3/16/2015 JFU Subdivision: SANTA.CARMELITA VALE LA QUI NTA Block: 258 Lot: 20 Issued: UNIT 24 Lot Sq Ft: 0 Building Sq Ft:'0 Zoning: Finaled: Valuatiom$18,962.00 Occupancy Type: Construction Type: Expired: No. Buildings:0 No. Stories: 0 No. Unites: 0 Details: 8.58 kW SOLAR ARRAY- (33) 255W KYOCERA KU2606XPA PANELS W/ (1) FRONIUS IG PLUS A_7.5 INVERTER (528SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Tuesday, March 17,2015 12:28:18 PM 1 of 2 CsrsrEMS CHRONOLOGY CHRONOLOGY TYPE , STAFF NAME - ACTION DATE COMPLETION DATE. NOTES' NOTIFIED MELANIE PLASSE W/ SOLARCITY PLANS WERE TELEPHONE CALL JAKE FUSON 3/16/2015 3/16/2015 APPROVED AND PERMIT READY TO ISSUE. CONDITIONS lip NAME TYPE. NAME I ADDRESS' r ' `CITY•" : ATATE �'. ; ZIP' PHO�NE� FAX1.: °:' EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 ( CORTEZ FINANCIAL INFORMATION Printed: Tuesday, March 17,2015 12:28:18 PM 1 of 2 CsrsrEMS • _..: : • DESCRIPTION ... U - ACCOUNT QTY ' AMOUNT PAID .. P.AID`DATE RECEIPT # CHECK # METHOD PAID' BY' C LTD' DATE' • DATE t, M1 i.. 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' Total Paid for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid.forPER.M.IT ISSUANCE: $91.85 $.0.00 TOTALS$141.19 00 INSPECTIONS. SECIID INSPECTION; ; TYPE. INSPECTOR SCHEDULED C.QMPLETED RESULT REMARKS NOTES- DATE' • DATE t, SOLAR FINAL" BLD Printed: Tuesday, March 17, 201512:28:18 PM 2 of 2 CSYSiEMS City of La Quints :.&MW at Safew UvMM P.a BcK 1504,78495 Cage Tampico .l 4: CA,92253 - (760) 777-7012 Buiidkng Permit AppUcatkat and Tracking Sheet ppm Pmea. 0-0 Auz4,i U a CGS owneesNam. YIq a- �2e — A. P. Nwber: Addre 4: 5 OD AV - cz Col- ni 'P: aty, sr, zip: La Quinta, CA cwftcoo:: Solar City Add e: 3055 Clearview Way. Pwj%tDwmtW a:33 roof mounted solar anels . sty, sr, zip: San Mateo; CA, 94402 / inverters F KW ) Tetephom 650-638-1028 ' stats 1& s : 888104 City Lk. R Atte. EW., Dwipa: Aaacs: City, ST. zip: T&phone: Ceas�cdon Typa:. wry: state ia. #: Project type (dde one): Now Add'n . Amer Repair Dago Nameofcottta�ctPeraw: Melanie Plasse 4 PL: 4 Stertes Utnt� T #arc�outeaPerms:760-552-0663 Estimated value ofProject: /F qua rn lasse & 5.61a i e - C0fIWMJQW:.ao nor WWW BROW TM UNE E Y SOIM W d ttlee'd 'L8A( IG 1'SBAIIF IFSF.R P14n'8e� Pim Cam& aabmmled Ieem Aooant ttgckrd Cake. Rcvkn,4 va* for 155116 �b "M Depart. � CdcL Coed 0oatoet Penw 3 b Pan lam _ We 24 aw. raw &kid ap Consu an moos n� w•• ra.. tiaed.. tdee,mt�t cYadag pan - a'! 16eitew; � for eon+e�onWastie ffieetrkl . soon Pon It CdkdCoo taetPmen Plumbing Gnat Dees Paw pktoed np S. LL EL" Apprard Plum rem�ted IN Hou t. ''' gwylew, read? ftr awncdo=nw a Devdow. Ieepaet Fee P4►adagAppront Called CoMut Perwn A .P. Pub. Wim Appy Date of permit hm Mad Fen •roatrermlt no