BSOL2015-0176f
- r
78-495 CALLE TAM PICO ` D �iNII�Cl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
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
BSOL2015-0176
51535 AVENIDA BERMUDAS
773145015
VALENCIA / 5.565KW (21)ROOF MOUNTED PANELS (1)INVERTER
$12,298.00
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 I ss: C4 � i is s o: 8 1
G
Date: Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JUAN VALENCIA
51535 AVENIDA BERMUDAS
LA QUINTA, CA 92253
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO,CA 94402
(650)963-4722
Llc. No.: 888104
Date: 9/23/2015
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I hereby affirm under penalty of perjury that I am exemptthe Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
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come subject to the
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Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
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Date: Applicant:-
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permit subjects the applicant to a civil penalty of not more than five hundred dollars
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOC VERAGE IS UNLAWFUL,
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AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI A D CIVIL FINES UP TO
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compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
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himself or herself through his or her own employees, provided that the improvements
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'
come ion, as provided for by Section 3700 of the Labor Code, for the performance
0 o for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se � 00 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:
OWNER -BUILDER DECLARATI
nm
Carrier: _ Policy Number:
I hereby affirm under penalty of perjury that I am exemptthe Contractor's State
_ I certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
shall not employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair
compensation laws of California, and agree that, if 19u
come subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a
workers' compensation provisions of Secy 7 f t
e l f4r Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the
compl th theprovi ' ns.
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
Date: Applicant:-
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
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOC VERAGE IS UNLAWFUL,
($500).:
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI A D CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIO TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale.
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving tha:
the conditions and restrictions set forth on this application.
he or she did not build or improve for the purpose of sale.).
1. Each person upon whose behalf this application is made, each person at whose
(_)1, as owner of the property, am exclusively contracting with licensed contractors
request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
issued as a result of this application , the owner, and the applicant, each agrees to, and
State License Law does not'apply to an owner of property who builds or improves
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
employees for any act or omission related to the work being performed under or
the Contractors' State License Law.).
following issuance of this permit.
(_) I am exempt under Sec. . B.&P.C. for this reason
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.
Date:
Owner:
CONSTRUCTION LENDING AGENCY
1 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:
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 ' ity me pon the
above- ntione rope y for inspection purposes.
Dat Signature (Applicant or Agen
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
0� ��O J.. 4Y� �1fiY o i D • • � •
Description: VALENCIA / 5.565KW (21)ROOF MOUNTED PANELS (1)INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 9/14/2015 SKH
Approved: 9/21/2015 JFU
Parcel No: 773145015 Site Address: 51535 AVENIDA BERMUDAS LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 110 Lot: 3
Issued:
NO 12
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $12,298.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 5.565 kW SOLAR ARRAY- (21) 265W KYOCERA KU2656ZPA PANELS W/ (1) ABB PVI-4.2-OUTD-S-US-Z-A INVERTER [378SF] 2013
CALIFORNIA ELECTRICAL CODE.
i 4, f;T
x x Y3 s k ADDITIONALSITES
.'CONDITIONS
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FINANCIAL'�INFORMATION r
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Printed: Wednesday, September 23, 2015 3:16:26 PM 1 of 2 CO[ J[.J SYSTEMS
Permit Details PERMIT NUMBER
- City of La Quinta BSGLL2015=01`:76'
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. � T
i
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
Printed: Wednesday, September 23, 2015 3:16:26 PM 2 of 2 C®Q SYSTEMS
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 for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404 1
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
BOND INFORMATION
Printed: Wednesday, September 23, 2015 3:16:26 PM 2 of 2 C®Q SYSTEMS
Bfn.#
aQ Y Of La Quin1td
BuiWtng 8r Safety Division
P.O. Box 1504, 78-495 Carie Tampico
U Qulnta, CA 92253 - (760) 777-7012
p Building Permit Application and Tracking Sheet
Permit #
�ij� O CZ
Project Address:
A. P. Number.
Owner's Name--.
Address
Legal Description:
City, ST. zip: La Quinta, CA
Contractor. Solar City
Telephone:
Address: 3055 Clearview Way.ProjectI)escriprion:
roof mounted solar panels .
city, ST, zip: San Mateo, CA, 94402
inverter(s)
Teiephor►e:650-638-1028
State Lia # : 888104 City. Lic. #:
Arch., Engr:, Designer.
Address:
City.. ST. Zip:
Telephone:
Construction Type:. Oxupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories: #Unit$:
State Lia: #:
Name of contact Person: Elena Loya
Telephone # of contact Person: (442-)256-1134
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
ReWd
Recd
TRACKING
PERMIT FEES
Plan Sete
Plan Cheek submitted
Item Amount
Structural Calcs.
Reviewed, ready forte issue,
q1,Al
Plan Check Deposit, .
Truss Calcs..
Called Contact Person(, '
Z
Platt Check Balance _
Title 24 Cale&
Plans picked up
Construction
-Flood plain plan
Plans resubmitted..
Mechanical
Grading plan •
'! Review, ready for correctionsfissue
Electrical
Sobcontaetor List
Called Contact Person
Plumbing
Grant Deed
Plane picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for•correetionsAssuc
Devdoper Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr, ,
Date of permit issue
School Fees
Total Permit Fees