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BELC2015-0060i 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 BELC2015-0060 52380 SILVER STAR TR COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 767640016 STARKWEATHER RESIDENCE PANEL UPGRADETO 225 ter. AUG ..0 5 2015 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: License No.: 888104 te: Contactor. 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 '1 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.). (� 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-'153 Date: 8/5/2015 Owner: JAMES STARKWEATHER 52380 SILVER STAR TR LA QUINTA, CA 0 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 perform ance of the work for which this permit is issued. I have and will maintain workers' compensation insurance, as requirediby 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 forthwith comply with those provisions. � Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CGDE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subje=t to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at who_e 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 tc„ and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agent_., 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 cessatioln 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 bu'lding construction, and hereby authorize representatives of this city to enter upon the aoove- mentioned property for inspection purposes. Signature (Applicant or Agent)• z INFORMATIONFINANCIAL trDESCRIPTION8 x ACCOUNT a +L ... {{QTY h` AMOUNTr: °}= � s �: PA'ID . " � PAID SATE . BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ' PAID BY <,+ "� ,METHOD "„�L$ t';RECEIPT# rk CHECK# `CLTCBY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION %rr c” ACCOUNT 1^74 `. QTY' $ ,I AMOUNT�i;R` e rg PAID Vii, PAID DATE POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 BY METHOD tt CHECK # CLTPAID D BY , _ "DESCRIPTION .T `r, ` .` .:� ` ACCOUNT ;y� a QTY AMOUNT•'_ PAID rs ti a 'PAID DATE` POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 IYPAID BY 6 ; x - ' = r METHODS :Ex='r� �__ zi- RECEIPT # r t CHECK #xG ,r CLTD BY Total Paid for ELECTRICAL: $48.34. $0.00 ' 47- 3 ,'IDESCRIPTION_ '� ACCOUNT QTY P .AMOUNT Ff E � P.AIDF`PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 x T*' PAID BY .,'METHOD , " RECEIPT # "t. CHECK # A r CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: STARKWEATHER RESIDENCE PANEL UPGRADETO 225 Type: ELECTRICAL Subtype: Status: UNDER REVIEW Applied: 8/5/2015 PJU Approved: Parcel No: 767640016 Site Address: 52380 SILVER STAR TRLA QUINTA,CA 92253 Subdivision: TR 31202-1 Block: Lot: 57 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: MAIN PANEL PANEL UPGRADE -TO 22S AMP .2013 CALIFORNIA ELECTRICAL CODES. J ADDITIONAL SITES Printed: Wednesday, August 05, 2015 10:33:32 AM 1 of 2 SYSTEMS 7- -; E r +e DESCRIPTION f :: r ACCOUNT, " '' . w _ -QTY -.- x.. AMOUNT= *' M. PAID --PAID DATE, x� .Y `RECEIPT7 _- _t ,. t. kmMETHOD �: j MPAIDBY CLTD' �±a,5 a „ w POWER APPARATUS 101-0000-42403 0 $24.17 $0.00 POWER APPARATUS PC 101-0000-42600 0 $24.17 $0.00 Total Paid for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:0i Printed: Wednesday, August 05, 2015 10:33:32 AM 2 of 2 t - SYSTEMS 5 Bin # City of La Quinta Building 8£ Safety Division l P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 -.(760).777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: S I I V.ell' I Owner's Name: J rn Is �r– k A. P. Number: Address: Legal Description: City, ST, Zip: L.OL' QA'L, ('- +z�_ CO— Contractor: 60 i 7 3TelePhone:a1 Address: 3l3 (� Project Description: M (,((n anel I% cKak- City, ST, Zip: • TeleP h0 n 24 XX:Z " State Lic. # : C City Lie. #; Arch., Engr., Designer: Address: City., ST, Zip: Telephone: hone: ' Construction TY e: Occupancy: P State i "#• StatLc Project type (circle one):• New Add'n Alter Repair.air Demo Name of Contact Person: �� (V1 Cas-L Sq, Ft.: #Stories: # Units: Telephone # of Contact Person: Z ?_r -t ( &s�-o Estimated Value of Project: APPLICANT:•DO NOT WRITE BELOW THIS LINE # Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. ' Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2wd Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading N IN ROUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees