BSOL2015-0113c 41
78-495 CALLE TAMPICCf
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
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2015-0113
78517 TORINO' DR
609551007
10.6kW PV SYSTEM - (40) 265W PANELS/(2) INVERTER
$23,426.00
AUG 44 2095
CITY CF LA (QUINTA
COMMUNITY DEVELOP1,12NT DEPART..".1ENT
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 CI ss: LO—B, C10• A Licens 10
,Date:V 4 � 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 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 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 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'sName:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/4/2015
Owner:
MAXINE FREEMAN
78517 TORINO DR
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'
cAn
on, as provided for by Section 3700 of the Labor Code, for the performance
ofor which this permit is issued.
have and will maintain workers'compensation insurance, as required by
S0 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, i hould become subject to the
workers' compensation provisions of Section.3 0 o he L b r Code, I shall forthwith
comply with tho a rovisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND 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 anypermit
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 elating to building
construction, and hereby authorize representatives i toe a up the above -
men ' e pro e y for inspection purposes.
Date: i ignature (Applicant or Ag nt):
FINANCIAL •{•
'• k TY w AMOUNTVq
DESCRIPTION #*� "ACCOUNT x� " $ Q�,$ PAIDDATE
z PAID
fi. .f, : p•- ..r. d. .� z,ax,z=.. ..;.
BSAS 581473 FEE 101-0000-20306
0 $1.00 $0.00
�,,sN'METFIOD ;
;RECEIPT # * "t . M gCHECK #�; ,CLTD BY
Total Paid.for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
4 DESCRIPTION r ,s a"
ACCOUNTq zrx;5QTY
r x AMOUNT,"�
s"PAID�p
MAIDMATE
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$0.00
91 :<t + gz ` s
z - PAID BY w
.-.
.yF
s METIi00r K
RECEIPT # r
ry ra �r.:
CHECK #
r «, ��:,
r.
CL7D BY
" r 'DESCRIPTION.
S szs . i „w •wr• �v-y t
CCOUNTg
A
.QTY
AM.,Or UNTr
. °
. '.mew- .. axe.
n PA- I_D y
t:o e•-iV•eE+:a 'a -Td
,
PAID ,,DATE.
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
, rxzw
u x e+ PAID BY �w {
` a y METHOD >'�s�
' w`` 'RECEIPT#Y
544 14
CHECK#` "
CLTDBY:
Total Paid for ELECTRICAL: $48.34 $0.00
"tDESCPTI * 4 x v
t' ACCOUNT, f E '
;,QTY,
If MOUNT'
A
rAlP: $
D s
'DATE:.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
x;
,., F�
RECEIPT #'r
CwCHECK#�
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:�•
Desci iPUUH: iU.bkw Nv SYS I EM - (4U) 1bSW PANELS/(1) INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 7/27/2015 MFA
Approved: 8/4/2015 LUR
Parcel No: 609551007 Site Address: 78517 TORINO DR LA QUINTA,CA 92253
Subdivision: TR 28458-1 Block: Lot: 11
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $23,426.00 Occupancy Type: Construction.Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 10.6kW SOLAR ARRAY- (40) 265W KYOCERA PANELS (2) ABB PVI-4.2-OUTD-S-US-Z-AFCI INVERTER [708SF]DERATING OF MAIN
CIRCUIT BREAKER 200A>175A 2013 CALIFORNIA ELECTRICAL CODE.
ADDITIONAL SITES
Applied to Approved
FINANCIAL INFORMATION
Printed: Tuesday, August 04, 2015 11:52:25 AM 1 of 2
SYSTEMS
PARENT PROJECTS.
' .
'
Printed: Tuesday, August 04,ZO1S11:52:Z5xxx' ZofZ .
. ' . . . Cff---- --'MS
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AD 71
TAIDeDATE:
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Tota I Paid for BUILDING STANDARDS ADM INISTRAT16N
PV SYSTEM � ARRAY,
101-0000-42403
0
$2 1 4.17
$0.00
FIRST 20
PV SYSTEM - ARRAY,
101-0000-42600
0
$24.17
$0.00
FIRST 20 PC
TotalPaid forELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404' —FO
$91.85
$0.00
Total Paid forPERMIT ISSUANCE: $91.8s $0.00
PARENT PROJECTS.
' .
'
Printed: Tuesday, August 04,ZO1S11:52:Z5xxx' ZofZ .
. ' . . . Cff---- --'MS
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'
' ' '
#
City. of La Quinta
j Bullding 8r Safety Division
d ` P.O Box 1504,78-495 Calk Tamptco
La.Quinta, CA 92253 -:(760) 777-7012
Building Permit Applicatlon and Tracking Sheet '
Permit #
SD
Project Address: �'
Owner's Name: .
A. P. Number.
Address: 5�. g S
Legal Description:
city, ST, zip: La Quin'ta, CA
Contractor Solar City
Telephone:
Address: 3055 Clearview Way.
PmjegD"cription: 4Drobf mounted"pan�els
city, ST, zip: San Mateo, CA, 94402
inverter s
Telephone: 650-638-1028 f
state Lic. # : 888104 City Lic. #,
Ard , Engr, Designer
Address:
City., ST, Zip:
Telephone:
Construction Type:. occupancy:
State Lic. M
Name of contact Person: Elena Loya
Project type (circle one): New Add'n Alter Repair Demo
Sq. R: #Stories: #Unit,s:
Telephone # of Contact Person:(442.)256-1134
Estimated value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACE NG
PERM[r FEES
Plan Sets
Plan Check submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
'Russ Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calm
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2'! Review, ready for correctiowirmue .
Electrical
Subeoutattor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE.-
1r° Review; ready for correctionsAssue
Developer Impaet Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees