BSOL2015-0059,� aui�crw
78-495 CALLE TAMPICO `&t; 4
LA QUINTA; CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BSOL2015-0059
Property Address:
79615 STAR FLOWER TR
APN:
604253002
Application Description:
9.88kW PV SYSTEM - (38) 260W PANELS/(2) INVERTER
Property Zoning:
3 g
Application Valuation:
$21,834.00
Applicant:
U
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
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 Cla s: C10 A License 810
C Date: Contractor. Ih n
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fro a 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).:
(� 1, 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
hathe 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 contractors) licensed pursuant to
the Contractors' State License Law.).
U lam 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:
Owner:
JUDITH ROWLEY
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
79615 STAR FLOWER TR
LA QUINTA, CA 92253
Contractor:
SOL ARCITY CORPORATION
3055 CLEARVIEW WAY.
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-5630
Llc. No.: 888104
Date: 6/8/2015
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'
an
n,asprovided for by Section 3700 of the Labor Code, for the performance
rwhich thispermit is issued.
ave and willmaintain workers'compensation insurance, as required byof 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 manlier so as to become subject to the workers'
compensation laws.of California, and agree that, ifould become subject to the
workers' compensation provisions of Secti of he Lab Code, I shall forthwith
comply wit thos rov ions.I
Date: •Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONV RAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A 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 applicationbecomes.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 ihformation is correct.
I agree to comply with all city and, county ordinances and state lato building
construction, and hereby authorize representatives oTtl:,K(la
the above
mentioned r for inspection purposes.
Date:Signature (Applicant or Age
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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'
an
n,asprovided for by Section 3700 of the Labor Code, for the performance
rwhich thispermit is issued.
ave and willmaintain workers'compensation insurance, as required byof 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 manlier so as to become subject to the workers'
compensation laws.of California, and agree that, ifould become subject to the
workers' compensation provisions of Secti of he Lab Code, I shall forthwith
comply wit thos rov ions.I
Date: •Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONV RAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A 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 applicationbecomes.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 ihformation is correct.
I agree to comply with all city and, county ordinances and state lato building
construction, and hereby authorize representatives oTtl:,K(la
the above
mentioned r for inspection purposes.
Date:Signature (Applicant or Age
1201:4.
DESCRIPTION p: s" ACCOUNTa ,�_ ' QTY _ ' PAID
PAID DATE-
*`AMOUNT s. *,
BSAS SB1473 FEE 101-0000-20306 .0 $1.00 $0.00
s' PAID By" i_� METHOD ; s+
K_ :.
RECEIPT #,' "
#
CLTD BY `
n . •CHECK
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00, '$0.00
` `DESCRIPTION 'SN
;ACCOUNT
'"AMOUNT
PAID
PAID DATE
�? „
;QTY`
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$0.00
$ METHODkr'
:RECEIPT #
CHECK #
CLTD BY
�PAtD'BY ._
.>
¢.
"DESCRIPTION
ACCOUNT _
QTY
AMOUNT
PAID
t PA ID DATER
PV SYSTEM - ARRAY, FIRST 20 PC
101-0600-42600
0
$24.17
$0.00
PAID ,BY'
x* `r METHOD
u ' �RECEIPTf# tin
CHECK #x
CLTD BY'
DESCRIPTION $�
ACCOUNT e`QTY
AMOUNTrr'
i `PAID
�PAID'DATE:
PV SYSTEM - MISC EQUIPMENT
101-0000-42403
0
$24.17
$0.00
` ' ' PAID. BY `k E' ��
METHOD
fnRECEIP,T #
` .� `CHECK # Y
It BY f'
P zE` fio
+.
.
r 'DESCRI?TIONr"
"'' ACCOUNT `
QTY
' AMOir
UNT
PAID
RAID DATE:
PV SYSTEM- MISC EQUIPMENT PC
101-0000-42600
0
$24.17
$0.00 '
METHOD
tRECEIPT #'.CHECK
#
LTD. BY
Total Paid forELECTRICAL: $96.68 $0.00
n kY `DESCRIPTION ` "
Y ACCOUNT
AMOUNT
'PAID
PAID DATE:
PERMIT ISSUANCE
101-0000-42404
0
.$91.85
$0.00
PAID BY
METHOD
';=RECEIPT#� -
�"`�`y:CHECK # ;`
BY'
r
,
.CLTD
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
• •0
r ,
t
Description: 9.88kW PV SYSTEM - (38) 260W PANELS/(2) INVERTER
CHRONOLOGY
Type: SOLAR
Subtype: .Status: APPROVED
E...a_-
Applied: 5/13/2015 MFA
Approved: 6/5/2015 LUR
Parcel No: 604253002 Site Address: 79615 STAR FLOWER TR LA QUINTA,CA 92253
LUIS URIBE
Subdivision: TR 24208
Block: Lot: 64
CONTACTED MELANIE. PLANS ARE READY FOR CORRECTIONS.
Issued:
Lot Scl Ft: 0 1.
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $21,834.00
_ Occupancy Type: Construction Type:
6/5/2015•
Expired:
No. Buildings: 0
No. Stories: 0- No. Unites: 0
Details: 9.88kW SOLAR ARRAY - (38) 260W KYOCERA PANELS W/ (2) ABB PVI.3.6-OUTD-S-US-Z-A -AFCI INVERTER [655SF] 2013 CALIFORNIA
ELECTRICAL CODE.
r
23 fr:.
yAPPliedto:Approved
-Printed: Monday, June 08, 2015 10:38:39'AM 1 of 3 CJ
SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE : STAFF NAME"
ACTION DATE. COMPLETION D'ATE;, -NOTES
E...a_-
N. �
E-MAIL
LUIS URIBE
5/21/2015
5/21/2015
CONTACTED MELANIE. PLANS ARE READY FOR CORRECTIONS.
I WILL EMAIL REDLINED SHEET AND CORRECTIONS LIST
E-MAIL
LUIS URIBE -
6/5/2015•
6/5/2015
SENT ELENA AN E-MAIL. LET HER KNOW THAT PLANS WERE
READY TO BE PICKED UP.
RE -REVIEWED. PLANS AND FOUND PLANS TO BE IN
NOTE
LUIS URIBE
6/5/2015.•
6/5/2015
COMPLIANCE.
WILL APPROVE TO ISSUE.
PLAN CHECK SUBMITTAL
MARY FASANO
5/13/2015
5/13/2015
RECEIVED
TELEPHONE CALL
LUIS URIBE
5/21/2015
5/21/2015
'
CONDITIONS
-Printed: Monday, June 08, 2015 10:38:39'AM 1 of 3 CJ
SYSTEMS
FINANCIAL
CONTACTS
DESCRIPTION -'ACCOU CtTy. -
CLT D
LTD MET 0 PAI
PAID DATE #Ie" CHECK #4
NT
NAME TYPE
LRECFIPT H BY
4DDRESS1
-CITY -
STATE.-:
ZIP
.PHONE
.,FAX -,-.-..EMAIL
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00.
BSA:
PV SYSTEM - ARRAY,
101-0000-42403
.0
$24.17
$0.00
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY.
SAN MATEO
CA
94402
(760)610-5160
mplasse@solarcity.com
CONTRACTOR
SOLARCITY CORPORATION.
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(760)610-5160
mplasse@solarcity.com
OWNER
JUDITH ROWLEY
179615 STAR FLOWER TRI
LA QUINTA
CA
92253
(760)61075100
FINANCIAL
INFORMATION
DESCRIPTION -'ACCOU CtTy. -
CLT D
LTD MET 0 PAI
PAID DATE #Ie" CHECK #4
NT
LRECFIPT H 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
PV SYSTEM - MISC
.
101-0000-42403
0
$24.17
$0.00
E QUIPMENT
PV SYSTEM - MISC
101-0000-42600
0
$24.17
$0.00
EQUIPMENT PC
Total Paid forELECTRICAL: $96,68 $0.00
PERMIT ISSUANCE
1-61-0000-42404
0
$91.B,
5
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS: $189.53- $0.00'....,
Prin'ted: Monday, -June 08, 2015 10:38:39 AM
PARENT PROJECTS
2 of 3
C§?w.1ysTcms
4
BIR.#
City Of La Qulht'a
BtdWg a Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Qtdnta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Pemlit #
�S°� °�S`CO S°I
Project Address:
Ownet's Name:
IT
-II
A P. Number.
Address: .
Legal Description:
City, ST, zip: La Quinta, CA
Contractor. Solar City
Address: 3055 Clearview Way.
Telephone:
Projeotl)escription: roof mounted solar panels .
city, ST, zip: San Mateo, CA, 94402inverters
Telephone:650-638-1028
state Lic # : 888104 City Lia #;
Arch, Eng., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
Name of Contact Person: Melanie Pl asse
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
#Stories #Univ:
Telephone # of Contact Person: 760-552-0663
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACK NG
PERMIT FEES
Pian Sets
Pian Cheek submitted
item Amount
Structural Cala.
Reviewed, ready for corrections
Plan Check Deposit. .
Tress Calls.
Called Contact Person
Plan Check Balance
Title 24 Calo.
Plana picked up
Construction
Flood plain plan
Plans resubmitted •' .
Mechanical
Grading plan
2'! Review, ready for correctionstissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plana picked up
MLI.
LLO.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''' Review; ready for correedondissoe
Developer Impact Fee '
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wb. Appr
Date of permit issue
School Fees
Total Permit Fees