BSOL2015-0020t
.78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
..,Property Zoning:
Application Valuation:
e
Applicant:
SOLARGITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2015-0020
45155 SUMMERBROOK CT
604413006
DESERT PRIDE/STURGESS/SOLAR (28) ROOF PANELS (1) INVERTER
$16,088.00
/�,.PR 021 2015
CITY OF LA QUINTA
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: C4466, B. C10, A License No.: 888104
Date: O 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).:
(1 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) 777-701 L
INSPECTIONS (760) 777-7153
Dater 4/2/2015
Owner:
DON STURGES
45155 SUMMERBROOK COURT
LA QUINTA, CA 92253
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-563.0
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 performanc2
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 perms
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.
Date: !3 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 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, aed
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 o -j
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is corre.A.
I agree to comply with all city and county.ordinances and state laws relating to buildi ig
construction, and hereby authorize representatives of this city to enter, upon the abo-e-
mentioned property for inspection purposes.
Date: Signature•(APPlicant or Agen
FINANCIACINFORMATION
" ... DESCRIPTIONS' s E 3; ACCOgUNTE�; t QTY •AMOUNT
PAID �:PAID DAT
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
PAID METHOD k ,�<_RECEIPT #
CHECK # y CLTD BYE'
d�
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
`DESCRIPTION - 4
`* N ACCOUNV-1' : � �
°QTY
- XxAMOUNT e
PAID° , '�.
�PAIDDAT3
PV SYSTEM -ARRAY, FIRST 20
101-0000-42403
0
$24.17
"$0.00
-, PAIU BY " ,, ,. , r r",
�� METHOD
nx RECEIPT #� ' �F
, ¢CHECK # q
r� CLTD BY
` rDESCRIPTION' ,.
; '" ; ACCOUNT'
: QTYS,
AMOUNT,
x PAID
PAID DATA'
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID .BY� <; �; a
..+£. 'Yep.. 3i.:.• b fd b£ _
�E METHOD
RECEIPT #
CHECK # u ° .A
CLTD BYE .
Total Paid for ELECTRICAL: $48.34 $0.00
"DESCRIPTION
• rs r, _E"" ACCOUNT s Y a.
k QN
.'x AMOUNT;
° PAID s
.. PAID DAT=°.
PERMIT ISSUANCE
101-0000-02404
0
$91.85
$0.00
PAID BY
zlc
_RECEIPT # ,""
`" CHECK #CLTD
BYlvE
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:• •0
r
Description: DESERT PRIDE/STURGESS/SOLAR (28) ROOF PANELS (1) INVERTER
Type: SOLAR
Subtype: Status: APPROVED
Applied: 3/16/2015 SKH
Approved: 4/2/2015 JFU
Parcel No: 604413006 Site Address: 45155 SUMMERBROOK CT LA QUINTA,CA 92253
Subdivision: TR 23995-5
Block: Lot: 15
Issued:
Lot Scl Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $16,088.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 7.28 kW SOLAR ARRAY- (28) 26OW KU2606XPA MODULES W/ (1) ABB PVI-6000-OUTD-US-Z-A INVERTER [448SF] 2613 CALIFORNIA
ELECTRICAL CODE.
>
17
jApplied to Approved:
FINANCIAL INFORMATION
Printed: Thursday, April 02, 2015 12:10:14 PM 1 of 2
SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME '- s
ACTION DATE
COMPLETION.DATE'.`
:. ' NOTES
NOTIFIED MELANIE W/ SOLAR CITY PLAN REVIEW WAS
TELEPHONE CALL
JAKE FUSON
3/18/2015
3/18/2015
COMPLETE AND REVISIONS WERE REQUIRED.
CONDITIONS
CONTACTS
,NAME TYPE ':_
NAME
ADDRESSl
CITY •: STATE ZIP;'.
PHONE - FAX. EMAIL '
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(760)200-3622.
mplasse@solarcity.com
(760)552-0663
CONTRACTOR
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(760)200-3622
mplasse@solarcity.com
(760)552-0663
OWNER
DON STURGES
4515.5 SUMMERBROOK
LA QUINTA
CA
92253
(760)200-3622
COURT
FINANCIAL INFORMATION
Printed: Thursday, April 02, 2015 12:10:14 PM 1 of 2
SYSTEMS
`DESCRIPTIO,N
z.,�y
b. -
,1AMOUNT
y-
....0
aRECE1pT,4
T•�
� _
x
CLTD;>
ACCOUNT.
'QTY
PAID „
PAIDbATEF
CHECK
METHOD•'
' * _PAID BY
- r Tr?
r • ^Ovv'_ . +g
'. b.
-.., •a.Y Y
+
_
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 forELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0'
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00•
e Y 0.00
PARENT PROJECTS
Printed: Thursday, April 02, 2015 12:10:14 PM 2 of 2
CRWIY'STIMS