BSOL2015-0086VOICE (760) 777-7125
FAX (760) 777-7011-
INSPECTIONS
77-7011INSPECTIONS (760) 777-7153
Applicant: u u Contractor:
SOLARCITY CORPORATION �1 IL 1 2O�J SOLARCITY CORPORATION
3055 CLEARVIEW WAY V 3055 CLEARVIEW WAY
ATTN ZOE STEELEt�U1NTA ATTN ZOE STEELE
EV_
SAN MATEO, CA 94402 C(�Y OF�O M-wDEPARIMENT SAN MATEO, CA 94402
COMMUN(fy p
(650)963-5630
Llc. No.: 888104
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 e Busi s and Professions Code,
and my License is in full force and elle
License Wst: C46 C10 A Lic se 8 4
Date: i� Contractor
OWNER -BUILDER DECLARATION V
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's Name:
Lender's Address:'
Date: 7/31/2015
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'
c tion, as provided for by Section 3700 of the Labor Code, for the performance
f rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
i 00 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity 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 thaA I shplOti, become subject to the
workers' compensation provisions7tt:
RU
bor Code, I shall forthwith
comply with th se provisions.
Date: Appl
WARNING:FAILURE TO SECURE WORKERS' COMPENSA COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S 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, 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 la&,�ilding
construction, and hereby authorize representatives of this ci obove
mentio d ro erty for inspection purposes.
Date: Signature (Applicant or•Agent
C
78-495 CALLE TAMPICO
0 D
QUINTA, CALIFORNIA 92253
,'f%
COMMUNITY DEVELOPMENT DEPARTMENT
Y
BUILDING PERMIT
Application Number:
BSOL2015-0086
Owner:
Property Address:
44355 LAS VISTAS DR
SHEILA LEVY
APN:
604175010
Application Description:
11.96kW PV SYSTEM - (46)
PANELS/(2) INVERTERS+125A SUBPANEL 92253
Property Zoning:
Application Valuation:
$26,431.00
— n
VOICE (760) 777-7125
FAX (760) 777-7011-
INSPECTIONS
77-7011INSPECTIONS (760) 777-7153
Applicant: u u Contractor:
SOLARCITY CORPORATION �1 IL 1 2O�J SOLARCITY CORPORATION
3055 CLEARVIEW WAY V 3055 CLEARVIEW WAY
ATTN ZOE STEELEt�U1NTA ATTN ZOE STEELE
EV_
SAN MATEO, CA 94402 C(�Y OF�O M-wDEPARIMENT SAN MATEO, CA 94402
COMMUN(fy p
(650)963-5630
Llc. No.: 888104
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 e Busi s and Professions Code,
and my License is in full force and elle
License Wst: C46 C10 A Lic se 8 4
Date: i� Contractor
OWNER -BUILDER DECLARATION V
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's Name:
Lender's Address:'
Date: 7/31/2015
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'
c tion, as provided for by Section 3700 of the Labor Code, for the performance
f rk for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
i 00 of the Labor Code, for the performance of the work for which this permit
is issued. My workers' compensation insurance carrier and polity 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 thaA I shplOti, become subject to the
workers' compensation provisions7tt:
RU
bor Code, I shall forthwith
comply with th se provisions.
Date: Appl
WARNING:FAILURE TO SECURE WORKERS' COMPENSA COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL S 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, 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 la&,�ilding
construction, and hereby authorize representatives of this ci obove
mentio d ro erty for inspection purposes.
Date: Signature (Applicant or•Agent
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT • PAID
PAID.DATE
BSAS SB1473 FEE 101-0000-20306 0
$2.00 $0.00
PAID BY METHOD RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $2.00 $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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PV SYSTEM - MISC EQUIPMENT
101-0000-42403
0
$48.34
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
-QTY
AMOUNT
PAID
PAID DATE
PV SYSTEM - MISC EQUIPMENT PC
101-0000-42600
0
$48.34
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $145.02 $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 forPERMIT ISSUANCE: .$91.85 $0.00
TOTALS:00
Cr
Permit Details PERMIT .NUMBER
S
City of La Quinta BSOL�261!5`UMb
Description: 11.96kW PV SYSTEM - (46) PANELS/(2) INVERTERS+125A SUBPANEL
Type: SOLAR Subtype: Status: APPROVED
Applied: 6/29/2015 EVA
Approved: 7/30/2015 JFU
Parcel No: 604175010 Site Address: 44355 LAS VISTAS DR LA QUINTA,CA 92253
Subdivision: TR 23269 Block: Lot: 248
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $26,431.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
-NOTES
Details: 12.48 kW SOLAR ARRAY - (48) 260W KYOCERA KU2606XPA PANELS W/ (2) ABB PVI-3.6-OUTD-S-US-Z-A INVERTERS AND (1) ABB PVI-
3.0-OUTD-US-Z-A INVERTER + MAIN SERVICE PANEL UPGRADE TO 225A + 125A SUBPANEL [864SF] 2013 CALIFORNIA ELECTRICAL
CODE.
Printed: Friday, July 31, 2015 1:16:07 PM 1 of 3 ET>Gi
S YS7EIv1S
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME.
ACTION DATE
COMPLETION DATE
-NOTES
NOTIFIED ELENA W/ SOLAR CITY THAT PLAN REVIEW WAS
E-MAIL
JAKE FUSON
7/7/2015
7/7/2015
COMPLETE AND REVISIONS WERE REQUIRED. SENT
CORRECTION LIST AND REDLINES VIA EMAIL.
NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE
E-MAIL
JAKE FUSON
7/30/2015
7/30/2015
APPROVED AND PERMIT WAS READY TO ISSUE.
PLAN CHECK SUBMITTAL
ED VASQUEZ
6/29/2015
6/29/2015
RECEIVED
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
7/22/2015
7/22/2015
RECEIVED
CONDITIONS
Printed: Friday, July 31, 2015 1:16:07 PM 1 of 3 ET>Gi
S YS7EIv1S
Printed: Friday, July 31, 2015 1:16:07 PM 2 of 3 1
SYSTflv1S
INSPECTIONS
CONTACTS
CITY
STATE ZIP PHONE
FAX EMAIL
NAME TYPE NAME ADDRESSI
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA 94402
mplasse@solarcity.com
CONTRACTOR
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA 94402
mplasse@solarcity.com
OWNER
SHEILA LEVY
BY
BSAS SB1473 FEE
92253
$2.00
Printed: Friday, July 31, 2015 1:16:07 PM 2 of 3 1
SYSTflv1S
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
FINANCIAL
INFORMATION
CLTD
DESCRIPTION
ACCOUNT; QTY'
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
BY
BSAS SB1473 FEE
101-0000-20306 0
$2.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$2.00
$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
$48.34
$0.00
EQUIPMENT
PV SYSTEM - MISC
101-0000-42600
0
$48.34
$0.00
EQUIPMENT PC
Total Paid for ELECTRICAL:
$145.02
$0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE:
$91.85
$0.00
TOTALS:0i
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SYSTflv1S
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
-
Printed: Friday, July 31, 2015 1:16:07 PM 2 of 3 1
SYSTflv1S
BOND INFORMATION
SUBDIR
NOTES
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
REVIEWS
STATUS
REMARKS
NON-STRUCTURAL -
JAKE FUSON
6/29/2015
7/7/2015
7/7/2015
REVISIONS REQUIRED
7/7/2015
SEE 1ST REVIEW CORRECTIONS AND REDLINES.
1 WK
REVIEW
0
CORRECTIONS
NON-STRUCTURAL -
JAKE FUSON
7/22/2015
7/29/2015
7/30/2015
APPROVED .
BSOL2015-0086 -1ST
1 WK
DOC
7/7/2015
JAKE FUSON
1ST REVIEW REDLINES
REVIEW REDLINES.pdf
BOND INFORMATION
SUBDIR
ETRAKIT ENABLED
Attachment Type
CREATED
OWNER
ATTACHMENTS
...DESCRIPTION,
PATHNAME
BSOL2015-0086 - 1ST
DOC
7/7/2015
JAKE FUSON
IST REVIEW
REVIEW
0
CORRECTIONS
CORRECTIONS.pdf.
BSOL2015-0086 -1ST
DOC
7/7/2015
JAKE FUSON
1ST REVIEW REDLINES
REVIEW REDLINES.pdf
0
Printed: Friday, July 31, 2015 1:16:07 PM 3 of 3
CN?WYSTIMS
r %
,
Bk#
City of QUjTr%ta
Buiidhlg 8t Safely DhWon
P.O. Box 1504,78-495 Calle Tampico
4.Quinta, CA 92253 - (760) 777-7012
co 56. Building Permit Application and Tracking Sheet
Permit #
13 So 2-O 1
Project Address:
Owner's Name:.
A. P. Number.
Address: /_t S &IN or.
Legal Description..
City, ST, zip: La Quinta, CA
Contractor. Solar City
Address: 3055 Clearview Way.
Telephone:
Neq Description4krooif mounted solar panels .
city, $T, zip: San Mateo, CA, 94402
inverter s
Telephone. 650-638-1028
State Lia # : 888104 City Lia#;
W., Designer
E
Zip.
Telephone:
State Lia #:
Name of Contact Person: Elena Loya _
Construction Type: .
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:#Stories:
#Units:
Telephone # of Contact Person: (442.)256-1134 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT' FERS
Plan Sets
Pian Cheek submitted
Item Amount
Structural Calcs.
Reviewed, ready for correcdons
777
Plan Check Deposit. .
Truss Cates.
Called Contact Person%
7
Plan Check Balance.
Title 24 Calo6
Pians picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Giadlag plan
r! Review, ready for correctiogep
%
Electrical
Subeontaetor List
Called Contact Person
Plumbing
Great Deed
Plans piciced up
&NLL
&O A. Approval
Plans resubmitted
Grading
IN HOUSE.-
1r° Revtew, ready for correctlonalissae
Developer Impact Fee
Planning Approval •
Called Contact Person
A.LP.P.
Pub. Wka. Appr
Date of permit issue
School Fees
Total Permit Fees