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BSOL2015-000678-495 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 Y COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BSOL2015-0006 79215 LAURIE CT 604343011 6.12 kW PV SYSTEM - (24) 255W PANELS/(1) INVERTER $13,525.00 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: C46, B, C10, A License No.: 888104 Date: 6 S Contractor: zz,4 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 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 N Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/5/2015 Owner: RICARDO VALDIVIA 79215 LAURIE CT LA QUINTA, CA 92253 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 performance 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 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. Date: Applicant: _`2_ f 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, 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 relating to building construction, and hereby authorize representatives of this city to enter upon the above- mentione property for inspection purposes. Date: Z S Signature (Applicant or Agent) l_,�a��_) NANC { • 1 • DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # . CLTD BY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $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 Total Paid for ELECTRICAL: $48.34 $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 for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: 6.12 kW PV SYSTEM - (24) 255W PANELS/(1) INVERTER Type: SOLAR Subtype: Status: APPROVED Applied: 1/22/2015 PJU Approved: 2/4/2015 JFU Parcel No: 604343011 Site Address: 79215 LAURIE CT LA QUINTA,CA 92253 Subdivision: TR 25363-1 Block: Lot: 30 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,525.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE Details: 6.12 kW SOLAR ARRAY - (24) 255W KYOCERA KU2556XCA PANELS W/ (1) ABB PVI-4.2-OUTD-S-US-Z-A INVERTER [384SF] 2013 CALIFORNIA ELECTRICAL CODE. 13 J Applied to Approved Printed: Thursday, February 05, 2015 10:51:39 AM 1 of 3 CJ?WrsrEMs ADDITIONAL NOTES CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE E-MAIL JAKE FUSON 1/26/2015 1/26/2015 NOTIFIED MELISSA W/ SOLAR CITY PLAN REVIEW WAS COMPLETE AND REVISIONS REQUIRED. SENT CORRECTION LIST AND REDLINED PLAN SET VIA EMAIL. E-MAIL JAKE FUSON 2/4/2015 2/4/2015 NOTIFIED MELISSA W/ SOLAR CITY PLANS WERE APPROVED AND PERMIT READY TO ISSUE. PLAN CHECK SUBMITTAL RECEIVED PHILIP JUAREZ 1/22/2015 1/22/2015 3 SETS SUBMITTED PUT ON BOARD FOR REVIEW. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (951)453-1166 CONTRACTOR SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (951)453-1166 Printed: Thursday, February 05, 2015 10:51:39 AM 1 of 3 CJ?WrsrEMs Printed: Thursday, February 05, 2015 10:51:39 AM 2 of 3 CRWYSTEMS FINANCIAL INFORMATION RESULT REMARKS NOTES SOLAR FINAL" REVIEWS REVIEW TYPE REVIEWER SENT DATE CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID- PAID DATE RECEIPT # CHECK # METHOD PAID BY REVISIONS REQUIRED SEE ATTACHED REVIEW (FIRST REVIEW). NON-STRUCTURAL JAKE FUSON 1/29/2015 2/5/2015 2/4/2015 BY 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 for ELECTRICAL: $48.34 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:• •0 Printed: Thursday, February 05, 2015 10:51:39 AM 2 of 3 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES SOLAR FINAL" Printed: Thursday, February 05, 2015 10:51:39 AM 2 of 3 CRWYSTEMS PARENT .. • REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED DATE STATUS REMARKS NOTES NON-STRUCTURAL JAKE FUSON 1/23/2015 1/29/2015 1/26/2015 REVISIONS REQUIRED SEE ATTACHED REVIEW (FIRST REVIEW). NON-STRUCTURAL JAKE FUSON 1/29/2015 2/5/2015 2/4/2015 APPROVED Printed: Thursday, February 05, 2015 10:51:39 AM 2 of 3 CRWYSTEMS Printed: Thursday, February 05, 2015 10:51:39 AM 3 of 3 CRUff BOND •• • Attachment Type CREATED OWNER ATTACHMENTS DESCRIPTION PATHNAME SUBDIR ETRAKIT'ENABLED DOC 1/26/2015 JAKE FUSON FIRST REVIEW FIRST REVIEW 0 - CORRECTION LIST CORRECTION LIST.pdf DOC 1/26/2015 JAKE FUSON FIRST REVIEW REDLINES FIRST REVIEW 0 REDLINES.pdf Printed: Thursday, February 05, 2015 10:51:39 AM 3 of 3 CRUff BIn.# Qty o'f a QuU1td t®. Bullding a Safety Aivfsion P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #' Project Address: 79215 Laurie Ct Owner's Name:. Valdivia, Ricardo A. P. Number. 604343011. Address: 79215 Laurie Ct Legal Description: city, ST, zip: La QUinta, CA 92253 contractor: Solar City Telephone: ,rskxm K Address: 3055 Clearview Way. Project Description: 24 root' mounted solar panels city, ST, zip: San Mateo; CA, 94402 1 inverter(s) (6.12M). . Telephone:650-638-1028Vt C'. �'; R aw City Lic. #; State Lic. # : 888104 Ard , Engr., Designer. Address: City., ST, zip: Telephone: State Lic. #:« ,� ^�.... ...... `�,' Construction Type:. occupancy: Project type (circle one): New Add'n Alter .Repair Demo Sq. Ft.: #Stories: #Units: Name of Contact Person:Melissa Quintero Telephone # of Contact Person: 9.09-8`'5.5-0038 Estimated Value of Project:13,525 mquinterol@solarcity.com APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Plsu Sets Plan Check submitted it. Amount Structural Calls. Reviewed, ready for corrections t Zb Plan Check Deposit. . Truss Calcs. Called Contact Person (2b Plan Check Balanee. Title 24 Calls. Plans picked up Construction Flood plain plan Pians resubmitted.'. Mechanical Gi-ading plan V Review, ready for cormctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Pians picked up S.M.I. H.Q.A- Approval Plans resubmitted Grading IN HOUSE:- ''" Review; ready for correctionvissue Developer Impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees