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BSOL2015-009578-495 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 Tt/ D VOICE (760) 777-7125 v FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 _BUILDING PERMIT Date: 7/9/2015 BSOL2015-0095 Owner: 45485 DESERT EAGLE CT ANTHONY GUAYDACAN S 604241013 45485 DESERT EAGLE Z c— GUAYDACAN / 40 ROOF MOUNTED PANLES (2) INVERTERS 10.6KW LA QUINTA, CA 92253 0 $23,426.00 c e� . �b Contractor: z N o o SOLARCITY CORPORATION cr 3055 CLEARVIEW WAY 7- ATTN ZOE STEELE 2i SAN MATEO,CA 94402 (650)638-1028 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 o Busines d Professions Code, and my License is in full force and effect. License Clast, License No.: 88810 Date:' Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ntractor'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 Name: Lender's 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' compe n, as provided for by Section 3700 of the Labor Code, for the performance r which this permit is issued. ave and will maintain workers' compensation insurance, as required by S do 00 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 Id become subject to the workers' compensation provisions of Section 37 of a La or ode, I shall forthwith comply 'th tho roviv�ijsions. Date. J Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AOC IVIL 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 construction, and hereby authorize representatives of mentioned rope y for inspection purposes. Date: Signature (Applicant or Age FINANCIAL INFORMATION 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 for BUILDING 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 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 $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 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for ELECTRICAL: $96.68 $0.00 DESCRIPTION ACCOUNT QTY r -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: GUAYDACAN / 40 ROOF MOUNTED PANLES (2) INVERTERS 10.6KW Type: SOLAR Subtype: Status: APPROVED Applied: 7/8/2015 SKH Approved: 7/8/2015 JFU Parcel No: 604241013 Site Address: 45485 DESERT EAGLE CT LA QUINTA,CA 92253 Subdivision: TR 23935-1 Block: Lot: 3 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) KYOCERA KU2656ZPA PANELS W/ (2) ABB PVI-3.6-OUTD-S-US-Z-A INVERTERS + 125A SUBPANEL [720SF] 2013 CALIFORNIA ELECTRICAL CODE. Printed: Thursday, July 09, 2015 11:20:00 AM 1 of NAAF 0MUSYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES E-MAIL JAKE FUSON 7/8/2015 7/8/2015 NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. PLAN CHECK SUBMITTAL RECEIVED STEPHANIE KHATAMI "7/8/2015 7/8/2015 CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 ( Printed: Thursday, July 09, 2015 11:20:00 AM 1 of NAAF 0MUSYSTEMS Printed: Thursday, July 09, 2015 11:20:00 AM 2 of 3 ��SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# CHECK # METHOD PAID BY 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 PV SYSTEM - MISC 101-0000-42403 0 $24.17 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $24.17 $0.00 EQUIPMENT PC Total Paid for ELECTRICAL: $96.68 $0.00 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•0 Printed: Thursday, July 09, 2015 11:20:00 AM 2 of 3 ��SYSTEMS Printed: Thursday, July 09, 2015 11:20:00 AM 3 of 3 CBF SYSTEMS ,. 1 Birt #City of La Quinta Buffdfrlg 8f Safety Duron P.O. Box 1504,78-495 GUe Tampfco La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracidng. Sheet Permit # �5�� Project Address: owner's Name: A P. Number C;[ - Add Legal Description: city, ST, zip: La Quinta, CA Contractor. Solar City Telephone. Addrm: 3055 Clearview Way. Project Description: _4Q roof mounted solar panels . city, sT, zip: San Mateo, CA, 94402 inverter s - L Telephone: 650-638-1028 State Lia # : 888104 City Lic. #, Arch, EW., Designer: Address: City, ST. Zip. Telephone: Construction Type:. occupancy: State Lia #: Name ofcoma r—erson: Elena Loya Project type (circle one): New Add'a Alter Repan Demo Sq. Ft.: # Swries: #Unit;;: Teiephone # of contact Poison: Estimated value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Req'd Recd TRACKIPIG PERMIT FEES Plan Sete Plan Cheek submitted Item Amount Structural CalaReviewed, ready for ea l �SVE % S Plan Check Deposit. . 1lnras Cater. Called Contact Person71K Platt Check Balance We24 Cake. Plane picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading play i' Review, ready for correctionsfcssue Electrical Subeowtaeoor List Called Contact Person Plumbiug Grant Deed Plans picked up L ML H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7id Review; ready for eorreedondissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Whs. Appr Date of perm@ issue School Fees I RFC,E-1VFn.. Total Permit Fees JUL .0 8 2015 CITY OF LA QUINTA COMMUNITY DEVELOPMENT