BSOL2014-0013- -1
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
T4tr44vQ"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2014-0013
45210 DESERT HILLS CT CT
604280001
8.4kW PV SYSTEM - (33) 255W PAN ELS+OPTIMIZERS/(1) INVERTER
$18,597.00
Applicant:
SOLARCITY CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
SEP 29 2014
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
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: License No.: :LIC -0108752
Date: 6ILAContractor: 4 a=2J
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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/29/2014
Owner:
GUNTHER GAYLENE LIVING TRUST
45210 DESERT HILLS
LA QUINTA, CA 92253
Contractor:
SOLARCITY CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA, CA 92253
(650)638-1030
Llc. No.: :LIC -0108752
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.
1 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:
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-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT' :..
CITY 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
CITY
AMOUNT
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$23.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $47.66 $0.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:00
Permit -,Details PERMIT NUMBER ry,
BSOL-2014-00.13
- City of La Quinta
Description: 8.4kW PV SYSTEM - (33) 255W PAN ELS+OPTI M IZERS/(1) INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 9/12/2014 KHE
Approved: 9/29/2014 AOR
Parcel No: 604280001 Site Address: 45210 DESERT HILLS CT CT LA QUINTA,CA 92253
Subdivision: TR 23935-3 Block: Lot: 16
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $18,597.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 8.4kW SOLAR ARRAY - (33) 255W KYOCERA PANELS+SOLAREDGE P300 OPTIMIZERS W/ (1) SOLAREDGE SE6000A-US-ZB-U-AFCI
INVERTER [576SF] 2013 CALIFORNIA ELECTRICAL CODE.
Printed: Monday, September 29, 201411:05:24 AM 1 of 2
CRcvcrcnec
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
E-MAIL
AJ ORTEGA
9/29/2014
9/29/2014
EMAILED MELISSA AT SOLARCITY THAT PERMIT IS READY TO
ISSUE.
PLAN CHECK SUBMITTAL
KAY HENSEL
9/12/2014
CONDITIONS
CONTACTS
NAME TYPE NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT SOLARCITY CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
CONTRACTOR SOLARCITY CORPORATION
0 OUTSIDE CITY LIMITS
LA QUINTA
CA
92253
OWNER GUNTHER GAYLENE LIVING TRUST
45210 DESERT HILLS
LA QUINTA
CA
92253
Printed: Monday, September 29, 201411:05:24 AM 1 of 2
CRcvcrcnec
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES.
SOLAR FINAL"
CLTQ,
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
$23.83
$0.00
FIRST 20
PV SYSTEM - ARRAY,
101-0000-42600
0
$23.83
$0.00
FIRST 20 PC
Total Paid for ELECTRICAL: $47.66 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$90.57
$0.00
Total Paid for PERMIT ISSUANCE: $90.57 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES.
SOLAR FINAL"
BOND INFORMATION
Printed: Monday, September 29, 2014 11:05:24 AM 2 of 2 CB? �yf TFMf
Bin #
�3
City Of is Qi1thta
Buikbg 8E Safety DP&on
P.O. Box 1504,"78 -495 Calle Tampico
La .Quhlta, CA 92233 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # ()
a
5�.
Project Address: 95110 ffs y+ X 115
f
ovmees Name:.
A P. Number. UD
Address: 4"521b b f r
Legal Description:
City, ST, Zip.
Contractor- 36Ictrl
Telephone: -
Project Description: 33
Address: blS
City, ST, Zip:atL�
Telephone:
440
State Lia # :
City Lie. #;
., F.ngr., Designer.ess:
F
ST, Zip.
Telephone:
State Lia #:
Name of Contact Person: k4d1 �&, fA_
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: #Univ:
Telephone # of Contact Pelson:
Estimated Value of Project IC(
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
ReVd
Rec'd
TRACKING
PERM T FEES
Plan Sets
Plan Cheek
submitted 9�a't
Item Amount
Structural Calces
Reviewed,
ready for corrections
Plan Check Deposit. .
Truss Cates.
Called
Contact Person
Plan Check Balance -
Mile Id Calcs.
Plans picked
up
Construction
Flood plain plan
Pians resubmitted..
Mechanical
Giading plan
V Review,
ready for correctionsfhssue
Electrical
Sabtoataetor List
Called
Contact Person
Plumbing
Grant Deed
Pians plcked
up
ML
H.O.A. Approval
Plans resabmitted
Grading
IN HOUSE:-
''� Review;
ready for eorrecdar=ej
Developer Impact Fee
Planning Approval.
Called
Contact Person
A.I.P.P.
Pub. W.U. Appr
Date of
permit issue
School Fees
Total Permit Fees