BSOL2015-00421.
78-495 CALLE TAMPICO Ct 0 D `�KtiI1fCl/
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSOL2015-0042
Property Address:
79105 DIANE DR
APN:
604361026
Application Description:
JOHNSON / SOLAR (27) ROOF MOUNTED PANELS (2)INVERTER
Property Zoning:
Application Valuation:
$15,514.00
Applicant:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO,CA 94402
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 siness and Professions Code,
and my License is in full force and effect.
License Clas : C46 B C10 A Licen No.: 4
DateContractor. >
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the tractor'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, 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 Addre!
VOICE (760) 777-7125
FAX (760) 777-7011-
INSPECTIONS
77-7011INSPECTIONS (760) 777-7153
(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'
c4'f
as provided for by Section 3700 of the Labor Code, for the performance
o which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
Sthe 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 - ecome subject to the workers'
compensation laws of California, and agree that f I.s uId beco a subject to the
workers' compensation provisions of Sectio oft a Labor de, I shall forthwith
comply with those pr visions. .
Dater A Applicant'
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE GE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I IL 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 statowelating building
construction, and hereby authorize representatives o is c o ent upo t above•
mentione*propeforpection purpoDate:_- i ignature (Applicant or Agent
Date: 4/28/2015
Owner:
WILLIAM JOHNSONEC�8
79105 DIANE DRLA
QUINTA, CA 92253Cq
Contractor:SOLARCITY
CORPORATION3055
CLEARVIEW WAY
ATTN ZOE STEELESAN
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'
c4'f
as provided for by Section 3700 of the Labor Code, for the performance
o which this permit is issued.
ve and will maintain workers' compensation insurance, as required by
Sthe 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 - ecome subject to the workers'
compensation laws of California, and agree that f I.s uId beco a subject to the
workers' compensation provisions of Sectio oft a Labor de, I shall forthwith
comply with those pr visions. .
Dater A Applicant'
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVE GE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND I IL 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 statowelating building
construction, and hereby authorize representatives o is c o ent upo t above•
mentione*propeforpection purpoDate:_- i ignature (Applicant or Agent
e
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 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:• ••
Description: JOHNSON / SOLAR (27) ROOF MOUNTED PANELS (2)INVERTER
Type: SOLAR Subtype: Status: APPROVED Applied: 4/6/2015 SKH
Parcel No: 604361026 Site Address: 79105 DIANE DR LA QUINTA CA 92253 Approved: 4/27/2015 LUR
Subdivision: TR 27899 Block: Lot: 74 Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled:
Valuation: $15,514.00 Occupancy Type: Construction Type: Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 7.02kW SOLAR ARRAY - (27) 260W KYOCERA PANELS W/(2) ABB PVI -3.0 -OUTS -US AFCI INVERTER [288SF] 2013 CALIFORNIA
ELECTRICAL CODE.
Printed: Tuesday, April 28, 2015 10:22:14 AM 1 of 3 EmAr
CR SYSTEMS
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
E-MAIL
LUIS URIBE
4/13/2015
4/13/2015
EMAIL SENT TO MELANIE ABOUT PLAN REVIEW STATUS AND
CORRECTIONS REQUIERD
E-MAIL
LUIS URIBE
4/27/2015
4/27/2015
REVISED PLANS JUST IN
E-MAIL
LUIS URIBE
4/27/2015
4/27/2015
EMAILD MELANIE TO LET HER KNOW THAT PERMIT IS READY
TO BE ISSUED.
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
4/6/2015
4/6/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY STATE
ZIP PHONE FAX EMAIL
APPLICANT SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402 mplasse@solarcity.com
760-552-0663
Printed: Tuesday, April 28, 2015 10:22:14 AM 1 of 3 EmAr
CR SYSTEMS
Printed: Tuesday, April 28, 2015 10:22:14 AM 2 of 3
Clew.'YSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
I COMPLETED
DATE
FINANCIAL
INFORMATION
DESCRIPTION
ACCOUNT QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD
BY
BSAS SB1473 FEE
101-0000-20306 0
$1.00
$0.00
Total Paid for BUILDING 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 forPERM1T ISSUANCE:
$91.85
$0.00
TOTALS:•
••
Printed: Tuesday, April 28, 2015 10:22:14 AM 2 of 3
Clew.'YSTEMS
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
I COMPLETED
DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
Printed: Tuesday, April 28, 2015 10:22:14 AM 2 of 3
Clew.'YSTEMS
NUMBER
E RE
Permit S REI
y City of La Qu rota B _00 2
NON-STRUCTURAL
LUIS URIBE
4/6/2015
4/13/2015
4/13/2015
REVISIONS REQUIRED
79-105 DIANE DR
SEE CORRECTIONS LIST ATTACHED.
NON-STRUCTURAL
BUILDING
4/27/2015
5/4/2015
4/27/2015
APPROVED
0
BUCKET
CORRECTIONS LIST.docx
FIRST REVIEW RED LINE
, m=3
Attachment Type. CREATED OWNER DESCRIPTION PATHNIAME SUBDIR' ETRAKIT ENABLED
FIRST REVIEW
79-105 DIANE DR
DOC
4/13/2015 LUIS URIBE
0
COMMENTS
CORRECTIONS LIST.docx
FIRST REVIEW RED LINE
FIRST REVIEW RED LINE
DOC
4/13/2015 LUIS URIBE
.
0
SET
ET.pdf
Diane
79105 Dr
DOC
4/27/2015 LUIS URIBE
REVISED SET OF PLANS
0
Corrected (2).pdf
Printed: Tuesday, April 28, 2015 10:22:14 AM 3 of 3 CoNflYSTEMS