BSOL2015-008978-495 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
T4,ty, 4 4 Qu&r(v
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
BSOL2015-0089
Owner:
54455 AVENIDA DIAZ
ASHLEY ROBBINS
774233022
54455 AVENIDA DIAZ
5.3kW PV SYSTEM - (20) 265W PANELS/W OPTIMIZERS&(1) INVERTER
LA QUINTA, CA 92253
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 and Professions Code,
and my License is in full force and effect
Licehse s ense No.: 888 4
Date Contractor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from th ontractor'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
Lender's
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO,CA 94402
(650)963-5630
Llc. No.: 888104
Date: 7/9/2015
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'
tion, as provided for by Section 3700 of the Labor Code, for the performance
of e o k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
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 s uld Mome subject to the
workers' compensation provisions of Sec ' 37 of th L bo Co e, I shall forthwith
comply w h pro 'ions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION0 RAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND IVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 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)aws relating to building
construction, and hereby authorize repr en ves f t ' cityo enter upon the above•
mention d pro erty for inspection purp es.
Date: Signature (Applicant r Ag
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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'
tion, as provided for by Section 3700 of the Labor Code, for the performance
of e o k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
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 s uld Mome subject to the
workers' compensation provisions of Sec ' 37 of th L bo Co e, I shall forthwith
comply w h pro 'ions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION0 RAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND IVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION 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)aws relating to building
construction, and hereby authorize repr en ves f t ' cityo enter upon the above•
mention d pro erty for inspection purp es.
Date: Signature (Applicant r Ag
FINANCIAL INFORMATION
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 forELECTRICAL: $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
Permit Details PERMIT NUMBER
X r City of La Quinta BSOL201'5=00.89 T
Description: 5.3kW PV SYSTEM - (20) 265W PANELS/W OPTIMIZERS&(1) INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 7/1/2015 EVA
Approved: 7/8/2015 LUR
Parcel No: 774233022 Site Address: 54455 AVENIDA DIAZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 262 Lot: 10
Issued:
UNIT 24
CHRONOLOGY
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $0.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
COMPLETION DATE
Details: 5.3kW SOLAR ARRAY - (20) 265W KYOCERA PAN ELS+SOLAREDG E P300 OPTIMIZERS W/ (1) SOLAREDGE SE3800A-US-ZB-U-AFCI
INVERTER [354SF) 2013 CALIFORNIA ELECTRICAL CODE.
FINANCIAL INFORMATION
Printed: Thursday, July 09, 2015 11:20:46 AM 1 of 2
CIFWYSTEMS
'-,.
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
E-MAIL LUIS URIBE
7/8/2015
7/8/2015
PERMIT IS READY TO BE ISSUED.
PLAN CHECK SUBMITTAL ED VASQUEZ
RECEIVED
7/1/2015
7/1/2015
CONDITIONS
CONTACTS
•NAME TYPE NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(760)776-9907 mplasse@solarcity.com
CONTRACTOR SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(760)776-9907 mplasse@solarcity.com
OWNER ASHLEY ROBBINS
54455 AVENIDA DIAZ I
LA QUINTA
CA
92253
(760)776-9907
FINANCIAL INFORMATION
Printed: Thursday, July 09, 2015 11:20:46 AM 1 of 2
CIFWYSTEMS
'-,.
Permit Details PERMIT NUMBER
City of La Quinta BS0La20115 `0089
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
PV SYSTEM - ARRAY,
101-0000-42403
0
$24.17
$0.00
FIRST 20
PV SYSTEM - ARRAY,
101-0000-426000
$24.17
$0.00
FIRST 20 PC
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED
DATE DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
Printed: Thursday, July 09, 2015 11:20:46 AM 2 of 2
g?�sys TEMs
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City. of La Quinta
Bulwg 8t Safety Div im
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 -:(760) 777-7012
Permit •Application and Tracking Sheet
Permit #
�� z� (15Building
Project Address:
Z
Owner's Name:.
A P. Number.
Address: ,
Z
Legal Description:
city, ST, Zip: La Quinta, CA
Contracto, Solar City .
Address: 3055 Clearview Way.
Telephone: "
Projw4Description: roof mounted solar panels .
city, ST, zip: San Mateo, CA, 94402
inverter(s)
Telephone: 650-638-1028 '
State Lia # : 888104 City Lic. #
Arch, Engr., Designer.
Address:
City., ST, Zip:
Telephone:
State Lic. M
Name of Contact Person: Elena Loyd
Construction Type: , Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL:#stories:
#Units:
Telephone # of Contact Person: (
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# I
Sobmittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item Amount
Strgctural Cale&
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 34 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted • .
Mechaldcd
Giading plea
2'! Review, ready for correctionvissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans pl¢ked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''d Review; ready for eorrectiondisane
Developer Impact Fee
Planning Approval •
Called Contact Person
A.I.P.P.
Pub. Yi ks. Appr
Date of permit issue
School Fees.
Total PermitTees