BSOL2015-002878-495 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
� haw
COMMUNITY DEVELOPMENT DEPARTMENT
BSOL2015-0028
53380 EISENHOWER DR
774091007
CASTELLANOS SOLAR INSTALL
$22,409.00
Ar BUILDING PERMIT
I
APR 2 0 M5 IW
GIT( OF LAOUINTA
PMENTDEPARTMENi
GOMMUMIYoaz
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
rate: Le _Contractor:
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 Divisi n
of the Business and Professions Code) or that he or she is exempt therefrom and the
I.
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant f 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.). .
(_J 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.).
(_J 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: 4/20/2015
Owner:
ROGELIO CASTELLANOS
53380 EISENHOWER
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 polity number are:/
Carrier: _ Polity 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.
91te: _q1,2e isApplicant: AY-4ez—
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.
ate: Signature (Applicant or Agent):
%RDESCRIPTIOW,:,�'�'AIUr ax PAID DATE`
W P
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BSAS-SB1473 FEE 101-:0000-2.0306
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$1.00 $0.00
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CHECK #
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Total Paid for'BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
A, OUNTP.
4
4-OWPAI
PAID DATE.
PV SYSTEM - ARRAY, FIRST 20.-
.101-0000-42403
0
$14.17
$0.00
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PAID; DATE,
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PV SYSTEM ARRAY, FIRST 20 PC.
101m=0-42600
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44.17
$0.00
RECEIPT,#,T
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Total Paid for ELECTRICAL: $48.34 '$0.00
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DATE
PAID. D
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
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Total Paid forPERMIT ISSUANCE: $91.85 $0.00
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Permit Details PERMIT.IVl1MBER ........,
City of La Quinta BSOLIW17, 0028 Yt ..
..
Description: CASTELLANOS SOLAR INSTALL
Type: SOLAR Subtype: Status: APPROVED
Applied: 3/20/2015 PJU
Approved: 4/2/2015 JFU
Parcel No: 774091007 Site Address: 53380 EISENHOWER DR LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 211 Lot: 18
Issued:
UNIT 20
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $22,409.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 10.14 kW SOLAR ARRAY - (39) 260W KYOCERA KU2606XPA MODULES W/ (1) FRONIUS IG PLUS 7.5 INVERTER + MAIN BREAKER DOWN
GRADE TO 100A [624SF] 2013 CALIFORNIA ELECTRICAL CODE.
Printed: Monday, April 20, 2015 10:27:01 AM
FINANCIAL INFORMATION
1of2
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE STAFF NAME
ACTION DATE: ;.
COMPLETION DATE•
PLAN CHECK SUBMITTAL PHILIP JUAREZ
3/20/2015
3/20/2015
RECEIVED
NOTIFIED MELANIE W/'-
TELEPHONE CALL JAKE FUSON
4/2/2015
4/2/2015
APPROVED AND PER
CONDITIONS
CONTACTS
NAME TYPE NAME
ADDRESS1
CITY STATE
ZIP
PHONE
APPLICANT SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
(
Printed: Monday, April 20, 2015 10:27:01 AM
FINANCIAL INFORMATION
1of2
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
C LTD
BY
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
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
RnND INFORMATION.
Printed: Monday, April 20, 2015 10:27:01 AM 2 of 2
SYSTEti1S
Bfn.#
QtY Of La Quints
r BulkUng 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, C4 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
a�V � P
IJ v
Project Address:
Owner'sNarne:. (U
A. P. Number.
Address:
Legal Description:
City, ST, zip: La Quinta, CA
Contractor. Solar City
- ,..
Pmjw4Description:42roof mounted solar panels .
Address: 3055 Clearview Way.
city, sT, zip: San Mateo, CA, 94402
inverter(s) /LI
Telephone: 650-638-1028
FiciLic
State Lia # : $$$104 #;
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone:
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
State Lic. #:f
Name of Contact Person:Melanle PIaSSe
Sq. Ft:#Stories:
#Units: .
Telephone # of Contact Person:
Estimated Value of Project: o;?o�
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Reed
TRACMG
PERMIT' ms
Plan Sets
Plan Cheek submitted
Amount
Structural Coles.
Reviewed, ready lb,4Vj0NV I SSI/
y 2
Plan Check Deposit. .
Truss Cake.
Caged Contact Person
y . Z
Plan Check Balance.
e 24 Calcs.
Plans picked up
Construction
od plain plan
Plans resubmitted•'.
Mechanical
ading plan
2'! Review, ready for corrections/issue
Electrical
r
bcoetaetor List
Called Contact Person
Plumbing
ant Deed
Plans picked up
S.M L
OAL Approval
Plaus resubmitted
Grading
IiOIISE:-
1id Review; ready for cormcdons/issae
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks: Appr
Date of permit issue
School Fees
Total Permit Fees