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BSOL2015-010678-495 CALLE TAMPICO D �il�IhCl/ LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSOL2015-0106 Owner: Property Address: 45925 LAS COLINAS MERRICK KARLA APN: 604460011 45925 LAS COW Application Description: KARLA/11.395kW PV SYSTEM - (43) 265W PANELS/(2) INV+125A SUB LA QUINTA, CA Property Zoning: Application Valuation: $25,183.00 � � 111111111111111 IIII 80 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Applicant: Contractor: SOLARCITY CORPORATION SOLARCITY CORP +BRAT 3055 CLEARVIEW WAY 3055 CLEARVIEW WA'`(' ATTN ZOE STEELE ATTN ZOE STEELE SAN MATEO,CA 94402 SAN MATEO,CA 94402 (650)963-5630 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 ofusin and Professions Code, and my License is in full force and effect. _�f 88 D^ License Class: C461 B. C10. A. C20 L e o.98 1 4 1 1 Date: 1A / 1.11/ 1Contractor: OWNER -BUILDER DECLARATION 1 I hereby affirm under penalty of perjury that I am exempt from 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 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 Na Lender's Add 15 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' q on, as provided for by Section 3700 of the Labor Code, for the performance for which this permit is issued. have and will maintain workers' compensation insurance, as required by 0 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 Secti f the Labor Code, I shall forthwith co� w th visions. �� Q91 DatA: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSAT 0 COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD 10 TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANTACKNOW LEDGEMENT 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 an tate law&roL g to building construction, and hereby authorize representatives this ci o n the above m ntio roerty for inspection purposes. Date Signature (Applicant or Agen : FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $2.00 $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 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:•0 •• 0 0 1j 1 1 OF 71 Description: KARLA/11.395kW PV SYSTEM - (43) 265W PANELS/(2) INV+125A SUB Type: SOLAR Subtype: Status: APPROVED Applied: 7/16/2015 PJU Approved: 10/8/2015 JFU Parcel No: 604460011 Site Address: 45925 LAS COLINAS LA QUINTA,CA 92253 Subdivision: TR 29563 Block: Lot: 11 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $25,183.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 11.395 kW SOLAR ARRAY - (43) 265W KYOCERA KU2656ZPA PANELS W/ (1) ABB PVI-3.0-OUTD-S-US-Z-A INVERTER & (1) ABB PVI- 5000-OUTD-US-Z-A INVERTER + 125A SUBPANEL [288SF] 2013 CALIFORNIA ELECTRICAL CODE. 84` Applied to Approved ADDITIONAL • • • • CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTIFIED ELENA W/ SOLAR CITY THAT PLAN REVIEW WAS E-MAIL JAKE FUSON 7/22/2015 7/22/2015 COMPLETE AND REVISIONS WERE REQUIRED. SENT REDLINES AND CORRECTION LIST VIA EMAIL. NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE E-MAIL JAKE FUSON 10/8/2015 10/8/2015 APPROVED AND PERMIT WAS READY TO ISSUE. PLAN CHECK SUBMITTAL PHILIP JUAREZ 7/16/2015 7/16/2015 RECEIVED RESUBMITTAL STEPHANIE GUMPERT 10/1/2015 Printed: Tuesday, October 13, 2015 11:02:39 AM 1 of 3 CRRY SYSTEMS Permit De10ERMIT NUMBER Tn City of La Quinta BSOL201(5-0106 REVIEWS Printed: Tuesday, October 13, 2015 11:02:39 AM 2 of 3 LU LJ LJ srsreMs CLTD NAME TYPE NAME ADDRESS1 CITY STATE ZIP PHONE FAX EMAIL APPLICANT SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (760)702-4828 mplasse@solarcity.co BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 m CONTRACTOR SOLARCITY CORPORATION 3055 CLEARVIEW WAY SAN MATEO CA 94402 (760)702-4828 mplasse@solarcity.co FIRST 20 m OWNER MERRICK KARLA 45925 LAS COLINAS LA QUINTA CA 92253 (760)702-4828 101-0000-42600 REVIEWS Printed: Tuesday, October 13, 2015 11:02:39 AM 2 of 3 LU LJ LJ srsreMs CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $2.00 $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 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 ..y.;. ,�-�,<r.N�• 5r ° �i '� 1 11_.�„ cam. ,�' •;..L�„�� ty. :1F�`�2". REVIEWS Printed: Tuesday, October 13, 2015 11:02:39 AM 2 of 3 LU LJ LJ srsreMs OF,'F1�' � ■ ... REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES DATE NON-STRUCTURAL- JAKE FUSON 7/16/2015. 7/23/2015 7/22/2015 APPROVED 1 WK 2ND BLDG NS (1 JAKE FUSON 10/1/2015 10/8/2015 10/8/2015 APPROVED WK) Printed: Tuesday, October 13, 2015 11:02:39 AM 3 of 3 Off SYSTEMS r # Qty of La QWho BLdkbg at Safety DWon A2 P.O. Box 1504,78495 Calle Tampico U.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address Owner's Name:. A. P. Number. Address: ?-!� I k Al N AS Legal Description: City, ST, zip: La Quinta, CA Contractor. Solar City Telephone: ProjeqDescription4aroof mounted solar panels . Address: 3055 Clearview Way. city, ST, zip: San Mateo, CA, 94402 2--inverter(s)5 �W Telephone: 650-638-1028 "atyLi State Lie # : $$$104 Arch, Bug., Designer: Address: City, ST, Zip. Telephone: Construction Type:. Occupancy: State Lic. #: Project type (circle one): New Add'n Alta Repair Demo Name of contact Person: Elena Loya Sq. Ft: #Stories #Unit Telephone # of Contact Person: (442)256-1134 EstimaW Value of Project: APPLICANT: DO NOT WRITE BELOw THis UNE q Sobmittal Wd Reed TRACK [G PF7t W FEFS Pine Sets Pian Check submitted I� it. Amount Strgctural Calm Review4 ready for corrections , 2 Plan Check Deposit. . Truss Calcs. Called Contact Person 7LZ Plan Check Balance- alance_Title Title24 Cake. Plans picked up Construction Flood plain plan Plans resubmitted.'. Mechanical Giad[ng plea 2' Review, ready for correctio kssue ) v 8 Electrical Sobeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S M.I. ILO.A. Approval Plans resubmitted Grading IN IIOUSE:- ''" Review, ready for cermtions/issoc Developer Impact Fee Planning Approval. Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees