BSOL2015-00787 n.
78-495 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
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2015-0078
53725 AVENIDA CORTEZ
774101016
DANIELS/6.89kW PV SYSTEM - (26) 265W PANELS/(1) INV+200A MSP
$15,226.90
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 Divis&ofeness and Professions Code,
and my License i in full force and effect.
License Cla s: B C10 A C20 Li4
40 r
Da 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 Division
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 their3ole
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
Owner:
SANDRA PETERSON
54565 OAKHILL
LA QUINTA, CA 92253
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE,
SAN MATEO, CA 94402
(650)963-5630.
Llc. No.: 888104
Date: 9/9/2015
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WORKER'S COMPENSAT+ON DECLARATION
I hereby affirm under penalty of perjury one ofthe following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370Uof the Labor Code, for the performance
rk for which this permit is issued.
I have and will maintain workers' co••npensation insurance, as required by
Section 700 of the Labor Code, for the perfornance 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 3x00 aJLaCode, I shall forthwith
comply wit thos provisions.
Daw " ' Applican
WARNING: FAILURE TO SECURE WORKERS' CONI PEN5ATION C VERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000M. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOMLEDGEMENT
IMPORTANT: Application is hereby made to the 3uilding 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 Cty 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 is: uance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and staL- that the above information is correct.
I agree to comply with all city and county ordinances and state Flaelti,n o buildingconstruction, and hereby authorize representati-es of thi up n t e above
mentioned rop y for inspection purposes.
Date v Signature (Applicant oo Agent):f
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PERMIT ISSUANCE
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0 $91.85
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Total Paid forPERMIT'ISSUANCE: $91.85 $0.00 . '
Permit Details PERMIT�NUMBER '
:-: BSOEZ01{5=007$
City of Ea Quanta
r .k
Description: DANIELS/6.89kW PV SYSTEM - (26) 265W PANELS/(1) INV+200A MSP
Type: SOLAR Subtype: Status: APPROVED
Applied: 6/12/2015 AZA
Approved: 8/25/2015 JFU
Parcel No: 774101016 Site Address: 53725 AVENIDA CORTEZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA AT VALE LA QUINTA Block: 195 Lot: 10
Issued:
UNIT 19
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,226.90 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 6.89 kW SOLAR ARRAY- (26) 265W KYOCERA KU2656ZPA PANELS W/ (1) SOLAREDGE SE5000A-US-ZB-U-AFCI INVERTER + MAIN
SERVICE PANEL UPGRADE TO 200A [468SF] 2013 CALIFORNIA ELECTRICAL CODE.
Printed: Wednesday, September 09, 2015 1:24:53 PM 1 of 3
SYSTEMS
ADDITIONAL
CHRONOLOGY:
CHRONOLOGY TYPE ; . " STAFF NAME
ACTIO PItDATE`,-
_
_. >-COMPLETION DATE
`- °.:NOTES
NOTIFIED ELENA W/ SOLAR CITY THAT REVIEW WAS
E-MAIL
JAKE FUSON
6/23/2015
6/23/2015
COMPLETE AND REVISIONS WERE REQUIRED.
NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE
E-MAIL
JAKE FUSON.
8/25/2015
8/25/2015
APPROVED AND PERMIT WAS READY TO ISSUE.
PLAN CHECK SUBMITTAL
ED VASQUEZ
8/14/2015
8/14/2015
2ND PLAN CHECK SUBMITTAL RECEIVED
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE
NAME`
- ADDRESSI
CITY 'STATE
21P°
`' PHONE; FAX EMAIL
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
mplasse@solarcity.com
CONTRACTOR
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
mplasse@solarcity.com
OWNER
SANDRA PETERSON
54565 OAKHILL
LA QUINTA CA
92253
Printed: Wednesday, September 09, 2015 1:24:53 PM 1 of 3
SYSTEMS