BSOL2015-0138`&t!t 4 4 QuiKrcu
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BSOL2015-0138 Owner:
Property Address: 79720 IRIS CT CT SANDRA SHARPE
APN: 604251004
Application Description: SHARPE /11.66kW PV SYSTEM - (44) 265W PANELS/(2 VEJT6R�S 92253
Property Zoning: n�
Application Valuation: $25,768.60 It11 /�\ T II
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Applicant: SEP ® S 2015 U Contractor:
SOLARCITY CORPORATION W. SOLARCITY CORPCEATION
3055 CLEARVIEW WAY GIN OF LA QUINTA3055CLEARVIEWWAY
ATTN ZOE STEELE ATTN ZOE STEELE
SAN MATED, CA 94402 �OngMUNITYOEVELOPA4ENTDEPAATh1EN
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 of the Business and Professions Code,
and my License is in full force and effect.
LicenseCCl s: C CC110 A C20 Li nse .:088881
e
Date: — 1� � I . / Contractor: N I
OWNER -BUILDER DECLARATI
I hereby affirm under penalty of perjury that I am exempt fr m 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 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 ) 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 N
Lender's Address:
Date: 9/3/2015
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of ;he following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compen tion, as provided for by Section 3700 if the Labor Code, for the performance
0 o or which this permit is issued.
I ave and will maintain workers' conpensation insurance, as required by
S ctio 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 a6 to become subject to the workers'
compensation laws of California, and agree that if I should become subject to the
workers' co pensation provisions of Se ' n 3 +IVEIRACE
hall forthwith
comply it t o ��rovisions.
Date: (`�/ Applicant:
WARNING: FAILURE TO SECURE WORKERS' CON PEIS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,0001.. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR N 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 applic: tion 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 isuance of such permit, or cessation of
work for 180 days will subject permit to cancellztion.
I certify that I have read this application and stare that the above information is correct.
I agree to comply with all city and county ordinanctanataws rel 'ng to buildingconstruction, and hereby authorize representat veente u on the abovementione ro rty for inspection purposes.
Date: . /Signature (Applicant Q A
FINANCIAL INFORMATION
.DESCRIPTION "., .. 2.� : •` z' , ,"„ ACCOUNT «• ,� QTY '_; ;:' AMOUNT
PAID PAID DATE
BSAS 561473 FEE
101-0000-20306 0 $2.00
$0.00
PAID BY �r.: .. `
METHOD RECEIPT #.,-
�? CHECK# CLTD BY
Total Paid forBUILDING 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 x
'• •ACCOUNT..
iQTY
AMOUNT',
DATE
PV SYSTEM - ARRAY, FIRST 20 PC '
101-0000-42600
0
$24.17
$0.00
"'PAID,BY . 'x',. �• =
`,METHOD.
's RECEIPT#
CHECK#
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
v.,`' DESCRIPTION
r ` „ ACCOUNT
QTY ,
., , "AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
;PAI D•BY.
;METHOD
: RECEIPT# .
„CHECK #
CLTD.BY "
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:•0
1
11
Description: SHARPE /11.66kW PV SYSTEM - (44) 265W PANELS/(2) INVERTERS
Type: SOLAR Subtype: Status: APPROVED
Applied: 8/20/2015 SKH
Approved: 8/31/2015 JFU
Parcel No: 604251004 Site Address: 79720 IRIS CT CT LA QUINTA,CA 92253
Subdivision: TR 24208 Block: Lot: 4
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $25,768.60 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NOTES '
Details: 11.66 kW SOLAR ARRAY - (44) 265W KYOCERA KU2656ZPA PANELS W/ (1) ABB PVI-4.2-OUTD-S-US-Z-A INVERTER & (1) ABB PVI-6000-
OUTD-US-Z-A INVERTER & MAIN BREAKER DOWNGRADE TO 175A. 1792SF) 2013 CALIFORNIA ELECTRICAL CODE.
FINANCIAL INFORMATION
Printed: Thursday, September 03, 2015 11:12:46 AM 1 of 2 C§TSYSTEMS
-CHRONOLOGY
CHRONOLOGY TYPE ' STAFF NAME
-ACTION DATE'
COMPLETION DATE;
NOTES '
E-MAIL
JAKE FUSON
8/31/2015
8/31/2015
NOTIFIED ELENA W/ SOLAR CITY THAT PLAN REVIEW WAS
COMPLETE AND PERMIT WAS READY TO ISSUE.
PLAN CHECK SUBMITTAL
RECEIVED
STEPHANIE KHATAMI
8/20/2015
8/20/2015
CONDITIONS
CONTACTS
NAMETYPE ,, NAME- _
ADDRESSI
,CITY STATE_
ZIP PHONE-, ^..."FAX EMAIL. .
APPLICANT SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
CONTRACTOR SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
OWNER SANDRA SHARPE
92253
FINANCIAL INFORMATION
Printed: Thursday, September 03, 2015 11:12:46 AM 1 of 2 C§TSYSTEMS