BSOL2015-017978-495 CALLE TAMPICO D � � VOICE (760) 777-7125
FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/23/2015
Application Number:
BSOL2015-0179
Owner:
Property Address:
51450 CALLE JACUMBA
CESAREO ESCARREGA
APN:
770166011
51450 CALLE JACUMBA
Application Description:
ESCARRAGA / 8.48KW (32)ROOF MOUNTED PANELS (1)INVERTER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$18,741.00
Applicant: Contractor:
SOLARCITY CORPORATION SOLARCITY CORPOPATION
3055 CLEARVIEW WAY 3055 CLEARVIEW WAY
ATTN ZOE STEELE ATTN ZOE STEELE
SAN MATEO, CA 94402 SAN MATEO, CA 94402
(650)963-4722
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 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
Licen la : C 6 B C10 A C20 ens o.: 881 4
DatD Contractoo'
I hereby affirm under penalty of perjury that I am exempt fron\tRp Contractor's State
License Law for the following reason (Sec. 7031.5, Business and ofessions 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 oir 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
Lender's Address:
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WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of tH a following declarations:
I have and will maintain a certificate d consent to self -insure for workers'
o
on, as provided for by Section 3700 oa the Labor Code, for the performance
of w k for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Se ion 3700 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 f I should become subject to the
workers' compensation provisions of S ion 3700 t or Code, I shall forthwith
comp) i h those ovisio
Date: 7Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMFENSATIO CERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AN CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000).. IN ADDITIO 0 THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IP SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Euilding 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 performedlunder 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 Cit/ of La Quinta, its officers, agents, and
employees for any act or omission related to the vork being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applicati in becomes null and void if work is
not commenced within 180 days from date of issmance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and statethat the above information is correct.
I agree to comply with all city and county ordinances and state laws relatin to building
construction, and hereby authorize representatives of t ' t e ter upfn he.
above- a tione 1)pel for inspection purposes.
Date. Signature (Applicant or >gent) -■
FINANCIAL INFORMATION
ACC
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
PAID BY METHOD, RECEIPT i CHECK uCLTD BY
*
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
. .
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PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$0.00
`
'PAID E
METHOD
-
,.',.DESCRIPTION
ACCOUNT
QTY
AMOUNT
-,'.PAID',:
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
Total Paid for ELECTRICAL: $48.34 $0.00
PAID
PA'ID.DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
METHOD
To tal Paid for PERMIT ISSUANCE: $91.85 $0.00
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Description: ESCARRAGA / 8.48KW (32)ROOF MOUNTED PANELS (1)INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 9/15/2015 SKH
Approved: 9/21/2015 JFU
Parcel No: 770166011 Site Address: 51450 CALLE JACUMBA LA QUINTA,CA 92253
Subdivision: DESERT CLUB TR UNIT 2 Block: 2 Lot: 14
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $18,741.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ACTION DATE
Details: 8.48 kW SOLAR ARRAY - (32) 255W KYOCERA KU2656ZPA PANELS W/ (1) FRONIUS PRIMO 7.6 INVERTER [576SF] 2013 CALIFORNIA
ELECTRICAL CODE.
Applied to Approved r
Printed: Wednesday, September 23, 2015 3:20:02 PM 1 of 2 CRWSYSTEMS
ADDITIONAL
CHRONOLOGY TYPE - STAFF NAME
ACTION DATE
-, COMPLETION DATE
; NOTES,` ' ys
NOTIFIED ELENA W/ SOLAR CITY THAT PLANS WERE
E-MAIL
JAKE FUSON
9/21/2015
9/21/2015
APPROVED AND PERMIT WAS READY TO ISSUE.
PLAN CHECK SUBMITTAL
STEPHANIE KHATAMI
9/15/2015
9/15/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE ;. ` "" '' NAME ,_
'ADDRESSl "
CITY :STATE- t
ZIP_
r PHONE ^r FAX - EMAIL - z
APPLICANT SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
CONTRACTOR SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO CA
94402
OWNER CESAREO ESCARREGA
51450 CALLE JACUMBA
LA QUINTA CA
92253
Printed: Wednesday, September 23, 2015 3:20:02 PM 1 of 2 CRWSYSTEMS