BSOL2015-0166Applicant:
Contractor:
r
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
3055 CLEARVIEW WAY
ATTN ZOE STEELE
ATTN ZOE STEELE
SAN MATEO, CA 94402
SAN MATEO, CA 94402
VOICE (760) 777-7125
788-495 CALLE TAMPICO
Llc. No.: 888104
FAX (760) 777-7011
FAX
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 9/14/2015
Application Number:
BSOL2015-0166
Owner:
Property Address:
51910 AVENIDA JUAREZ
ELISA SILVA
APN:
773155008
51910 AVENIDA JUAREZ
Application Description:
5.3kW PV SYSTEM - (20) 270W PANELS/(1) INVERTER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$13,470.00
Applicant:
Contractor:
SOLARCITY CORPORATION
SOLARCITY CORPORATION
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 7000) of Division 3 of the Bu ' ess and Professions Code,
and my License is in full force and effect.
License ss: C4 B CIO, A C20 Lice., e : 8
Da 110 Contractor: , 7
I hereby affirm under penalty of perjury that 1 am exempt from the Cor>ctor's State
License Law for the following reason (Sec. 7031.5, Business and Professi s 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.).
( 11, 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
Lender's Address:
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'
com ensation, as provided for by Section 3700 of the Labor Code, for the performance
Wor which this permit is issued.
have and will maintain workers' compensation insurance, as required by
of the Labor Code, for the performance of the work for which this permit
y 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 subje the workers'
compensation laws of California, and agree that, if I Id beco e s bject to the
workers' compensation provisions of Sectio th labor ode I shall forthwith
cspl I see p�sions.
Date: Applicant: 0
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONRAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES N CIVIL FINES UP TO
i
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIO T THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370 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 per1ormed 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 abo in ormati correct.
I agree to comply with all city and county ordinance nd to la relat' g t building
construction, and hereby authorize representatives f this to nter u on a above•
m�� pr y foipection purposes.
Date: / Signature (Applicant or Age . • 1.'
FINANCIAL INFORMATION
Mr fr ?-'e-.'DESCRIPTION,ACCOUNT > =,"
QTY 'AMOUNT PAID, PAID DATE
BSAS SB1473 FEE 101-0000-20306
0 $1.00 $0.00
.. PAID BY ;..: '` ' " ;,,d METHOD
RECEIPT # - CHECK # CLTD BY
Total Paid forBU1LDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
.DESCRIPTION �, , -
-"3"'„ ACCOUNT'
'.QTY
_'. ;AMOUNT
": c, -PAID "
PAID DATE,
PV SYSTEM - ARRAY, FIRST 20
101-0000-42403
0
$24.17
$0.00
.PAID BY. ;` ,;
`' ,METHOD ,
RECEIPT #
CHECK# j
CLTD BY
a= ,DESCRIPTION,...` i-'.
ACCOUNT r.r ""
-QTY.;
AMOUNT.-,
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY r_* *'
METHOD.,
1"RECEIPT #
CHECK # `
CLTD BY ,
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY'
• AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
'.PAID BY
METHOD„+
,z,•• RECEIPT#
-CHECK#
CLTD BY,
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• ••
i
Description: 5.3kW PV SYSTEM - (20) 270W PANELS/(1) INVERTER
ADDITIONAL
Type: SOLAR Subtype:
Status: APPROVED
Applied: 9/1/2015 SKH
Approved: 9/14/2015 LUR
Parcel No: 773155008 Site Address: 51910 AVENIDA JUAREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 32
Lot: 17
Issued:
UNIT 2
ACTION DATE' '
COMPLETION DATE,
Lot Scl Ft: 0 Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $13,470.00 Occupancy Type: _
Construction Type:
Expired:
No. Buildings: 0 - No. Stories: 0
No. Unites: 0
PLAN CHECK SUBMITTAL STEPHANIE KHATAMI
Details: 5.3kW SOLAR ARRAY - (20) 265W KYOCERA PANELS W/ (1) ABB PVI-4.2-OUTD-S-US-Z-U-AFCI INVERTER
[407SF] 2013 CALIFORNIA
ELECTRICAL CODE.
FINANCIAL INFORMATION
Printed: Monday, September 14, 2015 11:08:17 AM 1 of 2 CR I:J srs TEMs
ADDITIONAL
'•lei to
�'. CHRONOLOGY TYPE - STAFF NAME
ACTION DATE' '
COMPLETION DATE,
NOTES
E-MAIL LUIS URIBE
9/14/2015
9/14/2015
SENT ELENA AN EMAIL, PERMIT IS READY TO BE ISSUED
PLAN CHECK SUBMITTAL STEPHANIE KHATAMI
9/1/2015
9/1/2015
RECEIVED
CONDITIONS
CONTACTS
NAME TYPE , ' - NAME
ADDRES51 -``
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 ELISA SILVA
51910 AVENIDA JUAREZ
LA QUINTA CA
92253
(
FINANCIAL INFORMATION
Printed: Monday, September 14, 2015 11:08:17 AM 1 of 2 CR I:J srs TEMs