BSOL2015-012278-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
i BUILDING PERMIT
Application Number: BSOL2015-0122
Property Address: 52325 AVENIDAJUAREZ
APN: 773242018
Application Description: 8.48kW PV SYSTEM - (32) 265W PANELS/(1) INVERTER
Property Zoning:
Application Valuation: $18,740.00
Applicant:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
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 use t+Je.:1
License Class: C46. E. C10- A. C20 Lice 8881 4 i /I a
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fro a Contractor's State
License Law for the following reason (Sec. 7031.5, Business an rofessions 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. BAP.C. for this reason
Date
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of peryury that there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. Q.
Lender's Name:
Lender's Addre!
VOICE (760) 777-7125,
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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'
compensation, as provided for by Section 3-00 of the Labor Code, for the performance
ell rk for which this permit is issued.
C'Uu I have and will maintain workers compensation insurance, as required by
700 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 :)f the work for which this permit is issued, I
shall not employ any person in any manner ;o as to become subject to the workers'
compensation laws of California, and agree --hat,73of
if I ould come subject to the
workers' compensation provisions of Se L b rCode, I shall forthwith
comp h hoe rovisions.
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOCO ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN11NAL PENALTI AN CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100.,300). IN ADDITI O THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this apolication is made, each person at whose
request and for whose benefit work is perfcrmed 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 tie 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 Df 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 oodinances and state relating to building
construction, and hereby authorize representatives of is city n r u n the
abov."tionope y for inspection purposes.DateSignature (Applicant or Agen M.1A
M
Date: 9/23/2015
Owner:
VIOLETA ISLAS
92253
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Contractor:
C UJ
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SOLARCITY CORPORATION
o
3055 CLEARVIBN WAY
w
ATTN ZOE STEELE
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SAN MATEO, CA 94402
�
(650)963-5630
v
Llc. No.: 888104
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'
compensation, as provided for by Section 3-00 of the Labor Code, for the performance
ell rk for which this permit is issued.
C'Uu I have and will maintain workers compensation insurance, as required by
700 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 :)f the work for which this permit is issued, I
shall not employ any person in any manner ;o as to become subject to the workers'
compensation laws of California, and agree --hat,73of
if I ould come subject to the
workers' compensation provisions of Se L b rCode, I shall forthwith
comp h hoe rovisions.
Date: Applican
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIOCO ERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIN11NAL PENALTI AN CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100.,300). IN ADDITI O THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made tc the Building Official for a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this apolication is made, each person at whose
request and for whose benefit work is perfcrmed 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 tie 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 Df 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 oodinances and state relating to building
construction, and hereby authorize representatives of is city n r u n the
abov."tionope y for inspection purposes.DateSignature (Applicant or Agen M.1A
M
•
FINANCIAL •• •
DESCRIPTION ;-re, v ACCOUNT• QTY ^AMOUNT PAID DATE
BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00
• -. PAID BY•4.; ,.w.- METHOD' ; '^ 4,RECEIPT # _ -CHECK # CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
.DESCRIPTION
:, ACCOUNT .,'
CITY'
AMOUNT. , p _
PAID
PAID DATE
PV SYSTEM- ARRAY, FIRST 20
101-0000-42403
0
.$24.17
$0.00
` PAID BY,
' : METHOD.
`_' RECEIPT #
CHECK #
F CLTD BY
,, DESCRIPTION , ._ ; , '-
'-ACCOUNT
QTY -
AMOUNT =
PAID
PAID DATE
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
' a - 'PAID BY ' -
METHOD r`
' 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 - ,
RECEIPT # '
CHECK #+ . f;'
-CLTD BY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
•
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Description: 8.48kW PV SYSTEM - (32) 265W PANELS/(1) INVERTER
Type: SOLAR Subtype: Status: APPROVED
Applied: 8/5/2015 PJU
Approved: 9/22/2015 LUR
Parcel No: 773242018 Site Address: 52325 AVENIDA JUAREZ LA QUINTA,CA 92253
Subdivision: SANTA CARMELITA VALE LA QUINTA • Block: 7 Lot: 7
Issued:
UNIT 1
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:,
Finaled:
Valuation: $18,740.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
COMPLETION DATE -
Details: 8.48kW SOLAR ARRAY - (32) 265W KYOCERA PANELS W/ (1) FRONIUS# PRIMO 7.6-AFCI INVERTER (567SF] 2013 CALIFORNIA
ELECTRICAL CODE.
48 "
' ! .'J Applied to -Approved
0
Printed: Wednesday, September 23, 2015 3:29:12 PM 1 of 3 CJ SYSTEMS
"ADDITIONAL
'CHRONOLOGY TYPE � ,
STAFF NAME
ACTION DATE'
COMPLETION DATE -
NOTES '
E-MAIL
LUIS URIBE
9/22/2015
9/22/2015
LET ELENA KNOW THIS PERMIT IS READY TO BE ISSUED.
PLAN CHECK PICKED UP
MARY FASANO
9/11/2015
9/11/2015
PLAN CHECK SUBMITTAL
PHILIP JUAREZ
8/5/2015
8/5/2015
RECEIVED
RESUBMITTAL
AJ ORTEGA
9/17/2015
9/17/2015
PLANS RESUBMITTED BY SOLARCITY - ELENA LOYA
SPOKE WITH LILIANA. 1ST REVIEW IS COMPLETE PLANS ARE
TELEPHONE CALL
LUIS URIBE
8/17/2015
8/17/2015
READY FOR CORRECTIONS.
Printed: Wednesday, September 23, 2015 3:29:12 PM 1 of 3 CJ SYSTEMS
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, September 23, 2015 3:29:12 PM 2 of 3 CB?SYSTEMS
•
FINANCIAL••
`.DESCRIPTION '. `, • ACCOUNT •- QTY AMOUNT
PAID
CLTD.
PAID] DATE RECEIPT # - CHECK # METHOD PAID BY • '
BY.
BSAS SB1473 FEE 101-0000-20306 0 $1.00
NAME TYPE''"s
, �'. ' NAME_..
, ADDRESS1 - -
CONTACTS
,..CITY,
STATE
ZIP
PHONE
" _
FAX'
�-,EMAIL'
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
FIRST 20
mplasse@solarcity.co
M
CONTRACTOR
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
mplasse@solarcity.co
M
OWNER
VIOLETA ISLAS
$24.17
$0.00
92253
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, September 23, 2015 3:29:12 PM 2 of 3 CB?SYSTEMS
•
FINANCIAL••
`.DESCRIPTION '. `, • ACCOUNT •- QTY AMOUNT
PAID
CLTD.
PAID] DATE RECEIPT # - CHECK # METHOD PAID BY • '
BY.
BSAS SB1473 FEE 101-0000-20306 0 $1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $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
Total Paid for ELECTRICAL: $48.34 $0.00
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:• 0 -
INSPECTIONS
PARENT PROJECTS
Printed: Wednesday, September 23, 2015 3:29:12 PM 2 of 3 CB?SYSTEMS
BOND INFORMATION
ATTACHMENTS ,
Bin. #
Qty Of • Ld Quints
Budding 8r Safety Division
P.O. Box 1504, •78-495 Calle Tampico
La.Qulnta, CA 92253 -:(760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
�S6 L�
Project Address:9 a 32,5-/q74e—
Owner'sNe:.a0 S (rrC,S
A P. Number
�.(�
Address:
Legal Description:-
Contractor: Solar City
City, ST, zip: La QUliita, CA
Telephon
mounted solar panels .
Address: 3055 Clearview Way.Proje4Description:3_-[06f
city, ST, zip: San Mateo; CA, 94402
inverter(s) /<GV
'Telephone: 650-638-1028 '
State Lic. # : 888104 City Lic. #,.
Arch, Bngr., Designer.
Address:
City., ST. Zip:
Telephone:
State Lic. #:
Name of Contact Person: M c I a n i e P I asse
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories: #Unit$:
Telephone # of Contact Person:, a �%/_YE
�i
Estimated Value of Project: D . %
APPLICANT: DO NOT WRITE BELOW THIS UNE
is
Submittal
Req1d
Reed
TRACMG
RERM1TFEES-
Plan Sets
3
Pian Check submitted.
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Baance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.' .
Mechanical
Ginding plea
Z`! Review, ready for correctionsRssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''° Review, ready for correctlonslissae
Developer Impact Fee
Planning Approval
Called Contact Person
AXP.P.
Pub. VVks. Appr
Date of permit issue
School Fees
Total Permit Fees