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BSOL2015-0074-, 78-495 CALLE TAMPICO '. 4 m LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BSOL2015-0074 Owner: Property Address: 60589 JUNIPER LN LN WILLIAM M APN:. 764340052 60589JUNI Application Description: MARSH / (33) ROOF MOUNTED SOLAR PANELS (1) INVERTER 8.58 KW LA QUINTA, Property Zoning: Application Valuation: $18,961.80 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 effecteN License C ss: C B C10 A Lice 8 04 ,,__ Date: Contractall OWNER -BUILDER DECLARATIO 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 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 ($500).: (_J I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). (� I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not applyAo an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). (_) I am exempt under Sec. B.&P.C. for.this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097, Liv. C.). Lender's Name: Lender's VOIC ((760)1777-7125 FAX (760) 777-7011 )N$ (760F7 -7153 JUN 15 Dat CITY OF LA QUINTA TY DEVELOPMENT DEPARTMENT Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 91402 (650)963-5630 Llc. No.: 888104 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 3700of the labor Code, for the performance W7Wrk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by io 700 of the Labor Code, for the perfornance of the work for which this permit d. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ I certify that in the performance of tie 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 tha-, if I should become subject to the workers' compensation provisions of S 3:00 the Labor Code, I shall forthwith comp) w th tho a provisions. Date: Applic WARNING: FAILURE TO SECURE WORKERS' COMPENS N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000. IN ADDITION TO.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 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 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 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 sta-•e that the above information is correct. I agree to comply with all city and county ordinances and sta ws relating to building construction, and hereby authorize representatves oft ' y tolent pon the above - m en io pr perty for inspection purposes. ate: Signature (Applicant or Agent . FINANCIAL • ' `DESCRIPTION , '. w "ACCOUNT' aR. li CITY j .AMOUNT .' z PAID r. ;PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/15/15 PAID BY METHOD - , ,RECEIPT # . CHECK#. CLTD BY < SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION `4 r ACCOUNT ;`FY . ,- "' QTY :; "'AMOUNT ` PAID . r `PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 6/15/15 - PAID; BY . k ':, METHOD AECEI t # CHECK # ` " - -CLTD BY ` SOLARCITY CORPORATION CHECK R7041 22097 MFA 'DESCRIPTION -c, ' ACCOUNT z ` Y ''QTY ;'' AMOUNT--' PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 6/15/15 a.. PAID BY F' METHOD, . ;::' . '.RECEIPT ? a # - C HECK # -'CLTD BY-,- SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid for ELECTRICAL: $48.34 $48.34 x= '"DESCRIPTION. ACCOUNT . °,�, ;QTY AMOUNT' PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/15/15 PAID BY rv, METHOD >` ` . RECEIPT # ° " ` CHECK # . CLTD BY . SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 Description: MARSH / (33) ROOF MOUNTED SOLAR PANELS (1) INVERTER 8.58 KW ADDITIONAL Type: SOLAR Subtype: Status: ISSUED Applied: 6/9/2015 SKH Approved: 6/12/2015 JFU Parcel No: 764340052 Site Address: 60589 JUNIPER LN LN LA QUINTA,CA 92253 Subdivision: TR 30023-2 Block: Lot: 104 Issued: 6/15/2015 MFA Lot Scl Ft: 0 • Building Sq Ft: 0 Zoning: Finaled: Valuation: $18,961.80 Occupancy Type: Construction Type: Expired: 12/12/2015 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 RECEIVED Details: 8.58 kW SOLAR ARRAY - (33) 260W KYOCERA KU2606XPA PANELS W/ (1) FRONIUS IG PLUS A 7.5 INVERTER [594 SF] 2013 CALIFORNIA ELECTRICAL CODE. Applied to Approved j Approved,to Issued Printed: Monday, June 15, 2015 8:49:08 AM 1 of 2 SYSTf MS ADDITIONAL CHRONOLOGY ' xCHRONOLOGY TYPE. ,. `-STAFF NAME r'. ACTION DATE COMPLETIOWDATE' "' - -NOTES " PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 6/9/2015 6/9/2015 RECEIVED NOTIFIED ELENA LOYA W/ SOLAR CITY (442-256-1134) THAT TELEPHONE CALL JAKE FUSON 6/12/2015 6/12/2015 PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS 'CONTACTS NAME TYPE 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 WILLIAM MARSH 60589 JUNIPER LN LA QUINTA CA 92253 Printed: Monday, June 15, 2015 8:49:08 AM 1 of 2 SYSTf MS Description: MARSH / (33) ROOF MOUNTED SOLAR PANELS (1) INVERTER 8.58 KW Type: SOLAR Subtype: Status: FINALED Applied: 6/9/2015 SKH Approved: 6/12/2015 JFU Parcel No: 764340052 Site Address: 60589 JUNIPER LN LN LA QUINTA,CA 92253 Subdivision: TR 30023-2 Block: Lot: 104 Issued: 6/15/2015 MFA Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: 6/22/2015 LUR Valuation: $18,961.80 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 TELEPHONE CALL Details: 8.58 kW SOLAR ARRAY - (33) 260W KYOCERA KU2606XPA PANELS W/ (1) FRONIUS IG PLUS A 7.5 INVERTER [594 SF] 2013 CALIFORNIA ELECTRICAL CODE. 6/12/2015 ,�3 0 Applied to Approved [� Approved to Issued Issued to Finaled Printed: Monday, July 13, 2015 10:58:31 AM 1 of 2 RU✓ SYSTEMS CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES PLAN CHECK SUBMITTAL STEPHANIE KHATAMI RECEIVED 6/9/2015 6/9/2015 TELEPHONE CALL JAKE FUSON 6/12/2015 6/12/2015 NOTIFIED ELENA LOYA W/ SOLAR CITY (442-256-1134) THAT PLANS WERE APPROVED AND PERMIT WAS READY TO ISSUE. CONDITIONS CONTACTS NAME TYPE NAME ADDRE5S1 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 WILLIAM MARSH 60589 JUNIPER LN LA QUINTA CA 92253 Printed: Monday, July 13, 2015 10:58:31 AM 1 of 2 RU✓ SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY� CLTD BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/15/15 R7041 22097 CHECKSOLARCITY MFA CORPORATION Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: 'PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24.17 6/15/15 R7042 22097 CHECK SOLARCITY MFA FIRST 20 CORPORATION PV SYSTEM - ARRAY, 101-0000-42600 0 $24.17 $24.17 6/15/15 R7041 22097 CHECK SOLARCITY MFA FIRST 20 PC CORPORATION Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/15/15 R7041 22097 CHECK SOLARCITY FA CORPORATION Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE I RESULT REMARKS NOTES SOLAR FINAL" LUR 6/22/2015 6/22/2015 1 APPROVED Printed: Monday, July 13, 2015 10:58:31 AM 2 of 2 /''1JI//J LJ LJ SYSTEMS . ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 'Application Number: BSOL2015-0074 Property Address: 60589 JUNIPER LN LN APN: 764340052 Application Description: MARSH / (33) ROOF M Property Zoning: Application Valuation: $18,961.80i/ Applicant: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 T4ta 4 lwQu&r�, COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT PA 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. License Cl a s: C461.B1 C10 A License o.: 8 04 Date: Contractor: QO OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from Yontractor'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, 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 Nam Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/13/2015 Owner: WILLIAM MARSH 60589 JUNIPER LN R 8.58 KW LA QUINTA, CA 92253 Contractor: SOLARCITY CORPORATION 3055 CLEARVIEW WAY ATTN ZOE STEELE SAN MATEO, CA 94402 (650)963-5630 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' com ensation, as provided for by Section 3700 of the Labor Code, for the performance theo or which this permit is issued. have and will maintain workers' compensation insurance, as required by Se X00 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 that, if I should become subject to the workers' compensation provisions of Section 3,70W -#he L o Code, I shall forthwith comply with those provisions. Date 14 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO 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 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 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 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 ordinances and state law elating to building construction, and hereby authorize representatives o ity o e t r upon the above mentio ed pro erty for inspection purposes. Dat Signature (Applicant or Ag nt): V. Is FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA; $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 101-0000-42403 0 $24.17 $24.17 6/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R7041 22097 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $24.17 6/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY N SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid for ELECTRICAL: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/15/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY SOLARCITY CORPORATION CHECK R7041 22097 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $141.19 $141.19 _ ._.... __._-_ -RECEIPT ``-CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE # CHECK # METHOD PAID BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/15/15 R7041 22097 CHECK SOLARCITY MFA CORPORATION Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: PV SYSTEM - ARRAY, 101-0000-42403 0 $24.17 $24:17 6/15/15 R7041 22097 CHECK SOLARCITY MFA FIRST 20 CORPORATION PV SYSTEM -ARRAY, .101-0000-42600 0' $24.17, $24.17 6/15/15 R7041 22097 CHECK SOLARCITY MFA FIRST 20 PC. CORPORATION Total Paid for ELECTRICAL: $48.34 $48.34 PERMIT ISSUANCE F 101-0000-42404 0 $91.85 $91.85 6/15/15 R7041 22097 CHECK SOLARCITY MFA CORPORATION Total Paid for PERMIT ISSUANCE: $91.85 $91.85 PARENT PROJECTS Printed: Monday, June 15, 2015 8:49:08 AM 2 of 2 SYSTEti1S Bin # City of" La Quints Bufkgng 8L Safety Aildsfon P.O Box 1504,78-495 Calle Tampico 4.Qufnta, CA 92253 -:(760) 77T7012 %q- Building Permit Application and Tracking Sheet Pemlit # V:DU l s bD Project Address:Ut Owner's Name:. A. P. Number. Address: V [city. Legal Description: Contractor; Solar City sr, zip: La Quinta, CA Telephone: Address: 3055 Clearview Way. Proie'd.D srription: �3 roof moulted solar panels . city, sr, zip: San Mateo, CA, 94402 inverter(s)Sg W Telephone:650-638-1028 State Lir. # : 888104 City Lie #; Arch., EW-, Designer. Address: City, ST, zip: Telephone: State Lia #: Name of contact Person: Elena Loya Construction Type:. Occupancy: Project type (circle one): New Add'e Alter Repair Demo Sq. FL: #Smriex #Unit: Telephone # of ContactPerson: 442 256-1134 Estimated value of Project APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACENG PERMrFEFS- Plan Sets Plea Check submftted Item Amount Structural Calm Reviewed, ready for moons 611-2 Plan Che kDeposit. . Truss calm. Called Contact PersonPlan Check Balance Title 24 Odes. Pians picked up Construction Flood plain plan Plans resubmitted.. Melia",. Grading plan 2" Review, ready for correctionsrasue Electrical Sobeoutaetor List Called Contact Person Plumbing Grant Deed Plans picked up UYLL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''d Review; ready for eorreetions/issue DeveloperImpaet Fee Planning Approval Called Contact Person A.iB.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees f I i±►-: �,7 Tri l� t$: a� r lim LA limin COO 903 is Qufrras CA 52253-76L, MR QW, Rvo_pvm VXmVir Pp-m °WlkgPri Mprsh.f gins. 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