BSOL2015-008478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Pt gperty Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO,CA 94402
"&tv, 4 4 Qumro:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2015-0084
78310 DESERT FALL WAY
770032001
5.3kW PV SYSTEM - (20) 265W PANELS/(1) INVERTER
$11,713.00
JUL 13 2015
CITY OF LA QUINTA
COMMUNITY DEVELOPMENT DEPARTMENT
. 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.
License CI s: C4 B. C10, A Lice se No. 8 � � O
Date: (�i�//� l/✓/ Contractor:
OWNER -BUILDER DECLARATION U I
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).:
(_) 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.).
(L_j 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 Name:
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/13/2015
Owner:
FELIX PEREZ
78310 DESERT FALL WAY
LA QUINTA, CA 92253
Contractor:
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
ATTN ZOE STEELE
SAN MATEO, CA 94402
(650)963-5630 .
Lit. 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 3700 of the Labor Code, for the performance
or which this permit is issued.
ave nd will maintain workers' compensation insurance, as required by
S ioP00ofthe LaborCode,forthe performanceofthework for which this permit
s issue.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 subject to the workers'
compensation laws of California, and agree that, if I houId bec me subject to the
workers' compensation provisions of Sectio 0 of a Lab r C de, I shall forthwith
comply with those rovisions.
Date: Applicant: a!onz
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CV AGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A IVIL 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 nd ate aws ing to building
construction, and hereby authorize representatives f t is ity t en r u on the above-
mentioned roperty for inspection purposes:
Date: ignature (Applicant or A rt):
1 • • •
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F DESCRIPTION <_ ;t�s�ACCOUNT �`QTYAINIOUNT£+ PAID PAID DATE.
4
BSAS SB1473 FEE 101-0000720306 0 i isi.00 $1.00
7/13/15
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SOLARCITY CORPORATION CHECK R7672 220951
EVA
Total Paid forBUe ILDING STANDARDS ADMINISTRATION BSA: $1:00 $1.00
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PV SYSTEM - ARRAY, FIRST-20
PV
101-0000-42403
0
$24.17
$24.17
7/13/15
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SOLARCITY CORPORATION
CHECK
R7672
220951
EVA
DESCRIPTIONrACCOUNT..`
QTY AMOUNT�a
x
PAID DATE;
PAID
PV SYSTEM - ARRAY, FIRST 20 PC
101-0000-42600
O. $24.17
$24.17
7/13/15
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SOLARCITY CORPORATION
CHECK
R7672
220951
EVA
r Total.Paid forELECTRICAL: $48.34 $48.34
13` ,:. _.; .. ,r , ..a s�:: r '"z L t �. °� p�
DESCRIPTION
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AOUNT
PAA IDID
PAi DATE`
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,day 4v yQT1f�
.PERMIT ISSUANCE ,
101-0000-42404
0
$91.85
$91.85
7/13115
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SOLARCITY CORPORATION
CHECK
R7672
220951
EVA
'Total Paid forPERMIT ISSUANCE: $91.85 $91.85
Description: 5.3kW PV SYSTEM - (20) 265W PANELS/(1) INVERTER
Type: SOLAR
Subtype: Status: APPROVED
Applied: 6/26/2015 AZA
Approved: 7/10/2015 LUR
Parcel No: 770032001 Site Address: 78310 DESERT FALL WAYLA QUINTA,CA 92253
Subdivision: TR 28019
Block: Lot: 40
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $11,713.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
Details: 5.3kW SOLAR ARRAY - (20) 265W KYOCERA PANELS W/ (1) ABB PVI-4.2-OUTD-S-US-AFCI INVERTER [372SF] 2013 CALIFORNIA
ELECTRICAL CODE.
__j Applied to Approved
FINANCIAL INFORMATION
Printed: Monday, July 13, 2015 9:19:51 AM 1 of 2 r „ _
SYSTfa1S
ADDITIONAL
CHRONOLOGY TYPE STAFF NAME
ACTION DATE
CHRONOLOGY
COMPLETION DATE NOTES
E-MAIL LUIS URIBE
7/10/2015
7/10/2015
SENT EMAIL TO ELENA LET HER KNOW THAT PERMIT WAS
READY TO BE ISSUED
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
SOLARCITY CORPORATION
3055 CLEARVIEW WAY
SAN MATEO
CA
94402
(
FINANCIAL INFORMATION
Printed: Monday, July 13, 2015 9:19:51 AM 1 of 2 r „ _
SYSTfa1S
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
CL
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
7/13/15
R7672
220951
CHECK
SOLARCITY
EVA
CORPORATION
Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $1.00
BSA:
PV SYSTEM - ARRAY,
101-0000-42403
0
$24.17
$24.17
7/13/15
R7672
220951
CHECK
SOLARCITY
EVA.
.FIRST 20
CORPORATION
PV SYSTEM - ARRAY,
101-0000-42600
0
$24.17
$24.17
7/13/15
R7672
220951
CHECK
SOLARCITY
EVA
FIRST 20 PC
CORPORATION
Total Paid for ELECTRICAL: $48.34 $48.34
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
7/13/15
R7672
220951
CHECK
SOLARCITY
EVA
CORPORATION
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR SCHEDULED
DATE
COMPLETED
DATE
RESULT REMARKS NOTES
SOLAR FINAL" BLD
ATTACHMENTS
Printed: Monday, July 13, 2015 9:19:51 AM 2 of 2
17Wsrsrenns
Bin.#
City of La QUlnta
Bulkft & Safety DWori
P.O. Box 1504,78-49S Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Appiication' and Tracking Sheet
Permit #
SOL2b1�' ®0
Project Address:
Owner's Name:. X mix
A P. Number.
Adder;
Legal Description:
Contractor. SOlar City
City, ST, zip: La Quinta, CA
Telephone
ProjerADescrlption: roof mounted solar panels .
Address: 3055 Clearview Way.
city, $T, zip: San Mateo; CA, 94402
inverter(s)5
Telephone: 650-638-1028 ;
State Lia # : 888104 CityLic. #,
Arch, Engr., Designer:
Address:
City., ST, zip:
Telephone:
Construction Type:. Occupancy:
State Lie. #:
Name of Contact Person: Elena LOya
project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories: #Units:
Telephone # of Contact Person: (
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Sabmittal
Req'd
Recd
TRACKNG
PERMITTEES
Plan Sets
Plan Cheek submitted
Item Amount
S"cturai Calls.
Reviewed, ready for corrections
Plan Check Deposit, .
Trus Calls.
Called Contact PersonPlan
Check Balance _
Titre 24 Calm
Plans picked up
Construction
Mood plain plan
Pians resubmitted..
Mechariicai
Grading plan
2'! Review, ready for correctionstissue
Electrical
Subcontactor Llst
Called Contact Person
Plumbing
Grant Deed
Plana picked up
S.M.I.
1LO.& Approval
Plans resubmitted
Grading
IN HOUSE:-
7id Review, ready for correctionsAssae
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees