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BSOL2015-005378-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&tit °& lPQuIR& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 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 Class: B. C10 License No.: 935263 Date: Contractor OWNER -BUILDER DECLARATION 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).: (� 1, 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: W_ Application Number: BSOL2015-0053 Property Address: 50315 -SPYGLASS HILL DR APN: 770080049 Application Description: MERRITT / (40) ROOF MODUNTED SOLAR PANELS 10.4 KW Property Zoning: Application Valuation: $40,000.00 . Applicant: N 0 VERENGO INC 20285 S WESTERN AVENUE STE 200 . TORRANCE, CA 90501 20285 S WESTERN AVENU E 20 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 Class: B. C10 License No.: 935263 Date: Contractor OWNER -BUILDER DECLARATION 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).: (� 1, 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: W_ C DONALD MERRITT 50315 SPYGLASS HILL DR ; LA QUINTA, CA 92253 O C m N 0 Contractor: VERENGO INC rn D 20285 S WESTERN AVENU E 20 TORRANCE, CA 90501 (310)803-9053 Llc. No.: 935263 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 o he work for which this permit is issued. j�Dl have and will maintain workers' compensation insurance, as required.by Sectio 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. Date: Zo � Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 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 state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above• mentioned property for inspection purposes. Date: C Signature (Applicant or Agent�2= FINANCIAL DESCRIPTION _ s 'ACCOUNT `` k AMOUNT ': «. ' PAID PAID DATE- I ,.QTY.. BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 fPAIQ;.BY K W. r � METHOD , i RECEIPT # N CHECK#,.- CLTD tBY ` M z b a F g Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00 ' DESCRIPTION "` ACCOUNT'r t8 :QTYAMOUNT,s. ` E- PAID ` 3' PAID DATE PV SYSTEM -ARRAY, FIRST 20 • 101-0000-42403' 0 $24.17 $0.00 r4 ' - 1 E R - l,� 6:gF X, .;.€ PAID'BY d w" .Pc "T� .. •Y :... METHOD 4 l - ' '' �' ' y RECEIPT # .� 'i KT G - a'i. lF' .. CLTD BY ry DESCRIPTION a `Y x < #$ACCOUNTS = QTY AMOUNT `, PAID EPAID.DATE PV SYSTEM - ARRAY, FIRST 20 PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHODY x-�'. RECEIPT4, CHECK # CLTD BY .;; x DESCRIPTIONh r ACCOUNT,, QTYt. A..MO.UNT r PAID PAID DATE. y s`; t;. t 3 A PV SYSTEM - MISC EQUIPMENT 101-0000-42403 0 $24.17 $0.00 PAID BY METHOD > RECEIPT # CHECK # `'' 'CLTD tY,:` 4 e- sY 5. ` DESCRIPTION ACCOUNT `Iy. r, QTY," `AMOUNT '' PAID PAID DATE` ' • , . PV PV SYSTEM - MISC EQUIPMENT PC 101-0000=42600 0 $24.17 $0.00 y : ;PAID BY `' E METHOD `?RECEIP.T,# Y CHECK # # CLTD BY w Total Paid for ELECTRICAL: $96.68 $0.00, DESCRIP.,TION"� ACCOUNT QY :PAID. DATE - , PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 r. PAID BY ` .4 F `•' &.::,!RE METHOD CEIPT #,, CHECK # CLTD BY s Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:•0 0• l Description: MERRITT / (40) ROOF MODUNTED SOLAR PANELS 10.4 KW Type: SOLAR Subtype: Status: APPROVED Applied: 5/6/2015 SKH Approved: 5/12/2015 JFU Parcel No: 770080049 - Site Address: 50315 SPYGLASS HILL DR LA QUINTA,CA 92253 Subdivision: TR 25389-2 Block: Lot: 20 Issued: Lot Sq. Ft: 0' Building Sq Ft: 0 Zoning: Finaled: Valuation: $40;000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 _ Details: 10.4 kW SOLAR ARRAY - (40) 260W Q.PRO BFR -G3.260 PANELS W/ (40) ENPHASE M215 MICROINVERTERS + 125A SUBPANEL + MAIN BREAKER.DERATE TO 175A [640SF] 2013 CALIFORNIA ELECTRICAL CODE. Applied to Approved 1 1 CHRONOLOGY TYP . . z. E STAFF NAME ACTION DATE7:,COMPLETION DATE NOTESPLAN CHECK SUBMITTAL STEPHANIE KHATAMI 5/6/2015/6/2015 RECEIVED , NOTIFIED JAVIER W/ VERENGO SOLAR THAT PLANS WERE AVENUE STE 200 CONTRACTOR VERENGO INC 20285 S WESTERN TORRANCE CA 90501 (760)393-8901 AVENUE STE 200 OWNER DONALD MERRITT 50315 SPYGLASS HILL LA QUINTA CA 92253 (760)393-8901 DR Printed: Wednesday, May 20, 2015 11:22:30 AM 1 of 3 C SYSTEMS REVIEW TYPE" NON-STRUCTURAL REVIEWER SENT DATE DUE DATE yRETURNED STATUS .REMARKS DATE JAKE FUSON 5/6/2015 5/13/2015 5/12/2015 APPROVED NOTES Printed: Wednesday, May 20, 2015 11:22:30 AM 2 of 3 SYSTEMS . Fl NAN Cl L LINFO - �: :... �' '. :..j:'.i .:: %''. ..: v" •"•'.. .:: :.': :.x+ate ;:::frzm �.-.\..-'{ " ,'ACCOUNT 'QTY AMOUNT PAID ' - CLTD. PAID DATE # CHECK # ", METHOD,PAID BY" DESCRIPTION ;RECEIPT Y !t �.sB r' r BSAS SB1473 FEE 101-0000-20306 0 $2.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $2.00 $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 • PV SYSTEM -MISC 101-0000-42403 0 $24.17 $0.00 EQUIPMENT PV SYSTEM - MISC 101-0000-42600 0 $24.17 $0.00 EQUIPMENT PC Total Paid forELECTRICAL: $96.68 $0.00 PERMIT ISSUANCE 101-0000=42404 0 $91.85 1 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TO•000 REVIEW TYPE" NON-STRUCTURAL REVIEWER SENT DATE DUE DATE yRETURNED STATUS .REMARKS DATE JAKE FUSON 5/6/2015 5/13/2015 5/12/2015 APPROVED NOTES Printed: Wednesday, May 20, 2015 11:22:30 AM 2 of 3 SYSTEMS Bin # Cit} of L .QUint'a Building 8I' Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012. Building Permit Application and Tracking Sheet Permit # Project Address: �O iS /f S J Owner's Name: A. P. Number: Address: 3 is-ac Sf' 5Legal LegalDescription: z, Z/25-7 �City, ,p: qt" Contractor: u G• Tele n 7tz 3 D P ho 3_� Address: 2O2�j��1 �p� (-(,�� e ��t7 Project Description: City, ST, Zip: Uri- c.". (/1 L 64k g j6 1 Q 0iLO.,�!/ t�r tfe�-r t�I' Tele h on tD 3 P —( t Q� u State Lic. # : �3 �-2(0 3 City Lic. #.. Arch., En rsgner1/LIO vt tU mel! Address: • WC f Z ('0 . City., ST, Zip: 7-3,1vGx Z3��l s ................................................... �TelePhone Con structi n TY e: ancY P Occupancy: 3 State Lie. #: U Z 3 Project a circle one): N dd' J PNew A n Alter Repair Demo type i) w Name of Contact Person: 4& V 0<4M ( r -e_ Sq. Ft. # Stories: # Units: Telephone # of Contact Perso : 3 I (� j - �� Estimated Value of Project: t'� APPLICANT: DO NOT WRITE BELOW THIS LINE N Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for eerrertiran 1 Plan Check Deposit Truss Calcs. • Called Contact Person ,y �2, Plan Check Balance. Title 24 CAcs. Plans picked up Construction Floodplain plan Plans resubmitted Mechanical Grading plan god Review, ready for.corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees . Total P 1 MAY 0 6 2015 CITY OF LA QUINT -A COMMUNITY DEVELOPMENT Verengo Load Calculation Worksheet Conditions: Single family dwelling(Based on 2014 NEC 220.82) " (Revised 04/08/15 CB) Customer Information: Donald Merrit SO -15-03-251 50315 Spyglass Hills Drive, La Quinta, CA 92253 VE�ENG SOLAR Name Job. number Address Part 1 General Loads - 220.82(8)(1&2).: 220.82(8)(1) 2349 sq. ft. @ 3 watts, q. ft (Zillow) .y 7047 va 220.82(6)(2) :'3 Small Appliance Circuit(s) @ 1500va (Min 2) 4500 va 220.82(B)(2) 1"'.. Laundry Circuit(s) @ 1500va (Min 1) 1500 va 220.82(B)(2) 1' Dishwasher Circuit(s) @ 1500va (Min 1) 1500 .va ;Total Calculated Load 14542 va Part 2 General Loads - 220.82(8)(3&4) Type EnterAmps Amps= Watts/ Volts Expected Voltage Voltage (V) _ Breaker -80% 12 Air Handler / FAU /.Furnace #1 120 120 1440 va Breaker -80% 12 Air Handier/ FAU / Furnace #2 120 120 1440 va Air Handler/ FAU / Furnace #3 120 120 0 va Breaker -80% 24 Electric Dryer #1 24.0 240 5760 va Electric Dryer #2 240 240 `0 va Breaker -80% 24 Electric Range/Oven #1 240 240 5760 Electric Range/Oven #2 240 240 0 Electric Range/Oven #3 240 ` 240 0 va Electric Water Heater 240 240 0 va EV Charger 240 240 �0 va Garbage Disposal 120 120 0 va • P601 Pump #1 240 240 .0 va Pool Pump #2 240 240 0 va " Pool Pump #3 240 240 0 va Pool Pump #4 -240 240 0 va Welder 240 240 0 va MISC - 240 240 0 va MISC 240 240 0 va • MISC 240 240 0 va va Total Calculated Load 14400 Part 3 Heating and AC Load - 220.82(C) Breaker -80% 24 Air Conditioning #1 240 240 5760 va Breaker -8616 24 Air Conditioning #2 240 240 5760 va Air Conditioning #3 240 240 0 va Air Conditioning #4 . 240 240 0 va Electric Heater. 240 ' 240 0 va Total Calculated Load 11520 va Service demand Calcuated Service Load General Load. Part 1 = 14547 va First 10kw of Total Calculated Load (1+2) @ 100% 10000 va Part 2 . 14400 va Remainder of Total Calculated Load (1+2) @ 40% „' 7578.8 va Part 3 . 11520 va Heating & Air Conditioning Load (3) @ 100% 11520 va Total General Load 29098.8 va Service Voltage ' 240 volts sI Minimum Service Ampacity 121.245 amps