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13-0104 (SOL)P.O. BOX 1504 78-495, CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: AM Application description Property Zoning: Application valuati�n: Applicant: 44a BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 13-00000104 54231 SOUTHERN HILLS 775 -101 -047 - SOLAR 1,64 DENSITY RESIDENTIAL 48000 Architect or Engineer: Owner' CHASE DONALD 'SOUTHERN HILLS 5�4 2 3 1 LA QUINTA, CA 92253� Contractor: SOLARCITY CORPORATION 2896 METROPOLITAN PLACE POMONA, CA 91767 (650) 638-1028, T 4 M 0001 nA VOICE (760) 777-701 2 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/21/ - 13 ciTY FLAQUINTA LQPERMIT — — — — — — — — — — — — — — — — — — — — — — — --- — — — — — — — — — — — — — — — — — LICENSED CONTRACTOR'S DECLARATION --- — — — — — — — --- - - - - - - - - - - - - - - - - --- - - - - - - - - - - - - - - - - - - - — WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: B C10 C20. 888104 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ?tcenseN6.: DateT7 Contractor: have and will maintain. workers' compensation insurance, as required' by Section 3700 of the Labor Code, for the performance of the work for vAich this permit is issued. My workers' compensation at I DER DE ATION Uo, insurance carrier and policy number are: I hereby affirm, under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZURICH AMERICAN — Policy Number WC967346704 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any. construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section License Lhw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labo;_ft�e, I shall forthwil" with those�vis,ons, 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).: illr�pateF52U_ -2, Applicant: Zj��� 1, as ownir 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 WARNING: FAILURE To SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. one year of completion, the owner -builder will have the burden of proving that he or she did.not build or improve forthe purpose of sale.). APPLICANT ACKNOWLEDGEMENT 1, as owner of ti�ie property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is heraby made to'the Director of Building and Safety.for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an ovvner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorts) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuak to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, I am exempt under Sec. B.&P.C. for this reason 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. Date'. Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state ' laws relating to building construction, and hereby authorize representatives of this county to enter upon the above- - meAtioned pr inspectiortpurp%es. Lender's Name: KDateo_21S Signature (Applicant or Agent):;S� Lender's Address: LQPERMIT ApplicatichNumber,. 13-000001041* .,Permit SOLAR PERMIT Additional des'c Permit Plan Check.Fee Fee 22.*50 5.63 Issue -Date Valuation. 48000 Expiration Date 11/17/.13 Qty Unit Charqe Per- Extension BASE FEE :15.00 1.00 .4:. 5 0 6.0: KA -SOLAR'COLLECTOR < 1-000 4-.50 1.00 3.0000 KA SOLAR EQUIPMISCELLANEOUS ----------------- -------- ------------------- ------------------------- 3.00 Permit ELEC-MISCELLANEOUS Additional desc Fee 30*.00 Permit -Plan-Check Fee 7.50 -issue 'Date. Valuation .0 Expiration''Date 11/17/13. �Qty Unit Charqe Per Extension BASE FEE 00, 2. 00 7.5000 EA ELEC PWR APP.'>l TO <-10' 15.00 ------------------ 7 -------------------------- ----------------------- Special Notes and Comments 11.2kW SOLAR ARRAY- (46) 245W TRIVA PANELS W/ (2) 7,OOOW SMA INVERTERS. [737SF] 2010 "CALIFORNIA ELECTRICAL CODE. May 21, 20131 8:133:53 AM AORTEGA -- ----------------- ------------------------ ---------- ------- Other Fees BLDG-STDS ADMIN -(SB1473) 2.00 Fee summary Charqed-_ Paid Credited ----------- ----------- Due ---------------- --------- ------------ Permit-Fee Total 52.50 .00 , .'.00 52.50, Plan Check Total 13.13 .00 13.13 Other.Fee Total 2.00- .00 .00 2.'00 Grand Total 67.63- .00.- .67.63� LQPERMIT Bin # X_ City of La Quinta. �� '��41 Building 8r Safety Division CPO P.O. Box 1,504, 78495 Calle'Tampico La Quinta, CA 92253 � (760) 777-7012 Building Permit Apolication and Tracking Sheet PerrWt # Pmject Address: Owner's Name - A. P. Number: Address: LegW Description: City, ST, Zip: ((A hu�vlk& CA C122555 Contractor: &) Uk9— T6lephonc:_ Address: Project Description: TZ'OrA.- city'sl%tip:SaN WM,QN CA- tood Telephone: -PA409— L State Lic. City Lic. #z Arch., Engr., Demper: Address:,, City, ST, Zip: Telephone: Construction Type--.' Occupancy:. Troject type (circle one): New Add'n Alter Repair Demo State Lie. Nwne of Contact Person:S;6*& Sq. Ft.: _T_ Stoiies:. # Units: Telephone# ofContact-Person: -.EWmaied.Value. of P r0i ecl:74 APPUCANT.t DO NOT-WRITE'ZELOW THISTINE 0 Submittal Reqld Reild TRACM.G PERmrr FEES Plan Sets Plan Check subuOtted it— Amount Structural Calci., Reviewedi ready for corrections Plan Check Deposit Truss Cales. Called contict Person Plan Check Balance Titie 24'Calm� �Plxns Incked up F�oo;l plain plan -plans resubmitted Mechanical' �Gridlttg pl_29� 2 Review, ready for'coftictionalinue 'Electrical Subcontact.or ]Us( Called Contact Person Plumbing Grantbeed, Plani picked up IM& Approval Plans resubmitted. Grading IN HOUSE:- Reyit*, ready tor corr�ctlocvli Developer Impact Fct Planning Approval Called Contact Person, A.I.T... M. Wksi Appr Date of permit Issue School Fees Total Permit Fees 6 1. 4Mq,.JS — Lft W4*%..,r, — rJSV*Vt-($ 9%%" � f LON" fi�Wld& &f-V4AjUP, kvw� 66&46 oftme 9640WISID 1) UVAU-4D pe'W64 ---V smu, DOES tiff (&, Mq, t'P*-T%M4 &I 2&*W6. v T ABBREVIATIONS. ELECTRICAL NOTES INDEX LICENSE, JURISDICTION,NOT 1. WHERE ALL TERMINALS OF THE �DISCONNiCTIN'G PV1 COVER SHEET I CA # 888104' "ALL: CONSTRUCTION .�SHAL N TH AC A -AMPERE' MEANS MAY BE'ENERGIZED I E OPEN PV2. SITE PLAN C-461 C110 COMPLY WITH 2010,CALIFoRNI ALTERNATING CUR RENT POSITION, A SIGN WILL BE PROVIDED WARNING- PV3 STRUCTURAL MEWS BLDG BUILDING RESIDENTIAL, -MECHANICAL,..,' CONC CONCRETE OF THE HAZARDS PER ART. 690.17.' PV4 UPLIFT CALCULATIONS, C COMBINER,BOX 2., EACH UNGROUNDED "CONDUCTOR OF THE PV5 -THREE LINE DIAGRAM ELECTRICAL, PLUMBING, ENERGY, AND- MUL D DISTRIBUTION PANEL'- TINRE BRANCH CIRCUIT WILL- BE IDENTIFIED PV6 SINGLE LINE DIAGRAM. Jake Torn atzky 10' GREEN BUILDING CODES, AND, THE LA., DC. DIRECT CURRENT BY PHASE AND SYSTEM. PER ART., 210.5. PV7 ELECTRICAL CALCULATIONS - %, . QUINTA MUNICIPAL CODE.7,- EGC EQUIPMENT GROUNDING. CONDUCTOR 3. A NAT16 ALLY- RECOGNIZED TESTING CUTSHEETS-ATTACHED (E) EXISTING LABORATORY SHALL LIST AEC EQUIPMENT IN COMPLIANCE WITH ART. lio.3. 'EMT ELECTRICAL METALLIC TUBING 4. CIRCUITS OVER �50V TO GROUND.'WLL -G SOLAR,GUARD METER GALV� GALVANIZED COMPLY NTH ART. 250.97,.250.92(B) CUTSHEETS jATTACHED 1EGEND 'GROUNDING ELECTRODE CONDUCTOR 5. DC -DO*NOT-ENTER: f GEC CONDUCTORS'EITHER GND GROUND BUILDING,OR ARE RUN IN' -METALLIC RACEWAYS 4 '-GENERALINOTES UTILiTiY-METER & WARNING LABEL, OR ENCLOSURES: TO THE FIRST- ACCESSIBLE DC _HDG HOT DIPPED GALVANIZED T. I -CURRENT DISC ' ONNECTING MEANS PER"AR '690.31(E). --Imp CURRENT AT MAX POWER 6. ALL WIRES SHALL BE PROVIDED NTH STRAIN 1. THIS'SYSTEM IS GRID-INTERTIED VIA,A C)U I NT INVERTER W/, INTEGRATED DC DISCO'.. -INVS-- INVERTERS RELIEF AT.ALL ENTRY INTO BOXES AS UL-LISTEV POWER - CONIJI TIONING INVERTER. ­CITY-OFrA, A 4,WARNING LABELS 2., THIS SYSTEM HAS'NO BATTERIES, 'NO UPS. ., . - 7 Isc - SHORT CIRCUIT CURRENT REQUIRED'BY ULLISTING.. & SAFETY DEPT. h BUILDING FDC71 �kVA KILOVOLT AMPERE, 7. MODULE FRAMES SHALL,BE GR6UNDED AT -THE wl DC DIsc6NNEtf '.&'.,WARNING LABELS 3.' ALL INVERTERS'AND ARRAYS ARE NEGATIVELY kW KILOWATT uL-LISTED.'LOCATION PROVIDED BY THE GROUNDED. e APPROVE�D.,;_ ROUNDED, AC DlStONNECT� & WARNING LABELS� LBW. LOAD BEARING WALL MANUFAcTURER'USING"UL LISTED GROUNDING 4. -SOLAR-. MOUNTING FRAMES ARE- TO BL,G- MIN MINIMUM HARDWARE.-_ 5. ALL WORK JO'BE - DONE'jTO, 2010 CALIFORNIA'_., FOR, CONSTRUCTION, BUILDING C — MIR'- - MIRROR 8. ALL EXPOSED,METAL- PARTS (MODULE FRAMES, - ODE... j -NEW USING -6-- ALL- ELECTRICAL,WORK SHALL COMPLY NTH THE, (N) RAIL, BOXES, ETC.) SHALL BE'GROUNDED D B JUNC,TION BOX UL LISTED LAY7 IN 'LUGS 'LISTED FOR THE N08 NATIONAL ELECTRIC CODE' -AS AMENDE '.BY NEC NATIONAL ELECTRIC CODE THE- 2010'CALIFORNIA ELECTRIC'CODE. it"s ww R NIC NOTIN CONTRACT PURPOSE.' POSTS SHALL, BE'mADE k -C COMBINER BOX .& WARN NG D NTS NOT TO,SCALE ELECTRICALLY CONTINUOUS WITH.ATTACHED ON CENTER., RAIL. 'EL & WARNING', -P' PANEL BOARD 9. 'MODULE FRAMES, RAIL, 4ND. POSTS -SHALL' BE DISTRIBUTION PAN F@ PL� - - BONDED NTH EQUIPMENT. GROUND 'CONDUCTORS PROPERTY LINES PV PHOTOVOLTAIC. AND GROUNDED AT THE MAIN ELECTRIC PANEL. LOAD CENTER & WARNING LABELS pvtl POLYVINYL ' 'CHLORIDE 10. 'THE DC -_ GROUNDINGILECTRODE CONDUCTOR S SUBPANEL. SHALL BE -SIZED � ACCORDING TO ART. VICINITY MAP! SCH. SCHEDULE. 250.166(B) & 690.47. DEDICATED PV SYSTEM METER STAINLESS STEEL ss COND -RUN UIT ON EXTERIOR SEE STRUCTURAL� DRAWINGS _#� I - SSD CONDUIT RUN ON, INTERIOR STC STANDARD. TESTING CONDITIONS GATE/FENCE SwH SOLAR WATER,HEATER, --- INTERIOR EQUIPMENT j6--- 7 TYP �YPICAL LION' UNLESS 6THLRWSE 'NOTED ups.-,- - UNINTERRUPTIBLE POWER SUPPLY VOLT vmp VOLTAGE AT MAX POWER voc VOLTAGE --AT. OPEN. CIRCUIT W WATT 3R NEMA 3R, RAINTIGHT REV BY DATE COMMENTS Aft La Quinta CONFIDENTIAL— THE INFOWATION HREIN PFOM ONNEFc 'DESOWTIOW DESIGN: mot. JB—.922558- -00­ CONTAINED SHALL NOT BE USED FOR THE .-ARAMI, LDATE lWj0A_ I BENEFIT OF ANYONE EXCEPT SOLARCITY INC. MAFKT. CHASE; DON.,, CHASE. RESIDENCE'— MODULES. OR SHAM IT BE DISCLOSED IN VIHOLE OR IN -(46) TRINA SOLAR #-.TSML-245PCO5) o a PART TO OTHERS OUTSIDE THE RECIPIENT'S PROJECT MANAGER MOUNTING SYSTEM. Y: N RESI tPAO� 18 54231' SOUTHERN HILLS 11. 2T, Kw PV'Ar' 1 9 �? _ I LA QU ORGANIZATION. EXCEPT IN CONNECTION VATH INTA; CA §2258 0.55 Clearview Way San -.'4611 94402' THE SALE AND USE OF, THE RESPEClIVE 3 Mate� CA t SOLMOTY EQUIPMENT. VVITHOUT THE WrdTTEN PAYMENT TYPE:- Schuco ezA n6or . 16 -:ST, tC Roii (760) 771. PAGE NAME:, SHEET. DATE. J:(650) 638-1028 - F:(650) 638-1029 t- ._-;Pv i/lo/M131 (888) -SO -CrrY (765-2489) �i�.solanJtyxvn PERMISSION OF SOLARCITY INC. 727SMA' # SUNN -US' - 4 SHEET, LEASE - Y BOY'7000 COVER' A. L