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BELC2017-0022Applicant: IE INC 312251A BAYA WESTLAKE VILLAGE, CA 91362 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: C10 License No.: 933396 Date: 3 1 Contractor: c 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).: (� 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_) 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). I 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: PAM FILLEY 79955 DOUBLE EAGLE WAY LA QUINTA, CA 92253 Contractor: TROUT ELECTRIC 17843 GLEN HOLLOW WAY RIVERSIDE, CA 92504 (909)952-004: Llc. No.: 933396 Date: 3/1/2017 LU t -- ac Q w or W (V ^1 a C �a CL__ UJ � U � D cn w 0 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury oneof 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 of the work for which this permit is issued. '�I have and will maintain workers' compensation insurance, as required by Section 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: NORGUARD INSURANCE COMPANY' Policy Number: MAWC883596 —I certify that in the performance c.fthe work for which this permit is issued, I shaFnot employ any person in any manner:o as to become subject to the workers' compensation laws of California, and agree :hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: l� Applicant: �UtA&AsZi 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 ($10000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKSOWLEDGEMENT IMPORTANT: Application is hereby made tothe Building Official for a permit subject to the conditions and restrictions set forth on bis 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, arrd the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cite(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: 1 li Signature (Applicant or Agent): o ` 78-495 CALLE TAMPICO 4 LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BELC2017-0022 Property Address: 79955 DOUBLE EAGLE WAY APN: '775250005 Application Description: FILLEY /INSTALL 240VOLT 50 AMP OUTLET FOR TESTLA CHARGER Property Zoning: Application Valuation: $838.00 Applicant: IE INC 312251A BAYA WESTLAKE VILLAGE, CA 91362 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: C10 License No.: 933396 Date: 3 1 Contractor: c 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).: (� 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_) 1, 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 contractors) licensed pursuant to the Contractors' State License Law.). I 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 Na Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: PAM FILLEY 79955 DOUBLE EAGLE WAY LA QUINTA, CA 92253 Contractor: TROUT ELECTRIC 17843 GLEN HOLLOW WAY RIVERSIDE, CA 92504 (909)952-004: Llc. No.: 933396 Date: 3/1/2017 LU t -- ac Q w or W (V ^1 a C �a CL__ UJ � U � D cn w 0 WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury oneof 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 of the work for which this permit is issued. '�I have and will maintain workers' compensation insurance, as required by Section 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: NORGUARD INSURANCE COMPANY' Policy Number: MAWC883596 —I certify that in the performance c.fthe work for which this permit is issued, I shaFnot employ any person in any manner:o as to become subject to the workers' compensation laws of California, and agree :hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date: l� Applicant: �UtA&AsZi 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 ($10000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKSOWLEDGEMENT IMPORTANT: Application is hereby made tothe Building Official for a permit subject to the conditions and restrictions set forth on bis 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, arrd the applicant, each agrees to, and shall defend, indemnify and hold harmless the Cite(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: 1 li Signature (Applicant or Agent): o Applicant: Contractor: IE INC TROUT ELECTRIC 31225 LA BAYA 17843 GLEN HOLLOW WAY WESTLAKE VILLAGE, CA 91362 RIVERSIDE, CA 92504 'r (909)952-004: Llc. No.: 933396 Detail: INSTALL 240 VOLT 50 AMP OUTLET FOR TESLA CAR CHARGER INSIDE GARAGE. PER 2016 CALIFORNIA BUILDING CODES. WE Date: 3/1/2017 . Application Number: BELC2017-0022 Owner: Property Address: 79955 DOUBLE EAGLE WAY PAM FILLEY APN: 775250005 79955 DOUBL-- EAGLE WAY Application Description: ALLEY / INSTALL 240VOLT 50 AMP OUTLET FOR TESTLA CHARGER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $838.00 Applicant: Contractor: IE INC TROUT ELECTRIC 31225 LA BAYA 17843 GLEN HOLLOW WAY WESTLAKE VILLAGE, CA 91362 RIVERSIDE, CA 92504 'r (909)952-004: Llc. No.: 933396 Detail: INSTALL 240 VOLT 50 AMP OUTLET FOR TESLA CAR CHARGER INSIDE GARAGE. PER 2016 CALIFORNIA BUILDING CODES. WE Date: 3/1/2017 . FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 ' Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT CITY AMOUNT POWER APPARATUS 101-0000-42403 0 $25.33 DESCRIPTION ACCOUNT CITY AMOUNT POWER APPARATUS PC 101-0000-42600 0 $25.33 Total Paid for ELE-TRICAL: $50.66 DESCRIPTION ACCOUNT CITY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT CITY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 - _ 1 V 1 AL3. ,�15L.73 # •city. of La Quinta Building 8i Safety Division P.O. Box 1504,78-495 Calle Tampico la.Quinta, CA 92253 - (760) 777-7012 000L -a- Building Permit Application and Tracking Sheet Permit # 8� L(, 9017 - Project Address: 79955 Double Eagle Way Owner's Name:. Pam Filley A- P. Number. Address: 79955 Double Eagle Wad Legal. Description: City, ST, Zip: La Quinta, CA 92253 Contractor. Trout Electric . �� s Telephone: 949-510-2337 Address: 17843 Glen Hollow Way Project Description: Install 240 volt 50 amp outlet for Tesla . City, ST, Zip: Riverside, CA 92504 car charger inside garage • . Telephone: 951-743-0702 :' State Lic. # : 933396 City Lia M. Arch, Engr., Designer. Address: ip: City., ST, Zip- Telephone: Telephone:V Y State Lic. #: f�f .' Name of Contact Person: Steven Schnierer Construction Type:.. Occupancy: Project type (circle one): New Add'a Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 818-735-7876 Estimated Value of project: $838.00 APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Recd TRACMNG Plan Check submitted.Item PERMIT FEES Amount Structural Cafes. Reviewed, ready for corrections Plan Chcc6•. Deposit. . Truss C21cs. Called Contact Person Pian Che&- Balance Title 24 Calcs. Plans picked up Constructi m Flood plain plan Plans resubmitted.. Mecharii4rA Grading plan 2 `s Review, ready for correctionsrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN UOUSE:- 34 Review; ready for corrections/issue Developer. Impact Fee Planning Approval. Called Contact Person A.I.P.P. f Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees . 'EVSE LOAD CALCULATIONiWORKSHEET . .. TF�OlJT , - � s� -10,608 p; ProjectA�ddress�,M 79955�Doub�leEag;�LaQ�u nta Ca' �^`�k �+�` �� A�� General Lighting Load Your home's square footage ' 31536 X3 VA=. Small appliance branch circuits (2'min), 1500 VA X' 2 Circuits '3,000 Laundry Circuit . ' 1500 VA X .:. 1 Circuit(s) 1,500 APPLIANCES AND EQUIPMENT minimums,useactual values if known to be grea_er.. f ,` Enter N/A if not present at project site y 1w ` . ® ie ' Microwave n p�'T/� CI OF V'1 QUIN 1A CITY 1300 1,300 Compactor' 1 I 1000 Dishwasher ° ' : BUILDING & SAFETY DEPT. 1200 1,200 ' Disposal /� ®®p `.' �°"�f— I—'ROV �C ED 500 800 `Proposed:EVSE circuit FOR.CONSTRUCTION. 7200 9,600, Pool/Spa Pump 1 horsepower DATE 1920 1;920 �y e Pool/Spa Pump 1.5`horsepowe •2400 ,"" Pool/Spa Pump;2 horsepower � kms' ��,.�% 2880, _ 5,760 1 4000 Oven. i 4,000 v Range 5100 Electric Water -Heater 4500 f:A.U: 1500 i t' 4,500 t' r 7 44,188 %• Subtotal (A) - Subtotal (A) minus 10,000'VA 34,188 X-0.40= '13675.2 i plus 10,000 . r 4 , Subtotal ('B). 23675.2 •' Total A/C Load, use nameplate rating or A/C circuit.breaker rating (C) 17592 D=(B) +.(C 41267J Total demand is D/240V= 171.9 - Amps ' F '615W1�11.00ti1 CITY OF LA QUINTA' BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTION DATEJgy_ft A s Ll 9-' INSTALLING YOUR 240 VOLT OUTLET The recommended home charging installation for Tesla vehicles is a 2.40 volt NEMA 14- 50 outlet. This outlet is commonly used for electric ranges and large recreational vehicles. Installed with a 50 -amp circuit breaker, this outlet enables a recharge rate of about 25 miles per hour. Consult a licensed electrician to review the electrical load of your home prior to installation. They will design your charging system and obtain a permit for a general purpose NEMA 14-50 outlet from your local building department. After installation, the electrician will schedule an inspection to approve the new electrical circuit and design. This guide provides reference for specifications to install this outlet. Since each installation is custom to the home, all hardware for the NEMA 14-50 outlet will be provided by your electrician. GROUND TO TOP G 250V NEMA 14-50 DETAILS •. Voltage: Single phase, 208-250 volt AC supply, 60 hertz • Circuit Breaker: 50 amp (125% overcurrent protection) • Operating Current: 40 amp (maximum continuous currert) • Conductors: 6 AWG, Copper Wire Only. Upsize wiring for installations over 150 feet • Ground Fault Circuit Interrupter: Not required • Service Disconnect: Not required • Receptacle Recommendation: High quality, industrial grade receptacle Examples: Hubbell part # HBL940A, Cooper part #5754N • Ventilation: Not required • Outdoors: Install with NEMA 3R rainproof enclosure RECOMMENDED LOCATIONS CHARGEPORT -< RECOMMENDED LOCATION FOR 240 VOLT OUTLET ADDITIONAL RESOURCES EMAIL C'HARGIN( - a c r ti PHONE V Jv fj j 24/7 TECH SUPPORT -' -7.7,98K 3 5'21 WEB ONLINE STORE ' �HUP.'�.,L:..C. �9 45500 Fremr)nt RoulPvard. Fremont CA 9e538 I May. 2016 1 Version 3