BSOL2014-002278-495 CALLS TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Twit 4 4 4"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BSOL2014-0022
81948 VIA LA SERENA
767660024
15.2kW PV SYSTEM - (61) 250W PANELS+INVERTER/(1) 125A SUB
$60,000.00
Applicant:
VERENGO INC
20285 S WESTERN AVENUE STE 200
TORRANCE, CA 90501
A
OCT 13 2014
CITY OF LA OUINTA
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 Class: B. C10 License No.: 935263
ontractor.�
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 o Any violation of Section 7031.5 by any applicant fo,
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 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.).
(1 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
Date: 10/13/2014
Owner:
PETER DACQUISTO
28608 VISTA MADERA
RCH PALOS VERGES, CA 92253
Contractor:
VERENGO INC
20285 S WESTERN AVENUE STE 200
TORRANCE, CA 90501
(310)803-9053
Llc. No.: 935263
WORKER'S COMPENSA-ION DECLARATION
I hereby affirm under penalty of perjury one oc the following declarations:
I have and will maintain a certificat= of consent to self -insure for workers'
compensation, as provided for by Section 3700 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: _ 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 soas 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 =700 of the Labor Code, I shall forthwith
comply with thoseprovisions.
plicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIIIAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOt 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"thi.: 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 tine 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 ssuance of such permit, or cessation of
work for 180 days will subject permit to canceration.
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 f r inspection purposes.
Date: f �� 'nature (Applicant or Agent):
¢�'m .St !£, -�� .�K.,�'.'�k§eY F,... a d`- .
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` A000UNT € > QTY '° �s AMOUNT&4f PAID -D
,nESCRIPT,ION , yy_a , ,; a y ,
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RECEIPT#; ( -ti a r
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Total Paid'forBUILDING STANDARDS ADMINISTRATION.BSA $3.00' . 30.00
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DESCRIPTION �,
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PV SYSTEM ' ARRAY, FIRST 20
101=0000-42403
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101-0000-42403
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$24.17 ..
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DESCRIPTION
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101-0000-42600
0;
$24.17
$0 .,4. '-
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-METHOD..
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' P
PERMIT ISSUANCE'
101-0000-42404
0_.:.:
,' $91:85.
$0 00 .�
L Y. •',i.
�;:.PAIDBY:
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,METHOD..
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Total Paid for PERMIT •ISSUANCE -, $91,85' $0.00 -
Permit Details
Enter Permit Number IBSOL2014-0022
64 6 F1___jof 2 D 9j d Find I Next R® t
Page 1 of 1
view Report
Permit Details PEFMIT NUMBER
City of La Quinta BSOL2014-0022
Description:15.2kW PV SYSTEM - (61) 25OW PANELS+INVERTER/(1) 125A SUB
Type: SOLAR Subtype: Status: APPROVED
Applied: 9/18/2014 SKH -
Approved: 10/9/2014 AOR
Parcel No: 767660024 Site Address: 81948 VIA LA SERENA LA QUINTA,CA 92253
Subdivision: TR 31874-1 Block: Lot: 24
Issued:
Lot Sq Ft:0 - .Building Sq Ft:0 Zoning:
Finaled:
Valuation: $60,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings:0 No. Stories:0 No. Unites:0
ACTION DATE
Details: 15.2kW SOLAR ARRAY - (61) 250WHYUNDAI PANELS W/ (61) M215 ENPHASE MICRO -INVERTERS AND (1) 125A SUBPANEL [1,0985F]
2013 CALIFORNIA ELECTRICAL CODE.
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ADDITIONAL SITES
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
PLAN CHECK SUBMITTAL STEPHANIE KHATAMI 9/18/2014
9/18/2014
PHONED STEVEN WITH VERENGO SOLAR THAT PLANS ARE
TELEPHONE CALL
AJ ORTEGA
10/9/2014
10/9/2014
APPROVED AND PERMIT IS READY TO ISSUE WITH
CONTRACTOR UPDATE.
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESS1
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
VERENGO INC
202855 WESTERN
TORRANCE
CA
90501
(310)4274001
AVENUE STE 200
CONTRACTOR
VERENGO INC
20285 S WESTERN
TORRANCE
CA
90501
(310)427-4001
'
AVENUE STE 200
OWNER
PETER DACQUI5TO
28608 VISTA MADERA
RCH PALOS
CA
92253
(
VE DES
FINANCIAL INFORMATION
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAIDDATE
RECEIPT#
CHECK# METH:DD
PAID BY
CLTD
BY
BSASSB1473 FEE
101-0000.20306
0
$3.00
$0.00
O Total Paid for BUILDING
STANDARDS ADMINISTRATION
$3.00
$0.00
BSA:
PV SYSTEM -ARRAY,
101-000042403
0
$24.17
$0.00
'
FIRST 20
PV SYSTEM -ARRAY,
101-0000-42600
0
$24.17
$0.00
FIRST 20 PC
PV SYSTEM -MISC
101-000042403
0
$24.17
$0.00
EQUIPMENT
PV SYSTEM - MISC
101-000042600
0
$24.17
$0.00
EQUIPMENT PC
D
Total Paid for ELECTRICAL: $96.68
$0.00
PERMIT ISSUANCE
101-0000-42404 1
0 $91.85
$0.00
0
Total Paid for PERMIT ISSUANCE: $91.85
$0.00
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