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MECH (14-0393)1- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 14-00000393 Property Address: 52486 AVENIDA MENDOZA APN: 773-273-010-13 -000000- Application description: MECHANICAL Property Zoning: COVE RESIDENTIAL Application valuation: 4786 Tiht 4 4 Q" Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Busnd Professionals Code, and my License is in full force and effect. Licen lass: C10 C16 C2 ii s dLi e e o.: 457554 Kat Contra to - CL' 0 NER-BUILDER DECLARATION I hereby affirm under penalty of perjury that I xempt 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 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.). (_ 11, 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/08/14 Owner: ELLEN TROVER 52486 AVENIDA MENDOZA LA QUINTA, CA 92253 (760)398-3971 Contractor: PREFERRED PLUMBING HTi /C .� PR 0 '210(1 )� P.O. BOX 5120 i PALM SPRINGS, CA 92213 CITY OP 4i.s•..•_ 7 (760)322-3173 ��a.s.®„tI'i�+t Lic. No.: 457554 ----------------------------------------------- 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 of the work for which this permit is ssued. 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 EVEREST NATL Policy Number 7600006445141 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 (become subject to the workers' compensation laws of California, and agree that, if I should c,�me subject to the wo rs' compensation provisions of Section 3700 of the Labor C e, sisal( for hwith c p it rhos provisions. DBTe: D Applicant: WARNING: FAILURE TO SECURE WORKERS' MP NSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAND 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 Director of Building and Safety 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 i rmatiomis correct gree to comply with all city and county ordinances and state laws relating to building co ruction,nd. e e au ori representatives of this coup o enter upon the absmentioned property for ' spectio irpos Date: L Signature (/Applicant or Agent): Application Number . . . . . 14-00000393 Permit MECHANICAL 2013 Additional desc . . Permit Fee . . . . 71.50 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 10/05/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 ---------------------------------------------------------------------------- Special Notes and Comments HVAC CHANGE OUT - 21SEER, 1 TON DUCTLESS SYSTEM (CONDENSOR AND AIR HANDLER) (2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 PERMIT ISSUANCE M/P/E 90.57 PLAN CHECK, MECHANICAL 47.66 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 71.50 .00 .00 71.50 Plan Check Total .00 .00 .00 .00 Other Fee Total 139.23 .00 .00 139.23 Grand Total 210.73 .00 .00 210.73 LQPERMIT Bin # Q ®f La QU1nta Building 8t Safety Division -P°®° Box 1504, 78-495 Calle Tampico Per # La Quint:a, CA 92253 - (760) 777-7012 Build° -. ►lig Pen -nit Application and Tracking Sheet .,; Project Address:` _' _ . Owner's Name. &OQL UNI '� A17 A P. Number; : Address: ,s� �j/� M OFV LegalD@cxiptR>�- = '"- - City, Pre rli ec A�ifrr Conditidning dba %lop Contractor Preuntb i ri He a t i n &A i Telephone: AddiM7 -pp: °.'Bo: 5a 2y.Q.`.. Project Description: City; S ;Zip: i- P` tag s CA. �..'2 6 3 I/�GN l �.q.�:::.:•:::.•..;. c- Fort - Telephone:; .(--:7.6;0:<)��:g 6 3:- t}8-3•� • G /.Y �-O hf State Lic,"# : .=::45:7 5°4 = City Lic. #: 2 2 2 9 Arch -Th -D Telephone, Contrition broe: Occupancy: Picjecttype (circle one): New Add''n Alter Repair Demo Damebf:Co��cCPon'.,:=ES�,B� BARAJAS Sq. Ft: #Stories: #Units: T elephone#�bf out ct}3ersba -- 7 6 0 863-083.2 Estimated Value of Project 0 d° - APUGANT: DO NOT WRITE BELOW THIS LINE ::Reg'd Ree'd TRACKING PERN&r FEES Plan. Sets . '::' :;... PIan Check tlaft(tted Amount Reviewed, ready for corrections Check Deposit Truss Calcs.Called ContactPerson Check Balance Plans Picked up jMe traction d plain pt$n . Plans.resubmitted antral - ' Grsdingpiari -' - . 2"� Review, ready for'correctionsrssue-: SubcoiitactorList Called ContactPer�on Ging GrantDeed Plans picked up3 L MOAApproval . Pians resubmitted G- Gra ing II I;HOUSE:- - Review, ready for corrections/issne Dev Ioper Impact Fee PlanningApprbval. Called Contact Person AS• p Pub. Wk,s Appr ' Date of permi[ issue School Fres ' Tot4l Permit Fees