13-0910 (MECH)�r
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000910
Property Address:
79520 LIGA
APN:
772 -180 -042 -
Application description:
MECHANICAL '
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1406
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
-tyl 4
BUILDING & SAFETY DEPARTMENT aii
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 Business,7d Professionals Code, and my License is in full force and effect.
License Class: C20 icense No.: 794315
AUate:�' e` 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 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.).
(_) 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. , BAP.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
Owner:
HALL
79520 LIGA
LA QUINTA, CA 92253
Contractor:
DOVE AIR INC
69749 RISUENO ROAD
CATHEDRAL CITY, CA 922:
(760)327-1890
Lic. No.: 794315
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/19/13
-----------------------------------------------
. 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
issued.
ave an tl will maintain workers' compensation Insurance, as required by Section 3700 of the Labui
' Code, for the performance of the work for which this permit is issued. My workers' compensation
� insurance carrier and policy number are:
Carrier EXLAPT Policy Number EXEMPT
1 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, shall forthwith comply with those provisions.
/S. )i
`Date: 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 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 Quints, 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 county to enter upon the above-mentioned property f inspection p1poses.
Date: r Signature (Applicant or Agent): _z -V y /`//
Application Number . . . . . 13-00000910
Permit . . . MECHANICAL 2013
Additional desc .
Permit Fee . . . . 35.75 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date . . 1/15/14
Qty Unit Charge Per
Extension
1.00 35.7500 EA MECH CONDENSER/COMP
35.75
----------------------------------------------------------------------------
Special Notes and Comments
HVAC CHANGE OUT - 13SEER CONDENSER UNIT
ONLY [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
July 19, 2013 2:00:48 PM AORTEGA
•
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57
PLAN CHECK, MECHANICAL
23.83
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 35.75 .00 .00
35.75
Plan Check Total .00 .00 .00
.00
Other Fee Total 115.40 .00 .00
115.40
Grand Total - 151.15 .00 .00
151.15
LQPERMIT
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Bin #
CI� -0 Q�inta
Building at Safety Division
P.O. Box 1 $04, 78-495 Calle Tampico
La Quinta, CA 92253- (760). 777-7012
Building Permit Application and Tracking Sheet .
Permit #
1�•e�10
Project Address:39 Sx o L;.
Owner's Name: Q•( Ako a 1
A. P. Number:
Address: 7 Cf kSa v
Legal Description:
Contractor: p 0 V
City, ST, Zip; k to Qv,,.nly,! ��J
Telephone:
Address; 1 "1. ki'r 4r INV
ProjoetDesscription:
City, sT, zip: - ;-e.CA 7,131Ir
t, V.:
Telephone: 6 d
State He. # : C( City Lie #:
Arch., Engr, Designer:
Address:
City; Sl', Zip:
i elcphune:
;tate Lic. #:
Name of Contact Person: SIC_ 0 A- u n' v
Constrsction Type: Occupancy:
Project type (eircla ane): New, Add'n . �11ter .Repair Demo
Sq. a.. # Stories: Units:
Telephone # ofContact Person: 0 p (- -`75k Estimated Value of.Project:. 0
APPUCANT: D0: Nq*-W—WE'B@LOVIf THIS UNE
li
Submittal
R '4.
Recd
IRA(3CIIHG •
PERMIT FEES
Plan Sets
Puri (heck submitted
Item Amount
Structural Cales.;
Reviewed, ready for corrections
Plan Check Deposit
Trass Cala.
Called Contact Person
Plan Check lialatcc
Energy Cates.
Plass picked up
Conttrtsetion .
Flood plain. plan .
Plans resubmitted
Meehsudeal
Grading.plan
Z'r Review, ready Tor eorrections/issxe
Electrical
Sabcoutictor Lis4
Callid Contact Person
PlamUing
Grant Deed '
Plans picked up '.
S.M.I:
H.O.A. Approval
+�
: riaa3 res iuimcd
Grading
IN HOUSE:-
41tcview, ready for correctionslissue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wk& Appr
Date of permit issue
School Fees
_.....
Total Permit Fees
t