BMCH2016-020578-495 CALLE TAMPICO .
LA QUINTA, CALIFORNIA 92253
c&',, 4 4v Q"�
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7125
;Y FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/6/2016 .
Application Number:
BMCH2O16-0205
Owner:
Property Address:
79650 RANCHO LA QUINTA DR
STEPHEN SLANKAR-D
APN:
602210006
79650 RANCHO LA;QUINTA DR
Application Description:
INSTALL EVAP COIL
LA QUINTA, CA 9247
Property Zoning:
Application Valuation:
$430.00
Applicant:
Contractor:
SCOTT BARNETTS
BARNETT'S A/C
51390 AVENIDA NAVARRO
P.O. BOX 741
LA QUINTA, CA 92253
LA QUINTA, CA 92247.,:
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: C20 License No.: 936600
Date:
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).:
(� 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 contractors►'licensed pursuant to
the Contractors' State License Law.).
(_J 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
Lender's Address: .
Llc. No.: 936600
WORKER'S COMPENSATION DECLARATION ' -
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certificateof 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 rie 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, I shall forthwith
comply with those provisions.
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 FOP 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 tie 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 ofissuance of such permit, or cessation of
work for 180 days will subject permit to cancelation.
I certify that I have read this application and sate that the above information is correct.
I agree to comply with all city and county ord nances and state laws relating to building
construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection punoses.
Date: Signature (Applican: or Agent):
FINANCIAL • •
€Kc DESCRIPTION UNTz{ QTY AMOUNTk j ` ` PAID #�
PAID' DATE:'
y 6''ACCO
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BSAS SB1473 FEE
101-0000-20306
0 $1.00 $1.00
6/16/16 '
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ACLTD BYE,
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2016061215593208
scott barnett
CREDIT
WEB874
EPRS
8
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
kDESCRIPTIONfar, ;�'$ �k
_-ACCOUNT r�° ..
QTYr
' AMUUNT�
A: PAID1
PAID. DATE.
f
HVAC CHANGEOUT - OTHER EQUIPMENT
101-0000-42402
0
$36.26
$36.26
6/16/16
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PAID DATE
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101-0000-42600
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$36.26
-6/16/16
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CREDIT
WE13874
2616061615593208
EPRS
128
Total Paid for CHANGEOUT: $72.52 $72.52
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'zQTY
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PAID'DATE
i2DESCRIPTION ..
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Credit Card Fee
101-0000-43505
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$3.64.
$3.64
6/16/16
4
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By
2)16061615593208
scott barnett
CREDIT �
WEB874
EPRS
128
Total Paid for Credit Card Fee: $3.64 $3.64,
' tK
ACCOUNTT k
,AMOUNTY
PAID
fPA1D:DATE
.:DESCRIPTION
q sR...QTY
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
. 6/16/16
31, T F P .11) BY ' a '. v
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RECEIPT #
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scott barnett
CREDIT
WEB874
2016061615593208
EPRS
128
'Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
t
Description: INSTALLEVAP COIL
Type: MECHANICAL - HVAC
Subtype:
Status: ISSUED
Applied: 6/16/2016 EPRS
CHANGEOUT (WEB) • .
Approved: 6/16/2016 EPRS
Parcel No: 602210006 Site Address: 79650 RANCHO LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 29457-1
Block:
Lot: 5
Issued: 6/16/2016 EPRS
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $430.00 .,
Occupancy Type:
Construction Type:
Expired: 12/13/2016 EPRS
No. Buildings: 0
No. Stories: 0
No. Unites: 0
[Details:
SCOTT BARNETTS.
51390 AVENIDA
LA QUINTA
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Printed: Wednesday, July 06, 2016 11:37:42 AM 1 of 3
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APPLICANT'
SCOTT BARNETTS.
51390 AVENIDA
LA QUINTA
CA
9.2253
-(
sbarnett36@yahoo.co
•
QUINTA DR '
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201606161
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
6/16/16
WEB874
559320812
CREDIT
Scott barnett
EPRS
8
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
201606161
HVAC CHANGEOUT -
101-0000-42402
0
$36.26
$36.26•-
6/16/16
WEB874
559320812
CREDIT
scott barnett
. EPRS
OTHER EQUIPMENT
8
HVAC CHANGEOUT -
201606161
101-0000-42600
0
$36.26
$36.26
6/16/16
WEB874
559320812
CREDIT
scott barnett
EPRS
OTHER EQUIPMENT PC
8
Total Paid for CHANGEOUT:•. $72.52 $72.52
201606161
Credit Card Fee
101-0000-43505
0
$3.64
$3.64
.6/16/16
WEB874
559320812
CREDIT
Scott barnett
EPRS
8
- Total Paid for Credit Card Fee: $3.64 $3.64
r201606161
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
6/16/16
WEB874 •
559320812
CREDIT
Scott barnett
EPRS
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
INSPECTIONS
PARENT PROJECTS "
Printed: Wednesday, July 06, 2016 11+37:42 AM 2 of 3
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BOND INFORMATION
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.ATTACHMENTS