13-1080 (MECH)P.O. BOX 1504 4-- VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011';•
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT �` INSPECTIONS (760) 777-7153
BUILDING PERMIT ,
Date: } 8/28/13't`�
Application Number: '13-00001080 Owner: 7:
Property Address: 78230 SAN TIMOTEO ST BALL STERLING. C 1'
APN: 646-160-017- - - 6886 OCUITT RD, #� `
Application description: MECHANICAL SAN LUIS OBISPO, CA 934 '
-Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: • 6000 -
• Contractor:
Applicant:' ' Architect or Engineer: ;- AIR EXPERTS AIR .-CONDITI
PO BOX 94
ry LA QUINTA, CA 92247,
(760)777-1724
1 _ Lic. N8.:.725283
ONTRACTOR'S DECLARATION ' WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of pe" that I am licen ed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 700 of Division 3 of the B siness and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided"-
Licens la OC20 License No.: 725283 16, by Section 3700 of the Labor Code, for the performance of the work for which this permit is
(/issued.
Dater' /contractor: - �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. „•
G OWNER -BUILDER DECLARATION - - • insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier GUARD INS GROUP Policy Number PAWC446733 -
following reason (Sec. 7031 .5, Business and Professions Cade: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any mann as to bec subject to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State a agree that, if should become subi ct to the workers' compensation provisions of Section
r License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or #NG:FAILURE
0 of the Labo Code, I shall fort ith comply with those provisions.,
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by r
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars 1$500).: Date(A_ pplicant: '
(_) 1, 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 WAR TO SECURE W AKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ,
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. '
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.). APPLICANT ACKNOWLEDGEMENT
(_) 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. +
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application, `t r
(_) I am exempt under Sec. , B.&P.C: for this reason 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.
Date: Owner: 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 issuanqof per ' , or cessation of work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that Ihave read this application and stateabo information is correct. I agree to co ith allwork for which this permit is issued (Sec. 3097, Civ. C.). city and cou y or 'nances and state laws relating construction, and hereb representatives
of t cou y ter upon the above-mentioned for inspection
Lender's Name:Date: ignature (Applicant or Agent
Lender's Address: .�/.✓ ��"�-- -
LQPERMIT
Application Number . . . . . 13-00001080
Permit MECHANICAL 2013
Additional desc_
1
Permit Fee . . . 71.50 Plan Check Fee
.00
Issue Date . . Valuation . . .
. 0 -
Expiration Date - 2/24/14
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 - 13,SEER/78 AFUE SPLIT
SYSTEM [2008 ENERGY] CARBON MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 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 #
City Of La Quinta
Building 8T Safety Division
P.O. Box 1504; 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
f_ d� S�
Project Address: <
Owner's Name: 2,4 1,
A. P. Number:
Address: '] Z —Sd
Legal Description:
City, ST, Zip:
Contractor. �Q GXiDE�TS
Telephone: �
Address: �d& x
Project Description:
City, ST, Zip: CA q ZZ y7
A �S— i L.J
Telephone: 7((go 7`�7 %%Z�
................................................
R ,%_ G ,(�
E E ,
State Lic. # :
City Lic. #.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
P
Construction Type: Occupancy:
YP : P Y
State Lic. #:
Projecta circle one): New Addn Alter Repair Demo
type '
) P
Name of Contact Person:
Sq. Ft.: Z400
# Stories:
# Units:
Telephone # of Contact Person:
ap
Estimated Value of Project: QpQ
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cales.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsrssue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-IR-ALT-HVAC
Climate Zones 10 - 15
Site Address:
Enforcement Agency:
Date:
Permit #:
78230 San Trnoteo St. La Quinta., CA 92253
City of La Quinta
Aug 27,, 2013
Duct insulation
Conditioned Floor,
Equipment Typel
List Minimum Efficiency2
requirement
Area
Thermostat
Package Unit
i3 Furnace
® AFUE 789/0
l I COP
E3 R 6 i