BMCH2015-00201r' Qum&
VOICE (760) 777-7125
78-495 CALLE TAMPICO ;` TWT D
LA QUINTA, CALARNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS ('760) 777-7153
BUILDING PERMIT
Date: 1/28/2015
Application Number:
BMCH2O15-0020
Owner:
Property Address:
76925 AVENIDA FERNANDO
TIMOTHY MCGREE
APN:
658240029
76925 AVENIDA FERNANDO
Application Description:
REPLACE PACKAGED UNIT 3.5 TON
LA QUINTA, CA 92253 8
Property Zoning:
X
Application Valuation:
$8,000.00
2
o" n
Applicant:
Contractor: Z
AHOY AIR CONDITIONING
AHOY AIR CONDITIO 00
O
43795 TELLURIDE ST
43795 TELLURIDE ST c ho
a
INDIO, CA 92201
INDIO, CA 92201 C� .
(760)799-1990'
LIC. No.:
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: _ License No.: _r
Date Z� S Contractor's§A O�a 2e(eqe, ( c
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
:ity 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
'ontractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3
Df 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
;$5b0).:
;_) I,'as owner of the property, or my employees with wages as their sole
:ompensation, 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
.iimself 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
,vithin one year of completion, the owner -builder will have the burden of proving that
ie or she did not build or improve for the purpose of sale.).
:_) 1, as owner of the property, am exclusively contracting with licensed contractors
:o construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
;tate License Law does not apply to an owner of property who builds or improves
:hereon, and who contracts for.the projects with a contractor(s) licensed pursuant to
:he Contractors' State License Law.).
_) I am exempt under Sec. B.&P.C. for this reason
)ate
Owner:
CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for
:he performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
-ender's
-ender's
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 t - or which this permit is issued.
ave and will maintain workers' compensation insurance, as required by
Section a3700 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, 1
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. A
Date �� A p p I i c a n
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 37060E 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 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.
1 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 for inspection purposes..
Date"71 Z� Signature (Applicant or Agent
Total Paid for PERMIT ISSUANCE: '$91.85 $0.00
FINANCIAL INFORMATION
,��CRI
k
BSAS SB1473 FEE
101-0000-20306
0
$1.00 $0.00
Sri"
CHECK L
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
'n V;??'
Wli�
OLIN
PAID AT DATE'
HVAC CHANGEOUT - PACKAGED UNIT
101-0000-42402
0
$36.26
$0.00
LTD B
I 4470R.N11-f5R,
;11
OPNMJ
-L •DATES
HVAC CHANGEOUT - PACKAGED UNIT PC
101-0000-42600
0
$24.17
$0.00
"n METI-10ii;g
Total Paid forCHANGEOUT: $60.43 $0.00
„DESCRIPTION
�.,PAID
w. _
DATE;,
PERMIT ISSUANCE
0
$91.85
$0.00
�l?AID
li,2111 271;mfil
Ann
Total Paid for PERMIT ISSUANCE: '$91.85 $0.00
Description: REPLACE PACKAGED UNIT 3.5 TON
Type: MECHANICAL Subtype: Status: UNDER REVIEW
Applied: 1/20/2015 PJU
Approved:
Parcel No: 658240029 Site Address: 76925 AVENIDA FERNANDO LA QUINTA,CA 92253
Subdivision: TR 23813 Block: Lot: 29
Issued:
Lot Sq Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $8,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: REPLACE 4 TON 16 SEER 12.3 EER PACKAGED UNIT [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
Printed: Wednesday, January 28, 2015 4:23:04 PM 1 of 2 CR
CV.CTFM.0
•NTACTS
NAMETYPEr
.4T`'' NAME ` s;r
#
° ADDRESSI''.t,.
s'CITY `!
"ESTATEZIP,
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+FAX' ii
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tii-aEMAIL".
APPLICANT
AHOY AIR CONDITIONING
43795 TELLURIDE ST
INDIO
CA
92201
CONTRACTOR
AHOY AIR CONDITIONING
43795 TELLURIDE ST
INDIO
CA
92201
OWNER
TIMOTHY MCGREE
76925 AVENIDA
LA QUINTA
CA
92253
FERNANDO
FINANCIAL
INFORMATION
.
"CLTD..
;DESCRIPTION -
ACCOUNT
QTY AMOUNT
PAIDI
PAID.DATE
RECEIPT # CHECK # ; ,. METHOD PAID BY .
X.
BY
BSAS SB1473 FEE
101-0000-20306
0 $1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
Printed: Wednesday, January 28, 2015 4:23:04 PM 1 of 2 CR
CV.CTFM.0
PARENT PROJECTS
REVIEWSES-
BOND
MAI
INFORMATIONATTACHMEN
HVACCHANGEOUT-,
101-0000-424N
0
$36.26
$0.00.PACKAGED
UNITHVACCHANGE06T-
101-0000-42600
0
$24.17
$0.00PACKAGED
UNIT PCTotal
Paid forCHANGEOUT: $60.43 $0.00PERMIT
ISSUANCE
-101-0000-42404
0
$91.85
$0'.00Total
Paid forPERMIT ISSUANCE: $91.85 $0.00TOTALS:
$153.28 $0.00
PARENT PROJECTS
REVIEWSES-
BOND
MAI
Printed: Wednesday, January D8,ZUlS4:Z3:04PW1 ZufZ �
BOND
INFORMATIONATTACHMEN
Printed: Wednesday, January D8,ZUlS4:Z3:04PW1 ZufZ �