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12-0831 (MECH)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: -12-00000831 Property Address: 79356 COOL REFLECTION APN: 649-030-069-10 -31311-- Application description: MECHANICAL Property Zoning: HIGH DENSITY RESIDENTIAL Application valuation: 2750 T4t!t4-4Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: WILL KLINE 79356 COOL REFLECTION LA.QUINTA, CA 92253 ( VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 f� Date: 7/26/12 Applicant: Architect or Engineer: Contractor J ANTHONY PLUMBING HEAT/AIR �� r�+ t 2o1Z ll 72216 NORTH SHORE STREET, #1 THOUSAND PALMS, CA 92276 (760) 328-8096 CITY OF LA I:Pf; PipLic. __._..:_.. No.: 777794 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury t t I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busin s and Professionals ode, 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 License Class: C20 -C3 nse No.: 777794. for by Section 3700 of the Labor Code, for the performance of the work for which this permit is A ,— / Date:? (� om,actor: issued. Y. 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 OWNER -BUILDER D fes--' insurance carrier and policy number are: 1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier GRANITE STATE Policy Number WC065255599 following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the perform Ace 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 manners as to become 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 and agree that, if I sho d become subject to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor e, hall forthwith comply with rhos isi S. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -�L any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: (P licant: ' (_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and //qa'pTI(I Loo' the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The _ WARNING: FAILURE TO SECU ORKERS' COMPEN ATION COVERAGE IS UNLAWFUL, AND 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 I, 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.l. whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , B.&P.C. for this reason 1. the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City 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: h Lender's Address: �TII LQPERMIT of La Qumta, 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 ove information is correct. I agree to comply with all city and county ordinances and state laws relating to b it ng construction, and hereby authorize i of this c my enter upo the above-mentioned pr or ns ection rposes. DDaate��� nature (Applicant or Agent): Application Number . . . . . 12-00000831 Permit . . . MECHANICAL Additional' desc . . Permit Fee . . . . 31.50 Plan Check Fee 7.88 Issue Date . . . . Valuation 0 Expiration Date 1/22/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 -------------------------------------------------7-------------------------- Special Notes and Comments REPLACE 3.5 TON CONDENSER. 2010 CODES. -=-------------------------------------------------------------------------- Other Fees . . . ... . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total ---------- ---------- 31.50 ---------- --- .00 .00 ------ 31.50 .Plan Check Total 7.88 .00 .00 7.88 Other'Fee Total 1.00 .00 .00 1.00 Grand Total 40.38 .00 .00 40.38 LQPERMIT Simplified Prescriptive Certificate of Compliance: 2008 Residential HVAC Alterations CF-lR-ALT-HVAC Climate Zones 10 - 15 Site Address: Enforcement Agency: Date: Permit #: 79356 COOL REFLECTIONS La Quinta, CA 92253 City of La Quinta Jun 28, 2012 Duct insulation Conditioned Floor Equipment Typel List Minimum Efficiency2 requirement Area Thermostat ❑ Package Unit ❑ Furnace ❑ Indoor Coil ❑ AFUE ® SEER 13. ❑ COP [1HSPF ❑ R 6 i lain. # City. Of . La Quin Bulk ft 8t Safety DWon i P.O. Box . 1504,78-495 Calle Tampko 14.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # : % Project Add=* % �'jj Seo m�. ale. C_ r e j4.l Owner's Name:. Gv A. P. Nuinber. Adder: 5>fvt�tE. Legal Description: Contractor. City, ST, Zip: Telephone: Address: J ANTHONY SERVICES City, $T, Zip: THOUSAND PALMS, CA 92276 PmjeetIkscription: /?„e /,¢'C,,L C.0,0iow &0(,_ . .'rb /J Telephone: State Lia #: Y) 7Gl City Lie, p; 10 jr Arch., Eng., Designer. - -Address: City., ST. Zip: Telephone: State Lia 4: _ Name of Contact Person: ti (,V 1(1 R Construction Type- . Occwanq: Project type (circle one): New Add'a Alter Repair Demo . Sq, # T�_ nits: Telephone # of Contact Person: O. Estimated Value of Project Z? SD APPLICANT: DO NOT WRITE BELOW THIS UNI: N Submittal Req'd ' Ret'd TRAaUNG PBRMIF FFis Plain Sets Plan Beck submitted Item Amount Structural Calls. Reviewed, ready for corrections Plan ©heck Deposit. . Trass Cahn. Called contact Person Plan Check Balance. Mde 24 Calci6 Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Giading plan Z'! Review, ready for correctionsfissue FiecMeal Subcontactor IAst Called Contact Person Plunibfng Grant Deed Pians pidced up SAU H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''' Review; ready for tormcdooslissue Developer Impact Fee Planning Approval Called Contact Person A-LP.P. Pub. Wks. Appr Date of permft issue School Fees Total Permit Fees