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13-0398 (MECH)I P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000398 Property Address: 78660 AVENIDA LA FONDA APN: 770-145-010-142 -000000- Application description: MECHANICAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 6500 Applicant: Architect or Engineer: ( vt-,, / 4.1 -VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY -DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/16/13 LICENSED CO (�TOR'S DECLA ION I hereby affirm under penalty of perjury that I am licen under provisions Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro ssion�I! a and y License is in full force and effect. License Class: B � eon 58992 Date: I4 I Contractor: ✓ `- OWNER -BUILDER ECLARATION I hereby affirm under penalty of perjury that am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business an 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.). (_ 1 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.). (_) 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 Name: _ Lender's Address: LQPERMIT Owner: KENDALL, JASON 78660 AVENIDA LA FONDA LA QUINTA, CA 92253 Contractor: PREMIER BUILDERS P.O. BOX 1329 INDIO, CA 92202 (760)296-1726 Lic. No.: 958992 APR 10 2013 CITY OF LA QUINTA _----- FJN_AMICEIDERT 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. 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 EXEMPT Policy Number EXEMPT _ I certify that, in the performance of the work for whi this permit is issued, I shall not employ any person in any manner so as to become subje o t k rs' ensation laws of California, and agree that, if I should become subje o the r ers' co pen ation provisions of Section ee 700 of the Labor Cod I shall forthw' com wit o pr isions. Date: Y I4T' Is Applicant: WARNING: AILURE TO SECURE WORKERS' C MPENSATION 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 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 cessatio of work for 80 days will subject permit to cancellation. I certify that I have read this application and state thLtheabove inform on is orre I a ree to comply with all city and county ordinances and state laws relating toconstru on, a hera horize representatives of this count to a ter upon the above-mentioned prinspe ion p po Date: ��Signature (Applicant or Agent): LQPERMIT Application Number . . . . . 13-00000398 Permit . . . MECHANICAL Additional desc . Permit Fee . . . . 30.50 Plan Check Fee 7.63 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/13/13 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH AH <=10K CFM ---------------------------------------------------------------------------- 6.50 Permit . . . PERMIT .WALL/FENCE Additional desc . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date Valuation . . . . 6500 Expiration Date 10/13/13 Qty Unit Charge Per Extension BASE FEE 45.00 5.00 9.0000 THOU BLDG 2,001-25,000 45.00 ----------------------------------------------------------------------------- Special Notes and Comments INSTALL ONE (1) 15.1SEER MINI -SPLIT SYSTEM AT UNIT 2, INCLUDING SCREENING OF GROUND MOUNTED EQUIPMENT [MATERIAL TYPE PER LQMC REQUIREMENTS] 2010 CALIFORNIA BUILDING CODES. April 3, 2013 4:56:11 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . IBLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due . --------------------------------------------------------- Permit Fee Total 120.50 .00 .00 120.50 Plan Check Total 7.63 00 .00 7.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 129.13 .00 .00 129.13 Bin. . • CI�y O La Qrlln� Building. 8r Safety Division P.O. Box 1504,78-495 Calle Tampico L4.Qutnta, CA 92255 -:(760) 777-7012 Building Pennit'Application' and Tracking Sheet Permit # .13 • o3q a .i Owner s Name:. A P. Number. _1,1 0 t (45_ O 10 Bin. . • CI�y O La Qrlln� Building. 8r Safety Division P.O. Box 1504,78-495 Calle Tampico L4.Qutnta, CA 92255 -:(760) 777-7012 Building Pennit'Application' and Tracking Sheet Permit # .13 • o3q a Project Address: `1g(p (Q D O Owner s Name:. A P. Number. _1,1 0 t (45_ O 10 Address: (ita . A -v Legal Description: City, ST, Zip: L-6. oU 1'CC* 2 -ZS -3 ' io Contractor: 4 1^G lett t/1 U6 -s Telephone: - Address: PO gJ e 12, 29 Project Description: I Vij,+ cL(. t p -F I- e - City, ST, Zip: : IV\j 1 1.Uq- 2-202- YVl 1 h 1^ S t't' O✓1 H 1 Z Pd Telephone:) 0'1 19-. 2c7 r £'O r t e S Ltse14- v✓LG, +: e t^ l ek State Lie. #: -95-6.9 Cl 2- City Lic. #; d61 Vl t° w Arch., Engr., Designer. Address: h-0. I • "t� n �S •�12 City., ST, Zip:Vfi�Gfs' tAA „ i S k+ Telephone: ' State Lie. #: ry Consttudion Type:. Occupancy: Project type (cucle one): Add'n Alter Repair Demo Sq. FL: • # Stories: # Unitp: L Name of Contact Person: Off- a (per vytgh Telephone # of Contact Person: Too • .2--7 2-.--7q-7_S Estimated Value of Project: (.pSO ©'v - APPLICANT: DO NOT WRITE BELOW THIS UNE N Submittal Req'd Reed TRACMG PERMIFFM- Plan Sets PIan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . 1Yuss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Constrnetion Flood plain plan Plans iesubmitted Mechanical Grading plan Tad Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading INl HOUSE:- '^` Reyiew, ready for eorree � Developer Impact Fee Planning Approval. Called Contact Person AJX.P. Pub. Wks. Appr Date of permit Issue School Fees i Total Permit Fees X19 I1�L�0r►M(�t�.s'tG�wiMt'1'tAs. :GL faaA4A) Vawwzo AA CSU Pi. L41. low w99 CITY- OF LA QUINTA SUB—CONTRACTOR LIST JOB ADDRESS DRESS- —NG(po A -((Z. U.6r". PERMIT NUMBER OWNER. MLAW -ktyUeL11 BUILDER RU I This form shall be posted on the job with theBuilding Inspection Card at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply will result in a stoppage of work and/or the voidance of building permit. For each applicable trade, all information requested below must be completed by applicant. "Un F-ile" is not an acceptaDie response. Classification ' Contractor ' ' ,:.Trade License.::: w6i ensation: nsurane City Company Name Classification (e.g. A, B, C-8) License Number (xxxxxx) Exp. Date (xx/xx/xx) Carrier Name (e.g. State Fund, CalComp) Policy Number (Format Varies) Exp. Date fxx/xx/xx) License Number (xxxx) Exp.. Date (xx/xx/xx) EARTHWORK (C-12). CONCRETE (Q.. FRAMING :4C-5) SThUCT.'::STE'EL-(C-51) MASONRY -(C-29) PLUMBING (C-.36)"' LAM PLASTER (035) DRYWALL (C-9)..-.*. 4 -lVAC'.- JC -20)-.::::' tip.Ak 0 49 1 0) 2-�o 1= VVIC,44 911 LL to 00 0 09 0 00 21 Ob D -71 ELECTRICAL. (CA 0)' ROOFING'IC;.;;39):.':z:%'.':*:*'.. :SHEET METAI-1043) FLOORING (04:115.:. GLAZING (C-:17)�*.- INSULATIOU: (C-!2):: SEWAGE DISP-'-- (C-42)-'. PAINTING (C -*31) CERAMIC TILE (C-54) CABINETS (C-6) FENCING (0713) z :51311 Ir LANDSCAPING JC=2711 POOL (C-53) FCLL 4.rP ii 'r.tn I I n IMM #MR a Ali C`. ^'Q .L ^w' k oc a wi " woo. u..... i1 a J'' SITE a , U NTA i' Y10`L ... it VICINITY MAP T BUIDIh�G..Sf I „r Kia PA R rMENTS I II c'C�iU1C ION Fb R 1Sa jit i � Ir `► 6Q DAT1' " ��I scop£ of UJOFJrl Nli'P www1-SJp� IM'tNt•�'T �►T �� W' E��1'[.i f1�tiN�t� � `: � �, 11 I Ut4n11. Z II IAPO 0-k mew .1 I � �I �. �,gRt�f. i ��ooeac.r.,aJ 4 • ' u � , � �� i I• tieW xrt�i►11t1l1 I �� !i GOOE DATA: — — — — , 11 �i�r� y i a I L I I rona�e�r + � I i oc I Fawner. J 1 a nQ I I r.Yw w 3TE: .L_ OR EQUAL SUSSTITUTIONS MUST BE 5MITTED TO. AND APPROvW BY TWE "LDW- OFFICIAL PRIOR TO INSTALLATION T14E ITEM.' i W4i'E IWID ----------------------------£ ----a-------- AVENIDA LA FONDA I _ a OL J a csnsw Fl..roe�'wu SITE PLAN ' erxe r.is