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14-0521 (MECH)_ P.O. BOX 1504 VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT SPECTIONS (760) 777-7153. BUILDING PERMIT JID as -_.4/2 Application Number: 14-00000521 Owner: Property Address: 52835 AVENIDA VILLA REDEVELOPMENT AGENCY CITY Ol APN: 773-333-018-5' 000000- 78495 CALLE TAMPICO Application description: MECHANICAL LA QUINTA, CA 92253 C`TY Property Zoning: COVE RESIDENTIAL Application valuation:PE 2390 Contractor: Applicant: Architect or Engineer: GREENUP AIR CONDITIONING AND H PO BOX7431 LA QUINTA, CA 92248 (760)771-2920 LiC. No.: 985406 ' - ------------------------------------------------- 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 Professionals Code, and my License is in full force and effect. Liice/nsSPass: C20 Li 'eNo.: 985406 tCtd e: Z Cont actor: 01614UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the ' following reason ISec. 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) of 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 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 ISec. 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, ar. nmrnnr of thn rynrnnfr• am orrinsivallf rnmrarting with liransarl rnntrartnrs to rnnStnirt the nfnipmt flips, 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 contractor(s) licensed pursuant to the Contractors' State License Law.).. (_ I I amexempt 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 --——————————————————————————————————---————————— _ 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 ofthe 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: CarrierPolicy Number EXEMPT Wcertify that, in the performance of the 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 de shah th co ly with those provisions. 3 CIO of the La� .0ale %Z Applicant: WARNING: FAILURE TO SECURE WORKERS' CO NSATION 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 Auglicatiw IS her9ay M?.Je 19 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 ofthis 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. I certify that I have read this application and state that the above information is correct. 1 agree to comply with all .city and county ordinances and state laws relating to building�nstructin,reby authorize representatives of this counto enter upon the a -mentioned proper. Date Signature (Applicant or Agent): f Application Number14-00000521: Permit MECHANICAL 2013 Additional desc . Permit Fee- 71.50 Plan Check Fee.. .00 4� Issue Date . . . . Valuation 0 Expiration Date .. 10/26/14 Qty ' Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.00 35•.7.500 EA MECH CONDENSER/COMP 35.75 Special Notes and Comments HVAC CHANGE OUT.- 13SEER, SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE.ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 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 8i" Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # µ .zProject`'&Res" s ---.=(J a� �5 1 Lo� Owner's NamUUe: � A. P. Number: C Address:- O 44'!s ( C Legal Description: % City, ST, Zip: Contractor: 1 Tele h ne: � Z o Eli <'><< Address: Project -Description City, ST, Zip: n1, �� h Telephone: State Lic. #: City.Lie. # Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ne• :•:>;; ..... :on Cstrutti n Type: O•cu an cY State Lic. #. Project type (circle one): New Add'c Alter Repair Demo Name of Contact Person: r t tom\ (:q f een v Sq. Ft.: # Stories: # Units: Telephone,#of�Contact-Person: ��� — a (� Estimated Value of P o ct: G C) 5-mPV `' a © , APPLICANT: DO NOT WRITE BELOW THIS LINE ' # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cafes. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Constructio:a Flood plain plan Plans resubmitted Mechanical Grading plan god 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permi? Fees