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BMCH2015-015378-495 CALLE TAMPICO, . LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O15-0153 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 498 LA APN: 65 Application Description: AB SIDE E Property Zoning: Application Valuation: $16, 2 p W5 .00 MAY Applicant: 1AQUIWA PREFERRED AIR CONDITIONING QF BA CITU PMEPIT �) P O BOX 5120 CQMMUNm UEVEIA PALM SPRINGS, CA 92263 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division.3 of the Business and Professions Code, and my License is in full force and effect. License Class: C36, C16, C10, C20 Licensee,No.: 457554 Date:' S 201f 1 S C, actor:� i J 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 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).: (_) 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.). (_) 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 contractor(s) 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 Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 5/4/2015 Owner: TIMOTHY ABBOTT 6583 WINDFLOWER DR CARLSBAD, CA 92253 Contractor: PREFERRED AIR CONDITIONING DBA P0BOX 5120 PALM SPRINGS, CA 92263 (760)863-0832 Llc. No.: 457554 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: Policy Number: I certify 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 3700 of the Labor Code, I shall forthwith comply with those provisions. %%�� Date: aZ� / s Applicant: 9-41 ��--. 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 3706 OF 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. I 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. oZ0—J Date: Signature (Applicant or Agent): A L,.Gf7 FINANCIAL •• • DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $72.52 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forCHANGEOUT: $108.78 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Description: ABBOTT RESIDENCE/HVAC CHANGE OUT Type: MECHANICAL Subtype: Status: APPROVED Applied: 5/4/2015 MFA Parcel No: 658260036 Site Address: 49861 CALLE ESTRELLA LA QUINTA,CA 92253 Approved: 5/4/2015 MFA Subdivision: TR 14496-1 & INT IN COMMON AREAS Block: Lot: 102 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $16,125.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: HVAC CHANGE OUT - 16 SEER/80AFUE SPLIT SYSTEM [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. __J:/-kPPneu w HPPruvcu Printed: Monday, May 04, 2015 8:26:58 AM 1 of 2 CN? SYSTEMS ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME CONTACTS ADDRESS1 _ CITY STATE. ZIP PHONE FAX EMAIL APPLICANT PREFERRED AIR CONDITIONING DBA P O BOX 5120 PALM SPRINGS CA 92263 CONTRACTOR PREFERRED AIR CONDITIONING DBA P O BOX 5120 PALM SPRINGS CA 92263 OWNER TIMOTHY ABBOTT 6583 WINDFLOWER DR CARLSBAD CA 92253 Printed: Monday, May 04, 2015 8:26:58 AM 1 of 2 CN? SYSTEMS PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, May 04, 2015 8:26:58 AM 2 of 2 CN? SY57EM5 CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT#, CHECK# METHOD PAID BY , BY HVAC CHANGEOUT- 101-0000-42402 0 $72.52 $0.00 SPLIT -SYSTEM HVAC CHANGEOUT - 101-0000-42600 0 $36.26 $0.00 SPLIT -SYSTEM PC Total Paid forCHANGEOUT: $108.78 $0.00 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS: $201.63 00 PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Monday, May 04, 2015 8:26:58 AM 2 of 2 CN? SY57EM5 CERTIFICATE OF COMPLIANCE CF1R-ALT-02-E' Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 J Project Name: 49861 Calle Estrella Date Prepared: 2015-04-27 A. General Information CF111-ALT•02 is applicable to multiple space coiiditioning systems contained within'a single dwelling unit. When multiple dwelling units must be ` documented, use one CF1R-ALT 02 document fo•r each dwelling unit. 01 Project Name 49861 Calle Estrella 02 Date.Prepared 2015-04-27 03 Project Location 49861 Calle Estrella 04 Building Type Single family 05 CA City La Quinta - 06 Dwelling Unit Name 49861 Calle Estrella 07 Zip Code 92253 08 Dwelling Unit Conditioned 1922 Installing Installing Installing Floor Area (ft2) ' Location or Area by this SC ducted containing system Number of space conditioning entirely new I 09 Cllmate Zone 15 10 (SC) systems in this dwelling 1 component? components? ' feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new I entirely new Name Served System (ft2)- - system component? components? ' feet of ducts? duct system? SC system? Alteration Type System i tocatldn 1 1922 Yes Yes Yes No :NoT No Altered space conditioning system C. Extension of Existing Duct System,. Greater Than 40 Feet (Section 150.2(b)1Diib) This section does not apply to this project.. Registration Number: 215-A0110631A-000000000-0000 CA Building FnPrav FffIf.IPnry Stnnriarek - inli Racirlontini r'mmnu—rn Registratlon Date/Time: 2015.04-27 21:47:59 HERS Provider: CACERTS CERTIFICATE OF COMPLIANCE CF19-ALT-02-E Alterations to Space Conditioning -Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)IE and F) 01 02 03 04 05. 06 07 08 '09 10 11 12 Heating Cooling System Heating Altered Heating Mlntmum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or. Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas All. new Central split All new Less than or System 1 furnace heating AFUE 0.78 AC• cooling SEER 16 Setback equal to 40 R-8 components components feet Required Documentation CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. CF2R-MCH-20-H & CF3R-MCH-20-H — Duct Leakage testing required when heating or cooling components are installed in ducted systems, or when more than 40 ft of duct length is replaced. -Leakage rate compliance: <_ 15%, or 510% leakage to.outside, or seal all acces5lble leaks. . CF2R-MCH-25-H & CF311-MCH-25-1-1 Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2 300 CFM/ton required when MCH -25 is required. Exceptions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air.Flow MCH -23, or Refrigerant Charge MECH-25. -Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)iDiia and 1S0.2(b)IE, F) This section does not apply to this project. C Registration Number: 215-A0110631A-000000000-0000 CA Ruildi nor Fnprmi FHirionrv',rnnriarrlc _ )o1,4 Rocirlp nri>I r n li> �o lirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Date/Time: 2015.04-27 21:47:59 n.......+�,..._�..... ten, • n� �. HERS Provider: CaICERTS U) CERTIFICATE OF COMPLIANCE CF1R-ALT:02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 J Documentation Author's Declaration Statement 1. I certify that this Certificate, of Compliance documentation is accurate. and complete. Documentation Author Name: Documentation Author Signature: O'Toole, Pattie Company: Signature Date: PREFERRED AIR CONDITIONING 2015.04-27 21:47:59 . Address:. CEN HERS Certification Identification (if applicable): P 0 -BOX 5120 City/State/Zip: Phone: PALM SPRINGS CA 92263 (760) 863-0832 Responsible Person's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 39f the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications; materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations; A. The building design features or system design features identified on this Certificate of Compliance are cunsistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) Issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that a registered copy of this Certificate of Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name: Responsible Designer Signature: O'Toole, Patti Company: Date Signed: PREFERRED AIR CONDITIONING 2015-04-27 21:47:59 Address: License: P 0 BOX 5120 457554 City/State/Zip: Phone: PALM SPRINGS CA 92263 (760) 863-0832 Digitally signed by Ca10ERTS. This digital signature is provided in order to secure the content of this registered document, and in no way implies Registration Provider responsibility for the accuracy of the information. Registration Number: 215-AD110631A-000000000-0000 Registration Date/Time: 2015-04-27 21:47:59 HERS Provider: CeICERTS . CA Rnildino Fnprvv FfFirionry Ctnnriarrie _ 7!117 Pacm nt;ei r^-1;-_ o .0 _-: _. ane A �. _ CERTIFICATE OF COMPLIANCE CF1111-ALT-02-E' I Alterations to Space Conditioning Systems (formerly CF -1R -ALT -HVAC) (Page 1 of 3 ) Project Name: 49861 Calle Estrella Date Prepared: 2015-04-27 A. General Information CF1R-ALT-02 is applicable to multiple space conditioning systems contained within a single dwelling unit. When multiple dwelling units must be documented, use one CHR -ALT -02 document for each dwelling unit. 01 Project Name 49861 Calle Estrella 02 Date_Prepared 2015-04-27 03 Project location 49861 Calle Estrella 04 Building Type Single family 05 CA City la Quinta 06 Dwelling Unit Name 49861 Calle Estrella 07 Zip Code 92253 08 Dwelling Unit Conditioned 1922 Installing Installing Installing Floor Area (ft2) Location or Area by this SC ducted containing system Number of space conditioning entirely new 09 Climate Zone 15 10 (SC) systems in this dwelling 1 component? components? feet of ducts? duct system? unit. Alteration Type B. Space Conditioning (SC) System Information 01 02 03 04 05 06 07 08 09 10 Is the SC Installing a SC System SC System CFA served' system a refrigerant Installing new SC Installing Installing Installing Identification or Location or Area by this SC ducted containing system more than 40 entirely new entirely new Name Served System (ft2) system? component? components? feet of ducts? duct system? SC system? Alteration Type System 1 Location 1 1922 Yes Yes Yes No No No Altered space conditioning'system C. Extension of Existing Duct System, Greater Than 40 Feet (Section 150.2(b)iDiib) This section does not apply to this project. Registration Number: 215-A0110631A-000000000-0000 Registration Date/Time: 2015.04-27 21:47:59 CA Building Energy Efficiency Standards - 2013 Residential Compliance Report Version: 2014-03-31 HERS Provider: CaICERTS Report Generated: 2015-04-27 21.:48:01 CERTIFICATE OF COMPLIANCE CF111-ALT-02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 2 of 3 ) D. Altered Space Conditioning System (Sections 150.2(b)3E and F) 01 02 03 04 05 06 07 08 09 10 11 12 Heating Cooling System Heating Altered Heating Minimum Altered Cooling Minimum Required New or Identification System Heating Efficiency Efficiency Cooling Cooling Efficiency Efficiency Thermostat Replaced New Duct or Name Type Components Type Value System Type Components Type Value Type Duct Length R -Value Central gas All new Central split All new Less than or System 1 furnace heating AFUE 0.78 AC cooling SEER 16 Setback equal to 40 R-8 components components feet Required Documentation: CF2R-MCH-01-E - Space Conditioning Systems Ducts and Fans -Duct insulation requirement for new plenums: R6. - CF2R-MCH-20-H & CF3R-MCH-20-H — DucL Leakage testing required when healing or cooling components are installed in ducted systems, or when more than 40 ft of duct length Is replaced. -Leakage rate compliance: <_ 15Yo, or 51096 leakage to outside, or seal all accessible leaks. . CF2R-MCH-25-H & CF3R-MCH-25-H Refrigerant Charge Verification required when refrigerant containing components are Installed or altered (applicable in CZ 2, 8-15). CF2RCF3R-MCH-23 & CF3R-MCH-23 Air Flow 2:300 CFM/ton required when MCH-25Is required.. Fxceotions: -Duct systems registered with HERS provider as previously sealed are exempt from MCH -20 Duct Leakage Testing requirements. -Heating-only systems and Air Handler/Furnace changes do not require verification of Air Flow MCH -23, or Refrigerant Charge.MECH-25. -Existing duct systems constructed, Insulated or sealed with asbestos are exempt from MCH -20 Duct Leakage Testing requirements. E. Entirely New or Complete Replacement Duct System, with or without Equipment Changeout (Sections 150.2(b)lDiia and 150.2(b)lE, F) This section does not apply to this project. F. Entirely New or Complete Replacement Space Conditioning System (Section 150.2(b)1C) This section does not apply to this project. Registration Number: 215-A0110631A-000000000-0000 CA Building Energy Efficiency Standards - 2013 Residential Compliance Registration Date/Time: 2015-04-27 21:47:59 Report Version: 2014-03-31 HERS Provider: CaICERTS Report Generated: 2015-04-27 23:48:01. CERTIFICATE OF COMPLIANCE CF1R-ALT 02-E Alterations to Space Conditioning Systems (formerly CF -IR -ALT -HVAC) (Page 3 of 3 ) Documentation Author's Declaration Statement 1.1 certify that this Certificate of Compliance documentation is accurate and complete. Documentation Author Name: Documentation Author Signature: �'17 O'Toole, Patti Company: Signature Date: ` PREFERRED AIR CONDITIONING 2015-04-27 21:47:59 Address:. CEN HERS Certification Identification (if applicable): P 0 BOX 5120 City/State/Zip: Phone: PALM SPRINGS CA 92263 (760) 863-0832 Responsible Per'son's Declaration statement I certify the following under penalty of perjury, under the laws of the State of California: 1. The information provided on this Certificate of Compliance is true and correct. 2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible designer). 3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations. 4. The building design features or system design features identified on this Certificate of Compliance are cunsistent with the information provided on other applicable compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application, 5. 1 will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permlt(s) Issued for the building, and made available to the enforcement agency for all applicable inspections. I understand that,a registered copy of this Certificate of.Compliance is required to be included with the documentation the builder provides to the building owner at occupancy. Responsible Designer Name:. Responsible Designer Signature: O'Toole, Patti Company: Date Signed: PREFERRED AIR CONDITIONING 2015-04-27 21:47:59 Address: License: P 0 BOX 5120 457554 City/State/Zip: Phone: PALM SPRINGS CA 92263 (760) 863-0832 Digitally signed by CaICERTS. This digital signature is provided in order to secure the content of this registered document and in noway implies Registration Provider responsibility for the accuracy of the infomra(ion. Registration Number: 215-A0110631A-000000000-0000 Registration Date/Time: 2015-04-27 21:47.59 HERS Provider: CaICERTS CA Building Energy Efficiency Standards- 2013 Residential Compliance Report Version: 2014-03-31 Report Generated: 2015-04-27 21:48:01 3 a 0 N q. 0 W .P, a 3 m m D in J 0) O v J N 4 rn Ln rn May 04 2015 01:35PM AHP Testing 760-772-4656 page 5 preferred mom plumbing heating & air carsditioning 7 November 2014 Mr. Robert Bachus: I hereby authorize AHP, Inc. dba AHP Testing to provide the required permit and HERS rating paperwork and any associated work needed for the proper acceptance and completion of such projects submitted. Such work will be compensated by the credit card we have provided. When used for this purpose please inform our office as soon as possible (within 24 hours preferred) with a paid invoice or other such applicable paperwork indicating payment by our credit card. Please contact (760) 863-0832 with any questions. Thank you very much, I Estee Jaacovi Sales manager, Preferred Plumbing, Heating, air Conditioning eiaacovi@preferredplumbingac.com P.O. Box 5120, Palm Springs, CA 92263 - 760-322-3173. 760-329-7318 - 760-341-1156 • Fax 760-864-1478 May 04 2015 01:35PM AHP Testing 760-772-4656 page 6 heck A License - License' Detail - Contractors State License Board Contractor's License Detail for License # 457554 )ISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this nformation, you should be aware of the following limitations. CSLB complaint dlscosure is restricted bylaw (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. Business Information PREFERRED AIR CONDITIONING dba PREFERRED PLUMBING HEATING AIR CONDITIONING ..._._.._..---....... -... ......... ._------...._. This license is current and active. 1AII information below should be reviewed. P0BOX 5120 PALM SPRINGS, CA 92263 Business Phone Number:(760) 863-0832 Entity Corporation Issue Date 05/31/1984 Reissue Date 07/29/1996 Expire Date 07/31/2016 License Status Classifications 1 C36 - PLUMBING C16 - FIRE PROTECTION CONTRACTOR y C10 - ELECTRICAL C20 - WARM -AIR HEATING, VENTILATING AND AIR-CONDITIONING Bonding Information Contractor's Bond _.._._..... .�_._.... _-- ._........- --------- -------- --------------- .._--........__._... This license filed a Contractor's Bond with WESCO INSURANCE COMPANY. 'Bond Number: 04WB046244 Bond Amount: $12,500 jEffective Date: 06/01/2014 ;Contractor's Bond History 1.--..--..----..- __. _.._. ---.-._.........-_.........-- Bond of Qualifying Individual ---.......... ----._........... ----------- -----, { (P r i ,Yhe Responsible Managing Officer (RMO) SMITH BRUCE FREDRIC certified that he/she owns 10 percent or more of the voting �stocklequity of the corporation. A bond of qualifying individual is.not required. ;Effective Date: 05/09/2006 jBQI's Bond History _._..._..__ Workers' Cornoensation tps://-%vww2.cslb.ca.gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=457554 4/15/201 May 04 2015 01:34PM AHP Testing 760-772-4656 01 page 1 al City of 12 Quinta BdldhW M Safety MvLdw Permit 9 P.O. Box 1544,'78-495 CaOe Tarrpko La..Quhxi, CA 92253 . (760) 777.7012 Building Permit -Application and Tracking Sheet �;� Aaa�: o�t,era rash . • A- P. Noenber. Addrtas Le& Dewriprian: City' ST, Tip: 4 PREFERRED AIR CONDITIONING . 1� Adiltess PO BOX 5120 PrgjeaDascrtption: city, sT, zipPALM SPRINGS, CA 92263 Tclephc= 760-863-0832 Suite Lia # ; 457554 City Lir. >X Arch, E fir, Dwiviar. Address: city. ST, Zip: Tolophona � TYpa% may. . Stift Lia Y: Project type (able am): New Add'n Ropait Demo NeasoofC00tvaParson:ROBE RT BACHUSs4 a t�storlas: 1 qunitx760- T Lase A of Contact Ptawu: I F46malod Value of Projed: O APPUCAW: DO NOT WRITE BeLow THIS UIQ R 3sDaaitLtlAkq1d Reed TRACiICKiG rsntHtT tyEFS plan sem P1w2 CfedewbmtKed Iaea Amouae 9"c9arsl Caks. Revtcwed. ready hw cmudaw Plan CAoeSc Deposit I"No tea• (hoed Gaud Perna Plan Check Balance TWeu Cala. mart pidmd up Comtrsotlae Flood pwa pus Plant rensbmteted MecUalal Gradlq pine _'' Revke, ready for eorretdloasliaa Eteeb ltal Sabeonfact r Urt Catled Ceatact Pawn Ylnetbinp GrastDeed Uoa'A pl-Ip w op SAl.1. rptm' Phot rellemlttod IN HOUSES- ''' VAVkN; ready rw t atnllasae F'e+ebpe Impat Fee Ptaasing A{+pc*—I Cased Canna Petsoe Peb. W.&L Appr ' Date of permit true Se>toot Fees Total Permit Fees