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BMCH2014-10037/1/2014 t. 'Building Permit .............. -_._..........._,..._.............._..__.._................_..... PERMIT NO BMCH2O14-1003 ® 1 of 2 Find ) Next f-70>>; a� 78-495 CALLETAMPICO 4 LA QUI NTA, CALI FORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BMCH2O14-1003 Property Address: 52390 AVENIDA HERRERA APN: 773264007 Application 100-120FT DUCTWORK. R-8 Description: Property Zoning: $3,100.00 Application Valuation: Applicant: ESSER SERVICES INC DBA ESSER A P O BOX 1636 CATHEDRAL CITY, CA 92235 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 ofthe Business and Professions Code, and my License is in full force and effect. - License Class: LICENSE CLASSIFI9A cense No.: 489046 SI/Date: — / `AN Contract 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 ofthe Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 ofthe Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged V exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penaltyofnot more than five hundred dollars ($500).: L_J I, as owner ofthe 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 applyto an owner of property who builds or improves thereon, and who does the work himselfor herselfthrough 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 ofproving that he or she did not build or improve for the purpose ofsale.). (_J I, as owner ofthe property, am exclusively contracting with licensed contractors to construct the project. (Sec. 7044, Business and Professions Code: The Contra ctors'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 Contra ctors'Sta te License Law.). (__) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 1 hereby affirm under penaltyofperjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name: View Report. VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/1/2014 Owner: KLAUS FROEHLING Contractor: ESSER SERVICES INC DBA ESSER A P O BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 Ll c. No.: 489046 WORKER'S COMPENSATION DECLARATION I herebyaffirm under penalty of perjury one ofthe following declarations: _ I have and will maintain a certificate ofconsent to self -insure for workers'compensation, as provided for by Section 3700 ofthe Labor Code, for the performance ofthe workforwhich this permit is issued. s ave and will maintain workers'compensation insurance, as required bjjS-ec`tion 3700 ofthe Labor Code, for the performance ofthe work for which this permitisissued. My workers'compensation insurance carrier and policy numberare: Carrier:_ Policy Number:_ —I certifythat in the performance ofthe 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, ifl should become subject to the workers'compensation provisionsofSection3700ofthe Labor Code, I shall forthwith complywRtTl ose p visions. Date: `Y ��oolicant WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBIECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TOTHE 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 behalfthis 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 anyact or omission related to the work being performed under or following issuance ofthis permit. 2. Any permit issued as a result ofthis application becomes null and void if work is not commenced within 180 daysfrom date ofissuance ofsuch permit, or cessation ofworkfor 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 withal] city and county ordinances and state laws relating to building construction, and hereby authori�rresentatives of this city tormenter upon theabove-mentioned propert ron purposes. Date 1� Si gnature(Applicant orAgent): http:/Aaquinta.crw.conVtraldt9/DocumentVieme .aip)O&report=/Documents/PERMITS/BuiIding%2OPern it&ACTIVITYN0=BMCH2O14-1003&group=PERMIT&... 1/2 7/1/2014 Z, PERMIT NO BMCH2O14-1003 Building Permit _......_..........;............. ------......._.__.._._.; �® 2 of 2 a �� Find Next, ._.._.__._._..... ...._.__............_.__....., View.Re FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 7/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESSER AIR CONDITIONING CHECK R247 473 BHA ❑+ Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT- OTHER EQUIPMENT 101-0000-42402 0 $35.75 $35.75 7/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESSER AIR CONDITIONING CHECK R247 473 BHA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $35.75 $35.75 7/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESSER AIR CONDITIONING CHECK R247 473 BHA 0 Total Paid for CHANGEOUT: $71.50 $71.50 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $90.57 $90.57 7/2/14 PAID BY METHOD RECEIPT # CHECK # CLTD BY ESSER AIR CONDITIONING CHECK R247 473 BHA a Total Paid for PERMIT ISSUANCE: $90.57 $90.57 TOTALS: $163.07 $163.07 http://laq uinta.crw.comkraldt9/DocumentViev,er.aspx?&report=/Documents/PER M ITSBuilding %2OPerMt&ACTIVITYN O=BM C H2O14-1003&g roup=PERMIT&... 1/1 101 Bin # City of La Quinta Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico . La Quints,CA 92253 - (760) 777-7012 Budding Permit Application and Tracking Sheet Permit # Project Address: v Z 310 A(/r 14-e--ere-sea Owner's Name: K A. P. Number: Address: Si9/�f Q Legal Description: City, ST, Zip: Contractor' (i s�.%l— Telephone: Address: _6_2// Project Description: City. ST, Zip: 0)4� 1 e `` Telephone:�p/J/�� y0 `dS�v "-f ;::; • :.:. <> :>.: tilrF:} v.t...: �� State Lie. # : City Lie. #;-i Arch., Eng Aigne-r: y�y Address: City., ST, Zip: Telephone::> ' - s is7 r>,'••-?' z::> r:#> - Construction Type: Occupancy: type (circle one): New Add'n Alter Repair Demo State Lie. # .;<;;.r::;>v.Project Name of Contact Person: �^ i✓ ds Sq. Ft.: # Stories: # Units: Telephone #,of Contact Person: %( Estimated Value of Project: b� APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKNG PERMIT FEES. Plan Sets Plan Check submitted 7 Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cales. Called Contact Person Plan Check Balance. Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, readyfor correcti rssue , Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE: 3" Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees