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13-0341 (MECH)P.O. BOX 1504 ' 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 - Application Number: Property Address: . APN: Application description: Property Zoning: Application valuation: 13-00000341 79035 VIA CARMEL 646-400"-019- - - MECHANICAL' LOW DENSITY RESIDENTIAL 25904 VOICE (760) 777-7012 11 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT) INSPECTIONS (760) 777-7153. BUILDING PERMIT Date: 3/2i/13 Owner. CONNIE & MICHAEL GENUARDI 79035 VIA CARMEL LA QUINTA, CA 92253 LQPERMIT ' Contractor: Applicant: Architect or Engineer: DCS AIR CONDITIONING 72078 CORPORATE WAY, #101 THOUSAND PALMS, CA 92276 �.orc-t (760)343-5562 Lic. No.: 968141- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION - - I hereby affirm under penalty of perjury that 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 Business and Professionals Code, 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 License No.: 968141 - _ _for by Section 3700 of the Labor Code, for the performance of the work for which this permit is �[issued. 'Baia: Contractor: �wtwJi� �� _ 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 DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier ZENITH INS Policy Number Z071741502 - following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to I certify that, in the performance 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 manner so 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 should 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 Code, I shall forthwith comply with those provisions. ' 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).: ate Applicant: 1 _ 1 1, 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SHALL 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.). - whose benefit work is performed under or pursuant to any permit issued as a result of this application, I am exempt under Sec. •, B.&P.C. for this reason the owner, and the applicant, each agrees to, and shatLdefe;-rode tty-an'Q'I i tarmless y .. ". of La Quinta, its officers, agents and employees fc act or omi related o the work b i' - _ performed under or following issuance -of this per Date: Owner: - 2. Any permit issued as a result of this application be nu an von i work is not comme - within 180 days from date of issuance of such pc r cessation of work for 180 days 1 act - CONSTRUCTION LENDING AGENCY permit to cancellation. ((t�AA� C �^,11^q lmp, 1 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the abo fo matiorj'(sicoRrte Iigreedo all work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building c nstr tion, and hereby authorize represen ative - - - of this county to enter upon the above-mentioned property for i spec io u�poses - _ Lender's Name: �- )(pate: Z - �w OF LA QUINTA Lender's Address: Signature (Applicant or Agent): LQPERMIT ' Application Number . . . . 13-00000341 Permit MECHANICAL Additional desc " Permit Fee 66.00 Plan Check .Fee 16.50 Issue Date . . . Valuation 0 Expiration Date 9/17/13 a .Unit Charge Per. Qtyg Extension BASE FEE 15.00 j 2.00 9.0000 EA MECH FURNACE.<=100K 18.00 nn19 .9nnn FA : MFCH R;/C >3-1.5HP/>100K-500KBTU 33.00 Special Notes and Comments (2) HVAC CHANGE OUTS - 13SEER/78AFUE SPLIT SYSTEMS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2010 CALIFORNIA BUILDING CODES. _ March 21, 2013;.12:52:41 PM AORTEGA ------------------------------ Other Fees BLDG STDS ADMIN (SB1473) 1.00' Fee summary, Charged Paid Credited Due Permit Fee Total 66:00 .00 .00 -- 66.00 Plan Check Total 16.50 .00 .00 16.50 Other Fee Total 1.00 .00 .00 1.00 Grand Total 83.50 .00 .00 83.50 LQPERMIT .. .. _ •. Bin. # C1t}/ Of Qutntd Building &Safety Duron P.O. Box 1504,78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: ?q O3 S Vic_ G. Ccx a n�� Owner's Name:. M Coy A. P. Number. Address: -7 q O 3,5 ► c L'o. r �n r_1 Legal Description: Contractor. S A�r \O City, ST, Zip: CA Qzz53 Telephone: -2(o7- 218 08 2.Z Address:. `7 Z — p-7 $ Cp ) it 10I Project Description: I 3. S -f or A r✓ �rv�C;Ce. City, ST, Zip: 9 Z 2--7b .lac, Telephone: -7(o 0�3y3- 554s(o State Lia # : q (n 81•LA 1 City Lic, #; Arch., Engr., Designer: •� �" v Address: City., ST,'Zip: Telephone: State Lic. #: Construction Type:. Occ r panty: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft : # Stories: # Units: Name of Contact Person: Telephone # of Contact Person: : Estimated Value of Project: At2s,9 04, CX APPLICANT: DO NOT WRITE BELOW THIS LINE 1f Submittal Req'd Reed TRACKNG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Calca. Reviewed, ready for corrections Plan Check Deposit. . Truss Cala. Called Contact Person Pian Cheek S dance. Title 24 Coles. Plans picked up Contraction Flood plain plan Pians resubmitted Mecharilcal Grading plan 2" Review, ready for correctionsiusue Electrical Subcontector List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading. IN HOUSES 3" Review; ready for correctionsilssae Developer Impact Fee Planning Approval Called Contact Person Pub. Wks. Appr Date of permit Issue School Fees Total Perms Fees