BMCH2016-017378-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BMCH2O16-0173
Property Address:
48527 VIA ENCANTO
APN:
646091017
Application Description:
HILL RESIDENCE/ HVAC
Property Zoning:
Application Valuation:
-$600.00
Applicant:
SCOTT BARNETT
51390 AVENIDA NAVARRO
LA QUINTA, CA 92253
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
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 Professions Code,
and my License is in full force and effect.
License Class: C20 License No.: 936600
Date:
Contractor:
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 Name: .
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/23/2016
Owner:
NICHOLAS HILL
P.O. BOX 741
LA QUINTA, CA 9247
Contractor:
BARNETT'S HEATING & A/C
51390 AVENIDA NAVARRO
LA QUINTA, CA 92253-. ;::...:•
Llc. No.: 936600
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of Erie following declarations:
I have and will maintain a certificate if 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.perforrrrance 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 a.. 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 37)0 of the Labor Code, I shall forthwith
comply with those provisions.
Date:
Applicant:
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 W 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 applicc-tion 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 Oty 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 applica:ion 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 representat-ves of this city to enter upon the
above-mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
}
FINANCIAL INFORMATION
DESCRIPTION , ��'
ACCOUNT `<
QTY'
aAMOUNT
-PAID+' tPAIDDATE*
_
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00 5/24/16
PAIDBY
RECEIPT #
, a �e.
CHECK #. BY
w<
a
a PCLTD {
Scott barnett
CREDIT
WEB816
2016052417392408
EPRS
125
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: .$1.00 $1.00
ACCOUNTr '
QTY
&mss AMOUNT
PZ,4
q,qx° ,DESCRIPTION:Ki
s"
"
a y`g
14ovsf,AIDePAID,.DATEr
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$36.26 "'
$36.26
5/24/16
F T 4s 6 a �rPAID BY `
METNODy �t;#
¢ RECEIPTt#
� CHECK #
LTD; BY j
a` f 4� �'"
r
s g
<� g,
Scott barnett
CREDIT
WEB816
2016052 215 392408
-. EPRS
DESCRIPTION i + �
s s ACCOUNT
•'t AMOUNT
a PAID x 4
'PAID.DATE'
i}z �
HVAC'CHANGEOUT - CONDENSER ONLY PC
101-0000=42600 '
.0
$24.17'
$24.17
5/24/16
4PAI Do BY�.
METHOD,
RECEIPT #'"', z
? CHECK # `�
'CLTD BY
Zt y .. ....rF. , -.: c.•','
..
2016052417392408
Scott barnett
CREDIT
WEB816
EPRS
,
125
t Total Paid for CHANGEOUT: $60.43, $60.43
+DESCRIPTIONS s'= a
„ ACCOUNT ''
' QTY:
AMOUNT
`PAID
PAID DATE
g r
Credit Card Fee
101-0000-43505
0
$3.37
$3.37
5/24/16
l✓PAID'BY£ ` '
$" aye $METHOD ' s "
a ' RECEIP„T # '
u CHECK #'$
CCTD BY
5
Scott barnett
CREDIT
WEB816
?016052215392408
EPRS.
Total Paid for Credit Card Fee. $3.37 $3.37
L 3 DESCRIPTION 6°
ACCOUNT '.r
QTY
x AMOUNT¢
t PAID
ID DATE;
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85:
5/24/16
6K
` $ PAID'BY
iy � 4 �` t4METHOD r
- RECEIPT #
” `CHECK # #-,
'CLTO BYE
$
R. ..4.- __ - !.-f ... m, "✓,
4=v. Y ..tY '..�
A-..�.'+. fix'.;
k lis ._;s _
Scott barnett
CREDIT
WEB816125
2016052417392408
•EPRS
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS:
Description: HILL RESIDENCE/ HVAC
Type: MECHANICAL - HVAC
Subtype:
_ Status: ISSUED
Applied: 5/24/2016 EPRS
CHANGEOUT (WEB)
Approved: 5/24/2016 EPRS
Parcel No: 646091017 Site Address: 48527 VIA ENCANTO LA QUINTA,CA 92253
Subdivision: TR 20052-5
Block.
Lot: 17
Issued: 5/24/2016 EPRS
Lot Sq Ft: 0
Building Sq Ft: 0
Zoning:
Finaled:
Valuation: $600.00
Occupancy Type:'
Construction Type:
Expired: 11/20/2016 EPRS
No. Buildings: 0
No. Stories: 0
No. Unites: 0..
Details:
- - - •. - ,�,� r HPProvea co issues ��
3
PARENT PROJECTS
'.RETURNED:-
;REVIEW TYPE ;; +REVIEWERS GSEN7 DATE;; DUE DATEa :STATUS:.; REMARKS
DATE e .
IST PERMIT TECH - MARY ENERGY FORMS
5/24/2016 5/25/2016 5/24/2016 REVISIONS REQUIRED PLEASE IIPLOAn THE RFntJIRFn FNFR(;Y FnRMS-
Printed: Thursday, lune 23, 2016 8:38:44 AM 2 of 3
CRFWIYSTIMS
DESCRIPTION
ACCOUNT
QTY a
t ;AMOUNT
PAID
PAID,f)ATE
RECEIPT:#,
CHECK # ;;METHOD,
PAID BY :'"
Y.
201605241
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
5/24/16
WEB816
739240812
CREDIT
Scott barnett
EPRS
5
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:.
201605241
HVAC CHANGEOUT -
101-0000-42402
0 .
$36.26
$36.26
5/24/16
WEB816-•.
739240812
CREDIT
Scott barnett
EPRS
CONDENSER ONLY
`
5
201605241
HVAC CHANGEOUT -
101-0000-42600
0
$24.17
$24.17
5/24/16
WEB816
739240812
CREDIT
Scott barnett
EPRS
CONDENSER ONLY PC
5 ..
Total Paid for CHANGEOUT: $60.43 $60.43
201605241
Credit Card Fee
101-0000-43505.
0
$3.37
$3.37
5/24/16
WEB816
739240812
CREDIT
Scott barnett
EPRS
5
.
Total Paid for Credit Card Fee: $3.37 $3.37
201605241
PERMIT ISSUANCE
101-0000-424040
$91.85.
$91.85
5/24/16,
WEB816
739240812
CREDIT
Scott barnett ,
EPRS
5
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
PARENT PROJECTS
'.RETURNED:-
;REVIEW TYPE ;; +REVIEWERS GSEN7 DATE;; DUE DATEa :STATUS:.; REMARKS
DATE e .
IST PERMIT TECH - MARY ENERGY FORMS
5/24/2016 5/25/2016 5/24/2016 REVISIONS REQUIRED PLEASE IIPLOAn THE RFntJIRFn FNFR(;Y FnRMS-
Printed: Thursday, lune 23, 2016 8:38:44 AM 2 of 3
CRFWIYSTIMS
1ST PERMIT TECH - I MARY 15/24/2016 I 6/1/2016 . I 6/1/2016 I REVISIONS REQUIRED. I I l
ETRAKIT (1 WK) FASANO
BOND INFORMATION