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BMCH2018-00310VOICE (760) 777-7125 78 495 CALLE TAMPICO 4.4 LA QUINTA, CALIFORNIA 92253 FAX (760)777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 2/8/2018 Permit Type/Subtype: MECHANICAL/ Owner: Application Number: BMCH2O18-0031 BILLTOMPKINS Property Address: 79230 CAMINO AMARILLO . APN: 604192019 LA QUINTA, 92253 Application Description: TOMPKINS / REPLACE A/C COIL AND FURNACE Property Zoning: Application Valuation: $10,893.00. Applicant: Contractor: IE INC D z HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA 31170 RESERVE'DRIVE. WESTLAKE VILLAGE, CA 91362 FEB 0 8 2018 THOUSAND PALMS, CA 92276 CITY OF LA QUINTA (760)343-7488 ' DESIGN AND DEVELOPMENT DEPARTMENT LIc. No.: 686310 --------------------------------------------.------------------------------------------------ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C20, C36 License No.: 686310 Date: 'Z g I$ 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, andwho 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: 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: INSURANCE COMPANY OF THE WEST Policy Number: WSD503165802 _ 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. a DDateD Z � f� Applicants__, 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. Date:2 6' Ig -fSig' a ure (Applicant or Agent) µ - Date: 2/8/2018 Application Number: BMCH2O18-0031 Owner: . Property Address: 79230 CAMINO AMARILLO BILL TOMPKINS APNi 604192019 Application Description: TOMPKINS / REPLACE A/C COIL AND FURNACE LA QUINTA, 92253 Property Zoning: Application Valuation: $10,893.00 Applicant: Contractor: IE INC HARRISON ENTERPRISES INC DBA GENERAL AIR 31225 LA BAYA ' 31170 RESERVE DRIVE WESTLAKE VILLAGE; CA 91362 THOUSAND PALMS, CA 92276 (760)343-7488 - ------------------ ------------------- Llc. No.: 686310. .----------------------------------------------------,----- Detail: REPLACE A/C COIL AND FURNACE - 16.SEER/80AFUE. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - FURNACE ONLY 101-0000-42402 0 $39.01 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - FURNACE ONLY PC 101-0000-42600 '0 $26.01 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - REPAIR/ALTERATION 101-0000-42402 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT -•REPAIR/ALTERATION PC 101-0000-42600 0 $5.20 ' Total Paid for CHANGEOUT: $83.22 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 '0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT RECORDS MANAGEMENT FEE 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: $10.00 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE:. $5.00 TOTALS: $198.05 Bln.# Qty of La Q[llfltd Building BL.Safky Division P.O. Box 1504,78-495 Calle Tampico 14.Quinta, CA 92253 - (760) 777-7012 0'3) Building Permit Application and Tracking Sheet Permit # IYMC� �� `` Project Address: 79230 Camino Amarillo Owner's Name:. Bill Tompkins A. P. Number. Address: 79230 Camino Amarillo Legal Description: General Air Conditioning City, ST, Zip: La Quinta, CA 92253 WRMEMContractor: Telephoner "" rrs R. Address: 31170 Reserve Drive Project Description: Replace 4 ton A/C, coil, & 90,000 BTU City, ST, Zip: Thousand Palms, CA 92276 • furnace 011 Telephone: 760-343-74881 4,. State Lic. # : 686310 City Lic f Arch., Engr., Designer. Address: City., ST, Zip: Telephone:>. State Lic. #: Name of Contact Person: Steven Schnierer Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: 818-735-7876 Estimated Value of Project: $10,893.00. . APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Regld Reed TRACKIIVG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cale$. Reviewed, ready for corrections Plan Check Deposit. . Truss Cales. Called Contact Person Plan Check Balance Title 24 Cities. Plans picked up Construction Flood plain plan Pians resubmitted.'. Mechanical Grading plan 2'! Review, ready for correctionsrssue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE.- '^' Review', ready. for correctlonsRssae Developer Impact Fee Planning Approval Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees