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BMCH2016-023078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BMCH2O16-0230 Property Address: 81165 KINGSTON -HEATH APN: 767490006 Application Description: REPLACE TWO EVAP COILS Property Zoning: compensation, as provided for by Section 3700 of the Labor Code, for the performance Application Valuation: $560.00 Applicant: SCOTT BARNETT 51390 AVENIDA'NAVARRO LA QUINTA, CA 92253 1 T-itt 4 ^,�'QuiHfw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT 0 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Owner: LAWRENCE SHANE P.O. Box 741 la quinta, CA 92247 Contractor: BARNETT'S A/C 51390 AVENIDA NAVARRO LA QUINTA; CA 92247 (760)391-0350 Llc. No.: 936600 Date: 7/6/2016 --------------------------------7-------------7--------------------7------------------------- LICENSED CONTRACTOR'S DECUIRATION I WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations: 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, I have and will maintain a certificate of consent to self -insure for workers' and my License is in full force and effect. compensation, as provided for by Section 3700 of the Labor Code, for the performance License Class: C20 License No.: 936600 ' of the work for which this permit is issued. i I have and will maintain workers' compensation insurance, as required by . Date: Contractor: t Section 3700 of the Labor Code, for the performance of the work for which this permit fL is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION f Carrier: _ Polity Number: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, I License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the I comply with those provisions. 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 Date: Applicant: 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: I AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (1 I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES'AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement i5 sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (� I, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State license Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). Ifollowing issuance of this permit. (� I am exempt under Sec. B.&P.C. for this reason 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. 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.). j Lender's Name: {I Lender's Add 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: Signature (Applicant or Agent): DESCRIPTION FINANCIAL • ' ACCOUNTEO + AMOUNT PAID. PAID DATE. BSAS SB1473 FEE 101-0000-20306 $1.00 $1.00 6/28/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TINA barnett CREDIT WEB893 2016062 3184321427 EPRS Total Paid for BUILDIIVG STANDARDS ADMINISTRATION BSA: $1.00 $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER EQUIPMENT 101-0000-42402 0 $72.52 $72.52 6/28/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TINA barnett CREDIT WEB893 2016062814321427EPRS 838 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE HVAC CHANGEOUT - OTHER. EQUIPMENT PC 101-0000-42600 0 $72.52' $72.52 6/28/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TINA barnett CREDIT WEB893 2016062814321427838 EPRS Total Paid for CHANGEOUT: $145.04 $145.04 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE Credit Card Fee 101-0000-43505. 0 $5.23 $5.23 6/28/16 PAID BY METHOD. RECEIPT # . CHECK # CLTD BY TINA barnett CREDIT WEB893 2016064321427 88318 EPRS Total Paid for Credit Card Fee: $5.23 $5.23 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-000042404 0 $91.85 $91.85 6/28/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY TINA barnett CREDIT WEB893 2016062814321427 838 EPRS Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: Description: REPLACE TWO EVAP COILS ADDITIONAL Type: MECHANICAL - HVAC Subtype:- Status: REVISIONS REQUESTED Applied: 6/28/2016 EPRS CHANGEOUT (WEB) Approved: 6/28/2016 EPRS Parcel No: 767490006 Site Address: 81165 KINGSTON HEATH LA QUINTA,CA 92253 Subdivision: TR 29349-1 Block: • Lot: 6 Issued: 6/28/2016 EPRS OL Sq Ft; Q RYiilrlin, g Sn, Ft: 0 Inning; FinAPH: Valuation: $560.00 Occupancy Type: Construction Type: Expired: 12/27/2016 crw No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: EMAIILED CONTRACTOR TO UPLOAD ENERGY FORMS. Printed: Wednesday, July 06, 2016 11:44:14 AM 1 of 3 SYSTEMS ADDITIONAL CHRONOLOGY CHRONOLOGY TYPE STAFF NAME ACTION DATE COMPLETION DATE NOTES NOTE MARY FASANO 6/28/2016 6/28/2016 EMAIILED CONTRACTOR TO UPLOAD ENERGY FORMS. CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT SCOTT BARNETT 51390 AVENIDA NAVARRO LA QUINTA CA 92253 (760)391-0350 sbarnett36@yahoo.co m CONTRACTOR BARNETT'S A/C 51390 AVENIDA NAVARRO LA QUINTA CA 92247 (760)391-0350 I I sbarnett36@yahoo.co I m OWNER LAWRENCE SHANE. P.O. Box 741 la quinta CA 92247 (760)391-0350 sbarnett36@yahoo.co' m Printed: Wednesday, July 06, 2016 11:44:14 AM 1 of 3 SYSTEMS DESCRIPTION ACCOUNT.' QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD CO7DATE RESULT REMARKS. NOTES DATE . BY . 201606281 SEE FINAL INSPECTION COMMENTS FOR ROUGH MECH BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 6/28/16 WEB893 432142783 CREDIT TINA barnett EPRS REMAINING CORRECTIONS MECHANICAL FINAL * DCL 6/30/2016 8 DISAPPROVE MECHANICAL FORMS NOT YET SUBMITTED. Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: r D UNABLE TO VERIFY HERS REQUIREMENT. 201606281 HVAC CHANGEOUT - 101-0000-42402 0 $72.52 $72.52 6/28/16 WEB893 432142783 CREDIT TINA barnett EPRS OTHER EQUIPMENT 8 HVAC CHANGEOUT - 201606281 101-0000-42600 0 $72.52 $72.52 6/28/16 WEB893 432142783 CREDIT TINA barnett EPRS OTHER EQUIPMENT PC 8 Total Paid for CHANGEOUT: $145.04 $145.04 201606281 Credit Card Fee 101-0000-43505 0 $5.23 $5.23 6/28/16 WEB893 432142783" CREDIT TINA barnett EPRS 8 Total Paid for Credit Card Fee: $5.23 $5.23 201606281 PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 6/28/16 WEB893 432142783 CREDIT TINA barnett EPRS 8, Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: $243.12 $243.12 PARENT PROJECTS Printed: Wednesday, July 06, 2016 11:44:14 AM 2 of 3 LSO srsnnnS SEQID INSPECTION TYPE INSPECTOR SCHEDULED CO7DATE RESULT REMARKS. NOTES DATE SEE FINAL INSPECTION COMMENTS FOR ROUGH MECH DCL 6/30/2016 6/30/2016 APPROVED REMAINING CORRECTIONS MECHANICAL FINAL * DCL 6/30/2016 6/30/2016 DISAPPROVE MECHANICAL FORMS NOT YET SUBMITTED. D UNABLE TO VERIFY HERS REQUIREMENT. PARENT PROJECTS Printed: Wednesday, July 06, 2016 11:44:14 AM 2 of 3 LSO srsnnnS ATTACHMENTS Printed: Wednesday, July 06, 2016 11:44:14 AM 3 of 3 C sysrrnas REMARKS RETURNED, REVIEWS STATUS REVIEW TYPE REVIEWER SENT DATE DUE DATE NOTES DATE 1ST PERMIT TECH — MARY 6/28/2016 6/29/2016 6/28/2016 REVISIONS REQUIRED PLEASE UPLOAD ENERGY FORMS SO THAT WE ETRAKIT (1 DAY) FASANO CAN APPROVE?HIS PERMIT, IST PERMIT TECH — MARY 6/28/2016 7/6/2016 ETRAKIT (1 WK) FASANO ATTACHMENTS Printed: Wednesday, July 06, 2016 11:44:14 AM 3 of 3 C sysrrnas