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BMCH2017-043078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: MECHANICAL/ BMCH2O17-0430 51060 MANGO 776192011 MCCORMICI RESIDE $21,355.00 Applicant: DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD PALM SPRINGS, CA 92264 DESIGN & DEVELOPMENT DEPARTMENT . BUILDING PERMIT IN G6RAGE SEP 26 2017 CITY OF LA QUINTA COMMUNITY OEVEIAPMENT DEPARTMENT 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. C43 License No.: 27658 DaterContractor: 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) 7774153 Date: 9/26/2017 . Owner: MIKE MCCORMI_K 51060 MANGO LA QUINTA, CA 52253 Contractor: DESERT AIR CONDITIONING INC 590 WILLIAMS RDAD PALM SPRINGS, '_A 92264 (760)323-3383. Llc. No.: 276586 WORKER'S COMPENSAnCIN DECLARATION I hereby affirm under penalty of perjury one cf the following declarations: I have and will maintain a certifica'e of consent to self -insure for workers' compensation, as provided for by Section 37M 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 perfo-mance of the work for which this permit is issued. My workers' compensation insuran _e carrier and policy number are: Carrier: BENCHMARK INSURANCE COMPANY Policy Number: CST5008762 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner sG 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. Date: 1''Applicant: WARNING: FAILURE TO SECURE WORKERS' CCMPENSATION 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 ACKNdIVLEDGEMENT IMPORTANT: Application is hereby made to t&e Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this appl cation 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 tie 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 ofiissuance of such permit, or cessation of work for 180 days will subject permit to cancelation. 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 ordiimantes and state laws relating to buil ng construction, and hereby authorize representztives of this city to enter upon th above-mentioned property for inspection purposes. // Date:q'z-�,/7 Signature (Applicant or Agent) Date: 9/26/2017 Application Number: BMCH2O17-0430 Owner: Property Address: 51060 MANGO MIKE MCCORMICK APN: 776192011 51060 MANGO Application Description: MCCORMICJ RESIDENCE/ NEW HVAC IN GARAGE LA QUINTA, CA 92253 Property Zoning: Application Valuation: $21,355.00 Applicant: Contractor: DESERT AIR CONDITIONING INC DESERT AIR CONDITIONING INC 590 WILLIAMS ROAD 590 WILLIAMS ROAD PALM SPRINGS, CA 92264 PALM SPRINGS, ZA 92264. (760)323-3383 -----,--------•----------------------------------------------------------•--------------------- LIc. No.: 276586• Detail: NEW HVAC CHANGE IN GARAGE - 14 SEER/80AFUE MINI SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. THIS IS NOT TO BE USED AS HABITABLE SPACE. 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 - SPLIT -SYSTEM .101-0000-42402 0 $76.00 DESCRIPTION ACCOUNT QTY, AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0. $38.00 Total Paid for CHANGEOUT: $114.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT QTY AMOUNT TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $S.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 '00TALS: $216.27 City of La Quinta P.O. Box 1504,'78-49S Calle Tampico Building Permit Application and Tracldng Sh w pennIt # A- P. Number Addr=: 50-060 MANGO Legal Description: CitY.ST.Zip: LAQUINTA,CA92253 contrwtor. DESERT AIR CONDITIONING, INC jeltphonc: 858-395-3371 City, ST. Zip: PALM SPRINGS, CA 92262 An Telephone: 760-323-3383 City Lit C State Lit# - 276586 ArcIL. EW.. Designer State Lit 4: Construction Type: occupa-q: PrRject type (eirck one): New Add'n Alter Rzpair Demo Name Of Contact Persw: Candice Forsythe Sq. FL: N unim TeleptLone * of C . ontactper=: 760-323-3383 Estimated Value of Prqjw& $21,355.00 APPLICANT: DO NOT WRrTE BELOW THIS LINE Plan sets Plan Check submitsed Real Aaoum' Structural Colo Revkws#,rudy for correctlow Plan Check Depwil Tide 24 Calt& Plan pieked up cow"Mdon Vmdlng plan 21� Rawl U Grant Deed Plans picked up &MJL FUnalagApprenj Called cmuct Person Pub. Wis. Appr Date of permit Issue Sebool Fen Total Perndt Eta R 83 Jr� 0&0 in��.��o E. GOP -43E 50aff Ivo[ �.1�utN5 sP�cf�' s Cf oZAN LA BUILDIN ' FOR GTION \QTr� r re Y � , 1 F ��t f n "N mei � ..ter a - QUY�t4TA r -T & AFS -ION p-------- _ ,---- pATEe Y