BMCH2015-040878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t,, 4 ZP Quiarcu
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BMCH2O15-0408
Property Address:
51750 AVENIDA DIAZ
APN:
773161001
Application Description:
CAPULLI / CHANGE OUT 14SEER/78AFUE SPLIT SYSTEM
Property Zoning:
Application Valuation:
$5,400.00
Applicant:
A R S AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License
�Class: C36, C1100, C20 License No.: 7 4
D W "�7 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 Na
Lender's Add
11111111111111111111
77
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/22/2015
Owner:
ERNESTCAPULLI---
51750 AVENIDA DIAZ
LA QUINTA, CA 92253
V1
Contractor:
A R 5 AMERICAN RESIDENTIAL SERVICES OF C
965 RIDGE LAKE BLVD SUITE 201
MEMPHIS, TN 38120
(951)276-9744
Llc. No.: 765074
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.
ave and will maintain workers' compensation insurance, as required by
Sects 700 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: 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 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.
Applic
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 ofthis 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.
patO■ 12 S Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$1.00
10/22/15
PAID BY METHOD
RECEIPT #
CHECK #
CLTD BY
A R S AMERICAN RESIDENTIAL SER CHECK
R10215
6106
SKH
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT - REPAIR/ALTERATION
101-0000-42402
0
$24.18
$24.18
10/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
A R S AMERICAN RESIDENTIAL SER
CHECK
R10215
6106
SKH
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
HVAC CHANGEOUT -REPAIR/ALTERATION
101-0000-42600
0
$9.66
$9.66
10/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
A R S AMERICAN RESIDENTIAL SER
CHECK
R10215
6106
SKH
Total Paid for CHANGEOUT: $33.84 $33.84
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$91.85
10/22/15
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
A R S AMERICAN RESIDENTIAL SER
CHECK
R10215
6106
SKH
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
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Submittal
Req1d Reed TRACKING PERMIT FEES-
plim Sell
Plan Check nbmttttd Ito" AmllmAt
Stractural Calct.
Pcdcw4.rcjLdy for cartecuous Plan d..klDcpwlt.
Trou Calm
Called Contact Paul Plan Check Balance,
Tlot24 Calm
Plans picked up Construction
Wad plain out
)Plans resubtalded rdeckWul
Gisding plsA
2' Review, ready for correctiontflaut Electrical
Subcontattor Ust
Called 'Contact Person YlumblAe
Grant Dead
I Plaus pickcd up SALL
ILO.A_ Approval
Pimps mabiplitcd Gradlat
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pAirtm, ready fbr correctionsilmue Developer Impse t Fee
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