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BMCH2019-008578-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Permit Type/Subtype: Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 MECHANICAL/ BMCH2O19-0085 53770 AVENIDA RUBIO 774153002 c&t�t 4 lZPQularw DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT ORTEGA / HVAC CHANGE OUT - 18SEER/80AFUE SPLIT SYSTEM $11,973.00 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 3/22/2019 Owner: MATEO ORTEGA AEON / ORTEGA LIVING TRUST 53770 AVENIDA RUBIO LA QUINTA, CA 92253 D Contractor: H ESSER SERVICES INC DBA ESSER AIR CONDITI P 0 BOX 1636 MAR 2 2 2019 CATHEDRAL CITY, CA 92235 CITY OF I-AQUINTA (760)324-0550 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 489046 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: C20 License No.:4890R6 Date: 2 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: 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 forwhich 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: IIVSURANCE COMPANY OF THE WEST Policy Number: WSDSO1016703 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. Date: Applicant: S;1� ~ 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. CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is correct. I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the Lender's Name: above -mentioned property for Inspection purposes. Cr � Date: 3 Signature (Applicant or Agent); Lender's Address:_ Al Date: 3/22/2019 Application Number: BMCH2019-0085 Property Address: 53770 AVENIDA RUBIO APN: 774153002 Application Description: ORTEGA / HVAC CHANGE OUT-18SEER/80AFUE SPLIT SYSTEM Property Zoning: Application Valuation: $11,973.00 Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 Owner: MATEO ORTEGA AEON / ORTEGA LIVING TRUST 53770 AVENIDA RUBIO LA QUINTA, CA 92253 Contractor: ESSER SERVICES INC DBA ESSER AIR CONDITI P 0 BOX 1636 CATHEDRAL CITY, CA 92235 (760)324-0550 LIc. No.: 489046 Detail: 5-TON HEAT PUMP & AIR HANDLER CHANGE OUT - 18 SEER/80 AFUE SPLIT SYSTEM. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 2016 CALIFORNIA BUILDING CODES. DESCRIPTION BSAS SB1473 FEE ACCOUNT QTY AMOUNT 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: DESCRIPTION $1.00 HVAC CHANGEOUT - SPLIT -SYSTEM ACCOUNT QTY AMOUNT DESCRIPTION 101-0000-42402 0 $40.02 HVAC CHANGEOUT- SPLIT -SYSTEM PC ACCOUNT QTY AMOUNT 101-0000-42600 0 $80.05 DESCRIPTION Total Paid for CHANGEOUT: $120.07 PERMIT ISSUANCE ACCOUNT QTY AMOUNT 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 DESCRIPTION RECORDS MANAGEMENT FEE ACCOUNT QTY AMOUNT 101-0000-42416 0 $10.00 Total Paid for RECORDS MANAGEMENT FEE: DESCRIPTION $10.00 TECHNOLOGY ENHANCEMENT FEE ACCOUNT QTY :E AMOUNT 502-0000-43611 0 $5.00 Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00 adW Project Address: 53770 Avenida Rubio APN #: Applicant Name: Steven Schnierer Address: 31225 La Baya Drive Suite 213 City, ST, Zip: Westlake Village, CA 91362 Telephone: 818-735-7876 Email: swschniererQroadrunner.com Contractor Name: Esser Services Inc. Address: PO Box 1636 City, St, Zip Cathedral City, CA 92235 Telephone:760-324-0550 Email: State Lic: 489046 City Bus Lic: Arch/Eng Name: Address: City, St, Zip Telephone: Email: State Lic: City Bus Lic: Property Owner's Name: Mateo Ortega Address: 53770 Avenida Rubio City, ST, Zip La Quinta, CA 92253 Telephone: 415-493-8839 Email: PLAN LOCATION: Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech 5 ton heat pump and air handler Valuation of Project $ 11,973.00 New SFD Construction: Conditioned Space SF Garage SF Patio/Porch SF Fire Sprinklers SF Construction Type: Occupancy: Grading: Bedrooms: Stories: # Units: New Commercial / Tenant Improvements: Total Building SF Construction Type: Occupancy: 78495 CALLE TAMPICO LA QUINTA, CA 92253 760-777-7000 z800 - 4x*zN�M OFFICE USE ONLY D n qq m y m m W 0 o O o o n n y x o to 7 In ^ N1 a V Vf w f., T T zm D o z m n-G o^ ^ N ^ DD O 3 z _H O 3» ; F� fD m 3 D o o q m 3 , o m n n n m O O 01 oa 0 3 3 14 m O. .0 .n•► � m ro 0 C. 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