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BMCH2019-011278-495 CALLE TAMPICO UVOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 4/9/2019 Permit Type/Subtype: MECHANICAL/ Owner: Application Number: BMCH2O19-0112 PAUL J. BARBEAU Property Address: 53475 AVENIDA OBREGON 53475 AVENIDA OBREGON APN: 774074023 LA QUINTA, CA 92253 Application Description BARBEAU / 14 SEER HEAT PUMP AND SPLIT SYSTEM CHANGEOUT Property Zoning: Application Valuation: $10,000.00 Applicant:Contractor: n] IE INC. !J NEXGEN AIR CONDITIONING AND HEATING INC 32115 LA BAYA D 700 N VALLEY ST STE K WESTLAKE VILLAGE, CA 91362 PR 0 9 2019 ANAHEIM, CA 92801 I�jTY OF LAQUINTA (657)208-1987 DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1011173 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.: 1011173 Date: 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 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 tork 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: OLD REPUBLIC GENERAL INSURANCE CORPORATION Policy Number: AICWA0001400 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. � r - Date: 1A 4 I 10i Applicant ti+ L fir= 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: L� �' Signature (Applicant or Agent): �� �— Application Number: BMCH2019-0112 Property Address: 53475 AVENIDA OBREGON APN: 774074023 Application Description: BARBEAU / 14 SEER HEAT PUMP AND SPLIT SYSTEM CHANGEOUT Property Zoning: Application Valuation: $10,000.00 Applicant: IE INC. 32115 LA BAYA WESTLAKE VILLAGE, CA 91362 Date: 4/9/2019 Owner: PAULJ.BARBEAU 53475 AVENIDA OBREGON LA QUINTA, CA 92253 Contractor: NEXGEN AIR CONDITIONING AND HEATING INC 700 N VALLEY ST STE K ANAHEIM, CA 92801 (657)208-1987 Llc. No.: 1011173 Detail: 4 JON SPLIT SYSTEM AND HEAT PUMP CHANGE OUT- 14 SEER/80AFUE. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER 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- OTHER EQUIPMENT 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - OTHER EQUIPMENT PC 101-0000-42600 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM 101-0000-42402 0 $40.02 DESCRIPTION ACCOUNT QTY AMOUNT HVAC CHANGEOUT - SPLIT -SYSTEM PC 101-0000-42600 0 $80.05 Total Paid for CHANGEOUT: $200.11 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $101.40 Total Paid for PERMIT ISSUANCE: $101.40 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 ta Q�aMrcv - - GEM oJ,b, DESERT - PERMIT # -- A4-(A L0lI — 01 IZ PLAN LOCATION: Project Address: 53475 Avenida Obregon Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech APN #: Replace 4 ton heat pump and air handler Auo C� Patio/Porch SF SYS E M Applicant Name: Steven Schnierer State Lic: 1011173 City Bus Lic: Address: 31225 La Baya Drive Suite 213 State Lic: City Bus Lic: City, ST, Zip: Westlake Village, CA 91362 Telephone: 818-735-7876 Email: swschnierer@roadrunner com Valuation of Project S 10,000.00 Contractor Name: NexGen A/C & Heating New SFD Construction: Address: 700 N Valley Street #K Conditioned Space SF City, St, Zip Anaheim, CA 92801 Garage SF Telephone: 657-208-1987 Patio/Porch SF Email: Fire Sprinklers SF State Lic: 1011173 City Bus Lic: Arch/Eng Name: Construction Type: Occupancy: Address: Grading: City, St, Zip Construction Type: Occupancy: Telephone: Bedrooms: Stories: # Units: Email: State Lic: City Bus Lic: Property Owner's Name: Paul Barbeau New Commercial / Tenant Improvements: Address: 53475 Avenida Obregon Total Building SF City, ST, Zip La Quinta, CA 92253 Construction Type: Occupancy: Telephone: 442-324-5530 Email: 78495 CALLE TAMPICO LA QU I NTA, CA 92253 760-777-7000 OFFICE USE ONLY # Submittal Req'd Rec'd Plan Sets Structural Cales Truss Calcs Title 24 Calcs Soils Report Grading Plan (PM 10) Landscape Plan Subcontractor List Grant Deed HOA Approval School Fees Burrtec Debris Plan Planning approval Public Works approval Fire approval City Business License z rD 00, .t of 0 3 Z r� x M O r� Gl (D a rD CL O 00 2 m v O Q m n 2 w N A m rt (D 0 3 O m x, 3 UQ v K a m G) m CU m d 3 O T (D (D rr H m M 7 N Ln O N Cr F•' v a O O FL O 0° •G •G n In H N N rt M m m n O ~ M 3 3 fu 3 v N o 0 3 0 A 0 A M M o o d rt O Q - A 0 O O O 0) O M r a D r 3 O 0 3 (3D 7 r�r, Oq O O H ,�+ [�1 w O rt rt � 7 •G O N A 7 7 G (n Q (D N 3 ,C N N D 3 O m j m m m O dLn (D � 3 rr n �, T D rn m o > N 3 O 3 0 0 (A w h G A m �o v Uri O d 3 D H N CL A -P. c C S (D O -PA W r Ln 0- 3 n M h0 d � O 0 C m m O �+. v in to _ 3• t0i� D 0) 00 O CD .�+ 000 rt 0) 0) .y O =5 � a IA W o d T m O O O O vOi vii ((D 3 Cn w (0°D 3 z - 3 A i h n O W 00 .. 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