BMCH2019-024878-495 CALLE TAM PICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
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DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
MECHANICAL/
BMCH2O19-0248
78370 HIGHWAY 111 STE 150
604050068
OKURA/5TON CONDENSING UNIT CHANGEOUT
$8,632.00
Applicant:
AMERICAN AIR CONDITIONING & HEATING
13355 VERBENA DR 204
DESERT HOT SPRINGS, CA 92240
F,
JUN 2 0 2019
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/20/2019
Owner:
POINT HAPPY REALTY
8665 WILSHIRE BLV STE 410
BEVERLY HILLS, CA 92253
Contractor:
AMERICAN AIR CONDITIONING & HEATING
13355 VERBENA DR 204
DESERT HOT SPRINGS, CA 92240
GITY OF LAQUINTA (442)234 2742
DESIGN & DEVELOPMENT DEPARTMENT Llc. No.: 1031858
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 B iness and Professions Code,
and my License is in full force and effect.
License
Class: C20 License No.:1031858
Date: G'd ilE 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
Lender's Add
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 yvoV forwhich this permit is issued.
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: NORGUARD INSURANCE COMPANY Policy Number: WIWC065735
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 oft Labor Code, I shall forthwith
comply with those provisions.
. t
Date: 10/ 1 Applicant:
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 Quint@, 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 in/mapn is correct.
I agree to comply with all city and county ordinances and state lawto building
construction, and hereby authorize representatives of this city to en the
above -mentioned pr perty for inspection purposes.
Date: ' L Signature (Applicant or Agent):
Date: 6/20/2019
Application Number:
BMCH2019-0248
Property Address:
78370 HIGHWAY 111 STE 150
APN:
604050068
Application Description:
OKURA / 5 TON CONDENSING UNIT CHANGEOUT
Property Zoning:
Application Valuation:
$8,632.00
Applicant:
AMERICAN AIR CONDITIONING & HEATING
13355 VERBENA DR 204
DESERT HOT SPRINGS, CA 92240
Owner:
POINT HAPPY REALTY
8665 WILSHIRE BLV STE 410
BEVERLY HILLS, CA 92253
Contractor:
AMERICAN AIR CONDITIONING & HEATING
13355 VERBENA DR 204
DESERT HOT SPRINGS, CA 92240
(442)234-2742
Lie. No.- 1031859
Detail: CONDENSER UNIT CHANGE OUT ONLY EQUAL TO OR LE55 WEIGHT THAN EXISITNG SYSTEM AND SAME LOCATION (TO BE VERIFIED BY INSPECTOR) -
14SEER SPLIT SYSTEM. NRCC FORMS TO BE VERIFIED AND GIVEN TO INSPECTOR BEFORE OR AT FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
` ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY
101-0000-42402
0
$40.02
DESCRIPTION
ACCOUNT
CITY
AMOUNT
HVAC CHANGEOUT - CONDENSER ONLY PC
101-0000-42600
0
$26.68
Total Paid for CHANGEOUT: $66.70
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION ACCOUNT CITY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
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Project Address: -7 a cv
APN #:
PERMIT #
PLAID LOCATION:
Project Description: �1R�
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Applicant Name: d r /� • v6
Address:W5' t41!4fi,1t, hi 2-0 in 56A6
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City, ST, Zip: ,b!
Telephone: Z Z 3,Y zrt
Email: Valuation of Project �
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Contractor Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Architect/Engineer Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
Construction 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
4e
OFFICE USE ONLY
#
Submittal Required Received
Plan Sets
I
I
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed l
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
AMERICAN Al- CONDITIONING & HEATING
13355 VERBENA DR 204
DESERT HOT SPRINGS, CA 92240
442-234-2742
AMERICANAIRCONDITIONINGI@GMAIL.COM
ADDRESS
Jay Lee
Okura Robata Grill & Sushi Bar
78370 CA-111 #150
La Quinta, CA 92253
it
ESTIMATE 1037
DATE ACTIVITY QTY RATE AMOUNT
06/19/2019 Services 1 5,487.00 5,487.00
NEW 5 TON CONDENSING UNIT
HEAT PUMP COMMERCIAL 3
PHASE 208/230VOLTS 14 SEER
R410A
06/19/2019 Services 1 750.00 750.00
CRANE TO REMOVE OLD UNIT 4k
AND INSTALL NEW UNIT
06/19/2019 Services ] 650.00 650.00
CITY PERMIT
06/19/2019 Services 1 545.00 545.00
COMMERCIAL CS1R DOCUMENTS IL
FOR UNIT PERMIT MECH 2 &
MECH 3
06/19/2019 Services 1 1,200.00 1,200.00
RETROFFITING OF OLD AIR
HANDLER TO MAKE C01-1PATIBLE
WITH NEW REFRIGERANT R410A +h
WITH EXPANSION VALVE AND Y 1
Rll LINE CLEAN OUT FROM OLD !!!
COMPRESSOR BURN OUT.
1. R22 HEATPU14P COMMERCIAL EQUIPMENT IS DISCONTINUED DUE
TO EPA REGULATIONS FOR 2020 MANDATED NEW LAWS ON R22, MUST
UPGRADE TO NEW R410A.
2. QUOTE IS FOR NEW R410A CONDENSING UNIT AND RETROFETING
OLD AIR HANDLER UNIT, WILL DROP ABOUT 10- EFFICENCY.
UNLESS AIR HANDLER IS ALSO CHANGED OUT. ( RECOMMEND
CHANGING BECAUSE FINS AND COIL IS ALREADY PRETY DETEORATED
& WILL GI:'E FEATURE TROUBLE)
3. CONDENSING UNIT IS 1 DAY OUT, LABOR WILL TAKE 1 FULL
DAY ONCE EQUIPMENT HAS ARRI7ED.
4. ESTIMATE NEEDS TO BE SIGNED & DATED BY AUTHORISED
PERSON IN ORDER TO BEGIN ANY ORDERING.
5. WARRANTY IS RANUFACTURE WARRANTY 5 YEAR COMPRESSOR 1
YEAR PARTS FROM DATE OF INSTALL.
6. PLEASE NOTE: PRICE ESTIMATE IS ONLY FOR MENTIONED IN
ESTIMATE IF ANYTHING ELSE IS UNFORSEEN IT MAY BE
ADDITIONAL, EXAMPLE IF CITY INSPECTOR ASK FOR ADDITIONAL
WORD TO BE DONE AS THIS VARIES BY CITY CODE.
Accepted By
Ac-,.r-_- ..___
% to-44 1 �