Loading...
11-0150 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: C1-1-00000150 Property Address: 80679 OAK TREE APN: 775-082-032-. - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 221 T4ht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: KIER JUDY 80679 OAK TREE LA QUINTA, CA 92253 Contractor: Applicant: Architect or Engineer: ALL STAR WATER HEATERS INC /1 �/ 30300 PUERTO VALLARTA WAY �� MENIFEE, CA 92584 WCC: DELOS INS Lic. No.: C36 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 Professionals Code, and my License is in full force and effect. License Class: - --- -- ---- License .: C36 C13ate:1- /-�1- Contractor: NER-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).: 1 _) 1, 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.). (_) 1, 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 contractorls) licensed pursuant to the Contractors' State License Law.). 1 ) 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/11 1 � 2011 _- 1F701l.-A4tfIINTA► 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. _ 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 02DKRM120074 08/02/12alicy Number 812894 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 �ry 3/7/00 of the Labor Code, I shall forthwith co m ly with tho provisions. Dater Applicant: WARNING: FAILURE TO SECURE WORKERS' CIffIENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 Director of Building and Safety 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 county to enter upon the above-mentioned property for inspection purposes. Dat ��� Signature (Applicant or Agent): .\4 Application Number . . . . . 11-00000150 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date Valuation . . . . 0 Expiration Date 8/15/11 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 .7.5000 EA PLB WATER HEATER/VENT 7.50 ---------------------------------------------------------------------------- Special Notes and Comments REMOVE AND REPLACE 50 GALLON.WATER HEATER. - -------------------------- Other Fees . . . . . ------------------------------------ . . . . BLDG STDS ADMIN (SB1473) ------- - - - - -- . 1.00 . Fee summary Charged• Paid Credited. Due Permit Fee Total 22.50 .00 .00, 22.50 Plan Check Total 5.63 .00 .00 5.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 29.13 .00 .00 29.13 LQPERmrr Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW Residential Alterations Ale_&v 6 11.9 Mr � e " - Page I of 2 Project Name: _ Climate Zone: Permit #: General Information Site Address: Enforcement Agency: Date: -Building T Single Family 0 Multi Famil Pro'ecC T : O Re lacement or Change Out of Water Heater WATER HEATING • ['certify that this Certificate of Compliance documentation is accurate and complete. List nexdy installed water heaters and boilers for both domestic hot water heaters (DWH) and hvdronic space heating. Newly installed DWH heaters and boilers must be gas, propiine, or use the existingfiiel type. conform to the requirements of Title 24, Part t and 6 of the California Code of Regulations. . The building design features identified on this Certificate of Compliance are consistent with the information provided to document this Water Heater Distribution Type Number In Tank Energy Factor or External Insula Tank Insulation T Fuel Type' (Standard.: System Capacity (gal) yPe Thermal Efficiency R -Value yP� Recirculatin) License: �� � � � a m , Q �—_R1G 4 c/ Phone: �l-rSJ 1. Indicate Type (Storage Gas, Heat Pump, Instantaneous, etc.) 2. Recirculating systems serving ►nultiple dwelling units shall meet the recirculation requirements of §150(n). The Prescriptive requirements do not allow the installation of a recirculating water heating system for single dwelling units. 3. The external water heatingtank and pipes shall be insulated to meet the re uirements of §150(i). Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) • ['certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Part t and 6 of the California Code of Regulations. . The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations. plans and specifications submitted to the enforcement agency for approval with this building permit application. Name: Signature: Company: Date: Address: 3o ��L • LiQ 't / License: �� � � � a m , Q CityiState ip: _ 11/16 �� � �� r•- �' S Phone: �l-rSJ SADril 2010 All Star Water Heaters { I Jeffery Sprague, President of All Star Water Heaters (CSL # 812894) do herby authorize Mary, Koch to act on behalf of this company to sign and process any all things pertaining to the issuance of permits and business licenses in the State of California. Thank You E i Jeffery Sprague President All Star Water Heaters i i 1 E E i 4 1 E • 1 30300 Puerto Vallarta, Menifee CA 92584 Phone: (800) 727-0977 Fax: (951) 245-6366 r Check a License - Contractors State License Board Department of ConsumerAffairs - Co /tractors State License Board Contractor's License Detail - License # 812894 A\ DISCLAIMER: A license status check provides information taken from the CSLB license database. Before relying on this information, you should be aware of the following limitations. CSLB complaint disclosure is restricted by law (B&P 7124.6) If this entity is subject to public complaint disclosure, a link for complaint disclosure will appear below. Click on the link or button to obtain complaint and/or legal action information. i ?' Per B&P 7071.17 , only construction related civil judgments reported to the CSLB are disclosed. Arbitrations are not listed unless the contractor fails to comply with the terms of the arbitration. Due to workload, there may be relevant information that has not yet been entered onto the Board's license database. License Number 812894 Extract Date: 2/11/2011 _.................__........................................ __.....__ ........... ..........., ...............,....._, ..,,....................._....................., .,, .... _. _.............._._. ..... ..... _.... _. . _ ... _. _.._............ .. _ ..__... _.. _. _..._. ...._.. _... ALL STAR WATER HEATERS I NC 30300 PUERTO VALLARTA WAY Business Information MENI FEE, CA 92584 Business Phone Number:(951) 301-0067 Entity: Corporation Issue Date 09/19/2002 Expire Date 09/30/2012 License status This license is current and active. All information below should be reviewed. Additional Status: . _................................_....................._........__........_..._ ............ ....... ....... ..... ...,... .... ... .......... ......................... _........................ .................................. _......................................... ..__.............. ..... .... ............. .... , ........... _.............. _ CLASS DESCRIPTION Classifications: C36 PLUMBING CONTRACTOR'S BOND This license filed Contractor's Bond number W150056932 in the amount of $12,500 with the bonding company OLD REPUBLIC SURETY COMPANY. Effective Date: 05/24/2010 Contractor's Bonding History Bonding: .... ......... ....... ......... ....................... ....................... ...... .......... ................... ......._......... ........................... ......... BOND OF QUALIFYING INDIVIDUAL 1. The Responsible Managing Officer (RMO) MOTOSICKY JOHN KEVIN certified that he/she owns 10 percent or more of the voting stock/equity of the corporation. A bond of qualifying individual is not required. Effective Date: 09/22/2009 BQI's Bonding History ...............................................__......_.......... ... .............................. _.__......... _........... .................... __..... ....... ............. ..... .... ......... _......... _. _._.._...................._..................._.._...... This license has workers compensation insurance with the DELOS INSURANCE COMPANY Policy Number:02DKRM12007455 Workers' Compensation: Effective Date: 08/02/2010 Expire Date: 08/02/2011 Workers' Compensation History .._... __._........ ....... ,...... ............ ..._.__...... ......... ..._.._._.... ..._.....,................. _.._..... _............................... Personnel listed on this license ........... .__..._.._..._....... .... ._...,..... current or disassociated) are listed on other licenses. Conditions of Use I Privacy Policy Copyright © 2010 State of California Page 1 of 1 https://www2.cslb.ca. gov/OnlineServices/CheckLicenseII/LicenseDetail.aspx?LicNum=81... 2/11/2011 Bin # City of La Quinta Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # i Project Address: d (p T 9 0 {L T E _ Owner's Name: V jk�/ A. P. Number: Address: E Legal Description: City, ST, Zip: ] lJ''[–Py 9Y•11S3 Contractor: ((�� _ • Ll. LI/ CTelephone:a;; ijt 7–� � :z; ::'<;<;«•h<,:.w,:.s :: Address: -3 o 3 gc7 \% fL - t.v Project Description: City, ST, Zip:lil-%1i!�/�' -7yl51 ": „% r&Telephone: c < <'•yy v, V State Lic. # : © O 6.4 -j City Lic. #: Arch., Engr., Designer: Address: City., ST, Zip: Telephone: ::'c.>:s .:>:pp'::v>%:>%%: v''. ;?•.`:•• L?:?J).4��i4,`^:•:`•: ~r{''^i::::'vi'�i i'v>�: 4 { :ii::y>}:{,>.'�,::}�.i.iv::�:.i is {vtiytiii{y:is#.$..R..,:.•' State Lic. :s>s:x;:'!:g;:;:.;'.;:i; .o-;:;:<: c wz: ;.• Name of Contact Person: Construction Type: Occupancy type ' air Demoect Pro a circle one): New Addn Alter Re J ) P Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE ie Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctionsfissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '`" Review, ready for correctionsfissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees i`'