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11-0148 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: ('11�-00000148 Property Address: 49821 CALLE ESTRELLA APN: 658-260-038- - Application description: PLUMBING Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 274 Applicant: �� 4fz��. Architect or Engineer: M., BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 No.: C36 •Dater -/b-/% Contractor: ` WNER.BUILDER DECLARATION I hereby affirm under penalty of perjury that Im 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.I. Lender's Name: _ Lender's Address: LQPERMIT Owner: OCALLAHAN ROSANNE 49821 CALLE ESTRELLA LA QUINTA, CA 92253 Contractor: ALL STAR WATER HEATERS 30300 PUERTO VALLARTA W MENIFEE, CA 92584 WCC: DELOS INS Lic. No.: C36 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/16/11 IN �� AYE FEB 16 2011. CITY OF LA QUINTA F gvAmcg DEPT. 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 08/02/112olicy Number 812894 1 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 37700 of the Labor Code, I shall forthwith comply th those provisions. Date4.1—f `Applicant: WARNING: FAILURE TO SECURE WORKECOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES 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 Director of Building and Safety for a permit subject to the conditions and restrictions set forth on this application. I . 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. � Date: A Al Signature (Applicant or Agenv: . . Application Number . . . . . 11-00000148 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 & REPLACE 50•GALLON HOT 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 LQPERMIT Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW Residential Alterations page I of 2 Project Name: c 1'I Me E //,aT,6C)AHt'A-re-A Climate Zone: Permit #: WATER HEATING • I certify that this Certificate of Compliance documentation is accurate and complete. List newh installed water heaters and boilers for both domestic hot ►eater heaters (DWH) and h�+dronic space hearing. New•h installed DWH heaters and boilers must be gas. propane, or nue the existing eI type. Distribution Type Water Ii�trr � (Standard, Numb�7 In Tank Energy Factor ix TypdFuet Type R (Stan System Capacity (gal) Thermal Efficiency F�eternal Tank Insulation • nsu atio f'/L� • 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 budding permit application. Name: D� / Signature: Company. '411S ,\ fes- / G oZ r/[ // License: 36)30 2!e , �i e0 d a o X53. 1. Indicate Type (Storage Gas. Heat -P -u nW. Instantaneous, etc.) 2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n). requirements do not allow the installation of a recirculating water heating system for single dwelling units. 9. The external water hearing tank and p4ws shall be insulated to meet the requirements of J 1 The Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) • I certify that this Certificate of Compliance documentation is accurate and complete. • I am eligible under Division 3 of the Califomia Business and Professions Code to accept responsihility 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 I and 6 of the Califomia 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 budding permit application. Name: D� / Signature: Company. '411S ,\ fes- / G oZ r/[ // License: 36)30 2!e , �i e0 d a o X53. City/Stat&75p: _ _ phone: .04 ,-2� N AII*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 andprocess any all things pertaining to the issuance of permits and business licenses in the State of California. Thank You Jeffery Sprague President All Star Water Heaters 30300 Puerto Vaiiarta, Menifee CA 92584 Phone: (800) 727-09 77 Fax: (951) 245-6366 Bin # Qty Of La QLuinta Building 8T Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: Owner's Name: 0 C A. P. Number: Address: 1� a C /� X!Fs P /,/,4 Legal Description: City, ST, Zip: C a a� Contractor:S 754A 01 dQ�� �' yj:•: ry � S>•:^� CY: M ii!i::;v v',::6ii S;: Telephone: Address: Id Project Description: City, ST, Zip: /5{ Tele hone: is;fs%%:>:<-:<%F':? ::::;;<;>:> State Lic. # : e) ® City Lic. C Arch., Engr., Designer: d Address: City., ST, Zip: Telephone: State Lic. #:ab ;>;: .4;<: M ?:::.':s>>:h•'.:><:>k::> yF `s,;;l. Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: # Stories: —# Units: Telephone # of Contact Person: Estimated Value of ProjectA , 00 APPLICANT: DO NOT WRITE BELOW THIS LINE # 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 Cales. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2nd 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 correctionstiissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees .