13-1338 (PLBG)M
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
TW�t 4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number:
13-00001338
Property Address:
78875 GRAND TRAVERSE AVE
APN:
770-050-042-41 -25389 -
Application description:
PLUMBING
Property Zoning:
MEDIUM DENSITY RES
Application valuation:
800
Applicant: Architect or Engineer:
-----------------------=--------f------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provisions o 'Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and Professionals C License is in full force and effect.
License Class: C36 n 812894
Date/21--1 Contractor:
OWNS L'CARATION—
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 ($5001.:
1 _ 1 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 contractorls) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. , BAP.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: t\
LQPERMIT
Date: 10/21/13
Owner:
MARCIA WOLFE
78875 GRAND TRAVERSE,
LA QUINTA, CA 92253
( D
Q
Contractor:
OCT 212013
ALL STAR WATER HEA ER
NC
30300 PUERTO VALLA TA
MENIFEE, CA 92584
WAkry of LAQ
RIVANCAIT,q
ED
EDEPT.
(951) 301-0067
Lic. No.: 812894
-----------------------------------------------
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
k'(// 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 OAK RIVER INS Policy Number 2200062086121
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 hall forthwith comply wit "� provisions.
Date 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 1$100,0001. 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 authoripreSEfii'�
of this county to enter upon the above-mentioned property for inspection purposes.
Da/� Signature (Applicant or Agent):
C
LQPERMIT
Application Number . . . . . 13-00001338
Permit . . . PLUMBING 2013
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 4/19/14
Qty Unit Charge Per Extension
1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92
----------------------------------------------------------------------------
Special Notes and Comments
WATER HEATER CHANGE OUT - 50GALLON/GAS
[2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2010 CALIFORNIA BUILDING
CODES.
-------------------------------------------7--------------------------------
Other Fees . . . . . . . . . PERMIT ISSUANCE M/P/E 90.57
PLAN CHECK, PLUMBING 7.15
Fee summary Charged
Permit Fee Total 11.92
Plan Check Total .00
Other Fee Total 97.72
Grand Total 109.64
Paid Credited Due
.00 .00 11.92
.00 .00 .00
.00 .00 97.72
.00 .00 109.64
Bin #
City of La Quinta
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:Gl%-t�t /
A. P. Number:
Address:
Legal Description:
City, ST, Zip: Z G C
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Contractor: `/
Telepho
Address:Project
Description:
City, ST, Zip: LlezinqqC
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Telepho LLf ' /�%d
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State Lie. # :
Arch., Engr., Designer:
City Lie. #•:
Address:
City., ST, Zip:
Telephone:
viii: ••
`:i`�i:`;::jj:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
State Lie. #:
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%»:«: <:>`;;>.;<
Name of Contact Person:Sq.
Ft.:
# Stories:
# Units:
Telephone #,of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
H
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 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
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Type/Fuel Type' (Stonder4; Systu Cojecity Usl) Thar ml -Efficiency Insulation I -Value'
Res, jrOulating), L
StoraZe Gas: r Standard
-7` 50 .62
16
other indirect . hot water tanks bavo 9-11 external insulation or R-16 internal insulation Whore th.t•
interns] esulatioq -talus is'-smidlested an the exterior of to tank:-
ank;-150(j)2:
1b0(j)2:First 5 feet Of hot 40. 0014. wstqr pipes #Jo#wst to water heater tank, acts-reeiiiulatins systems, and
1. IM we Type am, J74—W -)W*
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sweidmatemo do war 4&w At &Welkdon qf a redroda*r wMar A#*1*'"Mf6r *jk I&Wft OW.
I
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Address:
Ad 30300 Puerto Vallarta WU F40"' 951-345-4083
City/State Zip: Menifee, CA 92584
Walk "if! as eqij Wadatft Usisum;
IM -1 113: 1ster betten am.sirtifled by the Energy Cosaftsion.
.113101 :'Witer hostin g. vnits and High -list residential
a 'recirculation loops serving' multiple dwollin
ppoupshatex met the air.'relasse valve, hsokr4ow prevention, pump isolation valve, and r#'circujq;j.*;t.
'1S0 IA: Storage gas water hes6ra rated with in Inersy satez no greater than the federal sinful s1svd*Y0,
areled thermal resistance of R-13 or'gvater.
W_ !Wed. wi-th. insulefloo Navin -having an installed
150(j) 18: Unfired storage Wks, suck is stoy'als %sAks. or backup tanks for solar .star-Wostiag vy'stem, or
other indirect . hot water tanks bavo 9-11 external insulation or R-16 internal insulation Whore th.t•
interns] esulatioq -talus is'-smidlested an the exterior of to tank:-
ank;-150(j)2:
1b0(j)2:First 5 feet Of hot 40. 0014. wstqr pipes #Jo#wst to water heater tank, acts-reeiiiulatins systems, and
entire length of reeirsylating section's of hot water Elpes; are. Insulated per Standards Table- U.".
I I 50(j) 2: Cooling system piping 'suction, chilled rater. or -bring lines ),and ,pipihs Uxul'sted between hesUnj
source and Indirect hot vkW tank abW be insylotei to LoW.9 IS".. s;4 !tier IWA.
150.(J)2: Pipe insulation for steam hydronie heating sinews or hot water system >16. i, sesta the
-revirepents of .5tordpirdo Table 1-23*
71J�131-' insulation Is Protected f.rc.q. d -t ;urge eMptow
,w!a, ificlu n� that due. to sunlight, mots
ffisintenansy, and wind,
Documentation AuMr'i RMoft'katemeatt
1 earft"t to HBO Md
W880 Jeff Sprague $,t goner tt A thariss agent id ContTeeLOr t:
P'
All 11 Star Water Heater tot H06690 812894
Jeff
Address:
Ad 30300 Puerto Vallarta WU F40"' 951-345-4083
City/State Zip: Menifee, CA 92584