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BPLB2015-007878-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: BPLB2015-0078 4 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Property Address: 48127 VISTA CIELO APN: 646100044 Application Description: CONOVER / WATER HEATER CHANGE OUT - (1)40GALLON/GAS Property Zoning: Application Valuation: $800.00 Applicant: t ALL STAR WATER HEATERS INC 130300 PUERTO VALLARTA WAY MENIFEE, CA 92584 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 Busine land Professions Code, and License Is in full force and Licensese Class: C36 License No.:o.: 81 812894 ' / / Date.V6—y vy Contractor OWNER-BUDECLARATION I hereby affirm under penalty of perrJuryQ hat I am exempt from e-Eorftractor's State License Law for the following reason (Sec. ess 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' 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 (951)301-0067 Date: 6/2/2015 Owner: IRENE CO 48127 VISTA CIE LO LA QUINTA, CA 92253 ti Contractor: rr' ALL STAR WATER HEATERS INC�� /Osco 30300 PUERTO VALL�ART WA\Y MENIFEE, CA k584 V�4 (951)301-0067 Llc. 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 offor which this permit is issued. VI 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:_ Policy Number: _ 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 sub ect to the workers' compensation laws of California, and agree th bject to the workers' compensation provis ec ' 700 of a Labor de, I all forthwith comply with thoseior�- Applica WARNING: FAILURE TO SECURE,f RV 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 ente ove- mentioonnled property for inspection purposes.. Datef7 'C'' Y Signature (Appli TINANCIALIOW ^+rDE•SCRIPTI'ON r:' ` ` :�`A00OUNTt�'� TY'`�AMOUNTw °`t''_ PAID ^ €� r'PAID DATE •c L `7' ,a.'a — BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 ;`K'vPAIDBYj'y y RECEIPT#� itFy"K:#-'CHECf�CLTD'BY :>. - . I Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 tMDESCRIPTION = s ofi t rt , F «'`?r Kitt i4CCOUNT �r; QTYi AMOUNT7+ r? FPAID � �� x ;PAID DATE,: PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 ,PAID BY r? ams t" " METHOD�s'n�'"RECEIPTS#f� 3ti4 CHECK Total Paid for PERMIT ISSUANCE: $91.85 $0.00 4�r` DESCRIPTION)k. I, ACCOUNTs� } rk nCtTY , AMOl1NT PAID "PAID PATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 r'y ,:PAIDtBY{ y t METHODSiI2ECEIPT.#��`�� Ott K'CHECK#*; CLTD":BY t n `''� DESCRIPTI,R *�Lti3 s r zRrK ONS •iH+','ip,.'.M°;:4n1 'x µsuer^# 4: y , _ ACCOUNTS�PAID� {I ..=v .. -.3:'i. t 1.� i 4SJ�!'. a .' �lE ..'I,Z; .,1W. ♦':."SJ}+.',�d.. yPAIDsRATE y:°^^k34'1w',ja4 k� WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 :"y� wF yt�i,+w74.�'. '''+'tr � °i^ a ,ryy,r .,.j. ,p PAID BI(tiRECEIPT"# sN �'...�-. , .S`P �;.+. •.}'r:! `.k-. 4 ;? r•+'.•a ... r �,,•� . a +. ,.t�ii-4t ". .y "'t._ a � � ,. y.,� y:;:�d4 x. -i. .spa '�.. . 4fi ,+ - k: x+. ,:: � ,ri5 CHECK,:# C, �•- h ,, CL'TD BY" '"{ Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:00 i'� Description: CONOVER / WATER HEATER CHANGE OUT - (1)40GALLON/GAS Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 6/2/2015 SKH Approved: Parcel No: 646100044 Site Address: 48127 VISTA CIELOLA QUINTA,CA.92253 Subdivision: TR 20052-1 Block: Lot: 44 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $800.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 CONTACTS Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. ADDITIONAL CHRONOLOGY CONDITIONS CONTACTS =NAMETYPE.h c :: NAME x` ADDRESSS, t , : -, „_.:_ . ..., _ . Tri, • 3 <.,_- APPLICANT ALL STAR WATER HEATERS INC 30300 PUERTO MENIFEE CA 92584 (760)808-7078 VALLARTA WAY CONTRACTOR ALL STAR WATER HEATERS INC 30300 PUERTO MENIFEE CA 92584 (760)808-7078 VALLARTA WAY OWNER IRENE CONOVER 48127 VISTA CIELO LA QUINTA CA 92253 (760)808-7078 FINANCIAL INFORMATION Printed: Tuesday, June 02, 2015 11:51:59 AM 1 of 2 SYSTEMS ca "I Printed: Tuesday, June Q2,2O2Ell:5159Am 2cfZ C OU BSAS SB1473 FEE 101-0000-20306 0' $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101-0000-42401 0 $12.09 $0. 0 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC .Total Paid forPLUMBING FEES: $19.34 $0.00 TOTALS: $112.19 $0.00 "I Printed: Tuesday, June Q2,2O2Ell:5159Am 2cfZ