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12-1456 (PLBG)P.O. BOX 1504 j VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT / INSPECTIONS (760) 777-7153 BUILDING PERMIT (/ './ v Date: 12/20/12 Application Number: 12-00001456 -- Owner: Property Address: -48151 VISTA CIELO - HEMINGWAY RANDOLPH R APN: -646-100-032- _ - - 48151. VISTA CIELO Application description: PLUMBING LA QUINTA, CA 92253 Property Zoning: LOVd DENSITY RESIDENTIAL Application valuation: 800 Contractor: D Applicant: Architect or Engineer: ALL STAR WATER HEAT INC r r, 0 2012 30300 PUERTO VALLAR WAY U MENIFEE, CA 92584 (9 51) 3 01- 0 0 6 7CITY OF LA QUINTA �l Lic. No:: 812894 FINANCEDERT. - ---- -- " "LICENSED CONTRACTOR'S DECLARATION - WORKER'S COMPENSATION DECLARATION . I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Ihereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Profe � nals Code, a e is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: C36 ' se -o., 81289 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is - 1 Z _ issued. Date/ Z� ontractor: 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 OWNER -BUILDER DECLARATION - - insurance carrier and policy number are: - I hereby affirm under penalty of r)ury that I am exempt from the Contractor's State License Law for the Carrier OAK RIVER INS Policy Number 2200062086121 following reason ISec. 7031 .5, Business and Professions Code: Any city or county'that requires a permit to- - _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - - construct, alter, improve; demolish, or repair any structure, prior to its issuance, also requires. the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, -permit to file a signed statement that he or she is licensed pursuant to the provisions of the.Comractor's State. and agree that, if I should becomuct to the workers' c sation•provisions of .Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700.of the Labor Code,.l h I f013with compI ision _ that he or she is exempt therefrom and the basis.forthe 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).: at-�� licant: 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, WARNING: FAILURE TMPENSATION COVERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMP L TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONEHUNDREDTHOUSAND and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($700,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ' improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). - APPLICANT ACKNOWLEDGEMENT _ - (_ 1 1, as owner of the property, -am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the - 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a,contractor(s) licensed - 1 . Each person upon whose behalf this application is made, each person. at whose request and for. pursuant to the Contractors' State License law.). whose benefit work is performed under or pursuant to any permit issued as a result of this. application, I am exempt under Sec. , B.&P.C. for this reason - 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. Date: - Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued ISec. 3097, Civ. C.1. city and county ordinances and state laws relating to building construction, and hereby authorize r t of his county to enter upon the above-mentioned pro spectio urpose Lender's Name: /y - Date: gnature (Applicant or A - - - Lender's Address: '_` ' - LQPERMIT /.. P` .. Application Number . . . . . .12-00001456 Permit PLUMBING Additional desc . Permit Fee . . . . 22.50 Plan Check Fee 5.63 Issue Date . . . .' Valuation 0 Expiration Date 6/18/13 ...�_ Qty Unit Charge.. .Per Extension BASE FEE 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.56 ---------------------------------------------------------------------------- Special Notes and Comments INSTALL NEW 50 GALLON GAS WATER HEATER. 2010 CODES. ----------------------------------------------.------- 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 A RKM R W9M'r 901409 c m rioter try a qua ltgr dwsurs srwt be Raw Or/npr�r�Ireii, pd entry Nor.fae ed SO:IaAi+tl. Xjv tllsftr p jps GwVrbot mkt I�IIW A�tr a At aiciltatlt) ORA imd Mang _ _ _ _ 1x -4U-4 rater Harter Distribution Type Number In Tank Hnersy, seter or external Tan Type/Fuel Typsl (at�tndsrd,: System .. Capacity (pl) Therml 8fficioncy Insulation 1-yalue' Rssiseulatin )' Storage, Gas't Standard50 .62 HOW 18: Unfired ate . tanks. such -at stosags tanks.or backup tanks for so ar asier� .sting system, or;. other indirset hot rater tanks have 0.11 exterAel insulation or R-16 internal insulation vh.ate the. ' intirW esulati R-va1•us is dedicated an the exterior of Oit ank; ira% 6 eat of het oAd.oeld.water pipe. s osest to water heater tank. non r■airou Glia; systems, and ' Me Type tFORP . .awntdmawli , 2. XedralfllRl *WOW sO.MM =iPk &AVOW-YRO'shelt alto 1Af Nt1lWWOR Fspd vMar! 110(d). The PlaaerlPllw ntWn NOW do mat 4&W A# hL.461kdan of a rvdnailatbtg taster MNfimg alvlest for jW k *Nsft ambo. i..1>is ea[t+esl Woor AaA1 iAsjl bOx—R&W M F10AW[. .. 1 Dowmultiiltlon Aufhor't ant . � I aii'tt at er+oeoenn .axed wM' Wstiii' q aa. elate .. aswuwt • - - .Uisd e cion. 110-'. 113 kates bloto.setfrew Y13(e 6: ater best ins"ree reWation loops sorvinj multiple dralling.units and oeoupocies Met the air.'ralesso valve, baskfJoe prevention► pimp isolation valve, and resirt'YW DA. Ise eonnestionof. 1.11041. 160 lA:Storage see water bestirs rated with to nsrgy aster no greater than the federal aWmal standard are ex expel ed.vith.in.ulati. ev on installed, thermal resistance of R-lZ.or. aster. HOW 18: Unfired ate . tanks. such -at stosags tanks.or backup tanks for so ar asier� .sting system, or;. other indirset hot rater tanks have 0.11 exterAel insulation or R-16 internal insulation vh.ate the. ' intirW esulati R-va1•us is dedicated an the exterior of Oit ank; ira% 6 eat of het oAd.oeld.water pipe. s osest to water heater tank. non r■airou Glia; systems, and ntire length of recireulatins sections O »ter i sora .inetll'ata r.Standards TWIT 50- . Cooling sy■'teal piping ;(auction, allied Watsr, or rine linea ,and pipih-g -insulated batnin heating r1goi ours and Ind let hot_ ager tank.rha elated to a42s.159..and _ _ti.h 160-A. ipe Insulation et steamhydropic host ng systems or hot water systems >15, i, meets the .reisepenta of - .,,do Table 1Z3*>), 150(j)SA: Insulation Is protected frm dtulege, eta d np -that due: to sunlight, moisture, a4uip lik Mintenanot, and wind Jeffery S ra ue tl 9Y th �tuthorlse Company : All Star Water Heaters agent it Contractor Con oorise 812894 Address: 30300 Puerto Vallarta Pone' 951-345-4083 City/ tate Zip: Menifee Ca 92584 Date: BIR # City. of La Qu" to Building & SafetyDivision P.O. Box 1504,18-495. Calle Tampico La.Quinta, CA 92233 - (760) 777-7012 Building, Permit Application and Tracking Sheet Permit # Project Address: K's I C Owner's Name:. G A. P. Number. Address: Legal Description: Contractor. A` CC S3 cy� a � City, ST, Zip: Ls, aVinAc Telephon :- :��s.:�;�� Address: Z3iJ 3 01 F`f/�_-V-0, ev t ll k Project Description: City, ST, Zip: %�e�► Telephon tS-1 35 t oG3 L`r'' �,frr- M\ C V C� C�Ca IIYW ' State Lic. # : a. �( City Lic. M. Arch., Engr., Designer. Address: City., ST, Zip: 'w Telephone: _ State Lic. #: Name of Contact Person: Construction Type Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stories: # Univ: Telephone # of Contact Person: Estimated Value of Project 06V APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING ' PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Tide 24 Cates. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2'' Review, ready for correctionstissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Pians picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- ''" Review; ready for corrections/tssue Developer Impact Fee Planning Approval. q. Called Contact Person AJX.P. Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees i