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12-0093 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO - LA QUINTA, CALIFORNIA 92253 Application Number: 12-00000093 Property Address: 773-6-6—VI—STA FLORA, APN: 658-390=O35-36 —28545 - Application description: PLUMBING Property Zoning: MEDIUM DENSITY RES Application valuation: 2800 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: MARIA.LUNDIN 77366 VISTA -FLORA LA QUINTA, CA 92253 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/01/12" Contractor: Applicant: Architect or Engineer: SOUTHWEST PLUMBING, INC. P.O. BOX 2006 n THOUSAND PALMS, CA 922 /�\ I11 (760) 343-2345 `)� i►^ Lic. No.: 731805 r FED 01 2012 --------------------------------------------------------------------------- GI�YC .A:'.iiii-- --- ---- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENS}IJJ.ON.QErCrlldvT,1.0� n—�.--.-.—.--� I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with - I hereby affirm under penalty of perjury one'of the following declarations: Section 7000)of Division 3usi es ofessionals Code, and my License is in full force and effect.- _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided lice ass: C36 License No.: 731805. ` for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date: ontractor: v, L/ _^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 perjury that I am exempt from the Contractor's State License Law for the Carrier NATIONAL UNION Policy Number 910606 • following reason (Sec. 7031 -5, Business and Professions Code: Any city or county that requires a permit to _ 1 certify that, in the performance of the work for which this permit is issued, 1 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 Contractor's State - and agree that, if 1 should become subject to the workers' compensation provisions of Section • " License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or - 3700 of the) orthwith comply with thoseprovisions. 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 (5500).: ate pplicant: 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, Busiriess and -Professions Code: The.. WARNING: FAILURE TO•SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL .. Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided that the . .DOLLARS ($100,000). 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 (•) I, 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 for a 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,. (_ 1 I am exempt under Sec. , B.&P.C. for this reason the owner, and theapplicant, 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. 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.). city and county ordinancesan2 state laws relating to building construction, and hereby authorize representatives of this county to enter upo a above-mentione y or ins urposes. Lender's Name: Date gnature (Applicant or Agent):' '\ Lender's Address: ' LQPERMIT Application Number . . . 12-00000093 Permit . . . PLUMBING Additional desc . Permit Fee . . 22.50 Plan Check Fee 5.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 7/30/12 Qty' Unit Charge Per Extension BASE FEE 15.00 1.00 .7.5000.EA PLB WATER HEATER/VENT I 7.50 -------------------------------------- ---- - ------------------------------------------------------ Special Notes and Comments Spe ------------ ---------------------- INSTALL.NEW 75 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 A0 1.00 Grand Total 29.13 .00 .00 29.13 LQPERMIT •i tiye Ceetiticate.of'Com liance:• Residential CF-tlt-ALT-DHW _, ntial Alterations Page I of 2 Name: -7 7 - -'� ( (o Y ,cs-IA a Dl - e a Climate Zone: /1J Permit g: General Information., Site Address: Enforcement A enc : Date: Building Type: ❑ Single Family ❑ Multi Family !tv ect Type: ❑ Replacement or Changa Out of Water Heater WATER HEATING List newly installed aster heaters and boilers for both domestic hot eater heaters (DWH) and Indronic space heating. New-Ic installed DIM heaters and boilers must be gas, propane. or tat the existing eI n . ater Distribution TypeExtErnal Water Wntd (Sa4 Numa In Tank F—gy Factor or b Tank Insutatim �. TypdFiral Type Rcc System Capacity (gal) Thermal Efficiency It -Value NaoN l -�s����a� 1. Indicate 7)pe (Slortige Cas. Heat Pump: Instantaneous. etc.) 2. Recirculating systems serving multiple dw ding units shall ineer the recirculation requirements of §150(n). Thr Prescriptive. requirmients do not allow the installation of a recirculating water -heating system jar single dwelling units. 3. 77te a aernal water heating rank and s shag be insulated to meet the requirements o 1 Contractor or Homeowner (Documentation Author'stResponsible 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 California Business and Professions Code to accept responsibility for the building design identified on this Certificate of Compliance. • 1 certify that the energy features and performance specifications For the building design identified on this Certificate of Compliance conform to the requirements of Tide 24. Part I and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are co nsistast with the information provided to document this building design on the other applicable compliance fortes. worksheets, calculations. plans and specifications submitted to the enforcement for approval with this building permit' application Name: Si : \ COY: Due: License, CitytStatarlip: phone. e,enLL..11 I r .�Powe*rVt Heavy -Duty Induced�Draft.Gas Water'Heater with the Guardian System" Airailable in 60 and 75 Gallon Tall Gas.Models`" _ ► 6 -Year Limited Tank and Parts Warranty* r ►With ProtectionPlus- the 6 -Year Limited Tank Warranty Becomes 10 Years! Guardian System" -_ • Air/fuel shut-off'system offers double protection I • Maintenance free — no filter to clean Flammable Vapor Detection Sensor • Protective control system that disables the heater in the presence of flammable vapor accumulation Flexible Venting Options- • Long venting lengths up to 100 feet • PVC. ABS, or CPVC vent pipe options • Vertical or horizontal termination New Quiet Blower • Less noise than ever before Self -Diagnostic System • Integrated self-diagnostic system control takes the guess work away Environmentally Friendly Burner • Low NOx design for low nitrous oxide emissions 60 42VP60FW 55 0 55.E 50.5 I. 104 69.1/4 58 -- -- ...... .......- ._. .......... 75 d2VP7oFJv 75 65 75.8 69.7 _ 121 72 60-1l8 Specify LP gas when ordering. Add "PF' suffix to the model number. Example 42VP60PFW. 75 gallon model features side .eater connections for space heating applications. See venting on reverse side. These units are designed to meet or exceed ANSI (American National Standards Institute) require- ments and have been tested according to D.O.E. test procedures and meet or exceed the energy efficiency requirements of NAECA. ASHRAE standard 90, ICC Code and all state energy efficiency performance criteria for energy consuming appliances. Before purchasing this. appliance. read important energy cost and efficiency information available from your supplier. 6 YEAR LIMITED TANK WARRANTY BECOMES 10 For more details, see form 101-7. SEE REVERSE FOR MAXIMUM AND MINIMUM VENT LENGTHS High Altitude Compliant • Tall models are certified for applications up to 7,700 feet above sea level Self -Cleaning • EverKleen'- patented system fights sediment build-up (60 gallon model only) • Reduc2s fuel costs • Provides more hot water Longer Life • Patented magnesium anode rod design ' incorporates a special resistor that protects the tank from corrosion • Provides longer tank life than using standard magnesium anode rods Plus. • Durable silicon nitride ignitor (HSI) • Standard 110 volt electrical connection • Exceeds National Appliance Energy Conservation Act (NAECA) and ASHRAE requirements 'See Residential Warranty Certificate for complete details. Energy Factor and Average Annual Operating Costs based on D.O.E. (Department of Energy) test procedures. D.O.E. national average fuel gate natural gas $1.21allherm; LP g1.87igallon. 14 B 1 51-1/4 3/4 2115 C.62 I 5294 14-3/4 11 531/4 1 330 1 0.57 i 5320' POWER VENT ASSEMBLY o ANODE ROD ° °• HOT G WATER ' COLD CONNECTION : WATER r E CONNECTION r T&P FITTING / 3/4" N.P.T. SIDETAPS (75 GAL. F MODEL Rheem Water Heating • 101 Bell Road, Montgomery, Alabama 36117-4305 - www.rheem.com PRINTED IN U.S.A 10110 VV FORM NO. 101-85 Rev. 6 B,A# :. City. of Lal Quinta Budding 8z SafetyDivision P.O. Box 1504,79-495 Carie Tampico La.Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet- heet Permit # a� �� :. Lem, Project Address: Owner's Name:. A P. Number. Address: `JJCP(y �/ 1511\ legal Description: Contractor. City, ST, Zip: Telephone: b Address: -L\ e5q_gwe_��i1 Project Description: City, ST, Zip: Ccs C-oz _ T'rltL Telephone:1, a�L1 e ti 1 N-0KrvQz c cst . C� AS State Lic, fR C ,� Arch.; &gr., Designer. Address: City., ST, Zip: Telephone: State Lic. #: . ;w Construction Type:. Occupancy: Project We (circle one): New Add'n Alter Repair Demo Sq. Ft.: #Stork s: #Univ. Name of Contact Person:. Telephone # of Contact Person: Estimated Value of Project: giro APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACMG PERWr FEES Plan Sets Pian Check submitted Item Amount Structural CaIcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Cates. Called Contact Person Plan Check Balance Mile 24 Cales. Plans picked up Construction Flood plain planPlans resubmitted _ , Mechanical Grading plan V Review, ready for correctionsfissue Electrical Subeoutactor List Called Contact Person Plumbing Grant Deed Plans picked up S hLL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for torrectionsAssue Developer Impact Fee Planning Approval, Called Contact Person A.LP.P. Pub. Wks. Appr - Date of permit Issue school Fees Total Permit Fees