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10-0137 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 ,Application Number: ,Property Address: APN:____ _ _ Application description Property Zoning: Application valuation: Applicant: lolmwor e 2cP. 10-00000137 79835 HIGHWAY 600 -020 -034 - PLUMBING BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: 111 STE 104 KOMAR INV - - 23 CORPORATE PLZ STE 247 NEWPORT BEACH, CA 926-60 COMMERCIAL PARK 954 . Architect or Engineer: K4 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that m license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine nd rof ono Code, and my License is in full force and effect. License Class: B icense N( 91A10,4 �Date�-2 �/-/�%ontractor: - �L WNER-BUILDER DECLARATION 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 (5500).: (_ 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.). (_ 1 1, 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.). 1 _ 1 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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT Contractor: BULLARD, ROBERT E 26307 GIRARD STRE HEMET, CA 92544 (951)210-6535 Lic. No.: 914104 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/24/10 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. 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 EXAPT Policy Number EXEMPT I certify that, in the performance of the wo k for which this permit is issued, I shall not employ any person in any manners to becom �,ubj ct to the workers' compensation laws of California, and agree that, if I sh becom s 'ec/to the workers' compensation provisions of Section 3700 of the LabA,, hall fp with th//o� p visioDate�1 —Ad Applicant: 9� � �-✓ WARNING: FAILURE TO SECURE WORKER ' COMPEN ATION 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 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 ce�atiq ^ I work for 180 days will subject permit to cancellation. / certify that I have read this application and state that t info mat' n correct. I agree to comply with all city and county ordinances and state laws relating to b I ' c nstruct , nd her by authorize representatives of this county to enter upon the above-mentioned pro a for i ape o'' urpos �/��2 ,• G�� , ,.Dat— y -r6 Signat" u' re-(Applican o Agen Y'��►���/- /��A/ Application Number . . . . . 10-00000137 Permit . . . PLUMBING Additional desc . Permit Fee . . . . 46.50 Plan Check Fee 11.63 Issue Date . . . . Valuation . . . . 0 Expiration Date 8/23/10 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 6.0000 EA PLB FIXTURE 6.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 1.00 15.0000 EA PLB GAS METER 15.00 Special Notes and Comments ------------ WATER HEATER CHANGE OUT AND CONVERSION TO GAS SYSTEM - TAKAGI T -K2 TANKLESS. PERMIT INCLUDES GAS METER AND PIPING. 2007 CALIFORNIA PLUMBING CODES. February 24, 2010 12:20:02 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited ----------------- Due ---------------------------------------- Permit Fee Total 46.50 .00 .00 46.50 Plan Check Total 11.63 .00 .00 11.63 Other Fee Total 1.00 .00 .00 1.00 Grand Total 59.13 .00 .00 59.13 LQPERAIIT 1 aKagl i -&/- 6pectrlcatlons Page 1 of 1 FF SEARCH :moo . .... ......-...... ...: HOME VIEW CART PACKAGE TRACKING AFFILIATE PROGRAM TESTIMONIALS FAQ CONTACT US P TANKLESS WATER HEATERS Gas Paloma WaiWela Residential Commercial Takagi Electric WaiWela Stiebel Eltron EEMAX MINI TANK WATER HEATERS WaiWela SPACE HEATERS Enerco Stiebel Eltron ACCESSORIES Tankless Tools Scratch 8 Dent AQ Energy Metlund MORE In the Media Specials +Find Installers Near You +Free Technical Support +C radian Residents +Se Habla Espanol U.S. Toll -Free + 1-800-873-3507 ---------------------- Canada Toll -Free + 1-888-443-3847 Iniet gas pressure must not exceed above value. For gas pressures lower than 5" WC for natural gas, call the manufacturer. High altitude, before install in areas over 4,500 feet above sea level. Contact Low Energy Systems at 1-800-873-3507 for a high altitude model. Check the rating plate to insure this product matches your specifications. Tell a friend about this site Any questions? Call us at 1-800-873-3507, email us, or chat with us. Home I Search I View Cart I Package Tracking I Affiliate Program I Contact Us I FAQ I Testimonials I Download Adobe Acrobat Reader I Tankless Water Heaters I Space Heaters I Specials I Convert US Prices to Canadian dollars I Return Policy I Privacy Policy I Virtual Tour I Index I Email Us I Espanol I Francais Colorado Local : 303-781-9437 Toll Free: 1-800-873-3507 Hours: 8AM-5PM MST Mon -Fri 5350 Joliet St Unit #1, Denver, CO 80239 Map (CO) sales@tanklesswaterheaters.com Copyright @ 1999-2010 Low Energy Systems, Inc. All rights reserved. http://www.tanklesswaterheaters.com/takagitk2specs.html 2/24/2010 Natural Gas: Min. 20,000 Btu Input BTU Rate Max. 185,000 Btu L.P. Gas: Min. 19,000 Btu Max. 175,000 Btu Thermal Efficiency Natural Gas: Max. 85% L.P. Gas: Max. 85% Energy Factor Natural Gas: 0.81 L.P. Gas: 0.84 First Hour Rating (DOE) 240 Gal/Hr Gas Connection 3/4" NPT Water Connection 3/4" NPT Gas Pressurel Min. 5 WC - Max. 10.5 WC Min. 11 WC - Max. 14 WC Manifold Pressure Natural 3.5" WC Propane 4.0" WC Shipping Weight 74 lbs. Dimensions (HxWxD) 24.5"x16.5"x8.3" Ignition Electronic Ignition Electrical Supply AC 120V, 0.8A Vent 4 in. Special Stainless Steel Venting Iniet gas pressure must not exceed above value. For gas pressures lower than 5" WC for natural gas, call the manufacturer. High altitude, before install in areas over 4,500 feet above sea level. Contact Low Energy Systems at 1-800-873-3507 for a high altitude model. Check the rating plate to insure this product matches your specifications. Tell a friend about this site Any questions? Call us at 1-800-873-3507, email us, or chat with us. Home I Search I View Cart I Package Tracking I Affiliate Program I Contact Us I FAQ I Testimonials I Download Adobe Acrobat Reader I Tankless Water Heaters I Space Heaters I Specials I Convert US Prices to Canadian dollars I Return Policy I Privacy Policy I Virtual Tour I Index I Email Us I Espanol I Francais Colorado Local : 303-781-9437 Toll Free: 1-800-873-3507 Hours: 8AM-5PM MST Mon -Fri 5350 Joliet St Unit #1, Denver, CO 80239 Map (CO) sales@tanklesswaterheaters.com Copyright @ 1999-2010 Low Energy Systems, Inc. All rights reserved. http://www.tanklesswaterheaters.com/takagitk2specs.html 2/24/2010 TANKLESS WATER HEATERS Gas Paloma WaiWela Residential Commercial Takagi Electric WalWela Stlebel Eltron EEMAX MINI TANK WATER HEATERS WaiWela SPACE HEATERS Enerco Stiebel Eltron Takagi T -K2 Gas Tankless Water Heater ACCESSORIES Tankless Tools FEATURES Scratch 8 Dent • Saves Up To 50% Off Utility Costs AO Energy • Electronic Ignition, No Stancing Pilot Light. Metlund • Continuous Hot Water MORE • Saves Space In the Media • Computer Controls Specials • Power Vented • Advanced Safety System WARRANTY 10 years on the Heat Exchanger • 5 years on all other parts +Find installers Near You +Free Technical Support +Canadian Residents +Se Habla Espanol U.S. Toll -Free + 1-800-873-3507 ---------------------- Canada Toll -Free + 1-888-443-3847 The Takagi Flash T -K2 is the tankless water heater that delivers 240 gallons per hour of hot water - every hour! No tank to run out means an endless supply of water for a house, a business or anywher: a constant source of hot water is needed. The Takagi TK2 tankless water heater, taking up only 2.2 cubic feet of space, is about the size of a suitcase. This allows for installation in spaces with limited area or in locations closer to the point of use. This means less travel -time through pipes. Less wasted water and energy! No storage tank to clog with deposits and rust. No pilot light to waste gas. With the TK2, computer -modulated burners use only the gas required, according to demand. With efficiency like this in such a small package,.no wonder the Takagi TK2 hot water heater is getting worldwide attention. Capable of handling water flows ranging from 0.6 to 6.9 gallons per minute, with heating capability of 19,000 to 185,000 btu, the Takagi Flash TK2 water heater has the widest range on the market, all controlled by a computer board and sensors checking for flow, temperature and demand. The power of today's technology working to control the efficiency of tomorrow' water heating system. All Takagi products are made with the most suitable materials for a lasting, dependatle life, All copper and brass water ways, stainless steel burners rust resistant epoxy powder coating. Water is only heated aB it is used, without need for a holding tank to waste energy. Zomputer controlled electronic ignition allows the Takagi TK2 gas water heater to operate without a pilot light and save up'to 50% off utility costs. RESOURCES + Takagi Warranty + Specifications + Manual (PDF) + Takagi TK2 Installation Video + Testimonials + Takagi vs: Storage Tank Water Heater + FAQ + Thermostat Extension Wire Installation Manual (PDF) + T -K1 vs. T -K2 + Gas Line Sizing Tables + Radiant Heat Applications + Comparison Sheet (PDF) + Hot Water Output GPM vs. Hot Water Output Temperature To download PDFs, right click on the link and choose "Save Target As" htti)://www.tanklesswaterheaters.com/takac:itk2.htm1 2/24/2010 F Febfuary8, 20,1,4' To: The _City of Ia Quinta Re: Business Lcenserenewal To whom it m�y;.concen; I, Robert: E Bullard; U'.'authorze Owen Loftus, to submit: clocuriientauon: for' renewal of btisuzess�kcense; make -payment •for renewal, and submit Naris for permits on my behalf I ?;t] atI ha�!e .not worked in the City of La Quints since'Aprii- of 2009`: Respeet�ully 'ubma _ /Q RobervE `$dllard"' " License #`g14104 `r 7 r 3 � J ✓ �. n 31 .Kw..a...wr.�a,.�ur tiles::. ° '"--.:�::.•> ....:.a.r. wa.dNi'iN.-: `-SE..asi.., ,. J..' _ ....yc.ww�. r... ... __`_....s.1.dt.`r.:in.&ii�ac�.�...._'LrawiCwl�;...Mus. 1:-:iCt...,.•:: --•:. •...<,-�siu..., a_ . Bin # Permit # e1 Project Address: 9- S A. P. Number: City of LaQ uinta . Building 8T Safety Division P.O. Box 1504, 78-495 Caife Tampico La a Quanta, CA 92253 - (760) 777-7012 Buildin Permit Building Application and Tracking 'Sheet (fit, l// IO� Owner's Name: 4s7l Address: Legal Description:ZA /�' /�/,g w City, ST, Zip: CX Contractor: / Telephone: Project Description: X.Oow '6 3qO .27' Address: 3a7 S / City, ST, Zip: A7�/-n � CA , /Y Ski �ui,��o dam./d .� Telephonc: 95_ /-Q2 3 �L ; -< City Lie. #.. /6—IM/ p - 7"Q 17- 7r CX "Ae 70 State Lic. # Arch:, Engr., Designer. 41IR Address: TO LOGf/T/O,J City, ST, Zip: Telephone: State Lie. #: Name of Contact Person: .i s i>• r NeCk 5- Construction Type: Occupancy: Project type (circle one): ow Add'n Alter Repair Demo Sq. Ft.: 15a 0 # Stories: # Units: / Telephone # of Contact Person: 9Qq - 63/O/ / Estimated Value of Project: -175""0.4 V. APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Plan Sets Req'd Rec'd TRACKING PERMIT FEES Plan Check submitted ?�� Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Cala, Called Contact Person Plan Check Balance Title 24 Cafes. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2'! Review, ready for correctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.1. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionsAssue Devdoper Impact Fee Planning Approval Called Contact Person (.p.p. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees