BRES2019-029978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-itr4Zw4u&rw
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/REMODEL
Application Number:
BRES2019-0299
Property Address:
53620 AVENIDA CORTEZ
APN:
774102006
Application Description:
JOWREY / ELECTRIC WATER HEATER RELOCATION
Property Zoning:
Application Valuation:
$500.00
Applicant: ��� a
DIAMANTINAJOWREY (`j !■J—�\
53620 AVENIDA CORTEZ U
LA QUINTA, CA 92253
AUG 3 0 2019
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DIAMANTINA 10WREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Date: 10/1/2019
CITY OF LA QUINTA Uc. No.:
___________________________________DE%Qq DEVELOPMENT DEPARTMENT
------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: License No.:
Date
Contractor:
OWNER -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 ($500).:
(_) 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 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 Address:
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.
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:_ 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 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 Code, I shall forthwith
comply with those 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 ($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 behalfthis 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 ofthis 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 enter upon the above -
mentioned property for inspection purposes.
Date: Signature (Applicant or Agent):
1(0.6rrwc C 'row SFD re "mWLm
Date: 10/1/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
BRES2019-0299
53620 AVENIDA CORTEZ
774102006
JOWREY / ELECTRIC WATER HEATER RELOCATION
$500.00
Owner:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No
Detail: PRE EXISTING ELECTRIC WATER HEATER RELOCATION FROM GARAGE TO EXTERIOR OF DWELLING. HEATER TO BE INSTALLED IN A GALVANIZED
STEEL ENCLOSURE. ENCLOSURE TO BE ATTACHED TO STUDS AND EARTH QUAKE STRAPS TO BE INSTALLED. PER 2016 CALIFORNIA BUILDING CODES.
�Pt�3A os q�2 Ho�`� �•oa� �►`cr�2
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
.PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $53.36
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611 0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
T-4bt 4 leF Qaba
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
BRES2019-0299
53620 AVENIDA CORTEZ
774102006
JOWREY / ELECTRIC WATER HEATER RELOCATION
$500.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
Z� DP
OWNER BUILDER
AUG 3 0 2019
Date: 8/30/2019
CITY OF LA QUINTALlc. No.:
NT
------------------------------ DESIGN ----------DEVELOPMENT ---------DEPART-------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 70001 of Division 3 of the Business and Professions Code, and
my License is in full force and effect.
License Class: License No.:
Date:
Contractor:
OWNER -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
s jects the applicant to a civil penaltyof not more than five hundred dollars ($500).:
(lAuLl owner of the property, or my employees with wages as their sale
cti0ensation, 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
ors a did not build or improve for the purpose of sale.).
( s owner of the property, am exclusively contracting with licensed contractors to
c%fiWuct 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
C tractors' State License Law.).
(xempt under Sec. . B.&P.C. f s reason
Date:--e— , '� i Owner:
CONSTRUCTIOJI j, ING AGENCY
I hereby affirm under penalty of perjury at there is a construction lending agency for
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Na
Lender's Add
WORKER'S COMPENSATION DECLARATION
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'
ompensation, as provided for by Section 3700 of the Labor Code, for the performance
f the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
ection 3700 of the Labor Code, for the performance of the work for which this permit is
;sued. My workers' compensation insurance carrier and policy number are:
:arr r: Policy Number:_
certify that in the performance of the work for which this permit is issued, I
halot employ any person in any manner so as to become subject to the workers'
ompensation laws of California, and agree that, if I should become subject to the
corkers' compensation provisions of Section 37 the L bor Code, I shall forthwith
omply with those provisions.
iate::h_:[I r i Applicanti&'
VARNING: FAILURE TO SECURE WORKERS' OMP COVERAGbS UNLAWFUL,
,ND SHALL SUBJECT AN EMPLOYER TO CRIMINAL EWA[TIES AND CIVIL FINES UP TO
)NE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE
VTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
APORTANT: Application is hereby made to the Building Official for a permit subject to
ie conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
=quest and for whose benefit work is performed under or pursuant to any permit issued
s a result of this application , the owner, and the applicant, each agrees to, and shall
efend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
mployees for any actor omission related to the work being performed under or
)Ilowing issuance ofthis permit.
2. Any permit issued as a result of this application becomes null and void if work is not
ammenced within 180 days from date of issuance of such permit, or cessation of work
)r 180 days will subject permit to cancellation.
certify that I have read this application and state that the above information is correct.
agree to comply with all city and county ordinances and state laws relating to building
instruction, and hereby authorize representatives of this city to enter upon the above-
ientioned property for inspection purposes.
ate: / �" Signature (Applicant or Agent):
Date: 8/30/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
BRES2019-0299
53620 AVENIDA CORTEZ
774102006
JOWREY/ ELECTRIC WATER HEATER RELOCATION
$500.00
Owner:
DIAMANTINA JOWREY
53620 AVENIDA CORTEZ
LA QUINTA, CA 92253
Contractor:
OWNER BUILDER
Llc. No.:
Detail: PRE EXISTING ELECTRIC WATER HEATER RELOCATION FROM GARAGE TO EXTERIOR OF DWELLING. HEATER TO BE INSTALLED IN A GALVANIZED
STEEL ENCLOSURE. ENCLOSURE TO BE ATTACHED TO STUDS AND EARTH QUAKE :STRAPS TO BE INSTALLED. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION ACCOUNT CITY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20
101-0000-42403
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DEVICES, FIRST 20 PC
101-0000-42600
0
$26.68
Total Paid for ELECTRICAL: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
CITY
AMOUNT
FIXTURE/TRAP PC
101-0000-42600
0
$26.68
Total Paid for PLUMBING FEES: $53.36
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
0
$0.50
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.50
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
EY
REAR YARD �
e
10 Feet Minimum ;
i
1.
f4-QP�t
i
I
�}GVIQls PCa
I
0;� feet -�
/3&Es20►q- o1R 5
5-36zo A VE
ITlr UF l..A a1d1I iVfA
BUILDING DIVISION
REVIEWED FOR
CODE
COMPLIANCE
DRNEWAY
ctry
Go2TEz-
/.Tr6
-- c Al-WOKNIA --
PERMIT #
Q�
PLAN LOCATION:
-5 56, 9.O Av C Cs r't'Z
Project Address: C — 5 a-a-S- 3
Project Description:
APN #:
46yn -5; sJP o� 6 a rr. elt
4Dgu t 12.0 .
Applicant Name:
Address: 4 7j(pgo
City, ST, Zip:
Telephone: -%o q i�SCe �-�—
Email:
Project Valuation $ SbJ
Contractor Name: J f
New Construction:
Address:
Conditioned Space SF
City, St, Zip
Garage SF
Telephone:
Patio/Po eIS� SF
Email:
Fire Sprinklers SF
State Lic: City Bus Lic:
Architect/Engineer Name:
Construction Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms:
Stories: # Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name:
New Commercial / Tenant Improvements:
Address:
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal I
Required
Received
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
CVWD Fire Flow Letter
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
Holdrite 24 in. Galvanized Steel Water Heater Enclosure-QS-E24 - The Home Depot
Page ] of 5
Home / Plumbing / Water Heaters / Water Heater Parts / Water Heater Parts & Accessories
Internel #206035055 Model # OS-E24 Slore SKU #1001378322
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Holdrite
24 in. Galvanized Steel Water
Heater Enclosure
* * * 4 (45) Write a Review Questions & Answers (28)
Constructed from Galvanized Steel
Water Heater Enclosure
Protects Water Healers from the outdoor elements
$11800
Save up to $100 on your qualifying purchase.
Apply for a Home Depot Consumer Card
Quantity _ 1 +
Pick Up In Store Today
Add to Cart
in stock at La Quinta
Aisle 14, Bay 009 Text to Me
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Or buy now with
Product Overview
We'll Deliver It to You
Express Delivery
Get it as soon as tomorrow
Schedule delivery to your home or jobsite
on the day of your convenience
Your local store: La Ouinta Easy returns in store and online
Store Details & Services Learn about our return policy
Holdrile Quick Shed water healer enclosures are constructed of galvanized steel and protect water Info & Guides
healers installed outdoors from weather and tampering. These enclosures create additional indoor
• Installation Guide
space by moving water healers from the inside to the outside of a building structure while still
• shielding them from weather conditions. Inskuclions'Assembly
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Specifications::,
f
Dimensions
I F I
Product Depth (in.)
24 in
Product Height (in.)
76.5
Product Width (in.)
24 in
easy to install... good value... home
depi]3' ?'4Ve can always depend on and
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Details
By michamal
Commercial/Residential
Read this review
Commercial, Residential
Finish Family
Silver Metallic
Material
Galvanized steel
Product Type
Cabinet
Product Weight (lb.)
441b
Returnable
90-Day
41
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Warranty / Certifications
Manufacturer Warranty
HOLDRITE warrants that HOLDRITE products conform to Manufacturers
published specifications and are free from defects in material or workmanship. For
a period or one year from date of bLAding ocr Upancy Manufacturer will provide
free replacement for any Product found to have defects in material or
workmanship which prevent it from functioning as provided in Manufacturer's
published specifications
How can we improve our product information? Provide feedback.
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Holdrite 24 in,
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PRODUCT SPECIFICATION DRAWING
QUICK_ SHED #E241E24-B, #E261E26-B. #E301E30-B & #E36-B
Water Heater Enclosures for 24", 26", 30" & 36"
(-B indicates Models that include Back Panel)
Rear Panel
(-B Models ONLY)
0 3.75"
HARDWARE
#7 x 7/16"L Phillips Pan Head [
Sheet Metal Screws
[ (Included / Qty as Required)
#E24-13 Model Shown
Vent Cap available, to cover opening
(Not included)
{
24"
74"
24"
The HOLDRITE® QUICK SHEDT"" Water Heater Enclosures are constructed of galvanized steel and
provide protection for water heaters installed in outdoor locations. Anchor points at the rear of the
enclosure allows for optional attachment to the adjacent building structure. Rear panel (-B version
ONLY) provides a four-sided enclosure.
Product Information:
• Material:
Top, Door, Left & Right Side and Rear Panel (Opt):.018" - .021" Thick, Galvanized CRS
Back Brace & Beam:.023" - .026" Thick, Galvanized CRS
Handle: 16GA, Galvanized CRS
• Material (#E36-B ONLY):
Top, Door, Left & Right Side and Rear Panel:.025" Thick, Galvanized CRS
Back Brace & Beam: 030" Thick, Galvanized CRS
Handle: 16GA, Galvanized CRS
• Weight (without Packaging & Water Heater):
• Model #QS-E24 = 39 LBS / E24-B = 50 LBS
• Model #QS-E26 = 42 LBS / E26-B = 54 LBS
• Model #QS-E30 = 49 LBS / E30-B = 63 LBS
• Model #QS-E36-B = 107 LBS
Outside dimensions:
• Model #QS-E24 = 24" x 24" x 74"
• Model #QS-E26 = 26" x 26" x 74"
• Model #QS-E30 = 30" x 30" x 74"
• Model #QS-E36 = 36" x 36" x 84"
• Water Heater Dimensions:
• QS-E24:
Up to 40 gallons or 22" diameter by 68" high
• QS-E26:
Up to 40 gallons or 24" diameter by 68" high
• QS-E30:
Up to 80. gallons or 27" diameter by 68" high
• QS-E36:
Up to 120 gallons or 33" diameter by 78" high
I Product Submittal
Job Name:
ner:
TO CHANGE WITHOUT NOTICE. IT MAY NOT BE REPRODUCED IN
PART OR WHOLE WITHOUT WRITTEN AUTHORIZATION.
�J
INIt
Cr, TAR'M 41-?F-=HFT VETH-7)M 14M=%GWEFIE) SA.Lir1W,`
800-321-0316 OR 760-744-6944 / FAX: 760-744-0507 / WWW.HOLDRITE.COM
spe c_QuickS hed_E24/-B_E26/-B_ E30/-B_ E36/B_ RevG
QUICK SHE[] TM
E=
QS-E24
• Superior engineered design
• Meets code requirements
QS-E24-13
• Galvanized steel construction
• Protects outside water heater from weather and tampering
QS-E26
• Provides neat and orderly appearance
QS-E26-13
• Move water heater outside to increase inside space
• Easy assembly with basic tools
QS-E30
• Screws provide secure installation
• Superior front panel design provides access door for service
QS-E30-B
• Air space crush zone packaging protects corners and transfers
QS-E36-13
weight evenly across product during transportation
• Model -B includes back panel
QS-EVC
24" Shed Enclosure (24" x 74" x 24") 1
24" Shed Enclosure (24" x 74" x 24") with back panel 1
26" Shed Enclosure (26" x 74" x 26") 1
26" Shed Enclosure (26" x 74" x 26") with back panel 1
30" Shed Enclosure (30" x 74" x 30") 1
30" Shed Enclosure (30" x 74" x 30") with back panel 1
36" Shed Enclosure (36" x 84" x 36") with hack nanel 1
Vent Cap
QUICK SHE OTM VENT CAP
• Allows air circulation
• Prevent excess heat accumulation
• Keeps most rain and weather out
• Ideal for electric water heaters
QUICK STRAP"
Expansion Tank Mounting Brackets
• Secures tank to wall and takes weight load off pipes
• Galvanized and stainless steel construction
• QS-5 Supports tanks up to 9" diameter
• QS-12 Supports tanks from 91/2" to 13" diameter
• Includes mounting bracket, (2) support straps, and
#8 x 11/2" mounting screws
QS-5 Up to 2.5 Gallons; Up to 9" Diameter
r]C_17 I In to �, (,allnnc• I In +n Q G" t.. 1Z" fliomo+or
QUICK STAN[]TM
Equipment Platform
• Equipment stand, unassembled
• Galvanized steel construction
• Meets Codes
• Independently lab tested
RATEO UP TO 2,00040-S-34-U Up to 2,000 lbs. 34" x 34" top
QUICK PAN"
• Meets Code Requirements • Use with gas or electric water heaters
• Rolled edges for safety • Now with a compact 1" Bulkhead Fitting
-Aluminum pan with 1" PVC •Add -C to model # for 1" CPVC drain fitting
or CPVC drain fitting
Descriptionr
QP-20 20" Aluminum Water Heater Pan with drain fitting 6
QP-22 22" Aluminum Water Heater Pan with drain fitting 6
QP-24 24" Aluminum Water Heater Pan with drain fitting 6
QP-26 26" Aluminum Water Heater Pan with drain fitting 6
QP-28 28" Aluminum Water Heater Pan with drain fitting 6
QP-30 30" Aluminum Water Heater Pan with drain fitting 6
y� QUICK STRAP-50 J J J
QUICK S T R A P° AE5 0 `�� QUICKSTRAP-50-D J J
�= QUICK BELT-Wf J J J
QUICK STRAP-50-P
STRAP
C=37- r
LI
J J
QUICK STRAP-M J J
J
J
QUICK STRAP® DELUXE
PC
• The most tested and recognized water heater restraint
• Powder -coated steel water heater strap with (2) safety caps
• Supports up to 80 gallon water heaters
• Customized label available with your company name
Modell# Size BOX Pallet CKY
QS-50-D Up to 80 gal. 15 120
QUICK STRAP®
�P
• The most tested and recognized water heater restraint
-Galvanized water heater strap in box
• QS-50, QS-50-P Supports up to 80 gallon water heaters
• QS-120 Supports up to 120 gallon water heaters
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QS-50 Up to 80 gal. 15/Box 120
QS-50-S Up to 80 gal, 15/Box 120
QS-50-P Up to 80 gal. 15/Bag 180
QS-120 Up to 120 gal. 12 60
QUICK BELTTM
PG
• The most tested and recognized water heater restraint
• Soft -belt style water heater strap
• #QB-50-F supports up to 80 gallon water heaters
P
OB-50-F Up to 80 gal. 20 120
QUICK STANDTM
• Water heater stand, both assembled and unassembled
• Galvanized steel construction
• "-U" Models are unassembled. "-A" models are pre -assembled.
40-S-22-U
Up to 52 gal. / 650 lbs.
1
24
40-S-22-A
Up to 52 gal. / 650 lbs.
1
24
40-S-24-U
Up to 100 gal. / 1,200 lbs.
1
18
40-S-24-A
Up to 100 gal. / 1,200 lbs.
1
18
40-S-30-U
Up to 100 gal../ 1,200 lbs.
1
12
40-S-34-U
Up to 2,000 lbs. 34" x 34" top
1
Titf 4 4 Q"
P.O. Box 1504
LA QUINTA, CALIFORNIA 92247-1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
PROPERTY OWNER'S PACKAGE
(760)777-7012
FAX (760) 777-7011
Disclosures & Forms for Owner -Builders Applying for Construction Permits
IMPORTANT! NOTICE TO PROPERTY OWNER
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of the property
improvements specified at " (cw- e- [',
We are providing you with A Owner -Builder Acknowledgment and Information Verification Form to make you aware of your
responsibilities and possible risk you may incur by having this permit issued in your name as the
Owner -Builder. We will not issue a building permit until you have read, initialed your understanding of each provision,
signed, and returned this form to us at our official address indicated. An agent of the owner cannot execute this notice
unless you, the property owner, obtain the prior approval of the permitting authority.
OWNER'S ACKNOWLEDGMENT AND VERIFICATION OF INFORMATION
DIRECTIONS: Read and initial each statement below to signify you understand or verb this information.
I. I understand a frequent practice of unlicensed persons is to have the property owner obtain an "Owner -Builder"
building permit that erroneously implies that the property owner is providing his or her own labor and material personally. 1, as
an Owner -Builder, may be held liable and subject to serious financial risk for any injuries sustained by an unlicensed person
and his or her employees while working on my property. My homeowner's insurance may not provide coverage for those
injuries. I am willfully acting as an Owner -Builder and am aware of the limits of my insurance coverage for injuries to workers
on my property.
2. I understand building permits are not required to be signed by property owners unless they are responsible for the
nstruction and are not hiring a licensed Contractor to assume this responsibility.
3. I understand as an "Owner -Builder" I am the responsible party of record on the permit. I understand that I may protect
s if from potential financial risk by hiring a licensed Contractor and having the permit filed in his or her name instead of my
own.
4. l understand Contractors are required by law to be licensed and bonded in California and to list their license numbers on
rmits and contracts.
5. 1 understand if I employ or otherwise engage any persons, other than California licensed Contractors, and the total value
QOFmconstruction is at least five hundred dollars ($500), including labor and materials, I may be considered an "employer"
under state and federal law.
6. I understand if I am considered an "employer' under state and federal law, I must register with the state and federal
ve ment, withhold payroll taxes, provide workers' compensation disability insurance, and contribute to unemployment
compensation for each "employee." I also understand my failure to abide by these laws may subject me to serious financial
risk.
J I understand under California Contractors' State License Law, an Owner -Builder who builds single-family residential
structures cannot legally build them with the intent to offer them for sale, unless all work is performed by licensed
subcontractors and the number of structures does not exceed four within any calendar year, or all of the work is performed
under contract with a licensed general building Contractor.
8. I understand as an Owner -Builder if I sell the property for which this permit is issued, I may be held liable for any
financial or personal injuries sustained by any subsequent owner(s) that result from any latent construction defects in the
workmanship or materials.
-9. I understand I may obtain more information regarding my obligations as an "employer" from the Internal Revenue
Service, the United States Small Business Administration, the California Department of Benefit Payments, and the California
Division of Industrial Accidents. I also understand I may contact the California Contractors' State License Board (CSLB) at 1-
800-321-CSLB (2752) or www.cslb.ca.gov for more information about licensed contractors.
0. I am aware of and consent to an Owner -Builder building permit applied for in my name, and understand that I am the
party legally and financially responsible for proposed construction activity at the following address:
11. I agree that, as the party legally and financially responsible for this proposed construction activity, I will abide by all
a icable laws and requirements that govern Owner -Builders as well as employers.
� 2. I agree to notify the issuer of this form immediately of any additions, deletions, or changes to any of the information I
have provided on this form Licensed contractors are regulated by laws designed to protect the public. If you contract with
someone who does not have a license, the Contractors' State License Board may be unable to assist you with any financial loss
you may sustain as a result of a complaint. Your only remedy against unlicensed Contractors may be in civil court. It is also
important for you to understand that if an unlicensed Contractor or employee of that individual or firm is injured while working
on your property, you may be held liable for damages. If you obtain a permit as Owner -Builder and wish to hire Contractors,
you will be responsible for verifying whether or not those Contractors are properly licensed and the status of their workers'
compensation insurance coverage.
Before a building permit can be issued, this form must be completed and signed by the property owner and returned to
the agency responsible for issuing the permit. Note: A copy of the property owner's driver's license, form notarization, or
other verification acceptable to the agenc is re uired to be presented when the permit is issued to verify the property
owner's signature. o,
Signature of property owner. r T Date: r
Note: The following Authorization Form is required to be completed by the property owner only when designating
an agent of the property owner to apply for a construction permit for the Owner -Builder.
AUTHORIZATION OF AGENT TO ACT ON PROPERTY OWNER'S BEHALF
Excluding the Notice to Property Owner, the execution of which I understand is my personal responsibility, I hereby authorize
the following person(s) to act as my agent(s) to apply for, sign, and file the documents necessary to obtain an Owner -Builder
Permit for my project.
Scope of Construction Project (or Description of Work): %� f /
Project Location or Address: sz3 6k rT{�(� I TQ� 1�t� GoI'l r-4—(Q ,
Name of Authorized Agent: __
Address of Authorized Agent:
Tel No
I declare under penalty of perjury that I am the property owner for the address listed above and I personally filled out the above
information and certify its accuracy : A copy of the owner's driver's license, form notarization, or other verification
acceptable to the agency is requ'(d to 0 presented when the permit is issued to verify the property owner's signature.
Property Owner's Signatur f _Y, _ Date: � T'