BPLB2016-006978-495 CALLE TAMPICO Ct 0. D� FAX (760) 777-7011 VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 5/10/2016
Application Number: 13PL62016-0069 Owner:
Property Address: 55837 OAKHILL CARLSON OLE L / CARLSON SUE ANN PECK
APN: 775231030 55837 OAKHILL
Application Description: CARLSON / CHANGE.OUT (2) WATER HEATERS LA QUINTA, CA 92253
Property Zoning: W
Application Valuation: $2,205.00
Q
Applicant: Contractor: OW
TOMMY ROOTER PLUMBING INC TOMMY ROOTER PLUMBING I cV
80975 INDIO BLVD #139 80975 INDIO BLVD #139 O C) L_u
INDIO, CA 92201 INDIO, CA 92201 a S a
(760)574-4444 Q). (V
Llc. No.: 930133] V O
----------=----------------- -- ------ -
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
W
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I hereby affirm under penalty of perjury one of the following declarations:
9 {commencing with Section 7000) of Division 3 of the Business and Professions Code, . _ I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.ensation, as provided for by Section 3706 of the Labor Code, for the performance
License Class: C36 License No.: 9301e, for which this permit is issued.
I p _ have and will maintain workers' compensation insurance, as required by
Date:'l L1 Contract/ a 3700 of the Labor Code, for the performance of the work for which this permit
L
is issued. My workers' compensation insurance carrier and policy number are:
OWNER -BUILDER DECLARATION i Policy Number:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State V certify that in the performance of the work for which this permit is issued, I
License Law for the following reason (Sec. 7031.5, Business and.Professions Code: Any s •not -employ any person in any manner so as to become subject to the workers'
city or county that requires a permit to construct, alter, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the
any structure, prior to its issuance, also requires the applicant for the permit to file a- workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
signed statement that he or she is licensed pursuant to the provisions of the cohiply;with.those provisions.
Contractor's State License Law (Chapter 9 (commencing with Section 70 00) of Division
3 of the Business and Professions Code) or that he or she is exempt therefrom and the • Date:
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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
(_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT
are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to
within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on.this application.
he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose
(_) 1, as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this applicatioh , the owner, and the applicant, each agrees to, and
State License Law does not apply to an owner of property.who builds or improves shall defend, indemnify and.hold harmless the City of La Quinta, its officers, agents, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or
the Contractors' State License Law.). following issuance of this permit.
(_) I am exempt under Sec. B.&P.C. for this reason 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.
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
Lender's Address:
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' 1 -' Signature (Applicant or Ag a�'�
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r :DESCRIPTION +a e s,.l .. � w s�ACCOUNT ,...: _ QN? �AMOU tT PAID � G P,AIDUM
BSAS SB1473 FEE 101-000040306
0 •
$1:00 $0 00
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a �'%"� hr i rx g� gas ±
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Total Paid for BUILDING, STANDARDS ADMINISTRATION BSA: $1.00. $0!00
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pAID9.DATiE
PERMIT ISSUANCE
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101 0000-42404"
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$91.85
$0,00
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TotWaid for PERMIT ISSUANCE:.-,. $91.85. { $0:00
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+ DESCRIPTION,:. '`,�t'
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�PAID�DATEF
WATER HEATER/VENT
101-0000.42401.
0 `
: .$24-.18
$0100_
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WATER HEATER/VENT PC'.;
.1010066-'426'60
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$14:50
$0:00
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r zMPETH DE1
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:.Total Paid for PLUMBING FEES $38 68 $0:00
• 1 1 1 �•
Description: CARLSON / CHANGE OUT (2) WATER HEATERS
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 5/10/2016 SKH
Approved:
Parcel No: 775231030 Site Address: 55837 OAKHILL LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $2,205.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - (2)50GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
ADDITIONAL
CONDITIONS
W41 •
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E; E .F :r• t.'jNAME.:i_�,ADDRESSl ,.,'„ ':`CITY �STATE,�ZIP ..*- r.PHONE;? 's, EMAIL';
NAM TYP �. f tom,} , r.
.b.6'"� ril�kT�
APPLICANT
TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #139
INDIO
CA
92201
CONTRACTOR
TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #B9
INDIO
CA
92201
OWNER
CARLSON OLE L / CARLSON SUE ANN 55837 OAKHILL
LA QUINTA
CA
92253
PECK
FINANCIAL
INFORMATION
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W
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DESCRIPTION�,;.,. a, 1 Q .� .:.'
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,PAID.:QATEt: �cRECEIP.T;.#: :., >CHECK=#,", -:METHOD, -Y .• .PAID 13Y;
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4-
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
Printed: Tuesday, May 10, 2016 5:08:00 PM 1 of 2 _
SYSTEMS
Printed: Tuesday, May u0,ZO105:08:UOPml 2of2
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.8S $0.00
WATER HEATER/VENT
101-0000-42401
0
$24.18
$0.00
WATER HEATER/VENT
101-0000-42600
0
$14.50
$0.00
PC
Total Paid.for PLUMBING,FEES: $38.69 $0.00
TOTALS: $131.53 $0.00
Printed: Tuesday, May u0,ZO105:08:UOPml 2of2
CF-IR-ALT-DHW
Pissed Hveectt#�cate of �atn liance: Resid�nNal. t of 2
Residentldl. Alterations Permit lFi
Pro ect Name 3 Ctititate Zone:
eneral lnforfiatioit
E-EnfoSite Addtcss:: g ' i l7a\�rcerilertt A ttc Dzit(e Fatnil Multi o ect.T' lmcerikfit* Chane Out of Water Heater
WATER EAiTINC
List'simy iAslolled wa►sr heaters and.boflers for both dvWi ic. hId wdtir hranrs (D WH) and hydnvnfc, space htating. Newlp installed*
DW
heaters and -bo inusf bo as.. ra e, oriisa rhe erlvLn , jell,
` Bxtemai Taalt
Wiltdr Hester t3lstiibutloa'I'ypc Nu Tana Frteray Fecta of Indata m
• (Stgtd
5y�tciu Capacity 18x1) ilfermsl E((cieocy R-Vshw?
'Typd� Type itectm�latir►
lydlcate:7jpi (Storage Gas: Hebt Ptitrp; Instati wwOus etc.)
WOW- "If • PrescrfPt've
2� Recticul6tih'g syste►ns serving mulefvle dwe/Iftig units. shale` �teset the rrefieulatfon r,equlrt!>isnts oj. �I90( )
requirements do not allow the'instdleuiort o a >ecineulalfng water Mating Fystrrrt for su�glt'divsIting unitf.
3. The external woter healingtankard, 'Ofs shall be nt twhifed to nteii the re 'rtmrnts -01, F.1 "
Copt ractor or Homeowner (IMcutneaatdoa Author's[ResponAbie Baigag Deelgner's`I)ecirhtioa Sitsteioeiith
_.
4 l certify tfiet this.Ceetificate:of Compliance doatmcniation is accucataaad eolnplt�te.
+ I am eligible. undo Division. 3 of fheCaliforniW Business and Professions Code`to accept tesponslbtlity for the buHding design
identified an this Certificate of Compliamc.: '
t certi6 !hat the etsergy features ond: perfCrtirattcs specifications. dot the::buitdieg design identified on this Catificsta of CofnPlianca
confornt to Iles �equitpments of Cit1e 24, Patti and oCthe.Californts Cude of Regulations.
. the building design featgres ideritlfled on.lhW Certificate of coippliance air conalstent with.the ielfoiir�stson.providtsa to doctirrient this
bullding'design:ch the°other applicable compliancettn
fos.•woricsheeta; calcult+tioris.'planv and apeciflcations submitted to the
enfarcenwnt a etre for..a royal with thisbufldin imiE Micas n:
Nartro:
Data 1
Company:7 OI _l lO .
20
Address ,
City/5tatdYip: 14
v 9 r'
Cr
777
7rrrtsatlsb=m
To OUR ERS; Service men are required to lxwe Mark sip. signed.
This Is dm in arder to promd ycu, the v aldne% and owseAes and to
enable us 110 OW )our aNne. You are rasgectfuly
requested to e�mim material Slid loW stalemlett before .waften leave
DRAIN CLEAMNG
ADD 1. FOOTAGE
ADM FKTDR£S
PLUMBING LASOR
ft lob, and If you Brill oswyft* &d tectory, okay INI; Ockset. If smim is
In any way. please phone our ofte Immedlabaly.
A FENY WU BE OWMD AT THE RATE DF 1196 FER M" Ori
AI.]
d I)MANIMAFTER300ATSI)MI N EMMAgN1&PEFIfBMICE
PARTS
FRODUCTSITREATN"T
VIDEO INSPECTION
TOTAL LABOR
UM 1856. RE1DR= CHMK FEE 52t M
❑ WARRANTY.
0 5 �Y ❑ 1Y r
❑ sDay El NO
?Aar❑
NOTES.RECM-PAENDATIONS
i.1 rmd Rehm end materiel deeSed above se dit'-bry and egras to pay
for same onpresantakndlmnlce,andturtoa9weDpay rea9D )s
charged kroolkw1lonlncludir(gaMmoysleesin the evWdmydetautL
HYDRO,IETTER
NNIJETTER
LDEiLEAKLOUTION
,
eo
t
•noTICE TO D MW Isealoe 7MV0unbncUn Llieees r,w) tulle. ftPUWSEPTt
oaWd.vAdaft"p=nohohAw
uOrpawYaKpgpal»fbnotPapbtBUta,aaHneanrnulttosargxalwtb�oarfs
ebytr p+evert� rare f3R 1� mar evaear epfnsd a,d artmty 9og
mtr�e«eirad[gam.eha rrpmerra� aeagud oarmaaae �rtaurpo+nrenwa
rraeamt lstloalro�orb®yremr�adnemuqwroreC»papea�Nsl�rmaM
ro trgftta paper�eammromrmelneahmm saraema dbsr��namun
MMMdeaR IMA ted c7 tt& aned pen vW MA b aditn to etq cmd Ovn bi fm
param pm at em et. be m*bm or ee pwmrein w or ere Dave DI el wwm
e vim Ittar arq e*poaeer.�a e b euKak ducftW b udcwMd
MEASE
OTHER
e tADrih
WARRANTY CALLS
ARE SCHED13l.Ei)
FROM li-F SAFA-611361
TAX
TOTAL
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XY6lEHTFiECETV®
INtlels
[]CASH❑C.C. 1 HECK# (]Xeeo+mn
cutrE
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PAYMENT DUE
•„�
S-
06/06/2013 THU 15:09 FAX La Quinta Bldg & safety.
®001/001
Bfri
City of LQ .Quinta
BuMng er Safety DMd6n
P.O. Box 1504, 78495 Caffe•TamPkD
La Quhx4 CA 92253 - (760).777-7012
Building Permit Application and`Tra,Shit
#
1'rp�c:t Addresa:�� Q�l
t),pv�Ia's Natn� � Q� � S b •
A. P. Manbar.
Auras:
Connsckrr V I
Address: l AA.
,TU hone:.
;pmjwtD,&uiption:
ck, sT, aa�
Telephone:
77
State Liu #. Lic.
Arch., EW, Dwip=..
Address:
City, ST, Zip:
Tetaphone
EURO I.ic p:
Name of Contact Pumn: � C. � ��
. CG4 h120l on'Iype:, Ocalpmgy
4roj a ty (e r* one): New Asid'n Alter Rq7*. D=
$q, int.: 8torik1s: � Unna
TqiPhanef of Contact $moon:
BWMOW Value of pmjmt
APFUCANT: DO NOT WRITE BROW THIS LINE
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