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BPLB2016-014578-495 CALLE TAMPICO LA QUINT A, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2016-0145 Property Address: 54684 OAK TREE APN: 775081051 Application Description: PARNELL / CHANGE OUT (1) 50GALLON GAS WATER HEATER Property Zoning: Application Valuation: $1,220.00 Applicant: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #B9 INDIO, CA 92201 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 {commencirig with Section 7000) of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: C36 License No.: 930133 1i Date:` 1 ab —�� 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 rimy 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 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 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 e ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by e ' 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: NORGUARD INSURANCE COMPANY Policy Number: TOWC765159 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:`ly1_)L Applicants 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 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 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. — Q CP— n Signature (Applicant or Agen> Date: 1'2/14/2016 Owner: RICK PARNELL m cn 54684 OAK TREE #A99 Z LA QUINTA, CA 92253 z vn C n � TO V Contractor: rC TOMMY ROOTER PLUMBING 10 ry 80975 INDIO BLVD #B9 D ti INDIO, CA 92201 CD M D (760)574-4444 Llc. No.: 930133 Z —.I 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 e ork for which this permit is issued. I have and will maintain workers' compensation insurance, as required by e ' 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: NORGUARD INSURANCE COMPANY Policy Number: TOWC765159 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:`ly1_)L Applicants 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 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 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. — Q CP— n Signature (Applicant or Agen> Date: 12/14/2016 Application Number: BPLB2016-0145 Owner: Property Address: 54684 OAK TREE RICK PARNELL APN: 775081051 54684 OAK TREE #A99 Application Description: PARNELL / CHANGE OUT (1) 50GALLON GAS WATER HEATER LA QUINTA, CA 92253 Property Zoning: Application Valuation: $1,220.00 .Applicant: Contractor. TOMMY ROOTER PLUMBING INC TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #89 80975 INDIO BLVD #89 INDIO, CA 92201 INDIO, CA 92201 (760)574-4444 ----------------------------------------------------------- Llc. No.: 930133 ---------------------------------- . Detail: WATER HEATER CHANGE OUT - 50GALLON/GAS [2013 ENERGY) CARBON MONOXIDE.ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INF.ORIVIATION .,. 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 PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27 DESCRIPTION ACCOUNT .•.' CITY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT- QTY AMOUNT WATER HEATER/VENT PC 101-0000-42600 0 $7.60 Total Paid for PLUMBING FEES: TOTALS: $20.27 $117.54 V 1) • �} ��—�1�? `.� cel l 06/06/2013TgU 152-09 VAX La Quints Bldg fi SafatY City of LaQuint ' Rwmg.drsafety UYUM P.O.Peri Ba 1504, 78495 Cat TOMPIM Ls Q04 CA 92253 - (760) 777.7018 Building Permit Appffcatton and Tracking• Sheet Pr*xt Ad*or. ownee3 Namt: LA4-, PC.", f F\ -e - A. 9. xcmibeE Add%= EL Ad&=.. P� city, srr, -C) 013, 1 Le 06-1 q A,-Aq Stat Lim C 16.:L> atyu, Arch-, ftit., bcsipw. 0 r ole� U Address: am ST, Ok Stifle Lia �i: i PlOjeR typo (car a one): New Add)m Alta Rep* D=o Sq. 1k: #U'lM Name of C CA Y- APPUCANT; Do NOf WINTE BELOW THIS LINE _Wd R -,Id TRACMO FSRAt1T FM Phu" plan Cie* "MIUM Item A1tto>rrt h*W4 rally fpr cormefloas Ma0;,kDodt Called CMAC Person gun Check Bal"U. R14*10 pUrri Plaw rmbmiftd Meehankal ZW ItrKawo ready for qqffeCfiWv&iUvv 9"�.tft, Ltst Called Coated Pemn Pfamblr* rim" ptew up ML MOA. Aoproy.d Flaw reubmItted ReyiM, "Ady ftr "MCKGROU" -Dowdoptr Impatt Fee CdIC4 COMM Person MW, k�*r Date of permit baud Toto r$Mft vt" . , A t _ 777 Page tare esrdentt:al 1 •terat Ions Clitt}tttf�• .Zoae:.• .t rmit #:. • Gfmtrai`. - $ Afire . _Bu tatR fi` '�i `C�'F�4ri i`�iVtuttiF�s4tii •�F'ro eat:•- .• "iaca�it�tic.,�h�tn., , Ou q l��i:rizr•`°_1<•, . IferS' R.bofli•doiritir: hOt.wotFr "lieake '(DW. f!?!Ltl h k ?Pada i�4Ytttfeit-�iaflfr vdron h�afing.=' ewfy.*ta(Ird ..-�t�hrats>tsra >boilerr - -... .. MIlFS , ..orure,the.fsristift iel, !►- ..ifinbar tg i}tnt. •,� _s.,�:(�' _.Synterrr.,. `�'-'��Y(&,aU' T7rutrtal�'_ _' '.>•(tiydfik�': ol pr Sloes K1ial'PWKpC(itsfa»£?!5pR#x em. _ ..... ... .:.._ ..,� .. :;�' �. ..t �..'..,., r+?,., --` -... -ti,.•w >•.-'t •I�ii(A �"�%{Ec"rj�' ylivt .., C7Ftirl'railfl� syirdi►cs.:.un;ftg,.mriltiple:�velfi�$..:;uetrs-shall meEt �1h��'';xri►+Crefdl�ofi�,.�'egttt►;(ii�4id 4f`.g�. �': .�°.""' f!lNtl o nordllaiY:/he Inlfcr/►ptlon gfa;,Kci►�cula;ing'wotsr•heat[/f&•�t{'!►tJb►„?l{+�ladlvelllRa rAlrtx:•.:. ... ... ,- ' - "9: '�Iieeaeiiyiet+uareR�heartn .utnk.taffd. ' a.flrull bt indfflated to ►neer'rhe fti uirtfntnfso I ^. _ .. . �; t>i ackots°or Homeowrar (DocumeatationAutbor's/Respoeaible • •('cattily: fisE this e Ctntfi�tof Camplianci:'d'ocrmentdtion is �uraie. atidco�p - ••'!-:a. t; °-•- '' l..arnyelq�lbte.uredet. Divlsiae 3 of. the Caiifomia Business and Profeseione Code to ercepi r+e9pottsibiIity for the btttldirig .dei�rt idcntMt4od this Cert(figute of Compllnnce... r -- C` ihthe a :...:: features mei atittanoe specifiafioite f6'f (lid brsrldiriQ'design identified bn lhiatCeitil(aate d� Compliance .. .. " Idns: , ponfOw to th4 lam, rernent% or Witte 2 'i and "6 of ifotnia Code of Re�ttlat :.:._, .:.:;:; Wilding design features idetttified on this"CtRificata of CdirtQliari�c �e:cOns dti with tlle"infcfi'fita�on'pto�v��`3b`aoi tir+tf rrf this ba�Cdjn igii out"'the oilttr-'spplicabie compilmwe forme,' wurkshoas. calcuMons,.'ptiin.and specifications sutiitjff 'Lo. the enfore t a enc =foe vdiwith this building t ileatIon. _...4i ; Compwrr Ck Clry/StatNxip � - V-*Ni7\ 1x1 ck )La 0 PLUMBING WORK ORDERANVOICE lid wwwA ✓`I 9E ❑ WARRANTY. ❑ 5 Daly ❑ 1 Year ❑ 3 MmTth ❑ NO ❑ e Mortlh . WARRANTY CALLS ARE SCHEDULED FROM M -F SAA45PM TOTAL MATERIALS i e n LA80R /� . 9 -_ . 30 NWE ,� STREEFj d C1TYL x Inftlals D� ❑C.C. ❑BILL ❑CHEcx# Ox - 70 t— k] ❑ WARRMTY ❑ CONTRACT Q smvm ColrrRAct ❑ NORMAL ❑ RES,(501,61. [3NOi �061PLETr HELP03 THE DESERT M CIU5T0MISM Service men are reW!red to Mare avk slip s%inod• ONE FRIEND AT A TIME Co. �% 17 Pkvbfop DraBi GYseft&jetf Speoww Inv.# 809751ndio Blvd., #09 IndiD, CA 92201 Auth.# x 760-574-4444 PLUMBING LABOR ,o Fair 760-444-2717 W VVW.TOMMYROOTER,COM A pEKALTY WILL BE WORD AT THE RATE OF 1w% PER M" ON , CAyLrIIC. 133 RIRM RATE IMFI MCHECKFEESP5d0. VIDEO MPECTION I Ind the time and material charged above satisfactory and agree to pay HYDROJETTER O(A' MINIJETTER diargod lar coWecfiorr MudN attorneys lase In the event of my defauR t— k] ❑ WARRMTY ❑ CONTRACT Q smvm ColrrRAct ❑ NORMAL ❑ RES,(501,61. [3NOi �061PLETr s M CIU5T0MISM Service men are reW!red to Mare avk slip s%inod• DRAIN CLEANING This Is done In ode+ 10 prate t you, the workmen, and ourselves and to ADyLFODTAGIE enable us to*e your absolute safisfaofmry SeVVICat. You are w-Pscliulbl ASDL W111316requnW before wrnhmen leave to u mine to and labor statement the job, and I pu thin ewq'tldn9 satisfactory, okay this ticket If Wks Is I PLUMBING LABOR M&tjsb&ry, in my kM pm pbane our olioe ImmediMM* PARTS A pEKALTY WILL BE WORD AT THE RATE OF 1w% PER M" ON PROIXICT5J[REAfAtEtlT tmMV BUANCFS AFTER30UM 01- INVOICE DIRE ANWALPEACEITiAGE RIRM RATE IMFI MCHECKFEESP5d0. VIDEO MPECTION I Ind the time and material charged above satisfactory and agree to pay HYDROJETTER forsameonpresenteibonofInvoice, and furdwragree topay reasoneble MINIJETTER diargod lar coWecfiorr MudN attorneys lase In the event of my defauR LRREA.EAK LOCATION ,NOTICE W OTMM" (9ecleota 71rig-Cw&oatvrs Licenge tA+1 Urdef on PU6PSETIMREASE YeiuM1� L1n lav, rnY oartasur. abm'9e�M ffiuRf, rt¢taft� bran ar ohe penaawto Mfrs to"ftk%)arr RnpEft aw h m paw br"mum Asa rrer dA haa V* k) Www we OTHER qbw rr Fwwt< ur"of the LM lw 0" FNad lmma nor- 9JCr1 eEf!!a 01 rlre, tiekemm*aEreFpite'onoesmfown/ifoaoaal�flar�ompWeftyAsa�rd teGYrnaswa pr�trfrREawbenmeimberra�m.BAeemddcAmleananoart rtel Ie69 get ttI I� N Gtr �IY0.y Orta mE 9ee1 <h addlltn b aq �andbfa tr Te TAX Frt«rn� a rmlad, De oat�•met bra pamam H wt a Ire ctaTos 1 p�� ar the NV6t Gesobod 19Y TOTAL PAYMENT RECENED PAYMENT DUE s