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BPLB2015-003752155 Avenida Madero BPLB2015-0037 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 922 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0037 Property Address: • 52155 AVENIDA MADERO APN: 773202019 Application Description: OLSEN/REPLACE (1) 40 GALLON GAS WATER HEATER Property Zoning: Application Valuation: $950.00 Applicant: TOMMY ROOTER PLUMBING INC 80975. INDIO BLVD #C3 INDIO, CA 92201 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing 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 Date: — 1 n- I S 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).: (_J 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 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 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 Lender's Address: 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 ofrk for which this permit is issued. r1 have and will maintain workers' compensation insurance, as required by iy 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. Dat" i 1L>^ ( / Applicants LA, / \ 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 D . Signature (Applicant or Agen< B--,1 - C-7 Date: 3/10/2015 Owner: JAIME RODRIGUEZ 52155 AVENIDA MADERO LA QUINTA, CA 92253RD:: Contractor:TOMMY ROOTER PLUMBIN80975 INDIO BLVD #C3INDIO, CA 92201(7.60)574-4444 Llc. No.: 930133 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 ofrk for which this permit is issued. r1 have and will maintain workers' compensation insurance, as required by iy 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. Dat" i 1L>^ ( / Applicants LA, / \ 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 D . Signature (Applicant or Agen< B--,1 - C-7 Prescri five .Certificate of Compliance: Residential CF -IR -ALT -DMV Residential Alterations Page I of 2 Project Name: Climate Zone: T Permit #:' General information Site Address: 5 a 1_—)Enforcement Agency. Date: — Building T Single Family D Multi Family Project T Re lacetnent or Chane Out of Water Heater WATER HEATING o I certify that this Certificate of Compliance documentation is accurate and complete. List newly installed'water heaters and boilers for both domestic hot water heaters (DWH) and hydronic space heating. Newly installed DIMheaters and boilers must be as, propane, or.use the exi5tinghel type. Distribution Type Water Heater. Number In tan ad tin System Type/Fuel Type I Re(Standard, Tank Capacity (gal) Energy Factor or ' Thermal Efficiency External Tank Insulation R -Value me:1 QY I . •e C S Oz Date: LA ddr-ess: License: , -Po C) Phone: lY v ` '1 `"I t I - L Indicate Type (Storage Oas;.Heat Pump; Instantaneous. etc.) 2. Recirculating systems serving multiple dwelling units shall 'meet the recirculation requirements of §150(n). requirements do not allow the installation of a recirculating water heating system for single dwelling units. J. The external ivater:heating tank and pipes shall be insulated to meet the reuirements of 1150(i). The .Prescriptive Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement) o I certify that this Certificate of Compliance documentation is accurate and complete. o 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. ® I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance conform to the requirements of Title 24, Part I and 6 of the Califomia Code of Regulations. o The building design features identified on this Certificate of Compliance are consistent with the information provided to document this building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application. me:1 QY I . •e C S Company: Date: LA ddr-ess: License: , -Po C) Phone: lY v ` '1 `"I t I - ter) r--t--rt IV CIV\/ " -- PLUMBING WORK ORDER/INVOICE TOMMY ROOTER 19911 4 HELPING THE DESERT v. ONE FRIEND AT A TIME Co." eITEM e• e ® • o Plumbing, Drain Cleaning & letter Specialist Inv.# 5 3873 80975 Indio Blvd., #139 Auth.# Indio, CA 92201 l 760-574-4444 Fax 760-444-2717 WWW.TOMMYROOTER.COM CA LIC. #930133 in/ j, 7 ut 3© CJ yr 1l S© "All Clear!" % / ) S`) NAMES { t+ 3 J J t v Dp fI -2 STREJ ✓ Ave, 1,% PHONE CITYi9 ZIP ( ❑ WARRANTY I $TA ❑ CONTRACT MAKE MODEL SERIALNUMBER ❑ SERVICE CONTRACT ❑ NORMAL TOTAL MATERIALS ❑ RET. C] COMM. ❑ NOT ❑COMPLETE DESCRIPTION OF ••..AMOUNT t.J S 1 Y S S vn t! . to OU • . • TO OUR CUSTOMERS: Service men are required to have work slip signed. DRAIN CLEAN G This is done in order to protect you, the workmen, and ourselves and to ADD'L FOOTAGE O ADD'L FIXTURES enable us to give you absolute satisfactory service. You are respectfully requested to examine material and labor statement before workmen leave PLUMBING LABOR the job, and if you find everything satisfactory, okay this ticket. If service is PARTS unsatisfactory, in any way, please phone our office immediately. A PENALTY WILL BE CHARGED AT THE RATE OF 1'r% PER MONTH ON UNPAID PRODUCTSifREATMENT TOTAL LABOR BALANCES AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%. VIDEO INSPECTION RETURNED CHECK FEE $25.00 F1WARRANTY eTES./ RECOMMENDATIONSI find the time and material charged above satisfactory and agree to pay HYDRO-JETTER MINI JETTER ❑ 5 Day ❑ 1 Year for same on presentation of invoice, and further agree to pay reasonable ❑ 3 Month ❑ NO charged for collection including attorneys fees in the event of my default. LINE/LEAK LOCATION ❑ 6Month "NOTICE TO OWNER" (Section 7019 -Contractors License Law) Under the Mechanics' Lien Law, any contractor, subcontractor, laborer, material man or other person who helps PUMP SEPTIC/GREASE WARRANTY CALLS to Improve your property and Is not paid for his.labor, services or material, has a right to enforce his claim against your property. Under the law, you may protect yourself against such claims by Half, OTHER ARE SCHEDULED FROM M -F 8A M-5 P M ) before commencing such work or Improvement, as original contract for the work of improvement at a modification thereat, in the office of the county recorder of the county where the property Is situated and requiring the: a contractor's payment bond be recorded in such office. Said bond shag be In an amount less than fifty TAX not percent (50%) of the c5racl price and shag, in addition to any conditions for Ure 'onal for the payment in lull of the cfalms of all persons porforma9ce of the contract, b n/. - furnishing labor, ices, equipalariai5 forvro tl to said contred. TOTAL X X PAYMENT RECEIVED C.C. ❑ BILL ❑ CHECK # ❑ X /i DATE WORK OR :RED BY: PAYMENT DUE InitialsC FINANCIAL •• !, 'DESCRIPTION ` ACCOUNT °, , >.QTY c AMOUNT0.` W = E PAID DATE 5 _ 1eyPAID BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 { x METHOD # CHECK # CLTD BY { ,PAID'$Y ¢ x# ,€ „ x .RECEIPT , Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 I5,F'DESCRIPTIONT ACCOUNT? I QTYI ' " AMOUNT=: ; "i PAID PAID DATE: PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Y METHODS , ka+'= RECEIPT#s, ;fft CHECKS# n g' CLTD BY ,'PAID''BY, y d..'' , - 4 '4a,a s-' Total Paid forPERMIT ISSUANCE: $91.85 $0.00 G DESCRIPTION, ` s ,4 s ' ACCOUNTt ' sr fQTYAMOUNT p PAID'.gr PAID4DATE WATER HEATER/VENT 101-0000-42401 0 \ • $12.09 $0.00 PAID BY r+ ; ";' METHOD t+'$ '' kRECEIRS# '<' CHECK# s _ >'CLTDBY . 1 lx v - r- DESCRIPTION 4 s # x; " ACCOUNT ' t - AMOUNT fr .;, PAID PAID DATE : .QTY. a WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 ;a y.. • N Y METHOD 1r.'RECEIPT#* t ! + r.CLTDBYj :yr?r CHEC-•KAIDBY Total Paid forPLUMBING FEES: $19.34 $0.00' TOTALS:• 0• Description: OLSEN/REPLACE (1) 40 GALLON GAS WATER HEATER . CONDITIONS Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 3/10/2015 SKH Approved: Parcel No: 773202019 Site Address: 52155 AVENIDA MADERO LA QUINTA,CA 92253 ' . Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 38 Lot: 8 Issued: UNIT 3 w .=..'.c. .cc, ' .r'..k:.a b"':_c"w . Y -.w -•M :n -': ^ay '_':rcn NAME TYPE ° } NAME •N " -:. ADDRE551 _ Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: _ Finaled: Valuation: $950.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0' No. Unites: 0 APPLICANT TOMMY ROOTER PLUMBING INC Details: WATER HEATER CHANGE OUT - 40GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARMS) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING, CODES. CA r ADDITIONAL SITES CHRONOLOGY .... .Printed: Tuesday, March 10, 2015 8:48:56 AM' 1 of 2 SYSTEMS CONDITIONS CONTACTS w .=..'.c. .cc, ' .r'..k:.a b"':_c"w . Y -.w -•M :n -': ^ay '_':rcn NAME TYPE ° } NAME •N " -:. ADDRE551 _ ww..,-'^-+i.. #y._' - T'?.' •. ;CITY *STATE t ZIP..; 4'''. PHONE ' ' FAX EMAIL . _ .SJ # _ .E k.. -,. '= ,. Y APPLICANT TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 (760)485-6889 CONTRACTOR TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201. (760)485-6889 OWNER'- JAIME RODRIGUEZ 52155 AVENIDA LA QUINTA CA 92253 (760)485-68.89 MADERO .Printed: Tuesday, March 10, 2015 8:48:56 AM' 1 of 2 SYSTEMS nA] REY! EWE R -SE - ,t A." DATE IF 't F BOND RIPTION -' ' j "A'C C 0 U' NTA-f . - -, - 4 . ; , 4' MOUNT- .PAID PAID DATE'' R C ATTACHMENTS - Y'. 11 1 :- 4- I -, PERMIT ISSUANCE 101-0000-42404 0, $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 WATER HEATER/VENT 101-0000-42401 r 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Total Paid forPLUMBING FEES: $19.34 $0.00 TOTALS: $112.19 $0.00 nA] REY! EWE R -SE N T,DATE E DATE STATUS 't F BOND INFORMATION ATTACHMENTS Printed: Tuesday, March 10, 2015 8?48:56 AM 2 of 2 .CRW.IYSTEMS 06/06/2013 THU 15:09 FAX La Quinta Bldg & Safety 2001/001 Bin #Qty of L.d QU1nta Building 8T Safety Division P.O. Box 1504, 78495 Calle Tampico La Quinta, CA 92253 • (760) 777.7012 Building Perm' Application and Tracking Sheet Permit # Project Address -,EQ I _S5 2EU? A C Owner's Name: 'Q A C—AO seN\ A. P. Number. Address: . CA Legal Description: City, ST, Zip:Uk'C-+ G n Contractor. K ]] Telephone: Project Description: Address ' 1' O • City, ST, Zip: 1 n Telephone.. (l Lt f < 9 S Li I 1-11 IN State Lia #: q Q City Lie. #; Arch., Engr., Designer. Ck– Address. City, ST, Zip: Telephone: Construction Type: Occupancy: State Lie. #: ;y project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq, Ft.: #Stories: #•Units: Telephone # of Contact Person: Estimated Value of Project: s APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rev'd TRACKNG PERMIT FEES PIan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections .Plan Check Deposit Truss Cala. Called Contact Person Plan Check Balance, .Title 24 Calm Pians pickid up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 20 Review, ready for correctionsfrssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE. 34 Review, ready for corrections!issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Ir