BPLB2015-003978-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPLB2015-0039
Property Address:
78660 NAPLES DR
APN:
609512004
Application Description:
BELLA VISTA/TEALL/WATER CHANGE OUT (1) 50 GALLON GAS
Property Zoning:
Application Valuation:
$1,135.00
Applicant:
TOMMY ROOTER PLUMBING
INC
80975 INDIO BLVD #C3
INDIO, CA 92201
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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 Q
Dater-1D- Lf ContractoE: \ j%�
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 70315by any applicant for a
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(_) 1, 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 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:
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
ofle 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 polity, 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 L O: ) S 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 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. P. .
Date: ---i D —is Signature (Applicant or -Agent)
Date: 3/10/2015
Owner: .
CAROL TEALL
78660 NAPLES DRIVE
LA QUINTA, CA 92253
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Contractor:
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TOMMY ROOTER PLUMBING
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80975 INDIO BLVD #C3
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INDIO, CA 92201
(760)574-4444
Uc. 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
ofle 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 polity, 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 L O: ) S 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 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. P. .
Date: ---i D —is Signature (Applicant or -Agent)
'Prescriptive Certificate of Compliance: Residential CF-1R-ALT-DHW
Residential Alterations Page I of
Project Name: $ O eS r Climate Zone: Permit #:
:"General inforination
Siie Address: -1$lc4 b A k f- 5 r.Enfon
ement Agency. Dater
"Buildin T Sid le Family Multi amil
Project T --Re lacement or Change Out of Water Heater
.- W ATER' HEATING
{ `: 1 certify that this Certificate of Compliance documentation is accurate and complete.
'Vit newly installed water heaters and boilers for both domestic trot water heaters (DWH) and l>vdronic space heating. Newly installed
DWH heaters and boilers must be as, ro ane, or use the existingfiiel type.
• I certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance
Distribution Type
Water Heater (Standard. Number In
Tank
Energy Factor or`
External Tank
Insulation
t
j TypelFuel TypeSystem
Recirculating)'
Capacity (gal)
Thermal Efficiency
R -Value
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Phone:
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lsIndicate Type (Storage Gas; Heat Pwnp,'lnstantaneous, etc.)
-2:'Recirrulating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n).
?he .Prescriptive
' requirements do not allow the installation of a.recirrulating water heating system for single dwelling units.
3 , The external water heating tank and pipes shall be insulated to meet the requirements of §150U).
Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement)
{ `: 1 certify that this Certificate of Compliance documentation is accurate and complete.
•• • 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. Parti and 6 of the California Code of Regulations.
' • 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.
Name:
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Company:
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Date:
Address: I
License:
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City/State/Zip:
Phone:
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T-5UMBING WORK ORDER/INVOICE
ITEM OR PART DESCRIPTION
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TOMMY ROOTER 19454
HELPING THE ONE FRIEND AT AA TIME Co. V ► ""� 1
Plumbing, Drain Cleaning &letter Specialist Itiv.# _ 70 Z
80975 Indio Blvd., #B9Authl
Indio, CA 92201
760-574.-4444 In,
Fax 760-444-2717 �'%
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CA LIC. #930133 t%' 3
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❑ WARRANTY
❑ CONTRACT
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MODEL
SERIAL NUMBER
[I SERVICE CONTRACT
VIAL
TOTAL MATERIALS
DESCRIPTION
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LABOR
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TOC CUS ERS: Service men are required to have work slip signed.
This is done in order to protect you, the workmen, and ourselves and to
enable us to give you absolute satisfactory service. You are respectfully
requested to examine material and labor statement before workmen leave
the job, and if you find everything satisfactory, okay this ticket. If service is
unsatisfactory, in any way, please phone our office immediately.
A PENALTY WILL BE CHARGED AT THE RATE OF t 1R% PER MONTH ON UNPAID
BALANCES AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 1 B%.
RETURNED CHECK FEE $25.00
DRAIN CLEANING
AOD'L FOOTAGE
ADD'L FIXTURES
PLUMBING LABOR
PARTS
pRODUCTS/TREATMENT
TOTAL
LABOR
VIDEO INSPECTION
❑ Fay
❑ 5 on, Yy
❑ 3 Month ❑NO
❑ 6 Month
WARRANTY CALLS
ARE SCHEDULED
FROMM-FBAM-SPM
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Initials
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1 find the time andmaterial charged above satisfactory and agree to pay
for same on presentation of invoice, and further agree to pay reasonable
charged for collection including attorneys fees in the event of my default.
HYDRO-JETTER
MINI JETTER
LINEILEAK LOCATION
1 Y1- V
"NOTICE TO OWNER" (Section 7019-Contractors License Law) under the
Mechanics' Lien law, any contractor. subcontractor. laborer, material man or other person who helps
to improve your proporry and Is not paid for fib labor, services or motorial, has a right to enforce his
claim against your propany. Under the law, you may protect yourself against such claims by filing,
before commencing such work or improvement, as original contract for the work of improvement or e
modifrcetionthereof, Inthe office of[he county recorder of ecanrywhere the property issiluatedand
requiting that a contractor's payment bond be recorded In ch ogke. Said bond shall be In an amount
not less than fifty percent (5a%) of the contract price a al ' addition to any conditions for the
performance o contra dilional for the p en i fug of the claims of all persons
I n la r, se kes, on m mel dols forme 'bed in said contract.
X
s1c Ei DATE
woRxoROEaEoev:
PUMP SEPTIC/GREASE
OTHER
TAX
TOTAL
PAYMENT RECEIVED
❑ CASHC.C. BILL E]CHECK # ❑ X
PAYMENT DUE
U
I• t[rn
3-3
FINANCIAL INFORMATION
.DESCRIPTION' ACCOUNT. QTY AMOUNT. PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID BY METHOD RECEIPT # CHECK #
CLTD BY
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
ACCOUNT
QTY..
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
DESCRIPTION -
-ACCOUNT
QTY
AMOUNT
PAID,
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY:
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forPLUMBING FEES: $19.34 $0.00
TOTALS:00
Description: BELLA'VISTA/TEALL/WATER CHANGE OUT (1) 50 GALLON GAS
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 3/10/2015 SKH
Approved:
Parcel No: 609512004 Site Address: 78660 NAPLES DR LA QUINTA,CA 92253
Subdivision: TR 28457-1 Block: Lot: 24
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,135.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - SOGALLON/GAS [2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, March 10, 2015 9:02:20 AM 1 of 2 C
SYSTEti1S
ADDITIONAL
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE FAX EMAIL
APPLICANT
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
(760)834-5959
CONTRACTOR
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
(760)834-5959
OWNER
CAROL TEALL
78660 NAPLES DRIVE
LA QUINTA
CA
92253
(760)834-5959
Printed: Tuesday, March 10, 2015 9:02:20 AM 1 of 2 C
SYSTEti1S
DESCRIPTION
ACCOUNT
CITY F
AMOUNT
PAID
PAID DATE
RECEIPT# .
CHECK #
METHOD
PAID BY
CLTD
BY
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
0
$12.09
$0.00
WATER HEATER/VENT
101-0000-42600
0
$7.25
$0.00
PC
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS: $112.19 00
INSPECTIONS
SEQID INSPECTION TYPE INSPECTOR' SCHEDULED COMPLETED
DATE DATE
RESULT. REMARKS NOTES.
PLUMBING FINAL"
PARENT PROJECTS
Printed: Tuesday, March 10, 2015 9:02:20 AM 2 of 2
SYS 7fti1S
06/06/2013 THU 15:09 FAX La Quinta Bldg 6 Safety
0001/001
B!n #
City Of La Qurnta
Building er Safety Dll+ision
P.O. Box 1504, 78-495 Calle Tampico
La Quinta,. CA 92253 • (760) 777.7012
Building Permit Application and Tracking Sheet
Permit #
L_
Project Address: .� g e5 pY • Owner's Name: Cpl ,c c>1 l e Q l I
A P. Number: Address: �] Q (e (y 0 t '
jLegal Description: City, ST, Zip: C gas 3
8 3 5Contractor7 �eJrwrbiTelephone:s "
Q`l InO959
Address: <2 00A -I S- _ , Project Description:
City, ST, Zip:
Telephone:
City Lic. #c ?p -j ~V
State Lia # : O, l3
Arch., Engr., Designer:
Address:
City., ST, Zip: '
Telephone: ,
" Y . f>; o-.
State Lia #:w r
• ' M.. s i ""
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter
Name of Contact Person:
Repair Demo
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
tf
Sabmittal
Req'd
Rec'•d
TRACKIIVG
PERMTi' FEES
I
PIan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs
Called Contact Person
Plan Check Balance
1.Title 24 Calls.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
2°! Review, ready for correctionsrissue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
'"` Review, ready for eorrectionsrissue
.Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees