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BPLB2015-0097s 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 3 4 auucicv COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2015-0097 Property Address: 52295 AVENIDA NAVARRO APN: 773274013 Application Description: HOWLAND LOIS WATER HEATER REPLACEMENT Property Zoning: y Application Valuation: $1,130.00 Applicant: TOMMY ROOTER PLUMBING INC _ 80975 INDIO BLVD #C3 INDIO, CA 92201 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (76QLM-7153 Owner: LOIS HOWLAND 52295 AVENIDA NAVE LA QUINTA, CA 92253 Contractor: TOMMY ROOTER PLUM 80975 INDIO BLVD #C3 INDIO, CA 92201 (760)574-4444 Llc. No.: 930133 n U O Mt8/1 � C ZING INC ----------------------------------------------------.----------------------------------------- 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^r� Date: — �— �� Contractor: 2J - 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 bf 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 Al 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, Ihowever, 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. . BAP.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' co ation, as provided for by Section 3700 of the Labor Code, for the performance 0 o for which this permit is issued. I ave and will maintain workers' compensation insurance, as required by Sehiewboocifthe 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: — �" J 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. Date I;)_ V Signature (Applicant or Agent): DESCRIPTION f„' .` INFORMATION r ti, ACCOUNT BSAS S81473 FEE 101-0000-20306 0 $1.00 $0.00 ' t { t`"'�"PAID BY �� '` sem' ° � �,. i f. �.�. f” • 1Y a �� 'METHOD, �,�� ..i' .. E p: * �� RECEIPT#� � � � -+'aCHECK,# � CLTD BY, s, Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 r � RTY, OU PAIDAT PAID DATECCOUNTDESCRIPTION:„ PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID'BY , �< ' _ : '`� r"• hMETHOD �. "F� �,'� RECEIPTx# ; . _ CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 dDESCRI,PTION ''r#:"f� m a;,:.A000IJNTti 4 -QTY �AM+OUNT a� ,4 w"PAID PAID, DATE- WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 . PAID.$Y '� 4r, , Y :METHOD RECEIPT;#' . �' CHECK # _max' fi+CLTD BY," _ .rDESCRIPTION ..,. 4" r- 1 .c;a"A000UNT ' QTY, wr AMOUNT ':', r PAID'a 'PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAI : ,BYMETHOD ' -' ;RECEIPT # , `,." _CHECK #�; CLTD BY - Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:00 t ' Description: HOWLAND LOIS WATER HEATER REPLACEMENT Type: PLUMBING Subtype: Status: APPROVED Applied: 8/17/2015 PJU Approved: 8/17/2015 PJU Parcel No: 773274013 Site Address: 52295 AVENIDA NAVARROLA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 102 Lot: 2 Issued: UNIT 11 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,130.00 OccupancyType: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESS11 ' Details: WATER HEATER REPLACEMENT 40 GALLON NATURAL GASPER 2013 CALIFORNIA PLUMBING CODES.2013 ENERGY) CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION ADDITIONAL SITES CHRONOLOGY CONTACTS E "_ NAMEtTYPE ADDRESS11 ' -'ITY C #:4 STATE.' ZIP FAX APPLICANT TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 (510)396-8783 CONTRACTOR TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 (510)396-8783 OWNER LOIS HOWLAND 52295 AVENIDA NAVARRO LA QUINTA CA 92253 (510)396-8783 Printed: Monday, August 17, 20155:49:44 PM 1 of 2 CRsrSTEMs INSPECTIONS N TYPE IN -SCHEDULE16. .COMPLETED kQlDr INSPECTIONTYPE RESULT. REMARK$:-NOTES DATE, • DATE 'PAIDDATE �. DESCRIPTION ACCOUNT QTY AMOUNT:,,' PAI 'RECEIPT# CHECK i METHOD PAID BY ti 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 $0.00 INSPECTIONS N TYPE IN -SCHEDULE16. .COMPLETED kQlDr INSPECTIONTYPE RESULT. REMARK$:-NOTES DATE, • DATE PLUMBING FINAL" BLD 0 BOND INFORMATION Printed: Monday, August 17, 2015 5:49:44 PM 2 of 2 CBT -W- SYSTEMS Al> 06/06/2013 THt3 15:09 FAX La Quinth B1dg G Safety Qty Of La Quinta BtnTd1h9,6t Safety D[MVon vennn 0P.O. Bax 1504, 78-495 Cabe Tampko La QutnU,. CA 92253 - (760) 777-7012 Bonding Permit Application and Tracking Shea Projaet Address: C 1 GQ q I jcp, Ay( Owner's N me: ' A. P. Number: Legal Description: City, ST, Zip: CotlQactor Tolephone; 51 (--t3cj ,(a $—I Addr=; tY Pmlectbeiscription: City, ST, zip.. Telephone: y Li r.. Axl[., Eflgr•, Designer: Address: city., ST, Zip - Telephone: 12001/001 Construction Type; Occu ane State Lic. 9: _ N= We (circle one): NeW Add'n tilts[ Repair Demo Name of Contact Stories: B.YJnfts Te hone of Cornet l'crsan:, Estimated Veluc of Project: ApPUCANT". DO NOT WRITE BELOW THIS LINE totl�0.lttal actnrsl Calfs. Trua talcs, i7. Mde 24 Caics„ Flood plain plan Grading p1aA 3nbcontaotor Ust Grant Deed HOA. Approval iN HOUSk;- i Plaeniug Approval pub. Wks. Appr School Bees Roc's TflACIxDVG Elan Check submitted Reviewed, ready for correet[ons Culled Contact Pen" plans picked up . Plans rcnubMitted 2" ReNew, ready [or sorreeeoiulisaue L'alled CoatactPerson .Pians picked up Pians resubmitted IkTlew, ready for correctlonsfi98ue Called Contact Person Date of permit issue PERII&T FEES Item Amouat TWO Chock Deposit Ptaa Check Oalauce ConttKictiao .Mechanical Eleetr[eal Plumbing Grading .Developer Imtplet Fee Total Permit Fees Prescr3 tive,Ce>rtifieate of Coen fiance: Residential CF-1R-tL'F-D11W Residewial Aireraliotls page I of t . Pro"eel Aiame: �ao� Y Climate Zone:. Permit; . General Itiforinat'ion Site Address: Enforcement Agency: Date: 13uildir*TgjYPC:O,Sinwe Family 0 NfultifarnilZ Pro"ect Te Re laceTent'or Chane but of Water heater WATER EATING List iiewly installed ' water Treaters and 'bolters for both darnestic hot water heaters (DW)and h)Yfronic space heating. - Newly installed DWheaters and'bollers•tnrrst be as, ro ane, or use the exisfingfiiel rye Water, Heater Distribution Type Number i» TYIx/FLeI Type (Standard, : System Rccirculatin) Tank fncior �. Capacity (0) Thermal Irfticien� - Extemal Tank Insulation R -Value) )A nrA IJ l..Indioate 7�,pe (Storage G&,-Ifeat Primp, Instantaneous, etc.) 2. Keclrcuiating systems serving multiple d1've1Uhg *units shall rarer 'The recirculation requirements of §'150(n); requirements do not allow the installation of a recirculating water heating system for single dwelling tears 3. The external water.heatin tank and i es shall be M.Ftalated to meet the re uirements o 150 '1. The -:Prescriptive Contractor or Homeowner (Documentation AuthorWResponsible Building Designer's Deelgrai.n- Statemet . I certify thio this Certificate of Compliance documentation is dccurate and complote. • 1 am eligible under. Division 3 of the California- Busincss and Professions Code to accept responsibility for tho building design Identified on this Certificate of Coinpliance. • 1 certify. that the energy features: and performance specifications for the. building design idetrtificd on this CeiifReate 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 eonsistcat with tF e.lnfori felon" provided to document this building *&i ign on the other applicable compliance forms, workshcets, calculations, plans and specifications submitted to the enforcement a enc for a ioval with this building ennit application. N Si CA Company: - . Address: License: O1-l� `vcA 9�30 Citylstatd"Lip, ^ Pr,onc: D �