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BPLB2016-00100 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 `�d4r4lwQum& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2016-0010 Property Address: 50455 VIA SERENIDAD APN: 776310015 Application Description: GREG SCHUEN / WATER HEATER REP Property Zoning: 2016 Application Valuation: $3,014.50 Applicant: Contractor: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 80975 INDIO BLVD #C3 11111111111111111111 39 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/21/2016. 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: �C — —(� Contractor (760)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 of the 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 policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ Owner: n InA MICHAEL BLANCHAT 2000 HIXONS BLUFF shall 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 GREENSBORO, GA 92253 rEB 1'0 2016 signed statement that he or she is licensed pursuant to the provisions of the C"OFLAOUINTA IITYDEVELORVyENTDEPARTMENT Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division Contractor: 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date: d— C) Applicant: TOMMY ROOTER PLUMBING INC permit subjects the applicant to a civil penalty of not more than five hundred dollars 80975 INDIO BLVD #C3 ($500).: AND SHALL 5UBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 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: �C — —(� Contractor (760)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 of the 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 policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I 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 shall 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 comply with those provisions. Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division nn — 44 3 of the Business and Professions Code) or that he or she is exempt therefrom and the Date: d— C) Applicant: 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 5UBJECT 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 application , 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 Name: 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 Agent): b/ • (. X✓ `' \ DESCRIPTION _. FINANCIAL •R • 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 for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT ' PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $24.18 $0.00 • PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $14.50 $0.00 PAID BY METHOD` RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $38.68 $0.00 TOTALS:• •• Description: GREG SCHUEN / WATER HEATER REPLACMENT Type: PLUMBING Subtype: Status: APPROVED Applied: 1/21/2016 RSE Approved: 1/21/2016 RSE Parcel No: 776310015 Site Address: 50455 VIA SERENIDAD LA QUINTA,CA 92253 Subdivision: TR 29858-1 Block: Lot: 62 Issued: Lot Scl Ft: 0 Building Scl Ft: 0 Zoning: Finaled: Valuation: $3,014.50 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: WATER HEATER CHANGE OUT - 50GALLON/GAS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013tALIFORNIA BUILDING CODES. __j Hppaea to ApprWea Printed: Thursday, January 21, 2016 7:31:02 AM 1 of 2 1TSYSTEMS INSPECTIONS Printed: Thursday, January 21, 2016 7:31:02 AM 2 of 2 C9?fJL? SYS7F.AnS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY 1,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 $24.18 $0.00 WATER HEATER/VENT 101-0000-42600 0 $14.50 $0.00 PC Total Paid for PLUMBING FEES: $38.68 $0.00 TOTALS:• •• INSPECTIONS Printed: Thursday, January 21, 2016 7:31:02 AM 2 of 2 C9?fJL? SYS7F.AnS 05/06/2013 TRU 15:09 PAZ La Quinta Bldg A Safety I ®001/001 (."Ibyr of La'QuInta B1dM9.8c saffty Dm*n P.O. Box 1504, 7B495 Cgle Tampico 4 Quints. CA 92253 - (760) 777-7012 01 D BLdIdIng Permit Application and Tracking Sheet 1 12. C) 0 Ib' hqjoct Addmw- 0 ss s rent 0avers Nmt;& che n, A. P. Number. A4&=,50-q<,S f)cAarmi.do4 !g� DMM City, ST, Zip: Los (A) -A CrQ;QS-,A' Cov"otor. -Tom M\j- 2g2tx'Tel oma; O 0 city, sr. 2� ct-+ Tefepbone.—I k(v� -jq LjLAIAI--�'. State Lim 4---CL3C)) City Lit. C, lz�) ArrAL, EW, Desipw. Addram, qty, ST, Zip: Telt bone cen*ucdon Iwo;• O"Mq: Pmject type (drele one)- Now Add'a Alter Repair D=o Name afCOWParson: 29—A—N-7\ UOMK— FL'. - SR S -Tw stories, ig-Unim- Telephone' o1cont&aPrion :2 U05-71 1--A-4-lL41-A jH311MM04 VdUt of Project: 3� APPLICANT: Do NOTW WIOTF BELOW THIS LINE U0411d Ewa TAACMG Fm Plsa lieu IUD OR Ukaubmitted Hem Amout StMOVId Culm R*YkwW, ready for correcdong Trem Calm COO Contact Person Phu Check R*ucM. .,ntk 24 cdc& "M pitkid up Mod plain plan Plans rembintUtd . M"hS[dCw CMft pbm V! Rewlew, regAyfor COTM&URWO Bleetsicsl Sibmtoctur, Va Wed Contact Pagan Plumbing Gnat Deed plaus Plata up H.O.A. AjvrUvAl Mal resubmitted Gndlng fK HOU=z- Planning Apprml ReylcM ruft for wmaouUmt Callod Contact Panou -Dzygloper impact Fee A-LPXo Pub. Wks. Aplkr Date otpralt Ina* Total himiftFm PLUMBING WORK ORDERANVOICE :. T0M0kdb11*W�� 25116 ITEM O.. AMOUNT • .2 So 67.1 (xAAmrd t \uk-v- .r r..X _;.��:: •.�' 2 aS.� ; 'All GTecr±' HELPING THE DESERT aNE FRIEND AT A TIME CO 0 mhwbf0g Owl CIOAPAV&Jaw spvah?st Inv.#33 80975 Indio Blvd., #89 Auth.# Indio, CA 92201 760-574-4444 Fax 760444-2717 MAMTOMMYROOTER.COM CA LIC. 0930133 Out s. ^ (-� NAME �� e ATE EW DIg STREOq ��R (/� PHONE -71GQ�11 �� . te, ✓ Coo �Y � �✓ ijd ATE ZIP ��a �1 h JaVIARFIA0 OONTRACT NOFMAL ONTRACT �' p 7v �Go�—/�i�i/v�cP^ K� MAKEhYJDEL SEMI-NUMBERO TOTAL MATERIALS ORES, G coal% O Hot g COMPLETE DESCRIPTIONOF WORK ax 2 ori �o `mal c..11 DQ �ot-J �ls�w+ SccG`.-ti-r�S/ r�l"G F/W � �� /`vim �/ %� >, �. ,�►. s 6d�L''G � ,�i��.ws • - E TO MM CUSTOMER& Smtoe men are reWiredto haw aarksll➢s' m[L This is dare in cuder to protect yru, the vrel' mw% arid curmliw and to enabla us to gPia your absallne salisfectuy senine, You are reVecifully requested tD asamine material and labor statement before worfamri leave DRAIN CLEAMNS AUDI FOOTAGE O ADDI.MTURES PLUMBIM LADW Sit)* and 'd you fmd everything sat6{actwry, *ay this ficIxt If sevice is unsagsfadoM in arra way, please ptxxre our office immedlately. A PERAISY WU 8E CHARGED AT THE RATE OF 14096 PER MWTH ON UNPAIDBAIANCESAFTfR30MSOFINY01C OM.ANNWkLPBN;EWPM RATE 1896,8EI MEDCHE KFEES2M PARTS TOTAL LABOR �DWOSrRFA11JEN1' VIDEOINSKCTK)N ❑ WAFMAtM E E I findthe rhw and materiel charged above salfsfadory and agree so pay- HYDRO-JET71ER tAINIJETTER Q 6Day ❑ 3 Year ❑ 3hlcnlh C] NO tYrsarneonpraserlFWkmofinuoica,mid Wheragree topay reasonable charged for wlladionlndud'mgatlomaysless inthe eventcdmydefaulL ONUEAKLOCATIOH ❑ 6Month WARRANTY CALLS kAESCHEDULED Ffl01A M -F 8kM-SPM 0 / X Initials ElCASN El GG ❑ EBLL ECK ' ❑ X 'NOTICE TO OWNER°' (Seaton 7altConmcU" Ucanae Law uedstar KnaaLw lin l" enJ mmata, yibcadieaa, Iafanr, mdaW rmn aratlnrpersnovto ropy mlrpro.e7nepgne�aarlermp�Tbrrq�eaCreanbeeurreNa+lnaeadjAlnmgrnas ow"muhslplr u Iran ra�rx�a��,�al, m„a,c1druWne belmmrm xtit uthprveaneetmard01MkSlfvlheWAdlrr w runwa nod+�a>nta rna drmCreu am(gro�Ormeme,eowry,MorelMpw(ra,rybdL�nd and rnq�ta 00 pa►nantumreroaord�rnxuyiorb=WWOeertlswheinenerwt rul Itml�>fd o1 the ®19et Fria and a44µ F 48iba N a9' GTHMo Re ere p o r>:rtta�, De tadttmd M Sv m r1*.0IIu.1dp"CuftjdWpmtq fur€aN r or rl moidr trnta WA X b � GG P4JWPSEPi1GGREASE OTHER TAX �.. , ', TOTAL PAYMENT RECEN Ivoarc0RDR0 m. �� ova PAYMENT DUE XU n a 1 � Prescri tive_ elO meate Residential Altetnrions eci Name:: 0 " of Compliance: Residential e • a , Clim �r Cuptmetor or Homeowner (Docnmeutatiott Auttsor's/Respom1ble »uiOng Destgpei a Deckmtioa 5tsfeigt t) certify that this Ceftliii ate of -Compliance documentntion is iccu nts and complete.. �- I -am -eligible .under. Division. 3 0.1he Califomir Business and Ptotbssions Code to accept msponaibitity Fat the building. design Identified nn this Certificate of Compliance... I ccrt)fy, that the enetgj! features,and perfdrrnance Specifications Poi the building design identified on this Ceitificate of ($ t4.liance conform 4o the mgtrlcprrments of Thic.24, Part I and 6 of the California Code of Regulations - The building desili 'kniures identified on dti8 - ertlfl&" of Compllance * consistent with the lilforfi'ation provided to, Ocumeiti th►s r buirdlig `desijt dh'the other'appllcable compliance forma, worksheets, calculations,: plans and. specifications subiniitiid: to the enforeerrient ti enc ..for- approvat with this building, rtnit applicatton. Nth Company Daw A<idtese: ��°' O1 3 Ci lstamdZip: Phone: A, c y �-�