Loading...
06-2365 (PLBG)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 06-00002365 Property Address: V 51635 AVENIDA RUBIO APN: 773 -121 -013 - Application description: PLUMBING Property Zoning: COVE RESIDENTIAL Application valuation: 5000 fw- Applicant: T4'yl 4 4 Q" Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: License No.: Date: 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).: ( )0 1 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: C -13-0C, 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: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/06 Owner: GILBERTO ESTRADA 51635 AVENIDA RUBIO LA QUINTA, CA 92253 Contractor: Owner --------------------------------- 7 ----------------------------------------------- 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: Carrier Policy Number 1 certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manap the workers' compensation laws of California, and agree that, if I o a workers' compensation provisions of Section /' 3/700 of the Labor 1y�with those provisions. Date: b , 13—V Applicant: i— 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 Director of Building and Safety 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. Fcertify that I have read this application and state that the abov informationis ct. I agree to comply with all city and county ordinances and state laws relating to building nst�S1�tion, a ereby authorize representatives of this county to enter upon the above-mentioned property f inspeZR�on pu ses. Date:6--0 Signature (Applicant or Agent): LQPERMIT Application Number . . . . . 06-00002365 .Permit . . . PLUMB_ING SEWER Additional desc . Permit Fee 30.00 Plan Check Fee .00 Issue Date _ Valuation . . . . 5000 Expiration Date 12/10/06 Qty Unit Charge Per Extension BASE FEE 30.00 ---------------------------------------------------------------------------- Special Notes and Comments SEWER CONNECT/SEPTIC ABANDONEMENT Fee summary Charged Paid Credited ---------- Due ------------------------------------- Permit Fee Total 30.00 ---------- .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 .00 .00 30.00 Bin # City of: La..Quinta Building & Safety Division P-O: Box 1504, 78-495 Calle Tampico. La Quinta, CA 92253 - (760) 777-7012 Building Perrnit Application and Tracking Sheet Permit # (. �b Project Address:' A. P. Number:Address: Legal Description: Contractor.. Address: Owner's Name: ^ O c f City, ST, Zip: c as Telephone: -� ?? •, Project Description: City; ST, Zip: Telephone: State Lie. #.: City Lica#: Arch., Ehgr., Designer: Address: . City, ST, Zip: Telephone: Lic. #: Name of Contact Person: !WSrq. .. nstrgctionType: Occu anState ject type (circleone): New Add'n Alter Repair Demo Ft : #Stories: # Units: Telephone # of Contact Person: o o. Estimated°Value of Project: — ���©• ---=— APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called .Contact Person Plan Check Balance Energy Calcs. Plans picked.up Construction Flood plain plan. Plans resubmitted Mechanical Grading plan 20 Review, ready for correctionsrssue Electrical Subcontactor.List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading . IN HOUSE:- '"' Review, ready for correctionstiissue Developer Impact Fee. Planning Approval Called Contact Person A.LP.P. Pub: Wks. Appr Date of permit issue School Fees Total Permit Fees - COACHELLA VALLEY WATER DISTRICT CASH RECEIPT DETAIL N Received From: Address: Account No. /'Lot(s) Service Address f f 1� - 0 Meter(s) 0 Service(s) 0 Backflow(s) 0 House Lateral(s) .0 Detector Check(s) 0 Meter Surcharge 04anitation Capacity Charge 0 W.S.B.F.0 0 S.I.W.S.C. 0 Temporary Construction Meter 0 Turn on Charge 0 Uncollected Account - Name 0 Inspection Fee - Tract - Fee. - 0 Plan Check Fees -Water/ Sewer - Tract - 0 Bond Payment - A.D. - Bond- Assmt 0 Customer Deposit 0 Other Tract G.A. Code 1 114846 TOTAL $ Remarks: Er Copy to: Cash ater Water Money Order Cashier -L;VWE)-438 (1106) ❑ YES . GUARANTEE ❑ NO 8 A.M. - 5 P.M. MON. THRU FRI. Main/Branch Lines ............ ❑ HEMET (951) 658x541 ❑ LAKE ELSINORE (951) 8742312 ❑ FALLBROOK & BONSALL (760) 728-7497 R®TO— ROOTER❑ ❑ BANNING (951) 922-9491, SIS (951)657 2 ❑ RANCHUTEMECULA (951)699-0555 ❑ REDLANDS/YUCAIPA (909) 797-8697 ❑ OCEANSIDE, CARLSBAD (760) 722-3155 r 0 VISTA &TAI -CITIES AREA (760) 726-6260 Extended Guarantee ......... ❑ BEALA40W (951) 845-M ❑ PALM SPRINGS/DHS (760) 322-2622 ❑ ENCINITAS & CARDIFF (760) 753-2674 Plumbers ❑ SUN CRY (951) 679-0819 ❑ INDIO/PALM DESERT (760) 346.1736 ❑ DEL MAR & SOLANA BEACH (856) 481-1633 Division of RotoCo., Inc. 796 N. STATE STREET • HEMET, CA 92543 License Number 422155 • Federal ID Number: 33-0475032 Toll Free: (800) 491-7686 . Fax; (951),652-9515 • 1-800 GET ROTO (438-7686; ❑ YES . GUARANTEE ❑ NO 8 A.M. - 5 P.M. MON. THRU FRI. Main/Branch Lines ............ U6 months Toilet Auger .................. ❑ 7 days Plumbing Repair .............El6 months Plumbing Replacement ......Eli year Extended Guarantee ......... ❑ 1 year Main/Branch Lines ............ U 30 days Toilet Auger .................. ❑ 24 hours Plumbing Repair ............. 0 9 days _Plumbing Replacement ...... ❑ 90 days REASON FOR NO GUARANTEE INITIAL FOLLOWING: ❑ WEST RANCHO BERNARDO & WEST RANCHO PENASOUITOS (858) 4842138 ❑ LAKE SAN MARCOS & LA COSTA (760) 726.6720 ❑ RANCHO SANTA FE & OLIVEHAIN (858) 756.3396 FIXTURE MAIN LINE: CLEANED: TOILET - DATE ...G WORK ORDER NO. 347715 JOB # .................;Z / ................. TECH#1 ........�?................ TECH #2 .............................................. FT 1BATH SINK --------❑ FLOOR DRAIN -----D SHOWER ---------0 URINAL----------- 1) ACCESSED VIA CAUSE OF ST�GREASE AGE ❑ DRAIN ❑ CLEAN OUT ❑, ROOTS ❑❑ VENT BOTHER ONOWN TIME IN WORK ORDER AUTHORIZATION / WAVIER: I authorize Roto -Rooter to perform the described services and I agree to pay the amounts Indicated. I understand that Roto -Rooter is not responsible for broken, settled, rusted, deteriorated, or lead pipes, fixtures, or clean outs and any damage resulting from cleaning or repairing such lines. I have asked Roto -Rooter to provide services, Under Section 1689.13 of the California Civil Code, In order to Induce Roto -Rooter to provide these services; 1) Initiated negotiation and contract; 2) executed this contract in connection with the making of emergency or Immediate necessary repairs or services necessary for the Immediate protection of persons or personal property detailed on this invoice; and 3) 1 expressly acknowledge and waive the right to cancel this contract within three or seven business days, whichever applies. I , (PRINT NAME) (SIGNATURE) COMPLETION i acknowledge completion of the above described work which has been done to my complete satisfaction. A. The serviceman discussed Roto -Rooter products with me. B. I have been advised additional lines cleaned at this time are half prices. C i have been advised that running my main line from a 3- roof vent is improper access and can only be given a 10 day guarantee, a 2- main line has a zero guarantee. In order to get a 120 day guarantee a cleanout must be installed. CC //T EXRDATE APPROV. # I hereby authorize Rotoco, Inc. to arge my Cre i Card for the above charges. I understand that by signing below I am agreeing to all charges inc rthisii v i e and that the work was completed to my satisfaction. Cardholder Signature X CLEAN UP ❑ EXCELLENT ❑SATISFACTORY ❑ POOR E)CASH ;❑^BILL CK #..Za 7 ❑ CREDIT CARD/TYPE SEE REVERSE FOR TERMS & CONDITIONS f x s CUSTOMER COPY CONDITIONS AND EXCLUSIONS Roto -Rooter Service & Plumbing Co. guarantees the services performed as set forth in this invoice to be free from, defect in materials or workmanship for the applicable time period stated above. If within the Guarantee Period a drain stoppage or other defect in the repair of plumbing fixtures or plumbing parts installed by Roto -Rooter Service & Plumbing Co. occurs, Roto -Rooter Service & Plumbing Co. will clear the drain stoppage or, repair or replace (at Roto -Rooter Service & Plumbing Co.'s option) the plumbing fixture or plumbing part previously installed at no cost to customer, subject to the following exclusions and limitations: L This Guarantee applies only to the specific sewer lines cleaned, or plumbing fixtures or plumbing parts supplied and installed by Roto -Rooter Service & Plumbing Co. 2. Roto -Rooter Service & Plumbing Co. must receive notice of the defect within the Guarantee Period. 3. This Guarantee does not apply to: a. Multi Unit Dwellings sewer and drain lines, plumbing fixtures or plumbing parts. b. Materials furnished or work performed by other than Roto -Rooter Service & Plumbing Co. c. Drains, sewer lines, plumbing fixtures and plumbing parts which have been misused, abused, damaged or modified by others; d. Drain or sewer line stoppages caused by foreign objects, including but not limited to sanitary articles; paper towels, toys, etc.; or e. Sewer lines which are settled, broken, offset deteriorated, damaged or improperly or illegally installed. f. Drains, sewer lines, plumbing fixtures on septic systems. g. Commercial accounts. 4. ' The Guarantee Period commences on the date or original service and shall not be extended by subsequent services or repairs made pursuant to the terms of the Guarantee. The Guarantee hereunder extends to the customer invoiced for the services and is not transferable. 5. Roto -Rooter Service & Plumbing Co.'s liability hereunder shall be limited to recleaning of drain or sewer stoppage (Max. two repeat visits) or the repair or replacement of defective plumbing fixtures or plumbing parts: Roto -Rooter Service & Plumbing Co. shall not be liable for, (I) Incidental or consequential damages; (2) Water or other damage; (3) Loss of use; or (4) Loss of anticipated benefits or profits, any of which result from the furnishing of services or products,.or from the breach of the Guarantee, even if Roto -Rooter Service & Plumbing Co. knew of the likelihood of such damages. 6. Any implied warranty of merchantability, or fitness for a particular purpose of use, shall be limited to the duration of the foregoing written guarantee. The foregoing written guarantee is the customer's sole and exclusive remedy and in lieu of all other guaranties and warranties, express or implied, written or oral. This guarantee may only be modified in writing, signed -by an officer of Roto -Rooter Service & Plumbing Co. 7. This guarantee does not apply in the event customer breaches any of the Terms and Conditions of service, including but not limited to timely payment of all charges. 8. Collection. Owner agrees wpay all collection fees and charges including but not limited to all legal and attorney fees that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at the rate of 18% per annum. 9. Legal Fees. In the event litigation arises out of this contract, prevailing party(ies) are entitled to all legal, arbitration, and attorney fees. The court shall not be bound to award fees based on any set, court fee schedule but shall if it so chooses, award the true amount of all costs, expenses and attorney fees paid or incurred. TERMS: NET 10 DAYS. A FINANCE CHARGE will be computed on the unpaid balance by a single period rate of 1-1/2% per month, which is an ANNUAL PERCENTAGE RATE OF 18%. "State law requires any one who contracts to do construction work to be licensed by the Contractors State License Board in the license category in which the contractor is going to be working - if the total price of the job is $300 or more (including labor and materials). Licensed contractors are regulated .by laws designed to protect the public. If you contract with someone who does not have a license. The Contractors State License Board maybe unable to assist you with a complaint. Your only remedy against an unlicensed contractor may be in civil court, and you may be liable for damages arising out of any injuries to the contractor or his or her employees. You may contract the Contractors State License Board to find out if this contractor has a valid license. The board has complete information on the history of licensed contractors including any possible suspensions, revocations, Judgements and citations. The board has offices throughout California. Please check the government pages of the white pages for the office nearest you or call (800) 321-CSLB for more information." OWNERBUILDER INFORMATION Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of the property improvements specified. For your protection you should be aware that as "Owner/Builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name: I I I . Contractors are required by law to be licensed and bonded by the' State of California and to have a business license from the City or County. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and 'other costs) is $200.00 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. If you are an employer, you must register with the State and Federal Government as an employer and you are subject to several obligations. include State and Federal income tax withholding, federal social security taxes, worker's compensation insurance, disability insurance costs and unemployment compensation contributions. There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. For more specific information about your obligations under Federal Law, contact the Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit. Payments and the Division of Industrial Accidents. If the structure is intended for sale, property"owners who are not licensed contracts are' allowed to perform their work personally or, through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "Owner/Builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contacting the Contractors' State License Board in your community or at 1020 N. Street, Sacramento, California 95814. Please complete and return the enclosed owner -builder verification form so that we can confirm that you, are aware of, these matters. The building permit will not be issued until the, verification is returned: Very truly yours, CITY OF LA QUINTA - DEPT. OF BUILDING AND SAFETY 78-495 Calle Tampico La Quinta, CA 92253 ,(760) 777-7012 FAX: (760 77-7011 O ER'S SIGNATURE/DATE 06, Z:-�>G J PROPERTY ADDRESS J 013 - PERMIT NUMBER(S)