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BPLB2015-0093LW Applicant: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 JUL G 9 2015 CITY OF LA QUINTA 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: C3366 C License No.: 930133 Date —�-1 — (S Contractor: _C-Q-9AA 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 Divisi . 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).: (_) 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.). ( I 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: Contractor: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 (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: 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 yomply with those provisions. Date:—Q —(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- mgntioned property for inspection purposes. Qate., ' `- s Signature (Applicant or Agent): VOICE (760) 777-7125 78-495 CALLE TAMPICO D FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/24/2015 Application Number: BPLB2015-0093 Owner: Property Address: 43515 CORTE DEL ORO BRIAN KOENIG APN: 609580039 . 43515 CORTE DEL ORO Application Description: WATER HEATER CHANGE OUT LA QUI NTA, CA 92253 Property Zoning: Application Valuation: $1,385.00 Applicant: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 JUL G 9 2015 CITY OF LA QUINTA 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: C3366 C License No.: 930133 Date —�-1 — (S Contractor: _C-Q-9AA 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 Divisi . 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).: (_) 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.). ( I 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: Contractor: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 (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: 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 yomply with those provisions. Date:—Q —(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- mgntioned property for inspection purposes. Qate., ' `- s Signature (Applicant or Agent): QTY AMOUNT PAID PAID DATE FINANCIAL INFORMATION DESCRIPTION ACCOUNT 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 $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 for PLUMBING FEES: $19.34 $0.00 • • •• Description: WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 7/24/2015 PJU Approved: Parcel No: 609580039 Site Address: 43515 CORTE DEL ORO LA QUINTA,CA 92253 Subdivision: TR 29323-1 Block: Lot: 127 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,385.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 STATE Details: WATER HEATER REPLACEMENT 2013 CALIFORNIA PLUMBING CODES STANDARD NATURAL GAS, 50 GALLON.CODES 2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION Printed: Friday, July 24, 2015 5:12:10 PM 1 of 2 RWrsrenas ADDITIONAL CHRONOLOGY NAME TYPE NAMEADDRESSI CONDITIONS CONTACTS ; CITY STATE ZIP PHONE' FAX EMAIL APPLICANT TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 -( Printed: Friday, July 24, 2015 5:12:10 PM 1 of 2 RWrsrenas Printed: Friday, July 24, 2015 5:12:10 PM 2 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" BLD CLTD DESCRIPTION ACCOUNT QTY' AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid forPERMIT 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:•• Printed: Friday, July 24, 2015 5:12:10 PM 2 of 2 CRWYSTEMS INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" BLD Printed: Friday, July 24, 2015 5:12:10 PM 2 of 2 CRWYSTEMS 06/06/2013 Ta❑ 15:09 FAR La Quinta Sldq 6 Safety Bin C0ty Of to Quints RuffdllljoSafety attrition Permit 0 P,O, $oX 1504, 78-495 Ue Tampico ! La Qlft, CA 92253 - (7b0) 777.7012 Building Perm lC Applicat on.and Tracking Sheet PrajtctAddtess: UpOwner'sAfame: A. P. Number: O 1 Address: Ll 2 x,egal Aescr Son City, ST, Zlp; Cantrgcter: 1 rn (`t�� L� Tol lions.: Address: S j llescri bon: Pro ori p . X001/tr0.1 "total Permit T� � City, ST, Telephone: Lia ik I [nq Le 0 Address; Caty, ST, Zip: Talephone: Construction T: c:- yP O�cttptutcy: Stair Lir #L: Pt'Qject type (cutis on* New Add'a Altcr Repair "LTcmo Name of C64[8d Person .( ��SL Sq, P� ; #Stories: fi Units I Telephone # oFContect Person: 1 >;siSQ,afed Value o£i'rQject: �� • 5 APPLICANT; DO NOT WIi1TE BELOW THIS LINE ti Submittal 'd Qec'd TRACh.I[VG p�RiV>x1 BEES Plan gets Plan Cl "k submitted . Ittm strncturat Calcs.tonnt 42ev1errod, ready w t o"tcttons Plan Cbtdc 2?eposit Tutu 4le& CRDea Contact Ptraon Plan check )3alance 1ltte14 Coke. Pians piCkcdup 'CorstractIQU ' Ffaod plate plan Plans resubmitted Mechaaleal Grading plan Z'! Iierotew, ready for earreetiowAmue ) tectrical Subkoabetor U. t Culled CoribmtPer"n Plumbing Gnat Dcetl Plasu picked up SJVLII H.aa nppravl Piansresabmtttcd Grading INAat1S&t >*' ReAPT, ready for eo"Molonali me .Developer Impact Fee Planting Approval Called Contact Person ArYP. 1%. Wks. 4vpr Date of penult issue Sthodl Fces "total Permit T� � Prescri tine ,Cgrtificatt of Cote .ilance: Residential .. d-1R-ALT�IDffW Residential alterations page I of 2 Pro'ect Name: l — 1� Climate Zone:. Permit #: General 106' 6idtion Site Addiess: L -1 3`S A -c a4p l C7.v�' I aforeertienE ;4 etic Dater Buildin .T . Sin a Family EI Multi Family- Proiect T Iii t;icetiiearor Chan a Out of Water Heater. WATER HEA'T`ING Lfsi Newly histalled'Warer'heaters and boiler$ for both dornetdc hot ►vales hedters'(DWH)'and hyalronic space heating., Newly Installed DW H hearers Aird boilers r»ust be gas,-Propeste, or use the. exi.1109 t tve. Distribution Water Heater. Type Npmbet In Type/Fue Type' ulM..9yatern R Tang (gai) " ' 'F-trei'BY-Fnaar. or UterineEfficiency conform to the requirements of lltle'24, Pattl and 6 of the CaFiTomia Code of Regulations. ExInsulation Tank a . o,,S 1 enforcenient agency for approval. with this builds emitlicattion. Name: 5i C-\Y� 1 am M rJ�--r � ��•m� � � Dam_ -� -�3 -- �S Addresa: c �5 a s c��6\j\A License: k3-3 City/stwdZip: '-A '-Q, OR q Phore: (D b l.Indicate Type (Storage Cis,- Heat Ptrmp, Instantaneous, etc.) 2.'Recirrulatfng systems serving -multiple dtdelting 'units shall meet The recieu/atlon requirements of g130(n) requirements do not allo.'w the Installation of a recirrtdating water heating sysrent far single davell/ng units, 3. The etternal tvater-heatingtank and 1 es shall be insulated to meet the >E ulrements o ' 13 ' T7te'.Rrescriptfve Contractor or Homeowner (Documentation Author's/Responsible Building Designees Declaration Stattziiriein) • I certify thU this Certificate of Compliance documentation is accurate and -complete. ' • 1 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 tate energy features.and performance specifications foi the: building deiign identified on this certificate of Compliance conform to the requirements of lltle'24, Pattl and 6 of the CaFiTomia Code of Regulations. . ` lie building design features idetitified on'this Certificate of Compliance are consistent with the irrfodt atian provide lo'doeument this building"d'eslgn on the other applicable compliance forms, worksheets,, calculations, plans and specifications submitted to the enforcenient agency for approval. with this builds emitlicattion. Name: 5i C-\Y� 1 am M rJ�--r � ��•m� � � Dam_ -� -�3 -- �S Addresa: c �5 a s c��6\j\A License: k3-3 City/stwdZip: '-A '-Q, OR q Phore: (D b