BPLB2015-01071.!
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2015-0107
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
79805 RANCHO LA QUINTA DR
APN:
602210022
Application Descriptiori:
LAGIN / CHANGE OUT (1) 75GALLON GAS WATER HEATER
Property Zoning:
Application Valuation:
$1,690.00
Applicant:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
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: License No.: 930133 /-1
Date:!t� 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).:
(_) 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, 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. , 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:
Owner:
MARTIN LAGIN
79805 RANCHO
LA QUINTA, CA E
Contractor:
TOMMY ROOTEI
80975 INDIO BU
INDIO, CA 92201
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
(760)574-4444
Llc. No.: 930133
(3/2015
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'
cation, as provided for by Section 3700 of the Labor Code, for the performance
for which this permit is issued.
I ave and will maintain workers' compensation insurance, as required by
Se 70 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
comply with those provisions. r
Date: - - Applicant:d
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. r1
Date:— (D- V Signature (Applicant or Agent)
E
0
a
FINANCIAL •• •
f r ,DESCRIPTION = r a ,ACCOUNTQTY '-AMOUNT'", PAID �. PAID DATE
BSAS SB1473 FEE 101-0000-20306 0
$1.00 $0.00
PAID.BY METHOD .^, =, %.w" RECEIPI # , ,4, .. J ;CHECK #" . CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION .:.:
.- t.�
M
:. - ACCOUNT. T --
>`C!TY:;
. AMOUNT r �
=.> PAID :.
PAID DATE'
PERMIT ISSUANCE.
101-0000-42404
0
$91.85
$0.00
,S PAID BY }
RCEIT #
CHECK #
CLTDBY
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
y DESCRIPTION" '
ACCOUNT
QTY
AMOUNTS.' :
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID`BY =c r' ''
METHOD
RECEIPT #?
CHECK # ' . ,
CLTD BY
`+DESCRIPTION_rz� t
''ACCOU,NT :c
gQTY`
, ' AMOUNT
-PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
PAID BY `
' " �•�iMETHOD '
RECEIPT #'
CHECK #
CLTD BY'
Total Paid for PLUMBING FEES: $19.34 $0.00
TOTALS:$0.00
E
0
a
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OF'M�'v
Description: LAGIN / CHANGE OUT (1) 75GALLON GAS WATER HEATER
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 9/3/2015 SKH
Approved:
Parcel No: 602210022 Site Address: 79805 RANCHO LA QUINTA DR LA QUINTA,CA 92253
Subdivision: TR 29457-1 Block: Lot: 47
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,690.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - 75GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE ~`
``�'` NAME) .
'ADDRESSI`
CITY
STATE z
ZIP -
G' PHONE
FAX _
'EMAIL
APPLICANT
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
CONTRACTOR
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #C3
INDIO
CA
92201
OWNER
MARTIN LAGIN
79805 RANCHO LA
QUINTA
LA QUINTA
CA
92253
Printed: Thursday, September 03, 2015 10:16:04 AM 1 of 2
- SYSTEMS
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DESCRITION
.S'•. d, ��,
V -ACCOUNT
------
4 ; y `
QTY
--•': ...t
�: �,.
`
,�,. 3,
PAID DATE
�T_ i' ..
R
—�--�------*--r—
- . -
ECK #
.:
a; C .. _.:, _ ,
PA10BY:
--
..
.. CLTD
,AMOUNT
,.+
.-
BYA
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
Total Paid forPERM1T 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 forPLUMBING FEES: $19.34 $0.00
TOTALS:00
INSPECTIONS
PARENT PROJECTS
ATTACHMENTS
►IN
J
Printed: Thursday, September 03, 2015 10:16:04 AM Y 2 of 2 CSYSrEMS
06/06/2013 TH1J 15:09 FM La Qtuinta Bldg & Safety
City 4f La Qu1n
StriltAn o Sarety Dh+i w
Permit # P.O. Box 1504, 78-495 Calte Tampko
La Quinu, CA 92.253 - (760) 777.7012
L 01 01 Building Permit Application and Tracker Sheet
Prqeot A@dxss: Owncr's Name: '1 ► IQ ' L
A I?, Nwabcr:
3 ogal Description-,
--- City,
escr' tion -
City ST, zip:
j Contractor:
Address: 1 ptnjeotDescrlption:
`h'' ST' z>p: Ccx he r
Telcpitonc: (�Q 4 �f t
r<
sty zic.C, city'Lle, tr: p p
Arco., East, Destpw.
. nddr�s: '
city ST, zip.
®001/001
ConsrudmType;. Oompw-Gy:
Statc Lia 4 c
tr } I'Mieet type (circle MO. Now Add'n Alter Repair Demo
Name oYContaot Person: #Stories: t;•U�
Telephoneof Content person:LOL4qL Bstimetdd Value of Project:
APPLICANT: 00 NOT WRITE BELOW THIS LENT
q t�bmlttal Iaeq'd Etec'd TRAGI NGPtRhur tdEE9
Plan Seto Alan Cberk submitted its
Ainomut
Strtictnn! tics [tevimved, ready for comettoas ,Plan Cbr& Deposit
' Trbss C'al
i
Catlett Contact Person
Plan Check t3alance
i itte 24 Cake
Plans picked up
Constrncfian
Mood plain plan
Plana resabatitted
mechanical
-
Grading plan
Z•' TtCview, reedy for correcY,onafisyue
Eleotr ica!
Sdbeontactor List
Called CoatacEPcreon
plambing
Great aced
plans likked -op
B'.O.A. Approval
Plans resabmltted
Grading
TN Ht
R fe itw, ready for eatrecttomtiw,,
Aeveioper Impact Fee
)Plaaatag Approval
4WO Contact Person
A,z p,P
ft'i' lvkA9Pr
bate orperwitfssua
•
Sckodl Pcea
Total Permit Fees
Prescritive.f.ertificate of Compliance: Residential CF -1R -ALT -DMV
Residential Alterations Pae I of 2
Project (Name.Climate Zone: Permit'#:
General Irl forin at io n
Site Address: !�Enforcement Agency: Date:
Building T 'Sin le family 0 Multi Family Project Type': R.Replacerriimt or Chan a Out of Water Heater
-WATER.-HEATING
List'rietWy iRsta/led water heaters and boilers for. both domestic hot hater hearers (DIPN) and hydropic spate heating. Newly installed
DtWhearers.and boilers inust be as, propane, oruseiheexisfingfirel ry e.
1Vater Hcatcr
Type Rwi Type'
Distribution Type Number [n Tank' Energy. factor or
(Staxlud. SysteCapacity (gal) Thermal Efficiency
Recirculatin )r m
identified on this Certificate of Compliance.
E.xtetnal Tank
Insulation
R=Value
conform to the requirements of Title 24, Part and 6 of tlio`California Code of
Regulations -The
building design features identified on ifii3 Certificate of Compliance are consistent with rhe infdrination provided to document this
building ` 6isn on the other applicable eompliame forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for a roval with this buildink. ggrnit appika0wL
Name:
5i
Co._e
mparty
Data.
Address:
Lie se:
Citytstatc/Zip:
a`
Phone: (�
a S__) �1
1. Indicate Type (Storgge C 4.41eat Ptimp, fasra,*Weous, etc.)
2.'Reclrculating systems Serving multiple drivelling units shall ,neer the recirculation requirements of §450(n).
requirements do not allow the installation of a recirculating water heating system for single dfvelling runts.
3. The evernalwater.healing tank and i s shall be insulated to meer the re turenunts of -,0150(j).
The .Prescriptive
Contractor or Homeowner (Documentation Author's/Responsible Build ng Designer's°Declaration Statement)
• I certify that this Ceitificata 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 Ccrtltlmte'of Compliance
conform to the requirements of Title 24, Part and 6 of tlio`California Code of
Regulations -The
building design features identified on ifii3 Certificate of Compliance are consistent with rhe infdrination provided to document this
building ` 6isn on the other applicable eompliame forms, worksheets, calculations, plans and specifications submitted to the
enforcement agency for a roval with this buildink. ggrnit appika0wL
Name:
5i
Co._e
mparty
Data.
Address:
Lie se:
Citytstatc/Zip:
a`
Phone: (�
a S__) �1
1
3D
4✓i M L,/ i G'✓I . V k -N j Y
PLUMBING WORK ORDEF flNVOICIS
.:vommy
RODWR
OR PART DESCRIPTION,
HELPING THE DESERT r12I927
ONE FRIEND AT A TIME Co.ITEril
NUMIft Drain Cleaning&letieY5pec?aJfst 1nv.#
80975 Indio Btvd., t`E9
Indio, CA92201
760-574m4444 In
Fax 760 464 -?.717
VW1Vd.T0MMYR00TER.00NI 0'42
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CA LIC. #'930133
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h10DF1 SERIALNUh1BER
p 5 00ITFRACT
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TOTAL MATERIALS.
• '�
_RES f3 ITIOaL
p NOT COMPLETE
AMOUNT
1 • • •'
`eit/
L✓ fi G 57
+ . • TO OUR MSTOMERS: Sen4p men are roto 10 have viork slip signed.
This Is done in order to pro4ect yu,, tiv %wkmon, and oumofms an) bi
y� S enatte us to ghe your absdute.satisfactvry service. You art' resp3.ffully
req rested to examine matmial and labor .WemenT t> kw. wnor omen IM9
the fob, and U y�1u find erer�lNN sailsfactary, okay INS. 11-. � K wbice Is
unsafWcbry, In arrf way. gleam Dlxne. our office Immediately.
C E^ fS A F81ALrY WILL BE CLAMED AT THE RATE OF 11twA PER MONTH ON
UNPAID BALANCES AFTER 30 DAYS OF W"E DATE. ANNUAL PERCENTAGE
TOTAL LABOR RATEI8%,REM14ED CHECK FEE $M.00,
DRAIN CLEANIhG
ADDLFOOTAGE O
AODt FCtTURES
PWA(IBING LABOR
PARTS
PRODICMTREMAENT
VIDEO INSPECTION
❑ WARRANTY
NOTES • � / •
i find ine *wand mated charged atom sallafaclnry and agreo $o pay
HYDRO.rETTER
M INI JETTF}i
❑ 5 Day ❑ 1 Year
❑3 Llomd, ❑ NOg,
loci Barn on puessnWion d lm -dm, and f