BPLB2016-011178-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: - BPLB2016-0111
Property Address: 57467 COLONIAL
APN: 762180010
Application Description: BARNES RESIDENCE/ PLUMBING O
Property Zoning: p (�
Application Valuation: $1,280.00
OCT 13 5 2016
Applicant:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #B9
INDIO, CA 92201
L__ CITY OHA W PITA
CDA,MUNITY DEVELCPMENT DEPARTi',1ENT
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
L.Date: (Contractor:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS .(760) 777-7153
Date: 9/7/2016
Owner:
TAHEREH BARNES
57467 COLONIAL
LA QUINTA, CA 92253
Contractor:
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #69
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
f t e ork for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
Sec n 700 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: NORGUARD INSURANCE COMPANY Policy Number: TOWC765159
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
3 of the Business and Professions Code) or that he or she is exempt therefrom and the ,
Date: S — �� Applicank C 4
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 SUBJECT -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
(_) I, 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
Lender's Add
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: O— — .Signature (Applicant or Agen C_�
Date: 9/7/2016
Application Number: BPLB2016-0111
Owner:
Property Address: 57467 COLONIAL
TAHEREH.BARNES `
APN: 762180010
5.7467 COLONIAL
Application Description: BARNES RESIDENCE/ PLUMBING
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $1,280.00 ,
Applicant:
Contractor:
TOMMY ROOTER PLUMBING INC
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #69
80975 INDIO BLVD #69
INDIO, CA 92201
INDIO, CA 92201
(760)574-4444
Llc. No.: 930133
DPtaJ; W.-ATER. HEATER CHANGE 01—IT — 50 GAIL ON/GAS (2n08 •ENEP,GY] .CARBON-MONOXIDE
ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. PER
2013 CALIFORNIA BUILDING CODES
r.
DESCRIPTION
FINANCIAL .••
ACCOUNT QTY
AMOUNT
BSAS 5B1473 FEE
101-0000-20306 0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$91.85
-Total Paid for PERMIT ISSUANCE:
$91.85
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.09
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT PC
101=0000-42600
0
$7.25
a.Total.Paid for PWMBU► QSEES:..�
I V I ALJ: :>11L.1`J
06/06/2013 TSU 15:09 FAx La guinta 7Aldg & Saftty
2001/001
Bin
City of LA QuInta
gt7ifdln$.et Safety DM*n
PemTlt # P.O. Box 1504, 78495 Cage Tampico i u t 1
La Quinta,.CA 92255 • (760) 777.7012
Building Permit Application and Tracking* Sheet
Project Ad*=-. I q V1 Cot OYl\ G Owner's Nmne:
A. P. Number: Address: .L� 61
LAe Da aiptibn: City, ST, zip: -} , . P Las -s
• Corrh'actor. (`� �t�-r�v 1 1 U'M�\ Tel hone• � — .
Address: "i l ProjeotDestulpt%a:
city. ST. zip::T- 'C^ e \-(14L-
Te
-
Te[ephwe,�LAD
State Lie, 0: Q ! City Lir, #:1'J X171 D
i A'eb'' ErW', Designer' '
. Addrats: •
s -
`- CIV, ST, Zip. '
'ilelephone: CombucdonType: ►P 5"
State I.re. in Ned type (circle one): New Add n Alger Repan Apra
Name of Contac Person: L Sq, gt ; # storks, ' l7nits
jTe
nc# ofContact person: Bstlmeted Value of Project a
s
APPLICANT, 00 NOT PYRITE BELOW THIS LIME
#
Sui»axRhal
lteq'd
Re, -'4
TRACMG rP tMr FEES
1PIan9eti
Plan Check srtbmimd
Item Ataeaat
.i
Straetgrai t:�lc9.
Revleaed, ready for corrections
Mn t:beek Deposit
Tease CAIta.
0290 Contact Person
Plea Ctkak Balance
'nda2A Cdca.
�ipp8 gfclscd ug
Canatrncdoa
P000 plain Pfau
Plana resubmittal
Mechsateal
GradtgP plea
Z" Review, ready for conudwowlaue
Elect deal
$6ccirtattor List
Called Contact Person
planlhlrcg
Grant Ved
Plans okked up
M.O.A. Apprwal
Mus reMobtaltred
Grading
ifYiIQUSB-
'"'R +srv,iaidyforwmcttormliseue
DeveloperImpaetFte
Piawbg Approval
Called CDAtatt person
A.I.P.P.
Pta4 Wks. Appr
Aatc vlvermlt issna
.
5choot Foes
Totai Per y Fees
Prescriptive.. rtificate Of Cotte timet': Residential
Residential Alterations Climate ane:
Proieci Name: C: ]—
CF- IR -ALT -DH%
Page I of 2_
GeneralInfoiinution Date:
Site Addre$s: Enforcement A ' nc
Tvrw,- M :Grote F'arrfilV 13 Multi ]Family PmJect T -Re lacemenror.Chan a Out of Water Heater
'ERMEATING
List newly installed water heaters and boilers for Froth dataesric hot water hewirs (DWN) and hydronic space heating. Newly installed
D WH heaters and boilers must be ax ro e, or use the existingtel e. Pxtemal Tank
QlstributiQn Type Number In 'Dank �y Fum tle insulation
Water Healer (Standard. Merm3l Erncl
fype/F\ret Type, System Capacity (gal) R-Vdtue'
Rccimtlatin
t1
IQ
I, indieWe 7Fpe (Stotmrse Gas, Heat Pd)np. Instantaneous, Pte.) Live
Z. kneirc dadhk systems serving multiple dwelling units shalf meet the reciiroladon requirements of 1ISl1) n - The P&Scri P
requirement) do not dllaw the installation of a recirculating wafer hearing sysrem forsingle dwelling rtn/ts
3. The errernal water heating tank and ives shall be insulated to meet the reuirements 15
Contractor.or Homeowner lDocuMentation Author's/Responsible Blinding Deslgneir's Declgriltloa SWtsttsrtYt).
. I certify ttiat this Certificate of Compliance documentation is accurate and complete.
• l 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.
o l far the building design identified on this Certificate of Cotrtpliance
certify that the energy features and performance specifications
conform to the requirements of Title 24. Pati l and 6 of this Califomla Code of Regplations.
- The building design Features identified on this Certifxatc of Compltanee ate consistent with the i�Potnratian provided to doe'riment this
buildWg design on the other applicable compliance Porinm worksheets. calculations. Pians and specifications submitted to the
enforcement agency for approval with this building rmitlicatIon.
r
app
rte;
Li j
ucemc:
Address; q ► 3
a
' Phone:
citylstatozp:. �—j LA Ur, \'\ ,� C' lA Q A 6O
\Ll 11' \ W`i, 1 1'd l I,.._
PLUMBING WORK ®RDERANVGiCE
TOMMY RVOTM �
HELPING THE DESERT
v.q ONE FRIEND AT A TIME Co.
Ittiii 6R - Pc - a • UNIT
a. PlumbirTg; Drab cleanrngflATtierSpeclarfst Inv.;
80975 Indio Blvd., #69 Auth.;�
•:� �
Le z/ 9�^•
� Indio. CA 922131
760-574-4444 h ,
,..;,�.y., .:... Fax 780.444-2717 Ir
"ARLTeaH'' WWVJ.70MNIYRO0TEFi.00M Out
CA LIC. X936133
PIAr� 0 ULE
STREET PHONE
y -TE Z AIM
tl COWMACT
KE (MODEL SERIA1 POWBER ❑ SERME CONTRACT .
❑ NOANAL
❑ RES. 0 Cow,
TOTAL MATERIALS
NOT tPLIeTE
�bEgbQ f•
T
o c
Q14 All U
TOOUR 0" DWES: ScMm men are reallred to have work Mp dDnRd.
DRAIS! CLEANINGTf+r
tS dwfe in crdar to protect you, the v+axlonan, and oumble s and to
ADD'LFIDOTAGE
777777-77
lacbory str. You are rewecafuDI
enable us io rave your absolute sars&u
regrasted to examine material and labor statement betare Nmrmen Iowa
me jch, and 1i you find weryving sawaetnry, army this kkeL If Sacha IS
AOOLFIXTURES
PLUMU NG LABOR
PARTS
unsatisfactory, in arty ml, please Ocala oar afire immediately.
A PENALTY WILL BE CHNGW AT THE BATE DF I'u% PER MONTH ON
FRODJr-TWREAT6F1bT
UN PAM BALANCES AM31)DAYS OFNMICEDATE. AIDILIALPERCEIIME
BATE1896.RETURNEDCHE SEEMA)IL
TOTAL
LABOR
VIDEO INSPECTION
I find the tine and material cterged abm satisfactory and agree to pay
HYDRO -ATTER
MNI JETTER
WARRANTY
for sane an I:meNallom d tmnice, uid further agree to pay reasonWe
LINEI.LEAK LOCATM
0 50ay C] tOear
❑ 3 IAontlr ❑ NOOf
n e-
eh ed forcollecbnincludi aMeysfeesintheevenLofmydefadd.
❑ 6 Month
^
4^. /�'t�/1
�j
/• ��
'NOTICE TO OMER" (Sedlon 7U19•Coaftclo» ticense Lew) u si ne
uufnr►s't'S tan•. er,•cat�a f�r.:+�ro+re:hcl ( a"bi rtes oroRni parvo rnla�
lsnolPvl �irhb t3tne retilaGan al. tray ai}ri:lo eltoro716
PLAIP SEPTI; UREASE
OTHER
WARRAH7Y CALLS
q�TPa+r yvicp7P jaea
dun aq*r2 yuv pmpe4 Under me WA vm ncy pard" y5u'9: aM" cub rlum by rrnj,
�nynioov*»eaeh=a�Q3P'%�ARESCHEDULED d mf
mdmyrvA.LnoUlmowyrt Wa .^j�e3W
T TAX
FROM ??-FSUMPIA
tlfrtyWi&oxi s)rkGe niikb(nJ bbrew�W k1wo 4". sw Wd Unn
rNisle haclfrpawt pa%jcditwvndPita enlsreli»a' e'!cud vee
bf !i: D 1n1J101[In minao Prsxe
/
P3 d0as rand:
TOTAL
_
otm n L h s1w w
• %
•. � (C—�J
��
7 RECEIVED
X
X
Initiats
DATUM DATE
oe Br.
PAYMENT 01 IE 2 S
Q CASH ❑ C.C, Q Bfl1 HECK 8 Q x
i:ti�
/I S