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BPLB2015-008278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: T4ht 4laQ COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT BPLB2015-0082 48955 AVENIDA EL NIDO 658310011 WALES / CHANGE OUT (1) 50 GALLON GAS WATER HEATER $1,000.00 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: C36 License No.: 930133 Date: to -.30 — G Contract 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 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 ) 1, 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 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: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/15/2015 Owner: MICHAEL WALES P 0 BOX 1420 LA QUINTA, CA 92253 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 0kfor which this permit is issued. I have and will maintain workers' compensation insurance, as required by 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: 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. Date: lD 3 y— lS ApplicantLZ/ - 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. C_QA�Date: �, _3z:5-6 Signature (Applicant or Agen'03 ' FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 r PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forBUILDING 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 TOTALS -00 Description: WALES / CHANGE OUT (1) 50 GALLON GAS WATER HEATER Type: PLUMBING Subtype: Status: UNDER REVIEW Applied: 6/15/2015 SKH Approved: Parcel No: 658310011 Site Address: 48955 AVENIDA EL NIDO LA QUINTA,CA 92253 Subdivision: LA QUINTA GOLF ESTATES 1 Block: Lot: 93 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: WATER HEATER CHANGE OUT- SOGALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. Printed: Monday, June 15, 2015 2:07:51 PM 1 of 2 EVICY SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP 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 MICHAEL WALES P O BOX 1420 LA QUINTA CA 92253 Printed: Monday, June 15, 2015 2:07:51 PM 1 of 2 EVICY SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT t PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY EBY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 Printed: Monday, June 15, 2015 2:07:51 PM 1 of 2 EVICY SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT �YPAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD 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:00 INSPECTIONS SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" BLD Printed: Monday, June 15, 2015 2:07:51 PM 2 of 2 I?WYSTEMS 06/06/2019 TiiU 15t 09 PAX La Quinta Bldg tr Safety 1, Rin # City of La Quinta Building.8t Safely Mblon vt3rmh N P.O, Bax 1504; 78.495 Calle Tampko P�PLS'v2co�S� 0?52- La QAltltar CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address: t� Owner's Name: A. P. Number. Ad&ass: Ll 8 Ls a! DtscripdoR: . Cily, ST, Zig: Contractor. el Address; C) Oily, ST, Zip:��Urrk C� cf ' Telephone; � O S i . State LIG, M: ArdL, Eugr., Deslgiier: } Addre= City., ST, Zip: Talephone: State Lia 4: Name of Coates¢ Person: Telephone # of Conw Porsoa: H Sabmitt2t Itaq'd Plra sees Stractaral CHIC& ' hues Calcs. Tide 34 Cala. Flood plain ptax Grading plan S ibcoateetar list Grant Deed H.O.A. Apprwlw mxOUSEl- Planning Approval Pub. \visa. Appr school Fees Lim � , 10001/001 �" Cotz9kuctiott'lype: OocupFuuy: . i. Project typo (cirate one}: New Add'n Alter Repair Ueezo L Sq. FL; # Stories: #.Units: � E HUt 04 Value of Proje= O —. APPLICANT: DO NOT WPATE BELOW THIS LIVE c'+1 TBACEn4o PLRAfIx FEES Plan Check submltted Item Abonat Reviewed, really for carttedons P1sw Check bcposit Called Contact Person Plan CheckBslauce Finns pldced ap •(.bnvauc6on . PISMS ttsubmlmd Meehanlgal ' 2'� lievtew, reAdyfor correetioas/laguo Bkctrtca! Called ContactPemou i?ilmbing Pians pteked np S.mx Plans rceabmittw Grading Reyjm, ready for correctkios/ime b oveloper ratpaetFee Called Contact person Date of permit Issue Total Permit Fete 1'rescri thee:...Celrtificate of C.otn lienee: Residential CF-M-ALT-DRW Residential Alterations - gage I oft Pro'ect Name: Climate Zone:. Permit #: General lhfocinatidn Site Address:148 S EeforcetiieneA cite :..' . Date: —) Buildin T -' 'Sin'" I'e Family Ct Multi•Famil -- PvqLectTypeXl6placeffint or..Chaa a Out of Water Heater WATER HEATING • 1 certify thot this Certificate of Compliance documentation is 4c6urate and complete. GLet newly Atstalled'warer hearers -and boilers for both domestic hot tvater hediera (DIVfl) and hydronic space heating. Newly Installed D ►VH heaters-aitd boilers tnast-be •iraws, propane, or use the existing tel ty e. Nater Heater Distribution Type . Ngmber In Tunk 'Enemy Factor or Type/Fuel Ty"pe1 . (standariL System Capacity (gal) Thermal Efficiency Recirculatln :itcmaf -rank Insutat"son R -Value conform to the requirements of Title 24, "Partl and 66f the C91fornia Code of Regulations. of Complian' are consistent with the inforrnatlon provided to document this • The building design features iden.tified on this Certificatece building `design on the oilier applicable @ompllance forms, worksheets, calculations. "plans and specifications submitted to the enforcement agcftey for approval with this building mit 4pplication. me: C -o vk-e Company: Date: 1. Indicate Type (Stortige Cas,>fleat Pump; lnslattlanreous etc.) 2.'Recirrttlalfrig systems serving multiple dwelll rg 'units shall +meet the reelreu%atlon 'requirements .of §150(n). requirements do not alldw the installation of a recirculating water heating system for single dwelling tants. 3. The external tvater-heatim dank and pigej shall be insulated to meet the re uirements off 150 ' . The ' Prescriptive Contractor or Homeowner (Documentation Author's/Responsible BulkUng Designer's 64iclam: Oon'statettient) • 1 certify thot this Certificate of Compliance documentation is 4c6urate 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. • 1 cettify that Tho energy features and performance specifications for thv building design identified on this Certificate of Compliance conform to the requirements of Title 24, "Partl and 66f the C91fornia Code of Regulations. of Complian' are consistent with the inforrnatlon provided to document this • The building design features iden.tified on this Certificatece building `design on the oilier applicable @ompllance forms, worksheets, calculations. "plans and specifications submitted to the enforcement agcftey for approval with this building mit 4pplication. me: C -o vk-e Company: Date: ` Address: License: O 0 s - a� 3D Citylstaty zip: Phone: I-na IP -1 � l l� o I "U/-IIA—A /% .V F ) /"'f') ?— PLUMBING WORK ORDER/iNV410E :... : �ron�n��r`�obTER,�� `"ZD739 HELPING THE DESERT n/ ONE FRIEND AT A TIME Go.ITEM • - DESCRIPTIONPART • O _ q Ptumbing, Drain CleaningA!Mier Specialist Inv.# :.. A 80075 Indio Blvd., #69Auth.�_irr 2 S l c� Irtdior CA92201 r;. 760-574.4444 In Fati 760-444-2717 IL:r WWW,TOCAMYROOTER,COM Otx 'AIECIeaf° CA LIC. #930133 pW,yE f k� �oV Wq. DATE SCHEDULED — IJp STREETB PF#�NE'7 a N Cl - / 7Q / CITY //�� STATEZIP %'. p WARRANTYI— CL U(� c. p CMTRACT Q SERVICECONTRACY fbaKE MCOEL SERIAL NUMBER z p NORIAL TOTAL MATERIALS 3�} q p Ror ES.❑ COMPLETE DESCRIPTION OF O•AVOUNT X'et Nle W w A a1t eV a� s t &D ran - ism • To OUR CUSTOMERS, 5enice mmr are Wired to have wank slip signed. DRAIN CLEAN94 -1 This is done in order to protest you, the vroAmn, and ourseh�es and 10 ADD'L FOOTAGE Q l , U 777 enable us to ghv you absolute sallsta:Joiy service. Yeu are rWerlfulfy requested io eyarrine material and labor stalawnt beWre warlsr�xr leave ADD'L FIXTURES O the jcb, and if yai find swary)Nrg satistafty, Day Ns licbl. IE service is unsalislactory, in airy Hay, Please pP,ona otrr office tmynedialetj. PLUMBING LABOR PARTS APEWMWILL SEMAR8WATTRERATE OF111%PER MOUTH Oil WIPAED EALAWCESAM 30 DAYS CF ININCE DATE ARW4 PERCIMAGE HATE IM PRODUCTEJTREANENF TOTAL LABOR AETURNEDMHFEE$2>,EO VIDEO INSPECTION ❑ %YARRANT f NOTES f RECOMMENDATIONSI Ond the lime end maieriai charged above sallsfacmiry and agree to pay. HYDRO -,TETTER MINI JEFTER C] 5 Day 0 1 Year for sarre on T;resenmron of Irwzti ., and further agree to pay reasonable LINEMEAK LOCATION (3 3 MV0 p NO charged for collatYon inctudlfg aftneys Ws In iia e%eit of rnydelmilt, Q 64,4wh "NOTICE TO OWNER* tSectlon Mil-ConUaam Ltcaoso Law] uww tlq PU)APSEPT[Mi;EASE Nurrurts' Lhn LaR to/ a7v�yaf,S s�aNh'�', tCw, rt[srl,tf l n rn ct alae: pE+5on xip h[Ils vJARRANTYCALLSbkmmvy"rt"stlamisrawiftwnba,somonccmYnhl,he3a&PIannhrrake chinoeshsiiv,rpa ti. ITn1tr ItokAyro mie pnisei)aitdIagshsr such tU'rm ty rho, • OTHER ARE SCHEDULED lghm a.sm,ttip Tun rnsp.orfnPvbn u t as o F3issl mrigsl ra Ni mk of hibyvtsart n o FRO 14 rd•FBATd-6POA a.dnmbntA„[r,hn°om,du�t�tttr,[�o enu.,wrrtrwdat[ap „rr,,m a.�r �a��Rlpeiso>;inu,rs�,�•in,bei[®,�airna,[ncrc.�aemmm:[nlir�hane»�i TAX nc hn nw filr N J I J tl sasl,u l lets asd ttr31 oMim 13 art mdll r! i:r ThB s[rlos s rsro i. Da lUsrol hr tle p in ntl or IRs clips t! a [esrm TOTAL b [7 U PAl?dEPl3 RECEIVED X X Initials Q CASH] C.C. Q BELL ❑CHECK .9 Q X iroat[orict crr: si�a�rurE axtE PAYMENT DUE