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BPLB2015-006278-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 Application Number: BPLB2015-0062 Property Address: 54395 AVENIDA JUAREZ Titit 4 1wQ" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT APN: 774232017 Application Description: CAR RESIDENCE/HOT WATER HEATER CHANGE OUT Property Zoning: Application Valuation: $750.00 Applicant: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 LICENSED CONTRACTOR'S DECLARATION 1 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 Date —018^ i ce� act 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.). (_J 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 Na Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/15/2015 Owner: CYNTHIA CAR Contractor: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 (760)574-4444 LIc. 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:_ Polity 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. ?, C, Date: L�—(.Ap�ican 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mee tioned property for inspection purposes. ?"ate: �" �$—� Signature (Applicant or AeT3' w L_n a a 0 o NrZ H (= aLU a � � 22 Q Lr 'w o � z U 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:_ Polity 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. ?, C, Date: L�—(.Ap�ican 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official for a permit subject to the conditions and restrictions set forth on this application. 1. Each person upon whose behalf this application is made, each person at whose request and for whose benefit work is performed under or pursuant to any permit issued as a result of this application , the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and employees for any act or omission related to the work being performed under or following issuance of this permit. 2. Any permit issued as a result of this application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the above- mee tioned property for inspection purposes. ?"ate: �" �$—� Signature (Applicant or AeT3' FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE 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 forPERMIT 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: CAR RESIDENCE/HOT WATER HEATER CHANGE OUT Type: PLUMBING Subtype: Status: APPROVED Applied: 4/15/2015 MFA Approved: 4/15/2015 MFA Parcel No: 774232017 Site Address: 54395 AVENIDA JUAREZ LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 261 Lot: 6 Issued: UNIT 24 NAME TYPE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 80975 INDIO BLVD #C3 Details: WATER HEATER CHANGE OUT -40 GALLON/GAS [2008 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CONTRACTOR Printed: Wednesday, April 15, 2015 10:11:52'AM 1 of 2 l SY57FM5 CHRONOLOGY CONDITIONS NAME TYPE NAME ADDRESSI CONTACTS 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 CYNTHIA CAR 79661 CORTEZ LN LA QUINTA CA 92253 Printed: Wednesday, April 15, 2015 10:11:52'AM 1 of 2 l SY57FM5 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 Total Paid for PERMIT 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 SE INSPECTION TYPE INSPECTOR . SCHEDULED COMPLETED DATE DATE RESULT REMARKS NOTES PLUMBING FINAL" BLD ATTACHMENTS Printed: Wednesday, April 15, 2015 10:11:52 AM 2 of 2 CR SYSTEMS 06/06/2013 i THU 15109 PAX La Quinta Bldg b Safety 0001/001 City of La Quinta 81Xd1n9.8t Safety Division Permit # ?,O, Sox 1504; 78.495 Catle Tampico 0 Quinta,CA 92253 • (760) 777-7012 80ding Permit APPRation and Tracking Sheet Prajeot Address: I"C 11uQ- Nmor's Name; L-e X Q A. P. Number. r 3 5" 1,egstl D�oriptioh: � C*, ST, Zip: L� Ca v.,� -TIM CaS3 Connector. Q lYl i�� wr 1u M�b(C Telephone: Address:12 MI's � (w� Project Descrier \�iC" on: City, ST, Zip A Telephone: Cfiy Lic, #; (� Arch., Bug., Desig= Address: City., ST, Zip: ' Tri¢phone n -rt ConmetctiwtType:• omupattoy; State Lie. #: Njeet type (circle ono): Now Add'a Altcr kepair Demo Name of Caatact Pcreor4 $9• Ft: #Stories: # iJnfts: telephone of Cm�tact Pusan: `it i��Lt EstitnatEd Voluo of project; APPLICANT: DO NOT WRITS BELOW THIS LINE it Eu6mFItp1 Re 'd Rc014 TlucIC m PEMAT ldFa 3 � PI�n Sets Plan Clitek submitctil Iain AinonpY Structural Cala, Reviewed, maty for eorrmdous Plan C%exk Dcpaslt 7tuss L`ales. Caped Conte Person Plan Cheek Balance- Tide 24 Calcs Plans plakcd up ConsKrurtioa ' Flood plata plan Plana resabnlltted tViecdanical Gradtng plan r itaview, ready for correefioos/issue $lectrical Stibeontactor I ist Called Contact Person Piurahing Grant Deed Piens picked up H.OA. Apprpvel Plans resubmitted Grading IN HOUSE - Reyiety, Mdy for correctionstaue D Oyo10pCY IrapAct Fee Planft Approval Called ContactPersan ALP P Pub Wks. Aper Date of permit issue sebooi Fees Total Parmit Seel i Prescriptive .Certificate of Compliance, Residential CF-int-ALF-DRW Residential Alterations Page t of 2. Prol err Name: k 1 Climate 7_one:. Permit #: General Information Site Address: Enforcement A enc : Date: -Building T e Single Family 13 Multi Family Project T Re lacement or Change Out of Water Heater WATER REATYNG • i certify that this Certificate of Compliance documentation is accurate and complete. ' List newly lnslalled wmer hearers and boilers for both domestic hot water heaters (DWH) and Irvdronic space hearing. Newly installer? DWH heaters and boilers must be gas, propant, or rise the existing el lypei Water Flcater Distribution Type TypelFriel Type' (Stanched. Rectrculatin )z Nµmber in Tank �y factor of Number Capacity(gal) Thermal Efficiency conform to the rrquircimnts of Title 24, Pant and 6 of the California Code of Regulations. External Tank insulation R -Value' building design on the othct applicable compliance forms. wofksh". calculations, plans and specification submitted to the enforcetrient agency for approval with this building. permit applicatIon. me: offal: • Company: Date: -l5 Address-. V�� S � ��V �� license: O.13 CitylState/Zipr (` n Phone - �LQD��`gLj (�l 0 -1 1 d` 1. Indicate Type (Storage Gas. Heat Pump, Instantaneous, etc.) 2. Recimelating systems, serving multiple dwelling units shall meet the recirculation requirements of §150(n). requirements do not allow the installation of a recirculating water heating system for single dwelling units. J. The e.Vernal water -heating tank and pipes shall be Insulated to meet the requirements pf §150(j), The Prescriptive Contractor or Homeowner (Documentation AuthorlsfResponslbte Building Designer's Declaration Statement) • i certify that this Certificate of Compliance documentation is accurate and complete. ' • I am eligible under Division 3 of the Califomiw Business and Professions Ccdc to accept responsibility for tha building design identified on this Certificate of Compliance. o f certify that the energy Features Arid performance specifications For the building design identified on this Certificate of Compliance conform to the rrquircimnts of Title 24, Pant and 6 of the California Code of Regulations. e The building design features identified on tilts Certirkate of Compliance are consistent with the information provided to document this building design on the othct applicable compliance forms. wofksh". calculations, plans and specification submitted to the enforcetrient agency for approval with this building. permit applicatIon. me: offal: • Company: Date: -l5 Address-. V�� S � ��V �� license: O.13 CitylState/Zipr (` n Phone - �LQD��`gLj (�l 0 -1 1 d` i i k PLUMBING WORK ORDERANVOICE TOMMY R00*R ` 4EL.PING THE DESERT ' ONE FRIEND AT A TIME Co. it .vJ -ITEhg OR PART Plunrbfr6DralnCleaning &fettelSpeclaom Inv,#�i�'%�e'�`� 80975In6o,dCA9220 B9 Atlth.#J% 1J ° l J % nv� �(� tom: — �lCG-.7%• C 760-574-4444 Fax 760.444-2717 Iny� WYJW.TOMMYROOTEA.GOM CA LIC. "930133 Out) r Z r H€!" "/3/L/ 'All Llearl' ➢IAlt1E / ;tV, VLLld`y- RULED �✓ � / STREET PHONE Crit ST ZIP �j „ .3 L "1'L�S ❑ 11'ARRAIM C T'r 0CW47RACT rrlr�KE N17EL SERIAL Nt) MI't N17EL ❑ SERVICE COr.`TRACT yl cZ� r, ` ❑ NORMAL TOTAL MATERIALS ar��a " /j}l� '7 �U �iY�{ � 6 � � .�(�;) , � /-,o i/y 9 / (9 �✓ RES. ❑ cor1al. ❑ IIOT C0711PLE1E DESCRIPTION10FIVORK ;•r1 v C� Cc G 1,.—)-C �- KI p � 4' 7 Iri S' c'' � � cmc -� h, ..•�-r �� Jf � � ��> - �',.._ _ vo TO OUR CUSTONERS: SeMbe men are required to have wk sfp signed, DRAIN CLEANING ADOL FOOTAGE This is done In order to protect yam, the workmen, and ourselves and io endble us Iq give you abWu(e saWaetory service. You are respectfuly AWL FIXTURES requested to examine material and labor slalemam before workmen Mite PLUA1BfilG LABOR 7FETURNEDOW14M$25.01) the Ob, and 0 you find a►erytltslg saltslacloay, ckaV this fret. If Senice is unsatisfactory, In any %%W, please phone our ofte 6rvneWely. PARTS A PENA LTY IVJLt OFCHAAGEDATTHERATE OF I'%' PER MONTH DG UNPAID 6AUINGES AFMR 30 DAYS OF IRVOICE DATE. ANNUAL PERCENTAGE RATE 18;15. FMDtfCTSJfAE TMRlT TOTAL LABOR VIDEOINSPEGTION ❑ YJARRAPdTY T I , I fvid 1 1h- and m3ladal charged above satisfactory and agree lop HYDRO,JETTER same an prasstrtali2n of fi�.ce, and lucther agree to pay reasonable h11N1 JETTf�t ❑ 5 Day ❑ 1 Year ❑ 5 Daymor❑ f10 chargedfa coYect"on includng attorneys lees In Bae event of my ddavlt, charged LUJEL£AX LOCATION ❑ 6 rlarhr "NOTICE TO OWNER* (Sactlon 70te•Canrractors Lloonse Law) ure,r Irn MaAvtt s lFan Lav, ery unita W r, 9tuorlfrchr, qD:m`, mdnrd nqn a a6e• Fawn vho hab. PLk%IP SEPTI 4REASE WARRANTY CALLS In hp,ue wu pc�iy a<d iBra pail hrb's FaWGtlonb75dmr1raLil, b,c arirfn to vrca.:a MS dein awtrst wu env. 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