BPLB2017-0009'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.).
r
Lender's Name:
Lender's Address:
APPUCANTACKNOWLEDGEMENT -
IMPORTANT: Application is hereby made to the Building Official fora permit subjectto
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 enterupon the
above-mentioned property for inspection purposes.
Date. & Signature (Applicant or Agent
'
--- VOICE (760) 777 -7125
a
78-495 CA TAMPICO
FAX (760),777-7011
LA QU.INTA, CALIFORNIA 92253 '
r DESIGN & DEVELOPMENT DEPARTMENT ' ' INSPECTIONS (760) 77777153
BUILDING PERMIT
Date: .1/19/2017
Application Number: BPLB2617-0009
Owner:
Property Address: 79430 N N SUNRISE RIDGE DR
GARRETT RUTHERFORD m
APN: 604100019794.30
N SUNRISE RIDGE L7
Application Description: STONHAUS/CHANGE OUT 50 GALLON ELECTRIC.WATER HEATER 1 LA QUINTA; CA 92253 Z
Property Zoning:
z
Application Valuation: $1,369.00
n .
ren
o
Applicant:
T t�9
Contractor:*.C:)
TOMMY ROOTER PLUMBING INC
TOMMY ROOTER PLLIMBIO, I
80975 INDIO BLVD #139
80975 INDIO BLVD#B9 zry -
INDIO; CA 92201
INDIO, CA 92201 z
m n.
(760)574-4444
l
Llc. No:: 930133
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations: .
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force -and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: C36 • License No.: 930133
ork for which this permit is issued.
at
I have and will maintain compensation insurance, as required P
Date: � � �—•(� Contract r: �
Q���v"
3700 of the Labor Code, for the erformance of the work for which this permit
the performance r
JCarrier:
is issued. My workers' compensation insurance carrier and policy number are: '
OWNER -BUILDER DECLARATION
NORGUARD INSURANCE COMPANY Policy Number: TOWC851139
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:�� �n— �� Applicant`
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
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.).
r
Lender's Name:
Lender's Address:
APPUCANTACKNOWLEDGEMENT -
IMPORTANT: Application is hereby made to the Building Official fora permit subjectto
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 enterupon the
above-mentioned property for inspection purposes.
Date. & Signature (Applicant or Agent
Date: -1/19/2017
ApplicationiNumber: BPLB2017-0009
Owner:
Property Address: .79430 N N SUNRISE RIDGE DR
GAR RETT:RUTH ERFORD.
APN:. 604100019
79430-N SUNRISE RIDGE
Application Description:. STONHAUS/CHANGE OUT 50.GALLON ELECTRIC WATER HEATER
LA QUINTA, CA 92253
Property Zoning:
Applicatiori.Valuation: $1,369.00
Applicant:
Contractor: ;
TOMMY ROOTER PLUMBING INC
TOMMY ROOTER PLUMBING INC
80975 1NDIO,BLVD #69
80975 INDIO BLVD #139
INDIO; CA 92201
INDIO, CA 92201
(760)574-4444
.
Ll c. No:: 930133,
Detail: WATER HEATER CHANGE OUT- 50GALLON/ELECTRIC [2016 ENERGY].CARBON •MONOXIDE ALARM(S) TO BE..INSTALLED PRIOR TO FINAL INSPECTION.
.2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
ACCOUNT t QTY
AMOUNT
BSAS SB1473 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
$96.27 .
Total Paid for'PERMIT ISSUANCE,,
$96.27
DESCRIPTION'
ACCOUNT.
QTY
AMOUNT•
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION-
ACCOUNT
QTY
AMOUNT.
WATER HEATER/VENT PC
101-0000-42600
0
$7.60.
Total Paid for PLUMBING FEES:
$20.27
1
a
,
i
06/06/2013 TSU 15109 VAX La Quinta Bldg 5 Safety 2001/001
B #
Citi of La Q�rInta
BUMw ar Safety WvWM
P.O. Box 1804, 78495 495 Cage 7aa#w
t.a QaalM4. CA 92253 - (760) 777=7012
Building Permit Application and Tracking Sheet
pw*4
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Ownot'aNlaru« Q
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Adtheas: �'�- �
Tdephane 7 l� �l i
State L k # �: : '1 C'S Lir- 0. �
8T, Z�, y -CN CII
ProjectDtacriptiou:
CA
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airy. ST.
Telcpho�e:`
State Inc EFi
CanshtwdonTyps• OwRM q':
PrQjecl lype (citde aaej: Now Add'a Alien• Rep* Dano
Sg. Ft,: To Stortts: N-Uutb:
Nbata of Cb� Pajot►: al Ol f
Cclepi►omt . o Contact Faaan:
$std Vawa of Ptoject: y ,4 q - . SO
APPUCANT:
DO NOT.WRITE BELOW THIS LINE '
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P$R1Hlf F&ES
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2tem Amoaxt
6tT4gartl CaltA
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t,,xlltd Centea rcraon
Plan Cluck Ra auu
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•Cozary ion
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t�rxdla� Dlau
Puns resolmtllted
a'! RMew, r0RAY for corrccUOR& a,ue
Mechanical
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CaltodCo�Peran . -
rtumMng
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off,:: liartse: ReAd.ontla4 CF-IR-ALT=D�
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Pro ect Naive` ChstaDeZutte
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Site Adc : O'S - -
• EttfotceslfErt'A- �.:::• ,.:..��:•.-.:.:_.�.:.. . - ;w `.:::..
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Bttil�rtt T•
._ ...<. .. .... :.. ... ... .• ;_.. ..,. ... ..- ...._ •-1•"`• `• 1, •• '.-�
„ : ii3r r7i�Wyr?fiirr3tts� wrt 4wheatersarod,bvfleii for 6olh,donf iC hoi .watWhedars{D'W.fTJ'attd h�drotrte (puce hsorfng �leivly>iJt3 Ctllyd
• -I�WH'hrardrsiarr�boflers't�+usrb+a. a .oc.we.the arlsrit+ •et, .._ .- ��y� . .,:
Wntixlirit�t' " Bisgibwjort_TypS. : N.4ntbe* iri�, 7atik.rtt�r`d'
TYPd.. 'item
.......... .. .:. •. E... ... of
tf�. .. '750"0( toe-Eataai Prurtpt /rratgur cora. etc.-) -
_s:.._.fr#►' rystrnrr sery g '�mrltfpk dire Ftig u;,lrs:shall »uar th'nrriitari�iK= i�equti�fliiears ol:�?!t1�'''.T: Rrieu,crip'tivr
`44i e*iii do nor itllowthe fnaWlation q/q,mla-dallna,water heating ryst{ntJfo!. Ipgla d�ve/lingarnitr..
3: ire este tal woter•heatfn tank and 1 1 rltall be lwukued to rarer Jtie re ulnCmp►fs'o 15 „-: x
! p"tractoume
ur HomeoWner (Docnttadont Autftor'dRespenslble Bt MUS Oeaigper's'° etiariitiw `S eioeit!);."::: .
•` l CC itltiat this Cct"iate of Compliance docunwntadoe is i=ur dt arfd'completG
-•I•a,meligible..under,.Dlvisien 3 of the California- Business and Professions Code to accept responsibility ler the buil¢iiig design
. Wentlh4on this Certificate of Compliance.: : •- t
1. seltlfj! thstthc energy featunss._ottd petft)rmanm spectflcaridhi rOf this"building 4eslgn identified on this Ceriitietlte of Cotnpllance
cpttfoirrf lathe tequfixrnerits or the 24,, Pahl and 6 of t1ER cdifofnia Code of ftegw mons . ,
. lnwab Eking desi"--`!-resturas idegtifled on`-& Cerus¢ c of C�dmpfiiitico`.are consietoitt wlih ti(e`inf6rtl7ettioii' pivvrde�'to ciotvi6"1 this .
b'tu•1'd n-w� jh •on-tlte dthei-applicsble compliance •foto worksheets, celaeiatiana.;plana and...specificauvna sulirrl( ied:'�o tiK
anforcement
aXenCY-.fOV,2VVrOV8f With this building, it lication.
N �. ,
V.
COMPOnY i~
v L
Addmse:
ity/SWAYZIw..
�:• yA'_.. A...- entre
PLUMBING NC WORK ORDER/INVOICE
:- � - - TOMMY ROOTER 276 2
'` HELPING THE DESERT
ONE FRIEND AT A 11ME
ITERII OR
PhtrrWV, Dram Geant& k ttr spec(AW Inv.#
l 3Z�
-160 —
80975 Indio Blvd,, ?SBS
°'' Auth•#
`_ '''�
,3= Indio, CAA92201
OAA
`' 760-574-4444
I�
Fax 760444-M7
�, v+.► .— D ..�
_. "AgClearl' tNN►h►.ICAAM� � .CQM 3'lea °� S0
`"
DA LID
STREET
Cm1E ZIP❑ WARRANTY
- ❑ CONTRACT
MAKE ASOOEL SERI NUMBER ❑ SERVMECONTRACT
❑ V=AL
TOTAL MATERIALS C�
ES. 0 COWL'
„PLETE
1 ..
f
Yd
,
ta rS
Q~
fy
TO OUR CUSTOMERS: SeNce mm are rewdred ID bane vmrk sup slpned,
DRAIN CLEANING
This Is done In order to prolect you, the vmrkmen, and oursefues and b
ADOLFOOTAGE=
enable us to ghe dour absolute s4stacoary serdoe. You are respec"j
777
requested to emawne matadel and labor stahement before- aorfars�n Ieeva
Rle job, and it yn1, find I'lerjltd(lg Sal�3iactory okay this ttckei U same is
ADTIL FIXTlJF1E3
PLUMBIt,*LABOR
unsatisfacooay, it arty way. please phom our office irrnradatefy.
PARTS
A PEKAUY WU BE CIYLL[GED AT THE. RATE OF lu% FIER is M ON
UMPAIDBiLLMMA9ER30DAYSOFIPMEEDATEARN)ALPEACEgTAGE
PR•0°UCTMAT6ENT
TOTAL LABOR
RATE IMFIET1lFINEDCHECKFEES SA.
VIDEO INSPECTION
❑ WARRANTY
E 1 e
I find Qia fine and material charged above salt aclaty and ages b pay
HYDROJETTER
❑ 5 pay ❑ t Year
for uome an presanteft oe invoioe, and furlhsr agree to pay reasonable
WNIIJETTER
Ufa EdEWLOCATIO?l
❑ 3flattlt ❑ NO
cflagadforcdlecdonkxkdingaflwrMsleeslntheaveNofmyd"IL
'NOTME TO OWNER" Meaty 7014Conhacmra Lkenee Low) urder ma
FUTAPSEpilCIGREASE
❑ 6lhmth
11octo" Lbn Lw anywneclat ftbM* W. 100 wftlbln®r othn pawon%OR hefts
WARRANTY CALLS
bt,rw, �fWtWftUv,,mmyM4aya*aol"fmaa rbkdmb/gHB
OTHER
ARE SCHEDULM
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FROM M-FSAPA•5P0.t1
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�gmfdoeretaauh9rmaroLQanbinasrwuainangmwn
_ TAX
mllsls0en fly writ altho mrbw pro rn] shillnadw mtooryawnNerta {u Ga
TOTAL
PorlamaM d Wil, mtdit ral for IM f"Tmct h fit m 114 d*W of all porwm
tyrtslg letgt armtkxhbkr 8nwkbatabe!§t seem tort
PAYMENT RECEIVED
X
X -
❑ CASH❑ C C ❑BILL ❑ CHECK ❑X
SW AIME DA7E
PAYMENT DUE �-
tnftials
uiIRKMEH®BY: