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04-4681 (PLBG)BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 78-495 CALLS TAMPICO FAX (760),777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT i Application Number . . .; 04-00004681; Date 6/01/04 Property Address . . . . . . 52205 AVENIDA VALLEJO - APN: 773-222-021-10 -000000— Application description PLUMBING Property Zoning . . COVE RESIDENTIAL Application valuation 3000 Owner Contractor BUSTAMANTE MANUEL C ROTO ROOTER SERVICE 52205 AVENIDA VALLEJO 796 NORTH STATE STREET LA QUINTA CA 92253 HEMET CA 92543 (909) 658-8541 WCC: STATE FUND WC: 17444312003 06/30/04 CSLB: 422155 01/31/05 CCC: A -B -C36 -,C42 ----------------------------------------------------------------------------- Permit . . . PLUMBING SEWER Additional desc Permit Fee 30..00 Plan Check Fee.. .00. Issue Date Valuation 3000 Qty Unit Charge Per Extension BASE FEE 30.00 Fee.summary Charged Paid Credited Due. Permit Fee Total 30.00 .00 .00 30.00 Plan Check Total .00 .00 .00 .00 Grand Total 30.00 00 .00 30.00 C14`! lt1•r �' 9 C&lf 4 4 P.O. Box 1504 " 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT Application Number: O¢ L g Applicant: Applicant's Mailing Address: Architect or Engineer: VOICE (760) 777-7012 FAX (760) 777-701 1 INSPECTIONS (760) 777-7153 Date: W Arcnitect or Engineer's Address: Lic. No.: BUILDING PERMIT DECLARATIONS 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 Professionals Code, and my License is in full force and effect. Licensee Class License No. AyC Date (� ��(9 � Contractor OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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 or 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.). U 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.). U 1 am exempt under Sec. , BA P.C. for this reason Date Owner WORKERS' COMPENSATION DECLARATION 1 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 �sue��ed. My workers' compensation insurance carrier an policy numb rare: Cartier /9'1 /LT'—Ci.v/� Policy Number%�fl,L�� '�j _ I certify that, in the performance of the work for which this permit i9rissued.1—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 -62—=11 I Applicant 7 - 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. CONSTRUCTION LENDING AGENCYI hereby affirm under penalty fperjury here 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 IMPORTANT APPLICANT ACKNOWLEDGEMENT Application is hereby made to the Director of Building and Safety 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 dayd 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 county to enter upon the above-mentioned property for ins pection purposes. Date Signature (Applicant or Agent): jY COACHELLA VALLEY WATER DISTRICT x `d CA 6H AtcEI t bif'AIL; �6 21 F4 t S: 4�i 3 it t 2, J }RC ..� Recel ero�i'x 4 wbi' 9 Chi 1� {ate t.� j „a.•D�le' y /L!� . Af1fIfB99:.Y� �!`�S ©w."�,�a+:rL���+?vr �[..a•'�'�-. r'a�,+-.5.7:•,Vlo'm...�:•1� 4� l�C.y f ��� �rlrL •t 4•�'''���� yy t f"L'f aN trr r M, t 4 L �'� •• � A �ccouni ho!lm � �1 ?.' 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Y 1 M1f f r i k �' y "� Y- t t r •'S t bY•d ail S h tv�d si � 'R rPi `Y:. 1 �. } i f,� . iri, ,e iL r�' f a set i! t � a u. i.r ut s •1 � � e.`t " ,A+` ��, w : _ L �F. 161�"y' Y I t "i M t 1 • ' �4i Fa+ �tt�A#��ea� w i. i +t � :.� Ma,:,Y• a'*..+` .y„ �, r �,.r a++i ,.a, r r � . V„ �•?t "rte F� i ; ° , ~.w.'a , <f TVtAL`. . 4N, ri411 Ci:.. ��ss: Ir yy,�5., F Br+. r�(l Rti' lr'; �M�r- ir' •� �1 .4i 4 •, � i 10{.r{7�7�'IO ro .r '* s ''c� S, J R i .. � '+� ! - � � •+. t S. a ei. Ole8191 6NIC9 Ma �, • .i >W y ,y�+� 4xCy Y u �, t '� 4+�•,.Sa ` t i. i ..� •.o+ 7_ t 6VWt)7438111189) .. , . � =.wtaiss. Jtt". `e aua.,. �.f.i n= a ..e�d•{.,"�n�•. 'YtK�t`...:�af.Y 1.,: ,tr: ��^exF .:y Jnr �,'.:7..,.�.Mt.t.. ems; f;F. '1,ji;.. : .. _. :y, NOTO❑ BANNING (909) 229491 LH9OOTER• ❑ P RR S ((909) 657-9852 a Plumbers ❑ SUN city (Bos) 679-8919 Division of RotoCo., Inc. License Number 422155 • Federal ID Number: 33-0475032 'Ldl Al1.�1'. x'.du�el vaw {� 4�1 I 'i1111 % i• 11 Il tI'yFlI I I,. rtllra L,'I,..•Ilrnrl B ADDRESS IIAIINIIhll dll��11I'll�lll1+11 1�1� .IIS fill' IL�I��I Lr111 III IIIc I, 1111111 IY-IPA Y ❑ YES GUARANTEE ❑ NO 8 A.M. - 5 P.M. MON. THRU FRI. RESIDENTIAL GUARANTEE. -- LABOR Main/Branch Lines ............ 116 months Toilet Auger ..................❑ 7 days Plumbing Repair ............. ❑ 6 months Plumbing Replacement ...... ❑ 1 year Extended Guarantee ......... ❑ 1 year Main/Branch Lines ............ U 30 days Toilet Auger .................. ❑ 24 hours Plumbing Repair ............. ❑ 90 days Plumbing Replacement—'.....%.0 90 days REASON FOR NO GUARANTEE ❑ VISTA & TRI -CITIES AREA (760) 726-6260 ADDITIONAL WORK REQUIREMENT INITIAL FOLLOWING: ❑ LAKE ELSINORE (909) 674-2312 ❑ FALLBROOK & BONSALL (760) 728-7497 O WEST RANCHO BERNARDO & WORK ORDER NO. ❑ RANCHO/rEMECULA (909) 699.0555 ❑ OCEANSIDE, CARLSBAD (760) 722-3155 WEST RANCHO PENASOUITOS (858) 4842138 ❑ REDLANDSIYUCAIPA (909) 797-8697 ❑ VISTA & TRI -CITIES AREA (760) 726-6260 O LAKE SAN MARCOS & LA COSTA (760) 726.6720 (� i*1 7 8OO ❑ PALM SPRINGS/DHS (760) 322-2622 ❑ ENCINITAS & CARDIFF (760) 753-2674 O RANCHO SANTA FE & OLIVEHAIN (858) 7563396 � O INDIO/PALM DESERT (760) 346.1736 O DEL MAR & SOLANA BEACH (858) 481.1633' DATE.... ........:.OB # .......................:.............................. - 796 N. STATE STREET • HEMET, CA 92543 Toll Free: (600) 491-7686 - Fax: (909) 652-9515 • 1-600 GET ROTO (438-7686) qp 11 h1U 11 11�111P111nIIIlUiI VIII11N Il n17RIIIYR7,1!Li1".'IJIy ITiI' IP II (1 IIII°111'll illrl�l''Ill� III'Ill"'{ 111 IIT 111"11111111"lL1'II FIXTURE MAIN LINE: TECH#1..........� CONDITIONS AND EXCLUSIONS Roto -Rooter Service & Plumbing Co. guarantees the services performed as set forth in this invoice to. be free from defect in materials or workmanship for the applicable time period stated above. If within the Guarantee Period a drain stoppage or other defect in the repair of plumbing fixtures or plumbing parts installed by Roto -Rooter Service & Plumbing Co. occurs, Roto -Rooter Service & Plumbing Co. will clear the drain stoppage or, repair or replace (at Roto -Rooter Service & Plumbing Co.'s option) the plumbing fixture or plumbing part previously installed at no cost to customer, subject to the following exclusions and limitations: 1. This Guarantee applies only to the specific sewer lines cleaned, or plumbing fixtures or plumbing parts supplied and installed by Roto -Rooter Service & Plumbing Co. 2. Roto -Rooter Service & Plumbing Co. must receive notice of the defect within the Guarantee Period. 3. This Guarantee does not apply to: a. Multi Unit Dwellings sewer and drain lines, plumbing fixtures or plumbing parts. b. Materials furnished or work performed by other than Roto -Rooter Service & Plumbing Co. c. Drains, sewer lines, plumbing fixtures and plumbing parts which have been misused, abused, damaged or modified by others; d. Drain or sewer line stoppages caused by foreign objects, including but not limited to sanitary articles, paper towels, toys, etc.; or e. Sewer lines which are settled, broken, offset deteriorated, damaged or improperly or illegally installed. f. Drains, sewer lines, plumbing fixtures on septic systems. g. Commercial accounts. 4. The Guarantee Period commences on the date or original service and shall not be extended by subsequent services or repairs made pursuant to the terms of the Guarantee. The.Guarantee hereunder extends to the customer invoiced for the services and is not transferable. S. Roto -Rooter Service & Plumbing Co.'s liability hereunder shall be limited to recleaning of drain or sewer stoppage (Max. two repeat visits) or the repair or replacement of defective plumbing fixtures or plumbing parts: Roto -Rooter Service & Plumbing Co. shall not be liable for (1) Incidental or consequential damages; (2) Water or other damage; (3) Loss of use; or (4) Loss of anticipated benefits or profits, any of which result from the furnishing of services or products, or from the breach of the Guarantee, even if Roto -Rooter Service & Plumbing Co. knew of the likelihood of such damages. 6. Any implied warranty of merchantability, or fitness for a particular purpose of use, shall be limited to the duration of the foregoing written guarantee. The foregoing written guarantee is the customer's sole and exclusive remedy and in lieu of all other guaranties and warranties, express or implied, written or oral. This guarantee may only be modified in writing, signed by an officer of Roto -Rooter Service & Plumbing Co. 7. This guarantee does not apply in the event customer breaches any of -the Terms and Conditions of service, including but not limited to timely payment of all charges. 8. Collection. Owner agrees to pay all collection fees and charges including but not limited to all legal and attorney fees that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at the rate of 18% per annum. 9. Legal Fees. In the event litigation arises out of this contract, prevailing party(ies) are entitled to all legal, arbitration, and.attorney fees. The. court shall not be bound to award fees based on any set, court fee schedule but shall if it so chooses, award the true amount of all costs, expenses and attorney fees paid or incurred. TERMS: NET 10 DAYS. A FINANCE CHARGE will be computed on the unpaid balance by a single period rate of 1-1/2% per month, which is an ANNUAL PERCENTAGE RATE OF 18%. "State law requires any one who contracts to do construction work to be licensed by the Contractors State License Board in the license category in which the contractor is going to be working - if the total price of the job is $300 or more (including labor and materials). Licensed contractors are regulated by laws designed to protect the public. If you contract with someone who does not have a license. The Contractors State License Board may be unable to assist you with a complaint. Your only remedy against an unlicensed contractor may be in civil court, and you may be liable for damages arising out of any injuries to the contractor or his or her employees. You may contract the Contractors State License Board to find out if this contractor has a valid license. The board has complete information on the history of licensed contractors including any possible suspensions, revocations, judgements and citations. The board has offices throughout.California. Please check the government pages of the white pages for the office nearest -you or call (800) 321-CSLB for more information." -