BPLB2015-0038X78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: BPLB2015-0038
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Property Address:
57795 S VALLEY LN
APN:
762250005
Application Description:
SPADA/WATER HEATER CHANGE OUT (1) 50 GALLON GAS
Property Zoning:
Application Valuation:
$1,085.00
Applicant:
PORTLAND, OR 92253
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^%
Da�J 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 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
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.).
(_) 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 Name:
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153-
Date:
77-7153
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
ole 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 polity 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�(� ApplicanE l X
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 resultbf 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 l 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:"-- I Cr (S Signature (Applicant or•Agent
Date: 3/10/2015
Owner:
ERNEST SPADA
8448 NE 33RD DR NO 200
PORTLAND, OR 92253
Z
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Contractor:
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TOMMY ROOTER PLUMBING I
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80975 INDIO BLVD #C3ij
INDIO, CA 92201
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(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
ole 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 polity 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�(� ApplicanE l X
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 resultbf 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 l 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:"-- I Cr (S Signature (Applicant or•Agent
Prescri tive.:Certificate of Com lianke: Residential CF -1k -ALT -D
Residential Alterations Page I of 2
Project Name:. O Climate Zone: Permit #:
General inforination
Site Address: '-1 5 S VQ I 1eM1-X1 I Enforcertient'A enc : Date: -3 —IS --
Building
1.5Buildin Type: Z Single Family 13 Multi F mil Project T Replacement or Change Out of Water Heater .
WATER HEATING
I certify that this Certificate of Compliance documentation is accurate and complete. '
List newly installed water heaters and boilers for both domestic trot water heaters (DIM) and hydronic space heating. Newly installed
DWH heaters and boilers must be as propane, or use the existingfiie! type.
conform to the requirements of Title 24, Partt and 6 of the California Code of Regulations.
m The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
Water Heater Distribution Type Number In
Tank Energy Factor or
External Tank
Insulation
Type/Fuel Fuel TYPe l (Standard, System
Recin ulatin
Capacity (gal) Thermal Efficiency
R-Value3
S 5 Y1 Q
c)
City/StatelZip:
d, aalb
Phone:
-7UC)
I. Indicate Type (Storage Cas, Heat Pump. Instantaneous, etc.)
2. Recirculating systems serving multiple dwelling units shall meet the recirculation requirements of §150(n).
The .Prescriptive -
requirements do not allow the installation of a recirculating water heating system for single dwelling units.
3. The external water heating tank and pipes shall be insulated to meet the requirements of §150(i).
Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Stateenieent)
I certify that this Certificate of Compliance documentation is accurate and complete. '
e 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.
0 1 certify that the energy features and performance specifications for the building design identified on this Certificate of Compliance
conform to the requirements of Title 24, Partt and 6 of the California Code of Regulations.
m The building design features identified on this Certificate of Compliance are consistent with the information provided to document this
building design on the other applicable compliance forms, worksheets, calculations. 'plans and specifications. submitted to the
enforcement agency for approval with this building permit application.
me:
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Company:
rn vY,\; 0_ N' 1 u mlbi
Date:
S
Address:
Ogl9 A-42)
License:
(q30 X33
City/StatelZip:
d, aalb
Phone:
-7UC)
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PLUMBING WORK OROERANVOICE
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•TOMMY ROOTER 196 i
q..
HELPING THE DESERT
• • , ,ART • ® •
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ONE FRIEND AT A TIME Co.
Plumbing, Drain Cleaning & Jetter Specialist Inv.#
80975 Indio Blvd., #69
Indio, CA 92201 Auth.#
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760-574-4444 In
Fax
Fax 760-444-2717 .�
WWW.TOMMYROOTER.COM Out
CA LIC. #930133
e0�641,0 J111 I^
"All Clear
j-
NAME
DS H ULED
--
V,�'
STREET q— C ^
!
ONE
CITYSATE ZIP
l
WARRANTY
❑ CONTRACT
MAKE
MODEL SERIAL NUMBER
❑ SERVICE CONTRACT
❑ ORMAL
TOTAL MATERIALS=L
o
RES. ❑ C
❑ NOT ,OMPLET,E
DESCRIPTIONOF ••
•
C` -
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b
• ••
TO OUR CUSTOMERS: Servicemen are required to have work slip signed.
DRAIN CLEANING
77
7
This is done in order to protect you, the workmen, and ourselves and to
enable us to give you absolute satisfactory service. You are respectfully
requested to examine material and labor statement before workmen leave
ADD'L FOOTAGE O
ADD'L FIXTURES
PLUMBING LABOR
the job, and if you find everything satisfactory, okay this ticket. If service is
unsatisfactory, in any way, please phone our office immediately.
A PENALTY WILL BE CHARGED AT THE RATE OF 111% PER MONTH ON UNPAID
BALANCES AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%.
RETURNED CHECK FEE $25.00
PARTS
pRODUCTS/TREATMEfJT
TOTAL LABOR
VIDEO INSPECTION
❑ WARRANTY NOTES RECOMMENDATIONSI
find the time and material charged above satisfactory and agree to pay
HYDRO-JETTER
❑ 5 Day ❑ 1 Year
for same on presentation of invoice, and further agree to pay reasonable
MINI JETTER
❑ 3 Month ❑ NO
-❑ 6 Month
"
WARRANTY CALLS
• ARE SGH EDULE D
FROM M -F 8AM-5PM
charged for collection including attorneys fees in the event of my default.
LINE/LEAK LOCATION
"NOTICE TO OWNER" (Section 7019 -Contractors License Law) under the
Mechanics' uon Law, any contractor, subcontractor, laborer, material man or other person who helps
to fmprwe your property and is not paid for his labor, services or malarial, has a right to enforce his
claim against your property. Under the law, you may protect yourself against such claims by filing,
before commencing such work or improvement, as original contract for the work of improvement or a
modification [hereof, in the office of the county recorder of the county where the property Is situated and
roquirfng that a contractor's payment bond be recorded in such office. Said bond shall be in an amount
not less than fifty percent (50%) of the contract price and shall, In addition to any conditions for the
performance of the contract, be conditional for Iho yment In full of the claims of all persons
furnishing la services, equipme or atedals o work des 'bed In said contract.
PUMP SEPTIC/GREASE
OTHER
TAX
TOTAL
X
Initials EJ CASH ❑ C.C. ❑ BILL HECK # ❑ X
X /I4 �.
PAYMENT RECEIVED
SIGNATURES- DATE
WORK ORDERED BY:
PAYMENT DUE %.
F._ k� :DESCRIPTION K a . 0701AIVIOUNT
-} :r n
� .�:�'�
65AS 561473 FEE
0 . $1.00 -�: _ $0.00,.
J."01 I,
E'{e3 5.:..£Y 4" s , t _ s?T "k x{KS.< ys N, '%�� i "'x3 ',.
-Yz PAIO<BY� ��I � �-�
METHOD '�
*_ i$ ^ P`.'w.`G �_` ., ,R. ,!'.A. � �.' .y.'+'% p ' `� ..: ":E. •'4"'FY< js»
+} RECEIPT #
� CHECK
�� ��
s�
t
t
Total,Paidfor BUILDING-STANDARDSADMINISTRATION BSA .': $1.0O.,ti
`',.sem 4::xx da'k . tit7i:ill'°' ."✓, IN I :.�'f
-F*,S<`�
�„ �' :S ,s`%x .Cs_.x 3+" '�',ix;r �!w .
yy�yy.' ACCOUNT:'-':'�y;*`�
�.,<+C-tbw"F34
k
QTYS°y�'AMOUNT
F19 rnco +'h4 r'r-•ms
es,, ` a<.,{ °z b;'+;`�Y-^.s v- "r5•,sr z
. -�"^4? # Fav
b�-Ift;+DESCRIPTION=-;x
,::<.-.:'Y^K..n. n.'4.`v+.`SJra5+4< LA'u'X.i:..LF.:]
,
PERMIT ISSUANCE:
101-000042404.
0
$91.85
$0.00
s
f?AIDBY�1��METHO
i%'�H
#
CHECKS#iri..�CL�TDBY
. ; ��x+RECIPT
��
.�
" Total Paid forPERMIT ISSUANCE: $91.85 1 , $0.00` '
,
i �i° `�§�` t' E�3'T w'Ykm'Sr` E � 5
a 4. - .�
FSR a-DESCRIPTION'
_. .,.., ''i: 4ss
QTIf�
' .
AIVIOUNT
. ,Y�•'
RAID
.
IN
:" DESCRIP ON <ACCOUNT�
Y
11
WATER HEATER/VENT '
101-0000-02401 ,°
OLL
$12.09
§ =.'`;�
PAID'BYs:.::q
METHOD
Y a w''F�1:.z.'Y�x F�'�' ,
_:RECEIP�<T,#
'R#t§..`?'3 'i...E�..w.x<t,
CHECK# yCLTD�BY.,
.u;, •'M�F-Y
'+.-<ri<<s§..'...'S._ 5+4'F.rk�M',d'•4�i-SSV'..:. ::.:. <1:3 icf
,€w
�a'krg��r.?..clF?:fN¢:;
�I
e
"z''<�,R,S:�'^'sT:'
..{ a s„3'i ', ..:
��� rte'
,.'
"F"` xZ Fz-'c:,#r;.gt
... „J AMOUNTS
-
a SE r
PAID
syt
PAIDDA'iiE
siDESCRIPTION��'?
?, aE
:'4 .'L''r'S�.e .�F. R.x. .<v ,...< •' e. :;
F OUNT:.:�
.».aiz..�"s w•'.:ti"':�,3'3it',z
YQN
s''
S
b.-.i�.,a''�' .�.
.3:a:Yn
WATER HEATER/VENT PC
101-0000-42600.
0.•
$,7.25;
$0:00
'�s'
PAIDBY�
-'rr affi`t3 �t .r..i;n.:,.& a�2 i •.y:: €.
METHODr
,,. r ,`:s:�u•
�a r�tix. x."s� s";Hx=.a:� ss':
`RECEIPT #�
..;,snit .iaz``-�t'�`"'-
CHECKS#
CLTD B v
w
�.
Total Paid forPLUMBING FEES: $19 34 $0,00
¢:'
Description: SPADA/WATER HEATER CHANGE OUT (1) 50 GALLON GAS
Type: PLUMBING Subtype: Status: UNDER REVIEW
Applied: 3/10/2015 SKH
Approved:
Parcel No: 762250005 Site Address: 57795 S VALLEY LN LA QUINTA,CA 92253
Subdivision: TR 28034 Block: Lot: 5
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,085.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: WATER HEATER CHANGE OUT - 500GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S).TO BE INSTALLED PRIOR TO FINAL
INSPECTION. 2013 CALIFORNIA BUILDING CODES.
Printed: Tuesday, March 10, 2015 8:57:15 AM 1 of 2
SYSTr•MS
CHRONOLOGY
CONTACTS
NAME TYPE
M; ';NAME ,. k �ADDRESSI
CITY
IP, PHONE FAX REMAIL,
; STATE ZIP—"
-,
.
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 .
ERNEST SPADA
8448 NE 33RD DR NO
.'PORTLAND,
OR
92253
- IN
200
Printed: Tuesday, March 10, 2015 8:57:15 AM 1 of 2
SYSTr•MS
. . ....... .... ... . .......... ..... ... .. .. ........
ATTACHMENTS
Printed: Tuesday, March 10, 2015 8:57:15 Am 2 of 2
cew."IST'Ims
INSPECTIONS
SE ID' INSPECTION TYPE INSPECTOR!— COMPLETED :
kE-,
SULfREMARKS
DATE DATE,
PLUMBING FINAL"
A, r'w' 1 '5
bl�
DESCRIPTION
ACCOUNTn�aux",�4-1"
QTY
AMOUNT
PAI
-PAI ATE:
,RECEIPT
CHEtK,4:..'..,
ETH
PAID BW
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, I
Total Paid for PLUMBING FEES: $19.34 $0.00
. . ....... .... ... . .......... ..... ... .. .. ........
ATTACHMENTS
Printed: Tuesday, March 10, 2015 8:57:15 Am 2 of 2
cew."IST'Ims
INSPECTIONS
SE ID' INSPECTION TYPE INSPECTOR!— COMPLETED :
kE-,
SULfREMARKS
DATE DATE,
PLUMBING FINAL"
. . ....... .... ... . .......... ..... ... .. .. ........
ATTACHMENTS
Printed: Tuesday, March 10, 2015 8:57:15 Am 2 of 2
cew."IST'Ims
06/06/2013 THU 15:09 FAX La Quinta Bldg & Safety
2001/001
Bin 4
City of La Qurnta
Building gr Safety Dwon
P.O. Box 1504, 78-495 Calle Tampico
La Qufita,. CA 92253 - (760) 777-7012
3� Building Permit Application and ?'racking Sheet
Permit 4
c�32®1S—
Project Address: ", q 5 S I .e— L Owner's Flame:
p
A- P. Number: .7( 2 2 Sp �O5 Address: 5 V L
Legal Description:City, ST, Zip: _
Contractor:
Telephone: % L
Address: g (� V —4 8 roject Description:
City, ST, Zip: u 1
Telephone: -� a; r„, ;1?�
State Lic. # : City Lie. #t ( 0-7 (oiJ a
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: t ' Construction Type: 0='p
State Lia #: M . ' $ 'Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: #Stories: 4 -Units:
Telephone # of Contact Person: Estimated Value of Project: V -
APPLICANT:
DO NOT WRITE BELOW THIS LINE '
p
Submittal
Req'd
Rec'j
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calm
Reviewed, ready for corrections
Pias Check Deposit
Truss Calm
Called Contact Person
Plan Check Balance
.Title 24 Calm
Plans picked up
Construction
Flood plain pias
Pians resubmitted
Mechanical
Grading plan
2” Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading ,
IN HOUSE:-
'"'Review, ready for correctionarmue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
t