10-0164 (PLBG)4
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/04/10
Application Number: 10-00000164 Owner:
Property Address: 52200 AVENIDA HERRERA °SWING SALLY A
APN: 773-224-011-12 -000000- 52200 AVENIDA HERRERA
Application description; PLUMBING LA QUINTA, CA 92253
Property Zoning: COVE RESIDENTIAL (
Application valuation: 6000 a f
Contractor: `•
11)
Applicant: Architect or Eng' eer: ROTO ROOTER PLUMBERS G.. 2t i0
/� 2141 INDUSTRIAL COURT #D
VISTA, CA 92081 (;&T%!CFa_:tQsU;.NTA
(760) 598-4292
Lic. No.: 422155
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.
License Class: A -B -C36 -C4 I I License No.: 422155
Date: Contractor:
O NER-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).:
1—) 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.).
1 _ 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.).
1 1 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:
LQPERMIT
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 EVEREST NATIONA Policy Number 7600001354101
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 Co e I s all rthwith comply with those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE ORKERS' 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 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 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 build' g onstruc 'on, and hereby authorize representatives
of this cof/Liulnntt)y/to enter upon the above-mentioned propert in c n purposes.
Date: ,/ - Signature (Applicant or Age ntl:
Application Number . . . : 10-00000164
Permit . .
. PLUMBING SEWER
Additional desc .
.
Permit Fee. . . .
. 30.00
Plan Check Fee
00
Issue Date. . . .
.
Valuation . . .
. 6000
Expiration Date .
. 8/31/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00 15.0000 EA PLB BUILDING SEWER
15.00
----------------------------------------------------------------------------
Special Notes and
Comments
SEWER HOOK UP / SEPTIC ABANDONMENT
Other Fees . ...
. . . . . . BLDG STDS ADMIN (SB1473).
1.00
Fee summary
Charged Paid
Credited
Due
Permit Fee Total
30.00
.00 00
30.00
Plan Check Total
.00
.00 .00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
31.00
.00 .00
31.00
LQPER IIT
Bin #
City of La Quints ,
Building U Safety Division
Permit #.
P.O. Box 1504, 78-495 Cabe Tampico a,
La Quinta, CA 92253 - (760) 777-7012
Building Permit. Application and Tracking Sheet
Project Address:
Owner's Name
A. P. Number:
Address:
Legal Description:
City. ST, Zip:
4
Contractor: _ ,_
C Telephone:
Address: 1, IS L)b
Q.. GL- 1/ Project Description:
City, ST, zip: al w—
�lG
V \ ZZ e
Telephone:
State Lic. # : Z„"t,
City Lia C
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Projecttype (circle one): Now Add'n Alta Repair Desno
Name of Contact Person:
Sq. Ft-: # Stories: # Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS UNE
# Submittal Req'd
Ree'd TRACMG PERMIT FEES
Plan Sets
Plan Cheek submitted Item Amount
Structural Cala
Reviewed, ready for corrections Plan Check Deposit
Truss Cala.
Called Contact Person Plan Check Balance.
Title 24 Cute .
Plans picked up Construction
Flood plain plan
Plans resubmitted Mechanical
Grading plan
2"! Review, ready for correctionslissue Electrical
Subeontaetor List
Called Contact Person Plumbing
Grant Deed
Plans picked up S.M.L
H.O.A. Approval
Plans resubmitted Grading
IN HOUSE:-
''� Review, ready for cormcdonslissne Developer Impact Fee
Planning Approval
Called Contact Person A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
r' ! COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651
INVOICE Date: 3/4/2010
SUBJECT: 52200 AVENIDA HERRERA 606121,394
ROTO ROOTER Project: 10-2201
2141 INDUSTRIAL COURT Project Date: 3/4/2010
Amount Due: $3,995.00
VISTA, CA 92081 GEO: 06-06-12-1
Planner: REBECCA MILWARD
TO INSURE PROPER CREDIT, PLEASE RETURN THIS PORTION WITH
REMITTANCE AND INCLUDE THE PROJECT ON YOUR CHECK
SUBJECT: 52200 AVENIDA HERRERA 606121,394
COACHELLA VALLEY WATER DISTRICT
P.O. BOX 1058, COACHELLA, CALIFORNIA 92236 (760) 398-2651 Pagel
- .r
f
JOB NAME PURCHASE ORDER #
JOB ADDRESS
CITY STATE ZIP
❑ YES GUARANTEE' ' ❑ NO
8 A.M. - 5 P.M. MON. THRU FRI.
RESIDENTIAL GUARANTEE
Main/Branch Lines :...........
❑ 6 months
Toilet Auger ...:'..............
❑ 7 days
f
`
NOTO
❑HEMET (951) M-9541
❑ LAKE ELSINORE (951) 674-2312 ❑ FALLBROOK & BONSALL (760) 728.1497
❑ WEST RANCHO BERNARDO &
WORK ORDER NO
FLOO�Fi�DRAIN - - - -
❑ B"ING (951) M-9491
❑ RANCHNTEIMECULA(951)69-0l-M ,❑ OCEANSIDE, CARLSBAD (760) 722-3155
'❑
WEST RANCHO PENASOUITOS (858) 484.2138
.01
- - - - - - 0 KITCHEN SINK - - - -
ROOTER.
❑ PERRIS (951) 657-9852
❑ REDLANDSNUCAIPA (909) 797.8697 VISTA & TRI -CITIES AREA (760) 726-6260
❑ LAKE SAN MARCOS & LA COSTA (760) 726.6720
438551
---------0 LAUNDRY -=-------0
❑ BEAUMONT (951) 845-3338
❑ PALM SPRINGSIDHS (760) 322.2622 . ❑ ENCINITAS & CARDIFF (760) 753-2674
❑ RANCHO SANTA FE & OLIVEHAIN (858) 756-3396
,
Plumbers
❑ SUN' CRY (951) 679.8919
❑ INDIO/PALM DESERT (760) 346-1736 ❑ DEL MAR & SOLANA BEACH (858) 481-1633
DATE ...................................
JOB #........... ........� 9....... .................................
Division of RotoCo., Inc.
796 N. STATE STREET . HEMET, CA 92543
i
License Number 422155 • Federal ID Number: 33-0475032 Toll
Free: (800) 491-7686 . Fax; (951) 652-9515 • 1-800 GET ROTO (438-7686)
❑ ROOTS ❑ GREASE
f
JOB NAME PURCHASE ORDER #
JOB ADDRESS
CITY STATE ZIP
❑ YES GUARANTEE' ' ❑ NO
8 A.M. - 5 P.M. MON. THRU FRI.
RESIDENTIAL GUARANTEE
Main/Branch Lines :...........
❑ 6 months
Toilet Auger ...:'..............
❑ 7 days
Plumbing Repair ....1 ........
❑ 6 months
Plumbing Replacement ......
❑ 1year
Extended Guarantee .........
El1 year
Main/Branch Lines ............ ❑ 30 days
Toilet Auger .................. ❑ 24 hours.
Plumbing Repair ............. ❑ 90 days
Plumbing Replacement ...... ❑ 90 days
ESTIMATE: My estimate for performing this work is: $
WORK ORDER AUTHORIZATION / WAVIER: I authorize Roto -Rooter to perform the described services and 1 agree to pay the amounts
Indicated. I understand that Roto -Rooter is not responsible for broken, settled, rusted, deteriorated, or lead pipes, fixtures, or clean
outs and any damage resulting from cleaning or repairing such lines.
I have asked Roto -Rooter to provide services, Under Section 1689.13 of the California Civil Code, In order to induce Roto -Rooter to
provide these services; 1) Initiated negotiation and contract; 2) executed this contract in connection with the making of emergency
or Immediate necessary repairs or services necessary for the immediate protection of persons or personal. property detailed on this
invoice; and 3) I expressly acknowledge and waive the right to cancel this contract within three or seven business days, whichever
applies.
(PRINT NAME) (SIGNATURE)
COMPLETION I acknowledge completion of the above described work which has been done to my complete satisfaction.
QTY. I PART NO. I DESCRIPTION,/ REMARKS / REPAIRS NEEDED
/�'o� �ls"a'•G'�i4' S
ADDITIONAL WORK REQUIREMENT
PLEASE INITIAL FOLLOWING:
A. The serviceman discussed Roto -Rooter products with me.
B. I have been advised additional lines cleaned at this time are half prices.
C i have been advised that running my main line from a 3- roof vent is
improper access and can. only be given a 10 day guarantee, a 2- main line has a
zero guarantee. In order to get a 120 day guarantee a cleanout must be installed.
,4ilr ✓0
PRICE
DRAIN CLEANING $
ADDT FOOTAGE
ADD'L FIXTURES
PLUMBING LABOR
PARTS ;
r
PRODUCTS/TREATMENT
VIDEO INSPECTION
HYDRO -JET IER
MINI JETTERI r
LINE/ LEAK LOCATION
PUMP SEPTIC/GREASE
OTHER
TAX '
TOTAL
PAYMENT RECEIVED
BALANCE DUE
CC EXRDATE APPROV #
I hereby authorize Rotoco, Inc. to charge my Credit Card for the above charges. I understand that by signing below I
am agreeing to all charges incurred on this invoice and that -the work was completed to my satisfaction.
Cardholder Signature X
CLEAN UP
coEXCELLENT ❑SATISFACTORY ❑POOR SEE REVERSE FOR TERMS & CONDITIONS
CUSTOMER COPY
' r
❑ CASH ❑ BILL ❑ CK # t' ❑ CREDIT CARD/TYPE
TECH#1-........................................
TECH #2 ..............................................
FIXTURE
MAIN LINE:
FT ❑ BATH SINK - - - - - -
- -0
FLOO�Fi�DRAIN - - - -
-0
CLEANED:
TOILET - -
.01
- - - - - - 0 KITCHEN SINK - - - -
- -0
FLOOR SINK - - - - - -
-0
BATHTUB
---------0 LAUNDRY -=-------0
AREA DRAIN -------0
>�
SHOWER
---------0 URINAL - ' ---------0
OTHER J
❑
". (ACCESSED VIA
CAUSE OF STOPPAGE
i
`Q DRAIN ❑ CLEAN OUT •
❑ ROOTS ❑ GREASE
��VENT
❑OTHER ❑UNKNOWN
TIME IN
TIME OUT
WORK ORDER AUTHORIZATION / WAVIER: I authorize Roto -Rooter to perform the described services and 1 agree to pay the amounts
Indicated. I understand that Roto -Rooter is not responsible for broken, settled, rusted, deteriorated, or lead pipes, fixtures, or clean
outs and any damage resulting from cleaning or repairing such lines.
I have asked Roto -Rooter to provide services, Under Section 1689.13 of the California Civil Code, In order to induce Roto -Rooter to
provide these services; 1) Initiated negotiation and contract; 2) executed this contract in connection with the making of emergency
or Immediate necessary repairs or services necessary for the immediate protection of persons or personal. property detailed on this
invoice; and 3) I expressly acknowledge and waive the right to cancel this contract within three or seven business days, whichever
applies.
(PRINT NAME) (SIGNATURE)
COMPLETION I acknowledge completion of the above described work which has been done to my complete satisfaction.
QTY. I PART NO. I DESCRIPTION,/ REMARKS / REPAIRS NEEDED
/�'o� �ls"a'•G'�i4' S
ADDITIONAL WORK REQUIREMENT
PLEASE INITIAL FOLLOWING:
A. The serviceman discussed Roto -Rooter products with me.
B. I have been advised additional lines cleaned at this time are half prices.
C i have been advised that running my main line from a 3- roof vent is
improper access and can. only be given a 10 day guarantee, a 2- main line has a
zero guarantee. In order to get a 120 day guarantee a cleanout must be installed.
,4ilr ✓0
PRICE
DRAIN CLEANING $
ADDT FOOTAGE
ADD'L FIXTURES
PLUMBING LABOR
PARTS ;
r
PRODUCTS/TREATMENT
VIDEO INSPECTION
HYDRO -JET IER
MINI JETTERI r
LINE/ LEAK LOCATION
PUMP SEPTIC/GREASE
OTHER
TAX '
TOTAL
PAYMENT RECEIVED
BALANCE DUE
CC EXRDATE APPROV #
I hereby authorize Rotoco, Inc. to charge my Credit Card for the above charges. I understand that by signing below I
am agreeing to all charges incurred on this invoice and that -the work was completed to my satisfaction.
Cardholder Signature X
CLEAN UP
coEXCELLENT ❑SATISFACTORY ❑POOR SEE REVERSE FOR TERMS & CONDITIONS
CUSTOMER COPY
' r
❑ CASH ❑ BILL ❑ CK # t' ❑ CREDIT CARD/TYPE
5
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.
5. 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 off -12% per month, which is an
ANNUAL PI;RCI.'.NTAGL RATE OF 18%. A $35.00 FEE WILL BE CHARGED FOR .ALL RE'T'URNED CHECKS.
"State tax% 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 i. going to he working — if the total price of the job is $750.00 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 assistyou with a complaint: Your only remedy against an unlicensed contractor maybe 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 historw
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."