13-1606 (PLBG)4
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001606
Property Address: 49727 VIA CONQUISTADOR
APN: 649-590-002- - -
Application description:. PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 185
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
ARCHIE WOODWARD
49727 VIA CONQUISTADOR `
LA QUINTA, CA 92253
(805)801-4662 '
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: . 12/11/13
V n Contractor:
Applicant: Architect or Engine 0/ 1 1 TOMMY ROOTER
4 1 n 80975 INDIO BOULEVARD #C3
Cj�41 INDIO, CA 92201
S444
Lic. No.,,: :930133 `
LICENSED CONTRACTOR'S DECLARATION ' WORKER'S COMPENSATION DECLARATION ' - -
1 hereby affirm under penalty of perjury that I am licensed isions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: ,
Section 7000) of Division 3 of the Business and P . ss' s Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for, workers'' compensation, as provided
License Class: C36 License No.: 930133 - - " for by Section 3700of the Labor Code, for the performance of the work for which this permit is
,/ issued.
ate: Contractor:• • 41'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
OWNER -BUILDER DECLARATION - ., insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the K Carrier NORGUARD INS Policy Number THWC435917
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to•, — I certify that, in the performance of the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair. any structure, prior to its issuance, also requires the applicant for the person 6 any manner so as to become subject to the workers' compensation laws of California,
permit to file a. signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with'Section 7000) of Division 3 of the Business and Professions Code) or. .' 3700 of the Labor Code, I shall forthwith those provisions.
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).: • Date plicant: ,
(_) 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 - WARNING: FAILURE TO SECURE W COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TOC L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN AD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN _
improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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 APPLICANT ACKNOWLEDGEMENT ,
(_ 1 'I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of - conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractors) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for ,
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_) I am exempt under Sec. , B.&P.C. for this reason 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.
Date: Owner: 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
CONSTRUCTION LENDING AGENCY - permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all
work for which this permit is issued (Sec. 3097, Civ. C.). city and county ordinances and state laws relating to building constructi authorize representatives
of this y to enter upon the .e -mentioned propert cti oses. y
Lender's Name: �_�/ /�
Date: Signature (Applican or Agent): `1
Lender's Address: - -
LQPERMITr+'-----
Application Number . . . . . 13 -00001606 -
Permit PLUMBING 2013
Additional desc .
Permit Fee 11.92 Plan Check Fee .
.00
Issue Date . . Valuation
0
Expiration Date 6/09/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER HEATER/VENT
11.92
----------------------------------------------------------------------------
Special Notes and Comments
WATER HEATER CHANGE OUT - 30GALLON/GAS
(2008 ENERGY] CARBON MONOXIDE ALARM(S)
TO BE INSTALLED PRIOR TO FINAL
INSPECTION_ 2010 CALIFORNIA BUILDING
CODES.
-
------------- -------_--- --------------------------------------"-----------.-----,
Other'Fees . . . . . BLDG STDS ADMIN (SB1473)
1.00
PERMIT ISSUANCE M/P/E
90.57 '
PLAN CHECK, -PLUMBING
7.1,5
Fee summary Charged Paid Credited
Due
Permit Fee Total 11.92 00 .00
11.92
Plan Check. Total .00 00 .00
.00
r Other Fee Total 98.72 .00 :. .00
98.72
Grand Total 110.64. .00 .00 ''
110.64
LQPERMIT
06/06/2013 THU 15:09 PAX La Quinta Bldg 6 Safety
Bin #
City of La 'Quinta
Building r Safety DN+fslon
Permit iiE P.O. Box 1504, 78-495 Calle Tampico
La Qulnta,. CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: y na�raca P
A. ?.Number:
Legal Description:
Contractor:
Address: g �
City, ST, Zip:
Tefephone:'�Up-,51��,NA
State Lia # : 3 -Q1 3',
Arch., Engr., Designer.
Address.
City., ST, Zip: "
Telephone:
State Lia #:
Name of Contact Person:
Telephone # of Contact person:
i< Submittal
Plan Sets
Structural Calcs.
Truss Calea.
.Title 24 Cake.
Flood plain plan
Grading plan
Sabcontactor Last
Grant Deed
H.O.A. Approval
IN HOUSE:
Planning Approval
Pub. Wks. Appr
School Fees
V
A
Y Owner's Name: (C
Address: y a '1 v
Cin'. ST, Zip: Lq , , �� c A 9a
Telephone: _ $ p 1 —4
d
Project Description:
0001/001
-� - _.
d
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#Units:
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
Rec14
TRACfUNG
PERMIT FEES
Plan Check submitted
Item
Amount
Reviewed, ready for corrections
Plan Check Deposit
Called Contact Person
Plan Check Balance
Pians picked up
Construction
Plans resubmitted
Mechanical
P! Review, ready for correetionvissue
F,Icetttcel
Called Contact Person
Plumbing
Plans picked up
S.M.I.
Plans resubmitted
Grading
'"'Review, ready for correctlonsroue
Developer Impact Fee
Called Contact person
A.LP.P.
Date of permit Issue
Total Permit Fees
PLUMBING WORK ORDER/INVOICE
TOMMY ROOTER 12718
HELPING THE DESERT
•
v ONE FRIEND AT A TIME Co.
•• • ® •
ITEMPlumbing,
Drain Cleaning & Jetter Specialist Inv.#
—�` 80975 Indio Blvd., #C3 Auth.#
Indio, CA 92201
�
ra -_ 760-574-4444 In
Fax 760-444-2717
WWW.TOMMYROOTER.COM Out
"Alll Cleor!"
CA LIC. #930133
NAME
u� c�
DATE SCE LED
t k — —13
STREET
CI F TATE ZIP
��
ANTY
RACT
r1R
MAKE MODEL
SERIAL NUMBER
CE CONTRACT
AL
❑ COMM.
❑ NOT ❑ COMPLETE
TOTAL MATERIALS
DESCRIPTION • •
•
WOAS?� N, ni SA-ckv\
1 , o
3C -1k u 2 Cke to 30
LABOR
• TO OUR CUSTOMERS: Service men are required to have work slip signed.
This is done in order to protect you, the workmen, and ourselves and to
DRAIN CLEANING
ADD'L FOOTAGE
enable us to give you absolute satisfactory service. You are respectfully
requested to examine material and labor statement before workmen leave
ADD'L FIXTURES O
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.
PARTS
A PENALTY WILL BE CHARGED AT THE RATE OF 1 t"% PER MONTH ON UNPAID
BALANCES AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%.
PRODUCTS/TREATMENT
VIDEO INSPECTION
RETURNED CHECK FEE $25.00
I find the time and material charged above satisfactory and agree to pay
HYDRO-JETTER
for same on presentation of invoice, and further agree to pay reasonable
charged for collection including attorneys fees in the event of my default.
MINI JETTER
TOTAL LABOR
X
LINE/LEAK LOCATION
SIGNATURE DATE
PUMPSEPTICIGREASE
[_1 WARRANTY • • •
WORK ORDERED BY
OTHER
Q 5 Day ❑ 1 Year
"NOTICE TO OWNER" (Section 7019 -Contractors License Law) under the
❑ 3 Month ❑ NO
❑ 6 Month
Mechani s' Lien Law, any contractor, subcontractor, laborer, material man or other person who helps
to improve your property and is not paid for his tabor, services or material, has a right to enforce his
TAX
claim against your property. Under the law, you may protect yourself against such claims by filing,
TOTAL
WARRANTY CALLS
before commencing such work or improvement, as original contracl for the work of improvement or a
modification thereol, In the office of the county recorder of the county where the property is situated and
ARE SCHEDULED
FROM M -F 8AM-5PN1
requiring that a contractor's payment bond be recorded in such office. Said bond shall be in an arourdt
not less than fifty percent (50%) of the contract price and shall, in addition to any conditions for the
PAYMENT RECEIVED
PAYMENT DUE
U
❑ CASH ❑ C.C. ❑ BILL ❑ CHECK # ❑ X
performance of the contract, be conditional for the payment in lull of the claims of all persons
furnishing labor, services, equipment or materials for the work described in said contract.
(AP -),
Prescriptive Certificate of Compliance: Residential CF-IR-ALT-DHW
Residential Alterations Page I oft
Project Name:Rr LVNi» wooa wG>r Climate Zone: Permit #:
4
General Information
Site Address: 4 0(1 Z 1 V l�
Buildine TYne:^Ca' Sinele Fami
uw I Entorcement Agency:
tjly I Project Type: 0. Replacement or Ch,
Date: i 1-a3 -
WATER HEATING
• i certify that this Certificate of Compliance documentation is accurate and complete.
List newly installed water heaters and boilers for both domestic hot water heaters (DWH) and hydronic space heating. Newly installed
DWH heaters and boilers must be as, ro rte, or use the exi5tingfiiel type.
Water Heater
Type/Fuel Type'
Distribution Type
(Standard.
Recirculatin
Number In Tank
system Capacity (gal)
Energy Factor or
Thermal Efficiency
building design on the other applicable compliance forms, worksheets, calculations, plans and specifications submitted to the
External Tank
Insulation
R -Valu e
Name:
✓
, 1
1 U
Company:
Date:
Address: U
license:
S o(5\ -) s a
q30 \3 3
City/State/Zip:
Phone:
o CSA G ,o _ .
j�:)5-90l _, I �a
1. Indicate Type (Storage Cas, Heat Ptunp, Instantaneous, etc.)
2. Recirculating 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.
3. The external water heating rank and pipes shall be insulated to meet the requirements of J 150U).
The Prescriptive
Contractor. or Homeowner (Documentation Author's/Responsible -Building Designer's Declaration Statement)
• i certify that this Certificate of Compliance documentation is accurate and complete.
• 1 am eligible under Division 3 of the Calif6miw Business and Professions Code to accept responsibility for the building design
identified on this Certificate of Compliance.
• I 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, Part 1 and 6 of the California Code of Regulations.
• 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.
Name:
C CAN - C-19"
Company:
Date:
Address: U
license:
S o(5\ -) s a
q30 \3 3
City/State/Zip:
Phone:
o CSA G ,o _ .
j�:)5-90l _, I �a
-
OEM