13-0739 (PLBG)4
P.O: BOX 1504 ^' VOICE (760) 777-7012
78-495 CALLE TAMPICO r4a�.
( )
FAX 760 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 6/14/13
Application Number: 13-00000739 Owner:
Property Address: 48134 VIA HERMOSA WILSON PATTY
APN: 646-100-023 - - 48134 VIA HEDRMOSA
Application description: PLUMBING LA QUINTA, CA 92253
Property Zoning: LOW DENSITY RESIDENTIAL ( --
Application valuation: 185 L/rAti1\
Contractor: �J �j
.
Applican A1rch�it t or Engineer: TOMMY ROOTER JU� zR
80975 INDIO BOULEVARD -#C3
INDIO, CA 92201 ;A:ZjINTA�IMCE0.(760)574-4444 F -z (
LiC. No.: 930133
c
-------------------------------
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of .perjury that I am licensed under provisions 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 Professionals. 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: C3'6 license No.: 930133 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Contr Qr _ 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
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 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 in 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 Lab de, I all forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by �11 11 pp \
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: Date: I tet^ 3 A licant• -
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 WARNING: FAILURE TO SECURE WORKERS' 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 TO CRIMINAL 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 ADDITION 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.). - - APPLICANT ACKNOWLEDGEMENT
(_) 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 for a 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.
pva mrt•; v.-hv be!419 Qr imprrnras therenn. and whQ fQrltrom ?or the projects with a contractor(s) 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.). e�Kaaa 6anof!t nrk it perfnrmQrl i6rier nr nur5llant t9 ?.n.Y 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 RarMleSs tlla l,lly
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.
1 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 construction, and hereby authorize representatives
of �r
this county to enter upon the above-mentioned y ins ction purposes.
Lender's Name:
Date: I'-1-1 Signature (Applicant or Agenda/� '
Lender's Address:
LQPERMIT
Application Number 13-00000739
Permit PLUMBING 2013
Additional desc
- Permit Fee 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation
0
Expiration Date 12/11/13
Qty Unit Charge Per
Extension
1.00 11..9200 EA 'PLBG WATER HEATER/VENT
11.92
----------------------------
Special Notes and Comments
--------------
50GALLON/.NATURAL GAS WATER HEATER
CHANGE OUT - [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
7.15
Fee summary Charged Paid Credited
-----------------
Due
----------- ---------- ---------- ----------
Permit Fee Total 11.92 .00 .00
11.92
Plan Check Total .00 .00 .00
.00
Other Fee Total 98.72 .00 .00
98.72
Grand Total 110.64' .00 .00
110.64
LQPERMIT ..
06/06/2013 THU 15:09
FAX La Quinta Bldg & Safety.
Bin #
City of La Quinta
State Lie. # : C) l 33
Arch., Engr., Designer.
City Lie.
Building 8r Safety WSW
Address:
Grading plan
Permit #
P.O. Box 1504, 78-495 Calle Tampico
2°° Review, ready for correctiowAssue
2✓ (,�
La Qulnta, CA 92253 - (760) 777-7012
+
Construction Type: Occupancy:
Building Permit Application and Tracking Sheet
Sq. Ft.:
Project Address: 8
ICS q"( b S
Owner's Name: �! S
Plumbing
A. P. Number:
Grant Deed
Address: t4
DO NOT WRITE BELOW THIS LINE "
#
submittal
9 L->'
Recd
Legal Description:
PERMIT FEES
City, ST, Zip:
'•
Contractor.
t
Telephone:% -
IN HOUSE.
Item
Amount
Structural Cults.
Planping Approval
Reviewed, ready for corrections
.Pian Check Deposit
2001/001
Address: � C 3
City. sT, zip:= Y)ro C�a �ao1
Project Description:
\l ,D
Tele ho(e:-7(o yy
State Lie. # : C) l 33
Arch., Engr., Designer.
City Lie.
Mechanical
Address:
Grading plan
City., ST, Zip: "
2°° Review, ready for correctiowAssue
Telephone:
State Lie. #:project
Name of Contact Person:
+
Construction Type: Occupancy:
type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:
# Stories:
#-Units:
Telephone # of Contact Person:
Plumbing
Estimated Value of Project: g� • —
Grant Deed
APPLICANT:
DO NOT WRITE BELOW THIS LINE "
#
submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Grading
Plan Check submitted
IN HOUSE.
Item
Amount
Structural Cults.
Planping Approval
Reviewed, ready for corrections
.Pian Check Deposit
Ayp,p,
Truss Cates,
Pub. Wks. Appr
Called Contact Person
Date of permit issue
Plan Check Balance
School Fees
.Title 24 Calm
Pians picked up
Construction
Total Permit Fees
a
r avvu yaaai pma
Plans resubmitted
Mechanical
Grading plan
2°° Review, ready for correctiowAssue
Electrical
Subeontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O A Approval
Pians resubmitted
Grading
IN HOUSE.
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planping Approval
Called Contact Person
Ayp,p,
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
a
R -UM( -NG WORK ORDERANVOICE
TOMMY ROOTER ]250
HELPING THE DESERT
v
o
ONE FRIEND AT A TIME Co.ITEM
•• - PART ® •
Plumblag, Drain Cleaning & Jetter Specialist Inv.#
�..•. '#_i'
80975 Indio Blvd., #C3 Auth.#
,. •�"
Indio, CA 92201
760-574-4444
,n
Fax 760-444-2717
All Cie I"
WVVW.TOMMYROOTER.COM Out
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CA LIC. #930133
NAME r+� F r. 5
DATE SCHEDULED .–
STR F- r , _.,
CS 1
PHONE
CITYr t.i STATE r .-y� `M
C3 WARRANTY
Lt\�.1.:, i;�• : , tc
❑ CONTRACT
MAKE MODEL SERIAL NUMBER
❑ SERVICE CONTRACT
❑ NORMAL
TOTAL MATERIALS
❑ RES. ❑ COMM.
❑ NOT ❑ COMPLETE
DESCRIPTION OF •-
•
Lit- Ct-
coke
• -
•
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
ADD'L FIXTURES 0
enable us to give you absolute satisfactory service. You are respectfully
requested to examine material and labor statement before workmen leave
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 itr`% PER MONTH ON UNPAID
BALANCES AFTER 30 DAYS OF INVOICE DATE. ANNUAL PERCENTAGE RATE 18%.
PRODUCTS/TREATMENT
vinFn INSPFCTIQN
HI: IUHNEu UHEt,n iii $15.00
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
PUMP SEPTIC/GREASE
❑ WARRANTY
• • t •
❑ 5Day ❑ 1Year
WORK ORDERED BY
OTHER
"NOTICE TO OWNER" (Section 7019 -Contractors License Lew) Under the
❑ 3 Month ❑ NO
❑ 6 Month
MechaNcs' Lien Law, any contractor, subcontractor, laborer, material man or other person who helps
-
to Improve your property and Is not paid for his labor, 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.
WARRANTY CALLS
before commencing such work or improvement, as original contract for the work of Improvement or a
modification thereof, in the office of the county recorder of the county where the property is ailuated and
TOTAL
ARE SCHEDULED
FROM M -F 8AM-5PM
requiring that a contractoes payment bond be recorded In such office. Said bond shall be In an amount
less than lift' percent (50%) of the contract price and shall, in addition to eny.conditlons for Ne
PAYMENT RECEIVED
PAYMENT DUE"-
❑ cases ❑ c.cnot
. [-]BILL CHECK # ❑ X
performance of the contract,
Iumishin labor, services. equipment or materials for the work described In said contract.�1
Prescci tiye Certificate
Residential Alterolionr
. Pm'ert Name: Ll g 3
1
nee:. Residential CF-tR-ALT=DHW ,
• Page 1 of
rn
�-¢ Climate Znix: j 5 . Permit It:
General Information
Site Address: 4 5 ( 3L1 M UGLA I Enforcement enc Date: .'1
Building T Single Family ❑ Multi Family Project TypejKlkeplacenwnt or Chane Out oa Watef Heater
WATER HEATING ,
List new4'r' installed water heaters and boilers for both domestic. hot water heaters (DWH) and htdronic spcce heating.
Newly installed
DIM heaters and boilers must be gas. propane., or rue the esis(in I ')Ve.
Wats Water DistrbAiDnType NStUdArd.umber In Tank F-n�B) �-
E>;tetmI T'
lasutatiau
Ty"`I Type Ree System Capacity (gal) Thermal Efficiency
R -Value u
i
1l0
1. Indicate Type (Storage Gas. Hew Ptanp: Instantaneous. etc.)
2. Recirrulwing systems serving nutltiple. dwelling units shall inert the recirculation requirements of §ISO(n).
The Prescriptive
iequirrownt's do not allow the installwion of a recirculating water heating system for single dwelling units..
J. The external water heating tank and s, shall be insulated to meet the requirements of § 1
Contractor or Homeowner (Documentation Author's/ResponslMe Building Designer's IJectaration Statement)
• I certify that this Certificate of Complianoe documentation is accurate and complete.
• 1 am eligible under Div'is'ion 3 of the California Business and Professions Code to accept respor sibility for the building design
identified on this Ce tificm of Compliance.
• I certify that the energy features and performance specifications for the build* design identified on this Certificate of Compliance
conform to the requim-me its of Title 24. Part I and 6 of the California Code of Regulations.
. The building design features identified on this Certificate of Compliance as consistent with rix infomatioa provided to doaiment this
building design on the other applicable compliance fomes.' worimtxets. calculations plans and specifications submitted to the
enforcement agency for amoval with this budding permit icazion
Name
\CxY�
comp -y: Dacca
A L4
Address: t:oense..
City/SuKdzip: , Phone:
too - L . L