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BPLB2016-000978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 c&ty, 4 4v Q" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2016-0009 Property Address: 53125 AVENIDA BERMUDAS APN: 774065017 Application Description: RICHARD BICKLE /WATER HEATER REPLACEMENT Property Zoning: Application Valuation: $750.00 Applicant: 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 Date: 9— 1 b l U Contracto 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 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.). (� 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.). (__j 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 Owner: RICHARD BICKLE , 92253 38 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/21/2016 Contractor: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO, CA 92201 (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 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:— 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: d ——�� Applicant: B 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 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 building construction, and hereby authorize representatives of this city to enter upon the above-mentioned property for inspection purposes. Date: _l Signature (Applicant or Agent).3 DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 PAID BY METHOD RECEIPT #' CHECK # CLTD BY Total Paid for PERMIT ISSUANCE: $91.85 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID ' PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION •ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for PLUMBING FEES: $19.34 $0.00 • •• Description: RICHARD SICKLE / WATER HEATER REPLACEMENT ADDITIONAL Type: PLUMBING Subtype: Status: APPROVED -CONDITIONS Applied: 1/20/2016 RSE Approved: 1/20/2016 RSE Parcel No: 774065017 Site Address: 53125 AVENIDA BERMUDAS LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 204 Lot: 6 Issued: UNIT 20 Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: WATER HEATER CHANGE OUT - SOGALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. APPLICANT TOMMY ROOTER PLUMBING INC __j Applied to Approved Printed: Thursday, January 21, 2016 7:07:05 AM 1 of 2 sysrcMs ADDITIONAL CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL 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 RICHARD BICKLE 92253 Printed: Thursday, January 21, 2016 7:07:05 AM 1 of 2 sysrcMs INSPECTIONS PARENT PROJECTS Printed: Thursday, January 21, 2016 7:07:05 AM 2 of 2. r sysrcMs CLTD.. DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY 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 1 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC Total Paid for PLUMBING FEES: $19.34 $0.00 TOTALS:00 INSPECTIONS PARENT PROJECTS Printed: Thursday, January 21, 2016 7:07:05 AM 2 of 2. r sysrcMs 06/06/2013 THU 15:09 FAX La Quitita Bldg s Safety ZU01/001 Bin City of L a Quints OddliwAr Safety Dfv Im P.O. Box 1504, 78.495 Calk Tampico La Qulnt4 CA 9.2253 - (760) 777.7012 BUliding Permit Application and Tracking Sheet Pearl # P L$ -2016—P'009 Proj6X Address: o(, Q q v rn or's Neve r A P. Nmbcr, Addrass' 3 I \ M C Desa0!!9 : City, ST, Zip: lA Addresa� mieaDesoription: City. ST. Zipr Te(cphono��o5-1� y� -304 Lie. #: Q 3 d I.fe. #: -) b O Arch, Bug, Designcv: Addraes: City" ST. Zip. Telephone.Coashuction Tygo: Ocaipaacy: s. Sm Lia. #r Pmjeet We (circle one): New Add'n Alter Repan Demo Name of Coat= Person: Sq, Ft:J.# Storlea: # Uatta Telephone t4 of Contnrrt Pexsoa '� Esfu a Value of Project;. `J o • 00 APPLICANT; 00 NOT WME BELOW THIS LINE P S&MkRw 'd RmIA TitAcmr. FibR>tRT FEES full Sep plan ai0m FAMI tM new A>aooar 8traeeenl Cake. Rtvirngt, ready for arrecdons Plea Cheek Dcp"it Thu Cales. Calks Confit Pen= Blau ckeek anbuue. ride 21 Caiec P4.ns ptc{red np �omtrnettan Etaod plat, plan Plaza rmbmitted Meehsmc�l GradittH plaA Z'! Review, randy>br OorreatiowABbue Electrical ttutseoutnctar Tial called CoRtaet ftma PIma6i4 Crs,t Reed Plans picked up S.M.I. JLOA. Approval Pkat retllberitted Grading IN ROM- Piaoping Approval '"`Roim,teadyfor rnrrtctlamawas COW Contact Pemn -DevelopttlalprletFCC A.I.R.p. Pbb WkLAppr Oateorpirmittone Senodl Fee - ' Tow remit Feet Prescri tiv- ._ClertMente'oi Com fiance: Residential Residential Alterations Project Name::' me9�rnar (Docunwatodon Author WResponelbW Buildto Deeper'a,5;29i tipa3f�tc �QpOractor or Ho ' 7certify tKat this Ceitif►cuta of Compliance documentation is accurate and complete.. ), -P - I ant-elikible..under Division 3 bf the Califamla• Business and Profbssions Code to accept responsibility for the building, design Idendited on this Certificate of Compliance... w I that the OY.,g6 features. and performance specifications Por the. building design identified on this Certificate of Coiiipliance .certify, Fonform to the regt;it+tltrtents of htle.24, Part 1 and 6 of the California Codd of Regulations. -'� The building desigd features identified on .WA 6nikats of Compllancie ere .consistent with the infonnat[oe pro;vided to docu'riiehi this b61ldCng'�4i;3gi oh the otht;r'Qpplicable compliance forms. worksheets. ealeulations,'plans and Specifications subtglled:'to the enforcement a en . .FOG Q rovaG with this Wilding rtmit lication. >N St a 'Company: 57 C l c�mrr� CZE log Diu¢ . Lv� Address: Uca'"c: ,1 City, tatdZip: 0 dam Phos: c),5 L1 11 _.r n v%►► v a If V% c PLUMBING WORK ORDERANVOICE �;::•f:r;. roMir Y'Rdcftk " Ft EPING THE DESERT 23587 08 PART DESCRPTiON � (/✓ Oi�IE FRIEND AT A TIME Co.ITEM ftw*rgmak clesnftajeaw-Vocbwst IRV.l9` `sr`r 80975 Indio Blvd., #89 At,ril. O't Cf I to t4 70' Indio, CA 92201 760-574-4444 S h -Y Fax iso -444-2717 `'l0� q O y� 5 "AA CtedW WWW.TOML(YROOTER.COM CA LIC. #133 916 / a ►� ,i t/G �► �r� �i�- /f 12 P"D1E plpe- yy�, 2 'Q �,� �ZIP ❑ WARRANTY i 0� ❑ CONTRACT ❑ SERVICE COHTHACY MAKE MODEL SERIALMJMBEF ❑ NOFWAL TOTAL MATERIALS D HE& ❑ C01+111L ❑ NOT Q COt LEME DESCRIPTIOIJ OF WORK .k 5-rQ ItZ4�'1 V✓ 'O. ' e4 ) Iw O/'tJO t✓1 lr . 5 rs' Had Gcri 4 n 5. m l;oe c� ! TO OUR CIISTDi ER& Sw&e men are reglred to have rrork sap srgned. This Is done in ander to protect you, the workmen, and aerSems and to DRAIN CIEANNG LABOR e ADDI_ FOOTAGE �e enable us to give your abschde sa&&cWry service. You are rospeclUlly requested to ersrldne material and labor staternent before worlmm leave ADOL FIXTURES PLL*MNG LADOR the job, and I ynu find everyfhilg saVecloryt okay this ftet• if sevlce is w aUalaatay, to mry w'a14 ptaasa phone cur oboe ImmedlM* MARTS JY A PENAY&L BE MIARREU AT 11E RAPE OF lln% PER MMM ON HMO UNPAID WA9=AFIS30DAYS OFIECEUTP.Al WALPaUWAGE PRDDt1C rW-ATl9wT TOTAL LABOR RATE tM RETURNED CKM FEES?..1.r0. VIDEO INSPECTION ❑ WARRANTY NOTES!RECONIJENDAT lONSI ftnd the time and mMarlal charged above salWacewy and agree to pay HYDROJETiEFT NNI JETTfR ❑ 5 Dey ❑ 11@er lar same on presonlatlon d himioe, and t wther agree to pay reasonebla 3 tF mth ❑ NO charged farcobcHon fnchrdlrig aticmeys tam In t w event cd my delauk UNEAM LOCA ON €3.6Manth 'NOTICE TO CWNEA' Poullon ?M9C4'atwbm Ll= w Law) uvw e» reeam►ae3ni+wenrmnram..amrmen.aeora.,�wmul«oderoaeon�orMlrs FUWSEFIIClGREASE OlTil�t ' WARRANTY CAULS k) b kWm►7w Pcp3V aid Is vol Ped Fsn rd Ww. senbssa eewhi hu a 60 to #rfmw ft you F+�wr A yhr• un" fttisk Fm mar P wAlla,rae gdrio axh Cubs W Us AR E:SC H EDULED FROhoLMFBAAI5PIl eckm m►wrwu urh Yarn «rnpaxvntr►, - o6}se3aprY►d rorlw ea kd hprarr mrd «a md%2i i"mAh9oarmd1»wusymmrlxdtbsousy'►1QpttptaMadlbehykUaq T AX ' -yJmltlreliosruselt/sDA+�txNDa haat AbU'Oad�leebell�e>lont as U» tun 14Paaert tq NiMm b amrtMne mr er paraasnx or 7M b b h fL d hw e►Yhn of a! parsons emlttrg a by tM warn davbodih aaa mmax TOTAL x7I PAMENTRECEIYED Initials ❑CASH ❑C.C. psLL (]CHECKS! ❑x wURK0AD6EDNN BF0m9L4* WE PAYMENT DUE '*,— rL A m ►U-