14-0281 (PLBG)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
,Application Number: 14�Q' 0.0002-8-1
'Property Address: 80145 VISTA GRANDE
APN: 649-144-001-12 -3505
` Application description: PLUMBING
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1653
Architect or Engineer:
A��,
4
BUILDING & SAFETY DEPARTMENT
. BUILDING PERMIT
Owner:
CARLOS,GARCIA
80145 VISTA GRANDE
LA'QUINTA, CA 92253
(818)723-9143
Contractor:
RESCUE ROOTER
1520 W. LINDEN STREET
RIVERSIDE, CA 92.507
(951)341-9371
Lic. No.: 765155
I
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/20/14
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-------------------
- 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: A -C36 C42 License No.: 765155
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
_ Date o—r:�
issued.
I have and will maintain workers' compensation insurance, as required by Section 3700 of the labor
,Contract'
_
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 LIBERTY INS Policy Number WC7631508631
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
'ply with those provisions. .
.3700 of the Labor Cc^ I shall forta170-m,.
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).:
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Datg; l ��� Applicant: 1 ,f -
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
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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. '
property who builds or improves thereon, and who contracts for 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.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application, .
(_) I am exempt under Sec. , BAP.C. for this reason.
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
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
__1 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 to enter upon the above-mentioned propert for inspection purposes.
Date: �/l�-'� ,signature (Applicant or Agent): , t4a2i &A
Application Number . . . . . 14-00000281
Permit . . . PLUMBING 2013.
Additional desc .
Permit Fee . . . . 11.92 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 0
Expiration Date 9/16/14
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER HEATER/VENT
11.92
Special Notes and Comments
REPLACE (1)GAS WATER HEATER 50 GALLON
2013 PLUMBING CODE.CARBON MONOXIDE
ALARMS TO BE INSTALLED PRIOR TO FINAL
201.CBC
------------------------------------------------------
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
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0
Bin #
City of La Quinta
Building 8i' Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: l
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Owner's Name: CjL45
A. P. Number:
Address:
Legal Description:
City, ST; Zip: L vt C jq q.7,25_3
Contractor:
T
telephone: — `
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Address: % Z- (> (,J L(
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Project Description:1144 �y¢_L
City,ST,Zip:
1-2507
[
Telephone:
M11115M
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State Lic. # : 5-1 5`5
City Lic. #;
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:.
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,•.`:>:> ::>;> >.;.>::>:><::r.•;,>.:;::;::f <>.<::>
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Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
l C�/Y✓l�
Sq. Ft.:
# Stories:
# Units:
Telephone #,of Contact. Person: S I
J l -'7 73
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
'TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
Subeontactor 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 corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Prescri Wive Certificate of Com fiance: Residential
• Residential Alterations
Project Name:Climate Ztine:
WATER HEATING
List newly installed water heaters and boilers -for both domestic hot mvier heaters (DWH) and.h►dronic -gmce heating. He%-IY installed
DWH heaters and boi(rrs must be gas, propanr, or use dee existin tel 1)re.
water treater - Disuibttion Type Number In TankEnergy Factor or
, System Capacity (gal) TInal EWiiiency
TypdFUd Type' R circukting(StandardXTI
External Tank
n ulR-Vationn
r14P 47
1. Indicate Type (Stordge Gas. Heat Pump, Instantaneous: etc.)
2. Recirculating systems serving multiple dwelling units shall tenet the recirculation requirrinents of §150(n).
requirements do not allow the installation of a recirculating water hetrtnrg system for single dwelling units.
3. The external water hearing rant and pipes shall be insulated to meet the. requirements of §150
Thr Prescriptive
Contractor or Homeowner (Documentation Author's/Responsible Building Designer's Declaration Statement)
• l certify that this Certificate of Compliance documentation is accurate and• complete. 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.
• 1 certify that. the energy features and performance specifications for the building design identified on, this Certificate of Compliance
conform to the requiremmts 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 3pocifications submitted to: the
enforcement agency for approval with this building rmit application.
amu Si
Company:.
Address' , t.icense:
.70S'1 S S�
City/SM&ZpPhone:
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12/14/2013 .18:10 9513410961 RESCUEr,00TER PAGE 01
1520 W. Linden St.
Riverside, CA 92507
RE-- 9C&FE -ROOME
(951) 341-9370
(951) 341-0961 FAX.
10/14/2013
To Whom It May Concern: . .
This letter is to confirm that the following employee of Rescue Rooter is authorized to pull plumbing
permits and city license as needed under Contractor License number #765155.
Please costa me 00-859-5945 if you have any questions- '
Sincerely,
_ = •J wari2
Sc ice Manager.
State of California
County of Riverside
10/14/2013
before me, Maria V. Joseph Notary Public
1 Personally appeared Jon Swartz-
who proved to me on the basis of satisfactory evidence to be the person(s) whose name(s) is subscribed to
the withvi instrument and acknowledged to me that he execut�cd tate same. in his auth.onzed capacity(ies),
and that by his signatures(s) on the., instrument the .person(s), or the entity upon behalf ,of which the
person(s) acted, executed the instrument.
I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing
para.graph'is true and correct:
WT $ S my hand official
a L�f . ry Public
ARIA V. JOSEPH
- Commisslon 0 2042898
-s c Notary Public - C>tllfornle --
_'' :a Riverside County . .
. M; GIm n Fxplres Sep 23. 2011