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BPLB2016-001140 78-495 CALLE TAMPICO D VOICE (760) 777-7125 LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/21/2016 Application Number: BPLB2016-0011 Owner: Property Address: 52900 AVENIDA MONTEZUMA KELVIN MEIER APN: 773311007 Application Description: MARIA DELGADO / WATER HEATER REPLACMENT 92253 n �/�` Property Zoning: �- 11 Application. Valuation: $1,503.00 HEB 1 0 2016 Applicant: Contractor: - TOMMY ROOTER PLUMBING INC TOMMY ROOTE P UMBIfV�If�C��TF 5 AUIkl;TYOEVEiO��iE,!' DEPART �EIJT 80975 INDIO BLVD #C3 80975 INDIO BL C3,e INDIO, CA 92201 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: Contractor 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).: ( ) 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.). ( ) 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 Na Lender's Address: .(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:— 0— ((J Applicant 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 ILP for inspection purposes. Date: 'lIL Signature (Applicant or Agent): . DESCRIPTION: FINANCIAL INFORMATION ACCOUNT QTY: AMOUNT ::>:PAID PAID DATE, BSAS SB1473 FEE 101-0000-20306 0 $1.OQ $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 ACCOUNTQTY.. AMOUNT ,; PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY: ,METHOD � RECEIPT .# - � , . CHECK # - .: <LTD BY C Total Paid for PLUMBING FEES: $19.34 .$0.00 TOTALS:00 nc/n2/7nlI TFlii IST n9 PAX La Ouinta BidO & Safaty IM001/001 1 ', :A. 0� ite of Compliance ,::.,1.' PtdjfOi a Type /JIvr SO.C,uti^Meat rump: utsF- a?epu,& etc./ . K�c'iriufa/iiig'syaretas'ser�+ing mtdtipk- d+velfing mf►s shall' itteet the tteffrettatioA.;rtQtf(!rtiieralt of �5�(>r� 7�tt'`lyirscripfive it Qt+ire!nents do nor alldwihe installation of a rfe(rculating +eater.. hRati►t8 rystent four single divelliitg amts. Threvernal-water heat! onk and s.shalt be insulated to meet the j di o' tenfa o • Is .*tractor or HontrtQarner (Documentation AuthoeaVResponsible Buiiditeg Desi 'a Dediii<sth►i Sfat t) ; . i certify hist this Certiffcate of Compllattce d&ur mntatloi+ is accurate And cotttptete. •: f am•.eligible..under,.Divisiop.3 pf.lhe CalifomiwBusiness and Professions Code to accept tmsponsibility for the building design Identified on this Certificate of Compliance... [ certify, that.thy-eeergj feotures;and perfai +a specifications foi the' building "gn identified ot► this Certificate of Cofitpl[ance conform to the mg4jM..mynts of Title 24, Past l and 6 of tlii Ca%ifornia Code of Regulations : 7U buNding desigif'foatutes ideritlPied on: this Certificate of Comp a:e<consistent with dte iiiCriination provideb°to dotiimenE this buildiC,%.iPi on the other applicable compliance Awns, worksheets, calculations.'plans acrd specifications submit. to the enforcement a en .forts rovalwith this buildin emit lieatlon. CA Addrm: 1.lcenae: City/StatdZip: Phone: L PLUMBING WORK ORDER/INVOICE t6�iN�%' �b't�R 2120 —1 HPING THE DESERT EL ' ONE FRIEND AT A TIME QTY. ITErki OR PAAT 1 • q Co. ''- ' Plrmlhitrg, Drab, Cfeanfrtg Br Jetta, Spacfadst Inv.#5154739 80975 lrtdio Blvd., #B9 Auth.djif ' Indio, CA9nOI "-° `� !2 ", 760-574-4444 In `` Fax 760.944-2717 rv, 00 °An 0a"0 W W W.TOMMYRO07ER.COM out CA LIC. #930133 , to NAPAIE tvN sTREErS'��tDp i�� v�aat°\ W►�`t:Y+�� .. SCHEDULED PHONE CITY�j/� STATE DP O "Avl F.. C WARRANTY ❑ . CONTRACT ❑ SERVICE CONTRACT hWE MODEL SERIAGNUTASER ❑ NO791M TOTAL MATERIALS OOKINL ❑ RES. p c,01AN ❑ NOT (}OOfdWETE • DESCRIPTION OF u ( tq 040 46 �� Lra of -� � d1t�.'� �/�GG�. (f ! , d=- .�-t �✓ �'i�'�' . aoe ho s e, 6 , V 54-t� ��50 ee,-OPIO .e 62 '*A U:i>• L- _ dU l,,r�-�r S 6�e,�s c� �,c a • TO DUI CUSTOMEM: Sanfoe real are required to.have work sip signed. DRAW CLEANM AD01 FOOTAGEF7 This is done in oder ID protect yw. the wakmen, and. ourselves and ID enable 'u5 to absolute satisfactory 1Uv respectfu qW I,= seMce. are y requested ID emagne material and labof statement before r>orfmlen lam #Dpi FUCTURES PLUMBING LABOR the job, and A inti find ererytMrtg satisfactory, dray this ticket If sevIce is unsaBsW.", in arty way, prease phone our office 6rmtedletely. PARTS A'PE "TY VM1 BE CHARM AT TIE RATE OF 1%v% PER MONTH ON UNPAIDBALANCES AFTER 30DAYSOFIRMCEM.AH0MFffRCENTAGE TSNREAThENT TOTAL LABOR RATEimitim isCHNI(PEESZ,00. VIDEO INISPECT N Q WARRANTY NOTES.IRECONIJENDAT• Ifind lheline and mefe(elchagedabovsaGsfacWryandagree bpay HYDRO,IMER 051Day ❑ IYear forsameanpre5entaBoarofirtvDice,andfurther agree topay reasanaNe MINIJIMER LIWAEAK LOCATION ❑ 3 Aronth Q NO charged for coTxGbn Incud)ng afineys fees in the event of my defaulL 'NOTICE TO MYNEW (Sectfon 7078-CaeUwwro Llcmes Lar) uto" na P(JAIPS8xr?C EASE ❑ SAtonth . CALLS r:Mdcna'!3n law, inrwo) ir, wbm 1miv, ILWm, ffwo ID.eea or oh A prism �ft boa mfnprv+etcvp4ra<O'�9KtWl1pr,7tsrrDsrgtrrtsaammtret,rmargnnarartset3 aplul sssh culrs rq urg OTHERVlARRAHTY ARE SCHEDULED FROMWl- SAWSPM' ectkemnauraysuhcodahFnrsena4®dyhdmntasitsrllnswr9atrrpmNnataa mrilxunerawd,.�hsaBaarllewulfrea�nbdd»mnrysdupRelagesBussu►ad1s7 TAX ' n4►tlp uNamrte�eSpgm+KtcmM mmrdepioa� oeoa sdstmattmty h st rrnue na tmrhmw ftK) d tie anted Idm 1ss auk tit e9t11n m ary osrdikm 4 ns P Rd. to aarMtcnd hr rhs p rmzt h W) at do 90M of al s la kfliewddascRedh`� TOTAL X. K o • / �. PAY�IFIJTRECEIVED Initlals ❑ CASH C. ❑BILL ❑ CHECX # ❑ x s0"vuR` D"1e yroatt orzoeiED ar. PAYMENT DUE N Description: MARIA DELGADO /WATER HEATER REPLACMENT ADDITIONAL Type: PLUMBING Subtype: Status: APPROVED Applied: 1/21/2016 RSE Approved: 1/21/2016 RSE Parcel No: 773311007 Site Address: 52900 AVENIDA MONTEZUMA LA QUINTA,CA 92253 Subdivision: SANTA CARMELITA VALE LA QUINTA Block: 169 Lot: 20 Issued: UNIT 17 NAME TYPE Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,503.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 TOMMY ROOTER PLUMBING INC Details: WATER HEATER CHANGE OUT - 50 GALLON/GAS. CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. OWNER KELVIN MEIER __j Applied to Approved Printed: Thursday, January 21, 2016 8:04:00 AM 1 of 2 sysrenas ADDITIONAL CHRONOLOGY CONDITIONS NAME TYPE NAME CONTACTS 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 KELVIN MEIER 92253 Printed: Thursday, January 21, 2016 8:04:00 AM 1 of 2 sysrenas INSPECTIONS PARENT PROJECTS REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS DATE REMARKS NOTES CLTD DESCRIPTION ACCOUNT QTY 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 $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 BOND INFORMATION Printed: Thursday, January 21, 2016 8:04:00 AM 2 of 2 r SYSTEh1S REVIEWS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS DATE REMARKS NOTES BOND INFORMATION Printed: Thursday, January 21, 2016 8:04:00 AM 2 of 2 r SYSTEh1S