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BPLB2016-002678-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Tihr 4 4QuI& COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2016-0026 Property Address: 56430 MUIRFIELD VILLAGE APN: 762280040 Application Description: WALTER / REPLACING WATER HEATER Property Zoning: Application Valuation: $2,711.00 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: o(— 1 C) I l v 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, willbo 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 Lender's Address: 11111111111111111111 45 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: . 2/3/2016 Owner: WALTER SCHWAB 56430 MUIRFIELD VILLAGE LA QUINTA, CA 92253 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: V—� 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 ($100,0,00). 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) 11NANC IALINFORMATIOW`;::`� E4 )TIOM�qlm ',DESCRIPTION N 'ACCOUNT Ct BSAS SB1473 FEE 01-0000-203016 0 $1.06 -$0.00 Htl%­ 1PAID-BY ",4'M ET `gYR 'RECEIPTIW�"!?' k% 1115: -HECK4,.p-BY fCLTD Total Paid for BU I LDI NG 'STANDARDS ADMINISTRATION' BSA: $1.00 $0.00 DESCRIPTION EN WC, "OPPAI L'l '��PA ON N,�. D AM I Eji MDAT PERMIT,ISSUANCE 101-0000-42404 0- $91.85 $0.00:. PAID,' �il• AA661�`:g.­-iM& -;'RECEIP #DRB 5C tv % Total Paid for PERMIT ISSUANCE: $91.85 $0.00: DESCRIPTIOW, a mi mm � , , " M, -COUNT!,, ; g. AMOUNT­` 0 MAIDMA.F WATER HEATER/VENT 101-0000-42401 .'0 $12.09 .$0.00 _ET H 0 D "MBY UEr: �RE EIPW , 0"'n _2 'W ; � 7 DESCRIPTIONS 1014 1 x AC CO U N Ti�Rz! M IOUNTrY, ...... .. . D ,'PA MATE;: I D,'- WATER.HEATER/VENT PC .101-0000-42600 0 $7.25 $0.00 CHECK_j-0N,t -�,XLT D, -A X." 4.L M3N --.BV,�' 'Total Paid for PLUMBINGTEES:' $19.34 $0.00 TTALS: O19 $0.00 <; Permit Details PERMIT NUMBER �r City of La Quinta BPLB201'6.100261, Description: WALTER / REPLACING WATER HEATER Type: PLUMBING Subtype: Status: APPROVED Applied: 2/3/2016 RSE Approved: 2/3/2016 RSE Parcel No: 762.280040 Site Address: 56430 MUIRFIELD VILLAGE LA QUINTA,CA 92253 Subdivision: TR 28838-1 AMENDED Block: Lot: 77 Issued: Lot Sq Ft: 0 Building Sq Ft: 0' Zoning: Finaled: Valuation: $2,711.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME Details: WATER HEATER CHANGE OUT - 75GALLON/GAS [2013 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR TO FINAL INSPECTION. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS INFORMATION CONTACTS AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD NAME TYPE NAME ADDRESSI CITY, STATE ZIP PHONE FAX EMAIL APPLICANT TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 (310)961-1213 $0.00 BSA: CONTRACTOR TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #C3 INDIO CA 92201 (310)961-1213 OWNER WALTER SCHWAB 56430 MUIRFIELD LA QUINTA VILLAGE CA 92253 (310)961-1213 Printed, Wednesday, February 03, 2016 11:16:59 AM 1 of 2 SYSTEMS FINANCIAL INFORMATION DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD By BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: Printed, Wednesday, February 03, 2016 11:16:59 AM 1 of 2 SYSTEMS INSPECTIONS PARENT PROJECTS . BOND INFORMATION ATTACHMENTS Printed: Wednesday, February 03, 2016 11:16:59 AM 2 of 2 CN? „ SYSiFti1S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID; PAID DATE RECEIPT # CHECK# METHOD PAID BY BY PERMIT ISSUANCE 101-0000-42404 1 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:•• INSPECTIONS PARENT PROJECTS . BOND INFORMATION ATTACHMENTS Printed: Wednesday, February 03, 2016 11:16:59 AM 2 of 2 CN? „ SYSiFti1S 06/06/2013 THU 15:09 FAX La Quints Bldq 6 Safety City of La Quinta Bt�fding.BC Safely Dtvislort . # P.O. Box 1304, 7649S Cale Tamptoo La Qom,. CA 92253 - (760) 777.7012 r �'g ?01 b - 00 2 b Building Permit Application and Tracking Sheet Qrgjeat Addrait� y � '� e • Owner's Nsanx .� 5 C A. P. Number: Add=, �. d i Hess �: Ciry, ST, Zip: i Contrast"..7©m O UV's+ Tel bona \ Addt=,S_QO�j PtbJectlhscripslon: City. ST, ay v -P Teiepkone: a L9 ti: {� 7 Ads: J City. sr. Zip: - 7?'vlePboac t'onsh+lction'x'yper,. 004anas+t State Lac #{: Prgf eci V�Fe (cir* oue): New Add'o Aloes Rc* thuo Nmae ofCantoct�Ceoa; �' �U�yc Sq. Ft: #Stones: #•Units: Tel tie # aTeonta« Person: •i C7 �"1 `1.�-l`-•i� 8st�iated value of Pro a� . APFUCANT. QO NnT WRITE RFI Ata! YmLQ r rtro -i l . �1►l wovi/001 G Y $abm1tb11'd 1aa'd TRACiC�iG P?dltAli� FiSL.R fta sob Pian Cheek saUmamd Ihew Amoaat Strndmt Caica, l�evis�red,rad, [Or eortectlona .Plan Check Deposit Trum Calm Caned Coahet I\". " Plna Cteek fth'a-M Tlt1s 2l Cata. Maw yfoiced up Tonttmedan BiMod piste plan Pians TUWAatrsod 1KaLa>siAa! t3radblg plan 2'! Roriely, readylor corrrctionslibue Fdsetrimll Butrcoatactor Leat Colied CoublctBmm 1'iaraEf><g Grant bice Ptaw ptacd up MOA. Apprwd Pians reoa4mittta Grading iNAQIISEr '"' Henle ready for mrC loliism •lDotdeper impact Bee t?buplog Approval Called Coutwpenon Ad Y.P. Pub. Wk& Apr Date atl;tmlttrue 9cbodlBew• Tohl Permit Bee, Prescri tir Icatc.of Compliance; Residential Alterations Pto"ect Name:; t% Cpabzctor or Hompgv �uvr (Documeatatioa Autbor's/Kespousible Bulldtet Desi�aer's;Dselu tlo Stiiietoept�;'? 1 cettlty that this Certificate of Compliance documentation is accursie andboOVem ` •• 1 am eligible -under., Divislon 3 of. Jim Cnllromiw Business and ProFesslons Code to ecce res identified on this Certl pt ponslbll lty for the building, deslp fisute of Compliance.: �,.... .. �. I cett� !. that thy .c. ,W Feoturcs:attd pedar a specificatlolts Fol the bullAlttg'dtsign identified on this Ceitificntt of Cor»plienCe conform to the reguiror"tits 41111e 24,'Parti and 6 of the"Callfottila code of R latioris The bullding desij ii faa6cs ideiitiRcd on ibis Certifleate.of Comptiartce ac= constateitt withfire itlfoririet%o provided to docutt9ent this building :;`de'sln oil the othtr •applicable compliance forms, worksheets„ calculatlons, plans and specifications submits' ; to the ::. enfomerrient enc fdra bui [oval with this ldln emit licatiort. Naive lig AMM Co, pally: �\ I•� . D � Dam ddsrss: o� 930City/Stata: r2i'l rt— l NI t CX V r 7\ /\ /1 PLUMBING WORK-ORDER/INVOICE TdiMM* 06WER Iii HELPING • THE DESERT r—2. q:=' ONE FRIEND AT A TIME Co. Pynrrr6fn� Drool Cleanho8!@latferSheCla7tsf Inv. #u 05 �:.. '. 809751ndio Eilvd., 089 Auth.# C R, Indio, CA 922x1 Lm ah 1Ra y.,` .° 760-574-4444 In t Fax 760-444-2717 n W VdVrI,TOMMYROOTER.CON4 ^ Q O AIE Cleor! CA UC. 99MI33 OLA ok.S A(M:i ! ATE SCD u P sm"'�' 5050.r t' v( Uiq 1215 CITY TNiE ZIP WARRANN Q OOfITMCT KVV E MODEL SB WLNUh1BO 0 SBJVEE CONTRACT Q NORMAL 0 1100 o�P�1.m TOTAL enATERIALs163- DESCRIPTION1 +RK q + ON �j 46 QPvs�io�1�� - R&Wle A 103 rN dk,ctC c -o qe a% a��--j ou Rmsy W N'*-*- rye.., A'oco �U' 0%9 -o 0k& L,.*P ailawoy �k S5 rr wo- A L,-4, k/ 't s c c r- eye L10pio,,L per �D I U� lC flojA on TOCURCUS70MERS Service mal are reguUed to have tisIN This is done it order to prefect you, the, wor4vnen, and olrselves and ID enable Is to absohde salisfRcary mice. You are respectl4l CLEANING ADO'LFOOTAGE 0 1 g(ve your ragw0d to mTrf re materiel and laborstaterrwM before wortrmen leave ADDLRnRES . 777 PLUpIBING LABOR the)A and if you find awryMblg sAhlaMy, almy this ddcet. If sMoe is Lnsalisfacto% In any tray, please phone cur Dt1•me immediately. PARTS A PBVM WILL BE CHARGED AT TM RATE OF 110% PEA MCIIfH ON UNPAID SALANMSAFEF130DAY50FDMICEDUE.AIBNALPEACUffAGE PRODUC15RAEA7MDJT TOTAL LABOR RATE 98%REURIED CHECK FEE S&DDI VJ0E0 INSPECTION ❑ WARRAMTY I 1 p a I End the time and material charged abets satislactory and agree to pay HYDROJETTER 0sDay 01year for samsccpresentation ofinvoice, and further agree topay reasonable MJlTfER UNE4.VX LOCATION p 3 Month 0 NO 7 charged for cdection bxc xllnq altomeys faes in rhe event of rrry delmlt. Q 6mmth "NOTICE TO OWNER' ISedlon 70IMomkwtora license Ln44 Ludw un PLIPAPSEPTICJGREASE :alARRAHTYCALL$ Nadrrfa' Uen Lax. err mraefmr. sLb=tmcmkatdec rmWd roan ora0erpc san'aho 1a� uATP�s wRT'rwarryand Orr>fp�Mrrstaoor, tuftoemmu twadgomawmeM OTHER ARE SCHEDULED najoemrsywry "trrowViotm ta ymffvlvotm L nsinrtrtttaenb/ifire FROM At•Fl3Ala•51131Y! ' rmuerec�f�e»oriamurwc+tynouasroifleau»jvnaewLmv�ib�rmdatil +e�wy+nLesmralan.oe++L»momma.d�hem�n.ssnmroen.re.rnan&men TAX nAtmoRerMywjme^7 dsremrmYPdawdatdlhaNft beam nirsahe pattmarx N Ae contact, he mrrllbrW in (to pmflrwt h UI of ea ddm U 91 ptf m TOTAL tsrwtrg • srnl Qfi Dd or rteNfda mr Ina uadr dds smarty PAYAEJVTRECEM x ^ C . �(J Initials [—]CASH [] C.C. ❑ BILL ❑ CHECK # ❑ X 91.71A1UAE ynaxonoa�er. PAYMENT DUE Q 5- 0 RN- S- Prescri tiveRe. t, cate.of Com .liance: Residential CV*1'R-ALT•DHW ,. Residential Alterations Page I of 2 Project Name:" . 0.. Climate Zone: Permit # _ Genenil" Itifoiination Site Address: Enforceitknt A enc :' '.-• '• Date:.. Buildin T Sin -"le Famil -D Multi Family- ' Project.Type: taceaient-or Chane Out of Water Heater WATER HEATING I certify that this Certificate of Compliance documentation is accurate and.complete.: LW newly installed-waterheaters-and boilers for both domestic hot water"heaters (DWH) and hydrnnic space heating.,Newty installed • DWH heaters•and boilers must be- as, pro e. or pare the existingI e. • i certify.that the features. and performance specifications foi-the building design identified on this Certificate of Compliance Distribution Type Wafer Heater' Number In Tank : `Enefgy Factor ar , "' (Sfa�xlard,• - • EulematTank huulatuni Type/Fuel Type System'. -.Capacity (ga) Thermal Efficiency- Reciiailatin RN- ahs 00 Signature: Company. Date: .. %;: /ndicate Typ (Sto►tiFgE;Cat",Heat Pump.'1nstantaneous etc.) _ Ucenw- 7: R�ciiru/6tiiig"rystems serving multiple dwelling units shall meet th rrcireulittioii )requfreiiients of §ISfa(n� 7he;:PrrscHptfve requirements do not bllow the installation of a.trcirculating water. heaturg system forsingk dwelling units J.- 7i4eeaenea/ anter-hearin tank and pipes shall be insulated to meet the w 'rementt o 1150(D. Contractor or Homeowner (Documentation Author's/Responsible BtWding Designer's;Declicatloe Staten'ieni) I 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._ • i certify.that the features. and performance specifications foi-the building design identified on this Certificate of Compliance :conform to the rrquit+ements of Title 24, Pahl and 6 of the California Code of Regulations. • The building design features identified on this Certificate of Compliance are consistent with the i iforrii'ation ptovidedito doeumeni this buildhilf!design on the other applicable compliance forms. worksheets. calculations. plans and specifications submitted: to the :. enforcement agency for..a rovallwith this building permit application. Name Signature: Company. Date: .. Address: Ucenw- C_ ity/StatdZip: Phone: r� ,V