BPLB2017-004778-495 CALLE TAMPICO 4
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
ate: 3/22/2017
Application Number: BPLB2017-0047 Owner: to
Property Address: 48585 CAPISTRANO WAYMCHRAN MOKHTARI
z
APN: 646390006 48585 CAPISTRANO
Application Description: MOKHTARI / CHANGE OUT (1)40 GALLON GAS WATERHEATER LA QUINTA, CA 92253 n
Property Zoning: n
Application Valuation: $1,355.00 M O -0
-n
Applicant: Contractor: rn
TOMMY ROOTER PLUMBING INC TOMMY ROOTERPLUMBINr( NV p�
80975 INDIO BLVD #69 80975 INDIO BLVD #139 n a v
INDIO, CA 92201 INDIO, CA 92201 t
(760)574-4444 r
LIc. No.: 930133 -G-t
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
e r� -
Date: Lka(,,—I 2� Contractor C _�-
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.).
(,) 1, 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 Add
WORKER'S COMPENSATDN DECLARATION
I hereby affirm under penalty of perjury one ofthe 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
RK700rk for which this permit is issued.
I have and will maintain workers'compensation insurance, as required by
of the Labor Code, for the perfornahce of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: NORGUARD INSURANCE COMPANY Policy Number: TOWC851139
I certify that in the performance of tie work for which this permit is issued, t
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree tha if I should become subject to the
workers' compensation provisions of Section 3n00 of the Labor Code, I shall forthwith
comply with those•provisions.
Date: o� ��— 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 ($100,0001. IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR'N SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNO%ALEDGEMENT
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 applic.-tion 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 Qty 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 cancellacion.
I certify that I have read this application and stat2 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 representati-es of this city to enter upon the
above-mentioned property for inspection purposes.
aw'
Date: (Applicant of Agept)iE—L C
:
Date: 3/22/2017
Application Number:
BPLB2017-0047
Owner:
Property Address:
48585 CAPISTRANO WAY
MCHRAN MOKHTARI
APN:
646390006
48585 CAPISTRA.NO
Application Description:
MOKHTARI /CHANGE OUT (1)40 GALLON GAS WATERH EATER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
$1,355.00
Applicant:
Contractor:
TOMMY ROOTER PLUMBING
INC
TOMMY ROOTER PLUMBING INC
80975 INDIO BLVD #139
80975 INDIO BLVD #139
INDIO, CA 92201
INDIO, CA 92201
(760)574-4444
------------------------------
-----------------------------------------------------------------
Llc. No.: 930133
Detail: 40GALLON WATER HEATER CHANGE OUT [GAS) CARBON MONOXIDE ALARM(S) TO BE INSTALLED
PRIOR TO FINAL INSPECTION. 2016 CALIFORNIA
BUILDING CODES.
FINANCIAL
DESCRIPTION
ACCOUNT CITY AMOUNT
BSAS SB1473 FEE
101-0000-20306
0 $1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$96.27
Total Paid for PERMIT ISSUANCE: $96.27
DESCRIPTION
ACCOUNT
2ITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
aTY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0,
$7.60
Total Paid for PLUMBING FEES: $20.27
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
C: ,
06/06/2013 THU.15r09 FAX La Qainta Bldg & 6afaty
t�oa1�pol.
Bin #
Ory of LaQ 1'nta
Building &, Safety Di*IM
P.O. Box 1504,79-495 Calle Tampko
la Qulnta,. CA 92253. (760) 777-7012
Building Permit Application and Tracking Sheet
Permit iv
Proj6aAdams:
A. P. Nwubor:
owwsName:fCA nCYl ok
Address 11 g 5(g 5
Legal Description:
Ci4'. S Y,= L
Conuactor: yy
Address: 74
fcl onE ��• — "� `
Prq{e %DW Jptj A:
city, ST. Zip: ul kQ cs-
Telephom:71 (.00 51-1,4 44L C
State Lie. # : q 0 1: Lie. #c
Arrh, Eng, Designer:
Addmm
atX, ST, Zap.
Talephoti on Type: ot�upaaay
State Lic- #: o (cimic one): Ncw Add'n Alter Repak ; Demo
Nam of CoutW P �� A� LqEtt
��`T one f ofContwt PM56M `Q Q j��y�� v8lne of Pr -t 5 -- C)o
APP.I.ICANT: DO NOT WME BELOW THIS LME
0
8nbmittol�grfl
RMPA
'TRAt`,.l@CYA1G PERMIT PE'T'S `
PIatt Sep
Plea C? wk Ubmuttd Item Amontf
8trao111ral Cates•
Reviewed, ready for corrections •Plau Cimk Depo sit
Trcmr CAMs.
CAptd Contact Person plan Check Aalcuce .
Tme24 Cxit:.
Ptaua pickedup Canatruetlota
Mood piatn plan
Ptaw resabmltted Metlnaleul
GrRAIBSp
2!It"iew.t%2dyfor *onv&* xVue Etet�teol
9tibcoatactar List
Called Comet Pasou. Plambing
C,'rarlt Deed
Plans geked %V
H2OA. AWrnva!
Plans reaabmitted Glrradhtg
ilY ilOI15&.
''i Revlew, ready for eom donditsne Devdopa imptvt Fee
PlanningAppty nl
Calledc=n Itperson
PON WkL Moor
Date of permit tame
Scholl! Bea
Total Permit Peet
Pl; escri tive._CehrW-ato of CQm Dance: Residential CF-1R»A L`i'=DHW
Residential Alteration's Nge I oft
Pro"ect Name:` i - Climate. Zone: Permit #:
Gene, 61 I ifot'mation
Site Address:! Enforeettient-A eiic: Date:
guildin • T Sin to R mil dMulti•Farnil pt'oLeot f Re Iacaincnt of Chan a Q.ut pf Water HeottT
WATER HEr1TING ;
Glsr wewly 7 stalled water seaters and boilers for both i ntestic. hot wafer.htoiees D.WII).pnd hydropic space heating;x' rWy..iIaWled
DWH irearenr-and bollers mist bex" Pry e..or asa.the exfstIn Itype.
Oieaibutlan,Typo.
Wafer Heater . ,. -•• ..Number In �
Well ' --' (Standard, S ucm
nth Type' �ec}icuia"t(n Y
..
Tse " F�tEoYd'
c I sl y Emcicnc :
ry (g) y: '
;fFcriial'Tnnk
_ r
�Insulutvm ..
[t �7Aid'
.
'. conform to the requimrFents of Title 24;'Parfi and 6 of th�e'CalilIdMia Code -of Regulations:
_....
• The building deslgn`•fe46ws ideritified on this 6rtlftcate of e6mpliance:aie consistent With tfte lnfar>`rtathori provlQ tq docyiirent this
"buildhrtig design on"thy othbr applicable compliance forms; -worksheets, calculations, plat►s_..attd..spceiilesttlona's iiitied?tq the
entorcettient agency fol approval-. with this buildingrmit lication.
Name: _
eompzrty
W)fy fn
C:..
Address:
"1. $
t.icen9e
Sol
1 't�pdi arr Type Isrorage c�?s. HrarPtrirW,* InsraA(pnrpus, etc.)
2:`Rccircidating syi►ems'srrvrrig rnliltiplt dsvd(liMg (eidts. shall:ijiset'ihe'.recirctilatio. :►�!quLY fits of•`0502(n °, Thos: Pirscriptive
' :ixquiranunts do not a/foi%'the irutallbtion oj¢ reci doting. wateR heaI(hg yst?m jorsingle dwelling: wars, : •::., _ ::?: .
`. ..
J. -ne,ettemal warer•head ..tank and.pipesAaM be insulated ro rlrtet rhe re ufrarnents o' IS
Contractor or Homp.Qw=er (Docum ot;etion Author's/Responshble Hnlld[ng Desigftes's;D cl�catioa SPa )•; l.::
• I certify that this Ceitif este of Compliance doi umenttuion is accurate and.comptete.:: : • . :: ,
•••• ••.••(. -am eligible under. IXvisiott 3. of .ilsa. Caliloraia Business and Professions Code to accept responsiblliry Por th¢"bult�i .design
Identifled: on this Certificate of Compliance..
• l certify that the en ergv'Peaturewand perforrit t specifications for the building design identified on this CertificaCe.', of Compltanse
.
'. conform to the requimrFents of Title 24;'Parfi and 6 of th�e'CalilIdMia Code -of Regulations:
_....
• The building deslgn`•fe46ws ideritified on this 6rtlftcate of e6mpliance:aie consistent With tfte lnfar>`rtathori provlQ tq docyiirent this
"buildhrtig design on"thy othbr applicable compliance forms; -worksheets, calculations, plat►s_..attd..spceiilesttlona's iiitied?tq the
entorcettient agency fol approval-. with this buildingrmit lication.
Name: _
eompzrty
W)fy fn
Date— - .. -.:.: - .
Address:
"1. $
t.icen9e
Sol
City/SrardZ'
.O\1 2,a o l
Phone:
r� 1
1 AL) I r—t7Un! . ,%C—
PLUMBING
%C
PLUMBING WORK ORDER/INVOICE ::
s0MMY00r,�28539
Qq ,...
HELPING THE DESERT
ONE FRIEND AT A TIME Co.
ITEM PART r 1 ' 11
Pkmbf% Drak Crca+ring & kiter SpeclaW Inv.
80975 Indio Blvd., e9 ALdh.# — �� a
�
Indio, CA 82201
� i=�fi/;%�'Q�r� s!•1���' soak '�'..•.`.'.:
760.574-4444
t.._.A,A...; `s
In f
Fax 76044-271706
�-Q d "All Clean'
W W W.TOIAMYR00TER.COM
CA LIC. 8930133 1r
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i+Fr /%0O r ` [ �A'7
SCHEDUI�
sTRI Erq
PHONE
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SIi0.7EP
L
WARRANTY
OOHTRACT
❑SMVXECONYRACT
❑ NoraIAL
7
/
to D ®G
E
MODEL S I LNIAABEA
a =
TOTAL MATERIALS
15ZRes ❑ corm
❑ NOT ISLOOMPLM
AMOUNT
DESCRIPTION OF WORK
Ylcajtt-- )
D
rRrj, it
/
�f
E S O'er
y r ere
.
. , 1
74 OUR CUSTOMER SeMce men are required to haw work sTp signed.
DRAIN CLEANING
wgi.1
Thi; is dine In order to protect you, ft nnolkmen, aed aasekes and to
ADDL FOOTAGE
enable us tD qve your absalole satWntary service. you are r�ectfoly
requested to examine malerlal and labor slaterrlent before wco"n have
the M and if yeu tori evuohlg salkshctory. Ony this W(eL fl slwica Is
AODI FIXTI�ES F7
�� p r� fy
PLUMBING LABOR
HARTS
uhsatislactoay, In arty way. please ph3ne as oiftw imrredialolg.
A PENALTY PALL 6E CHARSED AT THE RATE OF 1LI% PER 1110141111 ON
PRQD'JCTS/TRF1tTf1EHT
UE�Al BALAM�SAFM30DAYS OFIN WEDATEAfMOA.MMENME
vIDE31Ns%ECTloty
TOTAL LABOR
RATE Ttl%,RETURRli10}IECKFfE5�500
• DATIO14S
❑ WARRANTY
I lied IM lens and material rirerged asallsiadory and agree to pay
HYORO,IETTER
0 5 Day (It Year
for same an preserAo lon of hvc(aa, 5rK0.1wr agw to pay reasonable
MINI JETTER
LPEAEAK LDCAMI
0 3 wmft ❑ NO t
charged for coN3dDn incOidkg amraysfeesin the erred of my. default.
"
❑
•MDTICE TO OYINEW (Uc& 9- Mrecleaa li-nse tm) ur"Its
PUAIPSEPTr"EASE
OTHER
Rksr4+rstllin lav, mraor7,lmt a , rEWN. melnlal manMe0w par[[n xle
brrrapmayeverwatyvtdr6 n% fid •r, miueswmslai[P kuar�rlbenWo►lia
WARR;AHTYCALLSoaanbyoupn>,errtw,urr�
RLrrcrrymmasoorwferurasue ouambyr€n3,
ARE SCHEDULED
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oahn[nhua
.aim Aarmr, h tWdt c4 y vol heomrlylslnr►tlupupaafkdwrcdad
TAX
FROMFBA14.51RM
'M ful uoda's to M91d1(aca34J wrdd,dbainanarawk
Mine Ity . rt PIN) [more pum ant arch, In a[Inrn b acy glias b ft
TOTAL
S tel%
PQF$3 . • to ' taW r dyreleaml in M of"mire of e1 perame
um[91i+j lFMl ads c w ^ hr7lo w4d7sdbed h s6fwarfim
XPAYNIENTRECEI
CASH ❑ C.C. []BILL ❑ CHECK# ❑ x
PAYMENT DUE
!/ y0 e�G'
Innlals.
%VWKCFVERE1)81` t a
43
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