BPLB2019-002878-495 CALLE TAMPICO
VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT
� , YA (76D) 7-77.-7=
INSPECfffN(i5� 77f7753
BUILDING PERMIT
90
c �te: /13 2019
Permit Type/Subtype: PLUMBING/
Owner:
p CT1
Application Number: BPLB2019-0028
RONALD MACGLASHAN -n '+
Property Address: 51165 CALLE QUITO
m w
APN: 770143011
92253
A � ty
Application Description: MAC GLASHAN /ABANDON SEPTIC/SEWER CONNECTION
m a c
Property Zoning:
Application Valuation: $4,000.00
m
z
Applicant:
Contractor:
ROTOCO INC DBA ROTO ROOTER PLUMBERS
ROTOCO INC DBA ROTO ROOTER PLUMBERS
2141 INDUSTRIAL COURT STE B
2141 INDUSTRIAL COURT STE B
STE B
STE B
VISTA, CA 92081
VISTA, CA 92081
(760)598-4234
Llc. No.: 422155
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: A. B, C36, C42 License No.: 422155
Date:__I�� �q Contractor:
OWNER-BUIL 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 Narne.,
Lender's Address:
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: AMERICAN HOME ASSURANCE COMPANY Policy Number:047023343
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: ' (3' �ox Applican .
WARNING: FAILURE TO SECURE WORKERS' PENSATION 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: ' �3'�9 Signature (Applicant or Agent).
Date: 2/13/2019
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
BPLB2019-0028
51165 CALLE QUITO
770143011
MAC GLASHAN / ABANDON SEPTIC/SEWER CONNECTION
$4,000.00
Applicant:
ROTOCO-INC—DBA-ROTO-ROOT€R-PLUMBERS
2141 INDUSTRIAL COURT STE B
STE B
VISTA, CA 92081
Detail: PLUMBING -ABANDON SEPTIC/CONNECT TO SEWER. 2016 CALIFORNIA BUILDING CODES.
Owner:
RONALD MACGLASHAN
, 92253
Contractor:
ROTOCO INC DBA ROTO ROOTER PLUMBERS
2141 INDUSTRIAL COURT STE B
STE B
VISTA, CA 92081
(760)598-4234
Llc. No.: 422155
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY 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
$101.40
Total Paid for PERMIT ISSUANCE: $101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER PC
101-0000-42600
0
$18.68
Total Paid for PLUMBING FEES: $45.36
DESCRIPTION
ACCOUNT QTY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416 0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
COACHED I A VALLEY WATER ❑!STRICT
//�� ® CASH RECEIPT DET N? 05352
Received FromV : > j/
Date -
Address: y
Account No. 4 Q Lot;a) �
Tract � S
Service Address G.A. Code
❑ Meter(s)
5
❑ Servlcefa)
Cl House Lateral{a)
C DelectorCheck€si
Q Meter Surcharge
XSanitatlon Capacity Charge
Jr
Q W.S.B.F,C.
C Temporary Construction Meter
0 Turn on Charge
C Uricollected Account -• Name
❑ Inspection Fee -Tract -
Fee -
0 Plan Check Fees Water ( Sewer -
Tract - -_
0 Bond Payment - AA, - Bond
ASsmt.
❑ Customer Deposit
❑ Other
TOTAL
$
Remarks:
15 f�
fa�py .n i I 1
95352 - Waterservlce
%j
f � Cashier
CVWD-49B ttll8C)
za Quip(&
Project Address:
APN #:
PERMIT #1
PLAN LOCATION:
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
Applicant Nam&010111Dc
Address:��
City, ST, Zip:—/
Telephone:
Email:67
e&A .5124 N eC, f j Valuation of Project $
Contractor Name:
Address: I �G7 �i I �1 T
L
City, St, Zip IA
Telephone:
Email:
State Lic: 1121 City Bus Lic: Q C)OL4)_f
s
Arch/Eng Name:
Address:
City, St, Zip
Telephone:
Email:
State Lic:
Property Owner's Name:
Address:
City, ST, Zip
Telephone:
Email:
City Bus Lic:
New SFD Construction:
Conditioned Space SF
Garage SF
Patio/Porch SF
Fire Sprinklers SF
a
Construction Type: Occupancy:
Grading: o
Bedrooms: Stories: ` # Units: "
f. �f
4
New Commercial / Tenant Improvements:
Total Building SF
Construction Type: Occupancy:
78495 CALLE TAMPICO
LA QU I NTA, CA 92253
760-777-7000