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BPLB2017-000878-495 CALLE TAMPICO Ct 0 V LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2017-0008 Property Address: 54896 OAK TREE A29 APN: 775081060 Application Description: STONHAUS/CHANGE OUT 50 GALLON GAS WATER HEATER Property Zoning: . Application Valuation: $1,369.00 Applicant: TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #B9 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: !J—XP - 1 1 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).: (1 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 oi� 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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 1/19/2017 Owner: JIM STONHAUS cmn 54896 OAK TREE Z LA QUINTA, CA 92203 z D C � � mCD ;:0 Contractor: ��-moo D TOMMY ROOTER PLUMBING INt� O 80975 INDIO BLVD #B9 —zj oN INDIO, CA 92201 MC -7 v ® - SR (760)574-4444 Llc. No.: 930133 y 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 Ze rk for which this permit is issued. I have and will maintain workers' compensation insurance, as required by n 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: NORGUARD INSURANCE COMPANY Policy Number: TOWC851139 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. l Date:��ln�� % Applicait 09 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 for inspection purposes. Dater 4- QC -11Signature (Applicant or AgenQ —C Date: 1/19/2017 Application Number: BPLB2017-0008 Owner:. Property Address: 54896 OAK TREE A29 JIM STONHAUS , APN: 775081060 54896 OAK TREE Application Description: STONHAUS/CHANGE OUT 50 GALLON_ GAS WATER HEATER .'LA QUINTA, CA 92203 Property Zoning: Application Valuation: $1,369.00 Applicant: Contractor: TOMMY ROOTER PLUMBING -INC TOMMY ROOTER PLUMBING INC 80975 INDIO BLVD #69 80975 INDIO BLVD #139 INDIO, CA 92201 INDIO, CA 92201 (760)574-4444 Uc. No.: 930133 Detail: WATER HEATER CHANGE OUT- 50GALLON/GAS [2016 ENERGY] CARBON MONOXIDE ALARM(S) TO BE INSTALLED PRIOR70 FINAL INSPECTION. 2016 CALIFORNIA BUILDING CODES. I DESCRIPTION FINANCIAL INFORMATION ACCOUNT QTY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 DESCRIPTION ACCOUNT QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $96.27 Total Paid for PERMIT ISSUANCE: $96.27. DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT 101-0000-42401 0 $12.67 DESCRIPTION ACCOUNT QTY AMOUNT WATER HEATER/VENT PC . 101-0000-42600 0 $7.60 Total Paid for PLUMBING FEES: $20.27 1r' Q i 06/06/2013 x-�V 15:09 PAZ La Quanta Bldg 5 Safety 3 1 i ®001/DO1 17111 A C ty ofb.Ql ■ � rN �, , Bids tq 8C Safety wvwm P.O. Bax t SO4, 78.495 Cage Tm#w L, QUW,, CA 92253 • (760) 777.7012 (� ► l Building Permit Applleadon and Thacklnj Sheet Perp* # PAd e ' n Owntr's Namr. A. P. Nmuba:! ActQnas: IT14 12 OCA t� ow�, Catttrscbor:: � City. $T, Zip: T � — a pntieot AeacripRiaa: Addreme; � 1 �? GQ �v. sr, zip- Tetoplu"o: ; �� SteAa Lia `tu . cx Addrem, City/:. TBlapbvae ; i Statb, Lio. /l COABQ{i(dou Tyyr,. ` 06MMMY: Pmjax type (oircte one), New AE4'x Alter Repair De. N=o of Ctiatact Pram CL LSt, �: Stories:-ijnits TBiCpl10ae14 CoatAct pbrMnTA kp O51 LA LA L4Bs;imated vniue o€Praj � 13 APPLICANTi 00 N0T WRITE Bt:LOW THIS LTM S 1 Pisa See 8fraatnii! Caiaa. 11 t� tSfilu. 't�tt6e / Caicc '8 btec'd TRACKM Plea C4aR snbeaitteA Rrd9 rK rddy for eorreetio a C UEd Conan Person "am picked up MMUMES It= Amoaat Plan Cbeclt Arposlt Pian Check Bdaace Cantaraatios mooir 0th plan PM�ar rtaabniltted M«ba>dcal Review, ready for ewite t wftue Biemiai ftbt;n#t%rLse come+dCoatedPersan . pbme G4AR� Dtsd Ih x1 plclted up S.M.L U4* Approval Pixw raubmtotd, Gradln8 IN �i E+ �'` Y�svten, reailp thr e0rreetlotulbrne D"dope r Impact Fee PianAM Approval Wed CaUtact Pmon A.I Pte. Pub, Wks. AKw Date espetmlt letuo 8c4 Yft Told yerpttt Beat i r► " o. a isttce. ResIdOnti CF -IR -ALT -D Prescri > e�.�.r;. C. � u1 Y3�Y Residenat `Alterri'tlons' RlSe 102 Pro"ecl.N�trte 'S �IiRtate•Zone:,.._,:: Petmit.# < GatxrnT'[t�fattt�tatiah .... - �;n: iuilm 1"` Sibl FdnilltuitcFest�i3 -''eei T .;iceirvk`.tic-C.h�n e✓ t of W Fitt'' J ^v tract' i ' Homeowner (Docdmentadott Author'dRespensible Bultditt� DealgAer's Der ar t)oiL 3t�iteYiieo#); :;:;.' . �* <i'certi itfist this Ceiflfrcate of Compliunce documentation is accurate md�r mpkte •.-!: ant �iillible..umLm Division 3 of.the Califemla- Busi lem and Professions Code to accept responsibility for the building. denlgn idendfled on this Certillcute of Compllaace.. :,...:... (os Otfy that thq energy. features and perfoiit�i+ce speciffeutEons forthII buiWiag*iCesign Mtntifled on this Cctt'ifecate off' Compliance -•pnfoirri to the reyuiremcnis oP Title 24� Pahl and 6 of tlie'CdTifottila Codettf Regttlasions _ - - , 'ii' The building:desfgin'Peetut$s'idcttliied on•'tltlt�CertificutaofCi'srtrpl�ri¢a'.�contaiscettt with. the'ltithis btiitding d iii dfi thi: 'ocheeap pilcabte compliance =fQ:sne. 'warkaheets, 'ealculatlons.:plans. and...epeeifrartioBs su m�tt2it%�o tt�e enforeomtttt ngency-for.apptovafwith this bullding. applicatiom . Name: - �::.. •• :�. ' Cornpsrty nn DeDc . Addrm; 1. City/statddlp: LI Lpo� -��► -'y'i t~73i wlj� tdititt ttkrrtr'heaters-and-boilers for both<dv►,WOk het .l W6, hide_A °(PWI7l:aid hydronle space hewing Ndsvl i�g3raEfed - . . .. . -DWFi-hemers�r+�boilemtm4sl-br ..or.rrsa.�ha.erisrin 1. Wmer�e3fer DJauiiwtfp4[j'Pe. �;ifF.Rvrax .. r..t. „, tiff - -_-,-_ r ::• _ ::. ... ..:..... ...... •S, $ [_ W.. - r/ t - f.3: '.ter �:f�• rJ._: _ . lslopa4e.to" etc.) _.. _ ..... .. :� ......, . �: 7�icJi,cwTc►l>' ;syJtr*r' sarvfirr 'nadfipir dfvellFilg jinles' *huff` iraet the 'rerihcptadOfi°rrqutriiriant'r `9f• �IJf1((�ik filie':A}�Crlp7lve "'riequirentetiis donor irllaw'lhe tntragation oj4.> rru/olfng. water hea ft system var.Sfosle divtltFitg'egtft�, ' is die raerta! wateM haatt�t ra.+kand. s shall be lnsr�taled M'menihe rt iJri»rrnfib /S ... ; ^v tract' i ' Homeowner (Docdmentadott Author'dRespensible Bultditt� DealgAer's Der ar t)oiL 3t�iteYiieo#); :;:;.' . �* <i'certi itfist this Ceiflfrcate of Compliunce documentation is accurate md�r mpkte •.-!: ant �iillible..umLm Division 3 of.the Califemla- Busi lem and Professions Code to accept responsibility for the building. denlgn idendfled on this Certillcute of Compllaace.. :,...:... (os Otfy that thq energy. features and perfoiit�i+ce speciffeutEons forthII buiWiag*iCesign Mtntifled on this Cctt'ifecate off' Compliance -•pnfoirri to the reyuiremcnis oP Title 24� Pahl and 6 of tlie'CdTifottila Codettf Regttlasions _ - - , 'ii' The building:desfgin'Peetut$s'idcttliied on•'tltlt�CertificutaofCi'srtrpl�ri¢a'.�contaiscettt with. the'ltithis btiitding d iii dfi thi: 'ocheeap pilcabte compliance =fQ:sne. 'warkaheets, 'ealculatlons.:plans. and...epeeifrartioBs su m�tt2it%�o tt�e enforeomtttt ngency-for.apptovafwith this bullding. applicatiom . Name: - �::.. •• :�. ' Cornpsrty nn DeDc . Addrm; 1. City/statddlp: LI Lpo� -��► -'y'i PLUMPING WORK ORDER/INVOICE FAN t_ •.ro. • ❑ WARRANTY � ❑ 5Oay E3 tyew ❑ a WMh ❑ NO ❑ s Mm th WARRANTY CALLS ARE SCHMLR.F:17 FAOki 61•F BAPA-5PM X t IrdlFals Cl CASH ❑C.C. ❑BILL TOTAL MATERIALS Nm C Gr%l rd ENI)ATLONS �r TOMMY ROOTER .27EU5 HELPIPIC TWE DESERT ONE FRIEND ATA TIME ' Co. " TU OUR CUSSTMERS Senbe mEn are woo to have vrork sFp signed. 5�C%(G'� PlLwftambcleawq&Jottefspadaw Inv.# 80975 Indo Blvd., #B9 Auth. T Indio, Cg9.2201 - 760-574.4444 A POIAL7Y WILL BE CHARGED AT TRE RATE OF 110A PER MONTH DN Fax 780-444-2717 LMMDBUARCESAFTER300MOflNtMEDATEAI9NUAS.PBiCFMW � ifAE6FT NMIW.TOMNIYROOTER.00M VIDEO MPEC•RON . CA LIC. ##133 HYURO,JETTER for same ottprsse taUnAal lff aDba, and turlher agree Io.pa3'reasonaDte MINI JETTER r / LINEEIFAxwcaTTON ZIP PU4IP.SEPTCGREASE ❑ WARRANTY . .. wwhx xfuw aFN nitmtadx ubowNmeeital ova ordPwP% nYAotmv ❑ 00NTRACT »r��ou.ya�dlsro�v�x�hmreantsfaao�abLh�eu«meow wm �rnr►bP�s u�atrn,s tax � ttsy vr�rrtra.ar o,�ti1 aunt dslrn sv res, OTHER ❑ SERVICECONTRACT bat%tamm"arAwork asticp wrmm.aJoVrg.rankwhaunKokal6tpa4ettoare ❑ NORMAL ao�tt Irew l ra M aflra d tlp ad+r$'re radar of Ae ootslrr,telB F e 3�f rs sf►mad ern mtLffm RemrnsetYkPr�rtett6adMe�oodsAh�O+o1&aSMlEmdstadhbhanucoM ;rff . =❑ polm. ❑ NOT _WO MPLETE rl�—A anffmb _0,wl riy tvw_ it 4Q p 0 TU OUR CUSSTMERS Senbe mEn are woo to have vrork sFp signed. DRAIN CLEANING This is done to order to protan you, the workmn, and amelvss and to ADIYL FOOTbGE enable Ies to & your alta sadsfactory. service. You are respeld(Wy requested m eramty meteial end Umt st rte bdora ti rnkmen have At71)1_F)XTm65 the jab, and If you find e�erythirg saAsFectory, okay thls Ficial. if sWo Is PLUM13ING LABOR umbsfa ft In any way, please D� all Office tmrmdlalety. PAFTTS A POIAL7Y WILL BE CHARGED AT TRE RATE OF 110A PER MONTH DN LMMDBUARCESAFTER300MOflNtMEDATEAI9NUAS.PBiCFMW � ifAE6FT RAl1c1FlJ6 RERSUFED MW FEE.SZSAO• VIDEO MPEC•RON . l lfnd q►a fine s� mWedW dNarged above sa.Nsfat tory and agree to pay HYURO,JETTER for same ottprsse taUnAal lff aDba, and turlher agree Io.pa3'reasonaDte MINI JETTER dr�rgedtwaalfecuisrtl+,cAeafngarla eysfessinTtreevsrrt.Mmyrdafa,d. LINEEIFAxwcaTTON NOTICE EW. (9bag t Te,PCo MAM.uaotse..lawl Mw tie PU4IP.SEPTCGREASE .. wwhx xfuw aFN nitmtadx ubowNmeeital ova ordPwP% nYAotmv »r��ou.ya�dlsro�v�x�hmreantsfaao�abLh�eu«meow wm �rnr►bP�s u�atrn,s tax � ttsy vr�rrtra.ar o,�ti1 aunt dslrn sv res, OTHER bat%tamm"arAwork asticp wrmm.aJoVrg.rankwhaunKokal6tpa4ettoare . ao�tt Irew l ra M aflra d tlp ad+r$'re radar of Ae ootslrr,telB F e 3�f rs sf►mad ern mtLffm RemrnsetYkPr�rtett6adMe�oodsAh�O+o1&aSMlEmdstadhbhanucoM TAX ort Iyri m ) mo mgabdr bt tr ra IRO al 07 pnmte m Of c di 02s 7wri r+H Hs �ogirtnvice.al U>3 0 oorrSi on9'ru Palms Qi ov . TOTAL 5 I Mfo e !It Raag6 fie la sail aarbaCR X94, PAYMENT RECEIVEr7 � ' PAYMENT DUE kgraorZMEoae