BPLB2019-011478-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
PLUMBING/
BPLB2019-0114
79578 DANDELION DR
T^ht 4 42, Qu,4trcu
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
604452009
PEARSON / WATER HEATER CHANGEOUT
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STEVEN PEARSON
79578 DANDELION
LA QUINTA, CA 92253
Date: 8/12/2019
Applicant: Contractor:
ROTOCO INC DBA ROTO ROOTER PLUMBERS / �' \ ROTOCO INC DBA ROTO ROOTER PLUMBERS
D
2141 INDUSTRIAL COURT STE B u �•• 2141 INDUSTRIAL COURT STE B
STE B STE B
VISTA, CA 92081 AUG 12 2019 D VISTA, CA 92081
(760)329-1248
Llc. No.: 422155
CITY OF LA QUINTA
--------------------------------DE5)GN&DEVELOPMENIGI"P69NENT--___-------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
(commencing with Section 70001 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
i , �g
Date: hq Contractor: "r r
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
dre 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.
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
WORKER'S COMPENSATION 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
of tI w rk 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: WC080375163
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 revisions.
Date: (� 1
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 proper for inspection purposes.
Date: Signature (Applicant or Agent):
FINANCIAL
DESCRIPTION
INFORMATION
ACCOUNT
CITY
AMOUNT
PERMIT ISSUANCE
101-0000-42404
0
$101.40
Total Paid for PERMIT ISSUANCE:
$101.40
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$13.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
WATER HEATER/VENT PC
101-0000-42600
0
$8.00
Total Paid for PLUMBING FEES: $21.34
DESCRIPTION
ACCOUNT
CITY
AMOUNT
RECORDS MANAGEMENT FEE
101-0000-42416
0
$10.00
Total Paid for RECORDS MANAGEMENT FEE: $10.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
ta Qullkra
—r:ru,ra.,nrarar —
PERMIT # � ❑i
PLAN LOCATION:
Project Address: —Id.>\ ,�
d
Project Description: Pool, Remodel, Add't, Elect, Plumb, Mech
APN #:
a
Applicant Name:
Address: Iq 11o t
City, ST, Zip: ILW
Telephone: -7&
Email:
qkoW, 0. war. GA . C
Valuation of Project $
Contractor Name: d�e
New SFD Construction:
Address: i�XICi I �I
Conditioned Space SF
City, St, Zip eD...4 q'zz4 i
Garage SF
Telephone: --3etok 1,L qqkPatio/Porch
SF
Email: �C
Fire Sprinklers SF
State Lic: �C� City Bus Lic: ��G -000W 15
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Telephone:
Bedrooms: Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: �d,S>
New Commercial / Tenant Improvements:
Address;
Total Building SF
City, ST, Zip
Construction Type: Occupancy:
Telephone:
Email:
78495 CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000
OFFICE USE ONLY
#
Submittal
Req'd
Rec'd
Plan Sets
Structural Calcs
Truss Calcs
Title 24 Calcs
Soils Report
Grading Plan (PM10)
Landscape Plan
Subcontractor List
Grant Deed
HOA Approval
School Fees
Burrtec Debris Plan
Planning approval
Public Works approval
Fire approval
City Business License
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFIR-ALT-05.E (Revised 04116)
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
Prajeci ha me
CFIR-ALT-05-E
Pagel of 3
This compliance document is only applicable to simple alterations thor do not require HERS verification for compliance.
with a HERS Provider Data Registry, When HERS verifiration is required, a CF1R ALT- 01 shall first be regired ste
Alterations to Space Conditioning Systems that are exempt from HERS verification requirements may use the CFIR-ALT-05 and CF2R- ALT-05 Compliance Documents. Possible exemptions from duct
leakage testing include: less than 4y t m ducts were added at replaced or the existing duct system was insulated with asbestos; air the existing duct system was previously tested and passed by a
HERS Rater, !f space conditioning systems are altered and are not exempt from HERS verification, then a CFIR-ALT-Q2 must be completed and registered with a HERS Provider Do to Registry.
Alterations that utili2e close Cell Spray Polyurethane Foam (ccSPF) with a density of 1-5 to less than 2.5 pounds per cubic foot having on R-value other than 5.8 per inch, or Open Cell Sproy
Polyurethane Foam (ccSPF) with a density of 0.4 to less than 1.5 pounds per cubic foot having on R-value of 3.6 per inch, shall complete and register a CFIR-ALT-01 with a HERS Provider Data
Registry.
If more than one person has responsibility for installation of the items on this certificate, each person shall prepare and sign a certificate applicable to the portion of construction for which they are
responsible. Alternatively, the person with chief responsibility for construction shall prepare and sign this certificate for the entire construction. All applicable Mandatory Measures shall be met.
I Temporary labels sholl not be removed before verification by the building inspector. � —�
A. uenerai intormation
01 ' Project Name:
03 Project Location:
05 CA City: ,
07 Zip Code:
2't5
09 Climate Zane:
11 I Building Type:
13 Project Scope (Select all that apply):
02 � Date Prepared:
04 Building Front Orientation (deg or cardinal):
06 Number of Altered Dwelling Units:
08 Fuel Type:
412SIab
otal Conditioned Floor Area (ft2):
Area (ft2)
❑ B. Insulation ❑ D. & E. Fenestration/Glazing - ADD❑ G. Space Conditioning System (Heating, Cooling, Duct system) ❑ Lighting
❑ C. Roof Replacement ❑ D. & F. Fenestration/Glazin REPLACE g - ❑✓ H. Water Heating System ❑ Include Mandatory Measures?
CA Building Energy Efficiency Standards - 2 116 Residential Compliance
April 2016
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC-CFiR-ALT-05-E (Revised 04/16 -
CERTIFICATE OF COMPLIANCE
Prescriptive Residential Afterations That Do Not Require HERS Field Verification
PIOieCI Name:
H. Water Heating Systems (Section 150.2(b)1G)
01
02
03
04
05
06
07
# of
Water
Water
Water
Water
Heating
Heating System
Heaters
Heater
Dwelling
System
Location or
Water Heating
Water
in
System
Storage
Volume (g
Unit Name
ID or Name
f
Area Served
�cM.s�5
System Type
Heater/Type
W
I
50
Pearsaa
08 1 09
Fuel Rated
rype Input Typ(
luga�
CALI
MMISSION0-
CF1R-ALT-05-E
Page 2 of 3
10 1 11 12 1 13 1 14 , 15
Back -Up
Rated Heating Heating Exterior Solar
Input Efficiency Efficiency Standby Insulation Savings
Value Type Value Loss (%) R-Value Fraction
Anril 2016
CA Building Energy Efficiency Standards - 2016 Residential Compliance
STATE OF CALIFORNIA
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
CEC•CF1R-ALT-05-E Revised 04/18
CERTIFICATE OF COMPLIANCE — �— - — — — — — — — —
Prescriptive Residential Alterations That Do Not Require HERS Field Verification
°mlev Mime.
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
1. l certify that this Cert"rficate of Compliance documentation is accurate and
DocumentatlonAuthor Name:
Documentation
Date:
IWrlGl 1
MR-ALT
Page 3 of 3
RESPONSIBLE PERSON' - Phptle:
•i Gp� a�z�tp i�7Cvo - i2 K�S
S DECLARATION ATE NT
! certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professrons Code to accept responsibility for the building design or system design identified on this Certificate of Compliance (responsible
designer).
3. That the energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this Certificate of
Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
f. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable compliance documents,
worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
i. i will ensure that a registered copy of this Certificate of Compliance shall be made available with the building permit(s) Issued for the building, and made available to the enforcement agency
for all applicable inspections. I understand that a registered copy of this Certificate of Compliance 1s required to be included with the documentation the builder provides to the building
owner at occupancy.
IeSp nllble oe5190- Name:
ii85�6nsi61e Desiennr Ganee,.o•
For assistance or questions regarding the Energy Standards, contact the Energy Hotline at: 1-800-772-3300.
CA Building Energy Efficiency Standards - 2016 Residential Compliance
April 2016
ROTO—
❑ HEMET (951) 65H541
El LAKE ELSINORE (951) 674-2312
❑ FALLBROOK & BONSALL (760) 728-7497
❑ BANNING (951) 922-9491
ElPERRIS (951) 657-9852
❑ RANCHOITEMECULA (951) 699-0555
ElREDLANDSIYUCAIPA (909) 797-8697
❑ OCEANSIDE, CARLSBAD (760) 722-3155
ElVISTA &TRI-CITIES AREA 726-6260
rpLROOTER..
❑ BEAltMONT (951) 845-3338
❑ PALM SPRINGSIDHS (760) 322-2622
(760)
❑ ENCINITAS & CARDIFF (760) 753-2674
Plumbers
❑ SUN CITY (951) 679a..19
❑ INDIO/PALM DESERT V60) 346-1736
❑ DEL MAR & SOLANA BEACH (858) 481-1633
Division of RotoCo., Inc.
REMIT TO: 2141 INDUSTRIAL CT., STE D • VISTA, CA 92081
License Number 422155 • Federal ID Number: 33-0475032
Toll Free. (800) 491-7686 • Fax: (760) 598-1657 • 1-800 GET ROTO (438-7686)
❑ YES GUARANTEE
RESIDENTIAL GUARANTEE
LABOR
Main/Branch Lines ............
❑ 6 months
Toilet Auger ..................
❑ 7 days
Plumbing Repair ...........
.. ❑ 6 months
Plumbing Replacement ...
, .. ❑ 1 year
Extended Guarantee ......
. , ❑ 1 year
COMMERCIAL GUARANTEE
LABOR
Main/Branch Lines ............
❑ 30 days
Toilet Auger ... . ..............
1124 hours
Plumbing Repair .............
❑ 90 days
Plumbing Replacement ......
❑ 90 days
RMUR r.R No GUARANi1rE
ADDITIONAL WORK REQUIREMENT
ESTIMATE: My estimate for performing this work is: $
❑ WEST RANCHO BERNARDO &
WEST RANCHO PENASQUITOS (858) 484-2138
❑ LAKE SAN MARCOS & LA COSTA (760) 726-6720
❑ RANCHO SANTA FE & OLIVEHAIN (858) 756-3396
DATE
TECH #1
WORK ORDEF
570691
JOB #
TECH #2
FIXTURE
MAIN LINE:
FT ❑ BATH SINK - - - - - -
- -0
FLOOR DRAIN
CLEANED:
TOILET - -
- - - - - - - - -0 KITCHEN SINK - - -
- -0
FLOOR SINK - -
BATHTUB---------0 LAUNDRY---------0
AREA DRAIN --
SHOWER
---------0 URINAL-----------0
OTHER
ACCESSED VIA
CkUSE OF STOPPAGE
❑ DRAIN ❑ CLEAN OUT
ElROOTS ❑ GREASE
❑ VENT
❑OTHER ❑UNKNOWN TIME IN
TIME OUT
WORK ORDER AUTHORI7AIION / WAVIER: I authorize Roto�Rooter to perform the described services and I agree to pay the amounts
Indicated. I understand that Roka-RooTer Is not responsible for broken, settled, rusted, deterioral", or lead pipes, fWures, or clean
outs and any damage resulting from cleonlrrg or repairing such lines.
I have asked�Roto-Rooter to pmvtde services. Under Section 1689.13 of the California Civil Code, In order to induce Roto-kootw to
provide these services: 1) Initialed negotiotian and corthod. 2) executed this contract in connection with the making of emergency
of immediate necessary repairs or services necessary for the immediate protection of persons or personal property detailed on this
invoice: and 3) 1 expressly acknowledge and waive the right to cancel This contract within three or seven business days, whichever
applies.
(PRINT NAME) (SIGNATURE)
COMPLETION I acknowledge completion or the above described work which has been done to my complete satisfaction.
QTY. PART NO. DESCRIPTION / REMARKS / REPAIRS NEEDED PRICE
i
PLEASE INITIAL FOLLOWING:
A. The serviceman discussed Roto-Rooter products with me.
B. I have been advised additional lines cleaned at this time are half prices.
C i have been advised that running my main line from a 3" roof vent is
improper access and can only be given a 10 day guarantee, a 2- main line has a
zero guarantee. In order to get a 120 day guarantee a cleanout must be installed.
DRAIN CLEANING
ADD'L FOOTAGE C
ADDT FIXTURES C
PLUMBING LABOR
PARTS
PRODUCTS/TREATMENT
VIDEO INSPECTION
HYDRO-JETTER
MINI JETTER
LINE/ LEAK LOCATION
PUMP SEPTIC/GREASE
OTHER
TAX
TOTAL
PAYMENT RECEIVED
r
CC EXRDATE APPROV. #
I hereby authorize Rotoco, Inc. to charge my Credit Card for the above charges. I understand that by signing
am agreeing to all charges incurred on this invoice and that the work was completed to my satisfaction.
Cardholder Signature
CLEAN UP
❑ EXCELLENT ❑ SATISFACTORY ❑ POOR
SEE REVERSE FOR TERMS & CONDITIONS ❑ CASH ❑ BILL 0 CK # ❑ CREDIT CARD/TYPE