BPLB2017-015178-495 CALLE TAMPICO D ��
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype:
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
PLUMBING/
BPLB2017-0151
48685 VIA SIERRA
658200016
MERGENER RESIDENCE / WATER SO.F_T.ENER ERR 3700 R20
NOV 1.4 2017
CITY OFLA0�1INTA
COA441UiVITY DEVELOPAIENT DEPARTAiENT
$5,507.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 11/14/2017
Owner:
MICHAEL & PATTI MERGENER
48685 VIA SIERRA
LA QUINTA, CA 92253
Contractor-.
YANCHEWSKI & WARDELL ENTERPRISES, INC DB
1351 DISTRIBUTION WAY STE 9
VISTA, CA 92081
(760)754-1960
LIc. No.: 925031
----------------------------------------------------------.-----
------------------------.------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
'I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the.performance
License Class:'C55 License No.: 925031
of the work for which this permit is issued.
have and will maintain workers' compensation insurance, as required by
^ Date—
_
1 - Contractor: _
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: ,
OWNER -BUILDER DECLARATION
Carrier: SENTINEL INSURANCE COMPANY LTD Policy Number: 76WEGRT5551
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
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a '
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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'Da�11
Applicant: A+a
permit subjects,the applicant, to a civil penalty of not more than five hundred dollars'
($500)::
WARNING: FAILURE TO -SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(_) I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure isnot intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
himself or herself through his or her own employees, provided thatthe improvements
_
are not intended or offered for sale. If, however, the building or improvement is sold
APPLICANT ACKNOWLEDGEMENT '
within one year of completion, the owner -builder will have the burden of proving that.
IMPORTANT: Application is hereby made to the Building Official for a permit subject to .
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth onthis.application.
(� 1, as owner of the property, am exclusively contracting with licensed contractors
' 1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply.to an owner of property who builds or improves
issued as a result of this application , the owner, and the applicant, .each agrees to, and
thereon, and who contracts for the projects with a, contractor(s) licensed pursuant to
shall defend; indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. . B.&P.C. for this reason
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
Date:. Owner: ' work for 180 days will subjectpermit to cancellation. 1
CONSTRUCTION LENDING AGENCY I certify that I have read this application and state that the above information is.correct.
I hereby affirm under penalty of perjury that there is a construction lending agency for I agree to comply with all city and county ordinances and state laws relating to building
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). construction, and hereby authorize representatives of this city to enter upon the
above-mentioned property for inspection purposes.
Lender's Name: �_ c
��� —
Date h) t1 Signature (A pljcant or Agent) �' 'j �
Lender's Address:
.FiNANCI+L INFORMATION;.,;.....
r DESCRIPTION
ACCOUNT QTY
AMOUNT
BSAS S61473 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
FIXTURE/TRAP
101-0000 42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
FIXTURE/TRAP PC'
101-0000-42600
0
$12.67
v, Total Paid for,PLUMBING FEES:
$25.34
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE:
$5.00
TOTALS:
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Cray. of LA .QU%n�
Building 8r Safety Division .
P.O. Box 1504,78-495 Caiie Tampico .
La.Qdnta, CA 92253 -:(760) 777-7012
Building Permit -Application'and Tracking Sheet r
i
Project Address: 48685 Via Sierra
Bin.#
Cray. of LA .QU%n�
Building 8r Safety Division .
P.O. Box 1504,78-495 Caiie Tampico .
La.Qdnta, CA 92253 -:(760) 777-7012
Building Permit -Application'and Tracking Sheet r
Permit #
Project Address: 48685 Via Sierra
Owner's Name:. Michael and Patti Mergener
A- P. Number.
Address:. 48685 Via Sierra
Legal Description: '
City,:ST, Zip: La, Quinta, CA 92253
Contactor. Ecowater Systems of San -Diego
NIX
Telephone: 847-691-2000 sis$8� x`
Address: 1351 Distribution Way Suite 9
Project Description: Install Ecowater ERR 3700 water softener
City, ST, Zip: Vista, CA 92081
inside garage
Telephone: 760-754-1960
State Lie. # : 925031
City Lie. 9:
Arch., Engr., Designer
Address:
l
City' ST, Zip:
Tele hone: ,
p ,
State Lie. #: wij >-
Name of Contact Person: Steven Schnierer
struction Type:. Occupancy:
FFL:S
ecttype.(eircle one): New Add'n Alter . Repair Demo
tories: #Units:
Telephone # of Contact Person: 818-7354876
Estimated Value of Project: $5,507.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
q. Submittal Req'd Recd TRACKING PERMIT FEES'
Plan Sets
Plan Check submitted
Item Amount
Structural Cafes.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss C21cs:
Called Contact Person
Pian Check Bala net
Title 24 Calci.
Pians picked up
Construedon
'Flood plafuplan
Plans resubmitted
Mechanical
Girading plan
T"Review, ready for correctionstissue
Electrical .
Subcoutactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
P.O.4- Approval
Plans resubmitted
Grading
IN HOUSE:-
34 Review; ready for corrections issue
Developer Impact Fee,
Planning Approval
f
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
school Fees
Total Permit Fees