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BPLB2017-014378-495 CALLE TAMPICO Twit D 449btz LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Permit Type/Subtype: PLUMBING/ Application Number: BPLB2017-0143 Property Address: 80092 VIA TESORO. APN: 777310003 Application Description: BAIN / ECOWATER WATER SOFTENER Property Zoning: Application Valuation: $3,300.00 Applicant: L%�' ��► 11 IE INC D 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 10V 0 1 2017 D, CITY OF LA QUINTA DESIGN AND DEVELOPMENT DEPARTMENT 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: C55 License No.: 925031 Date: )III 61 t-7 Contractor:`�;w, VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/1/2017 Owner: WILLIAM BAIN , 92253 Contractor: YANCHEWSKI & WARDELL ENTERPRISES, INC DB 1351 DISTRIBUTION WAY,STE 9 VISTA, CA 92081 (7601754-1960 Llc. No.: 925031 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: OWNER -BUILDER DECLARATION Carrier: SENTINEL INSURANCE COMPANY LTD Polity 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 Date: 11 1 17 Applicant: o 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 is not 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 that the 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 on this application. (_) I, 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 onussion 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 subject permit to cancellation. 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: 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:II 111111 1 --Signature (Applicant or Agent): Application. Number: BPLB2017-0143 , Property Address: 80092 VIA TESOR10 APN: 771310003 Application Description: BA.N / ECOWATER WATER SOFTENER Property Zoning: Application Valuation: $3.300.00 Applicant: IE INC 31225 LA BAYA WESTLAKE VILLAGE, CA 91362 Date: 11/1/2017 Owner.: . WILLIAM BAIN , 92253 Contractor: YANCHEWSKI & WARDELL ENTERPRISES, INC DB 1351 DISTRIBUTION WAY STE 9 VISTA, CA 92081 (760`154-1960 Llc. No.: 925031 --------------------------------------------------------------------------------------------- Detail: INSTALL ECOWATER EVOLUTION REFINER WATER SOFTNER LOCATED IN GARAGE. NO CVWD RESPOUSE REGARDING GUIDELINES FOR INSTALLATION. WE WILL APPROVE WATER 5OFTNER ON CASE FOR CASE BASIS UNTIL PROPER RESPONSE IS GIVEN. PER 2016 CALIFORNIA PLUMBING CODE. 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 QTY AMOUNT PERMIT ISSUANCE 101-0000-42404 0 $98.83 Total Paid for PERMIT ISSUANCE: $98.83 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP 101-0000-42401 0 $13.00 DESCRIPTION ACCOUNT QTY AMOUNT FIXTURE/TRAP PC 101-0000-42600 0 $13.00 ,Total Paid for PLUMBING FEES: $26.00 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 TOTALS:40: Bin.# Qty Of % Quint Btlii t Sr Safety Division Box 1504,78-495 Calle Tamfto 4.Q&nta, CA 92253 - (760) 77T7712 Building Permit Application' and Tracking Sheet Permit #P.O. ProjerAAdd.ress: 80092 Via Tesoro Owner'sName:.Zora Bain A. P. Number. Address: 80092 Via Tesoro Legal Description: Contractor. Ecowater Systems of San Diego City, ST, Zip: La Quints, CA .92253 Telephone: Address: 1351 Distribution Way Suite 9 Project Description: Install Ec)water Refiner Boost water City, ST, Zip: Vista, CA 92081 softener inside garage Telephone* 760-754-1960x..: State Lic. #: 925031 City Lic. #, Arch., Engr., Designer. Address: City., ST, Zip: Telephone: State Lia #:a,.%! Name of Confw Person: Steven Schnierer Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. FL: # Stores: #Units: Telephone # of Contact Person: 818-7354876 Estimated Vallee of Project: $3 300.00 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIQNG PERMIT FEES' Plan Sets Plan Check submitted " Iter Aenoaat Structural Calcs. Reviewed, ready for corrections Plan Check Deposit. . Truss Calm' . Called Contact Person Pian Check Balance Title 24 Cales. Plans picked up Construction Flood plain plan Plans resubmitted, . Merhatilcal Grading plan 2" Review, ready for correctiousfessue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.1f L H.O.A. Approval P1aus resubmitted Gr tdiog 1Tt HOUSE:- ''+Review; ready for correctionsrissue Developer Impact Fee Planning Approval Called Contact Person AXP P. Pub. Wks. Appr Date of. permit Issue School Fees ' Total Permit Fees �o�►+ur� '1Vi�� CIG�a oaf 2 '1%i -c�4 o CQt,��v� tzi, C 9 2 0 Sfb-T P Cl WO, S PL, a