BPLB2017-012278-495 CALLE TAMPICO NMUCl/ VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011
DESIGN &DEVELOPMENT DEPARTMENT FAX
(760) 777-7153
BUILDING PERMIT
Date: 9/8/2017
Application Number: BPLB2017-0122 Owner:
Property Address: 44150 CAMINO LAVANDA CHRISTIAN TRAN
APN: 604180061 44150 CAMINO LAVANDA
Application Description: TRAN / WATER SOFTENER LA QUINTA, CA 92253
Property Zoning: `
Application Valuation: $6,780.00
Applicant: U Lr --\A L m_- Contractor:
IE INC YANCHEWSKI & WARDELL ENTERPRISES, INC DB
31225 LA BAYA SEP 08 2017 1351 DISTRIBUTION WAY STE 9
WESTLAKE VILLAGE, CA 91362 VISTA, CA 92081
CITY OF LAl7UINTA
COMMUNITYMVELOPMENTDEPARTMENT (760)754-1960.
Llc. No.: 925031
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: CSS License No.: 925031
Date- OVSi-) iContactor: �2 —
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 ) 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 implrovement 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.).
(_J 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.).
(_J 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 Na
Lender's
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.
—shave 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: SENTINEL INSURANCE COMPANY LTD Policy Number: 76WEGRT5551
_ 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.
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 cityto enter upon the above-
mentioned property for inspection purposes.
Date: 9/8/2017
Application Number: BPLB2017-0122
Owner:
Property Address: 44150 CAMINO LAVANDA
CHRISTIAN TRAN
APN: 604180061
44150 CAMIIvO LAVANDA
Application Description: IRAN / WATER SOFTENER
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $6,780.00
Applicant: ,
Contractor:
IE INC
YANCHEWSKI & WARDELL ENTERPRISES, INC DB
31225 LA BAYA
1351 DISTRIBUTION WAY STE 9
WESTLAKE VILLAGE, CA 91362
VISTA, CA 92C81
(760)754-196)
-----------------------------------------------------------------------------------------
Llc. No.: 925081
Detail: INSTALL ECOWATER ECR 3702 R40 WATER SOFTNER. LOCATED
IN BACKYARD. NO CVWD RESPONSE REGARDING GUIDELINES FOR INSTALLATION.
WE WILL APPROVE WATER SOFTNER 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
$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
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER SYSTEM INST/ALT/REP.
101-0000-42401
0
$12.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
WATER SYSTEM INST/ALT/REP PC
101-0000-42600
0
$12.67
Total Paid for PLUMBING FEES:. $50.68
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
r
Bin #
City of.La Quinta
Building St Safety Division
P.O. Box 1504,78-495 Calle Tampico
I a'a-. 14.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Pc C3 a01 � — b
ProjectAddress:=4_4&p Camino Lavanda
Owner's Name: Christian Tran
A. P. Number.
Address: 44150 Camino Lavanda
Legal Description:
Contractor. Ecowater Systems of San Diego
City, ST, Zip: La Quinta, CA 92253
Telephone: ;�;;,MI 's,
Address: 1351 Distribution Way Suite 9
Project Description: Install Ecowater ERR 3702 R40 water
City, ST, Zip: Vista, CA 92081
softener in back yard.
Telephone: 760-754-1960'
State Lic. # : 925031
City Lie.
Arch., Engr., Designer.
Address:
City., ST; Zip:
Telephone: Y ' �.
State Lir- #:
NameofContactPerson: Steven Schnierer .
Construction Type:. Oocupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. FL: # Stories: #Units:
Telephone # of Contact Person: 8.18-735-7876
Estimated Value of Project: $6,780.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
item Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calci.
Plans picked up
Constructio:�
Flood plain plan
Plans resubmitted _ ,
Mechanical
Grading plan
2id Review, ready for correcfionstissue
Electrical
Subcoetactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
SALL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'^' Review; ready for correctionshnue
Developer Impact Fee .
Planning Approval
Called Contact Person
AXP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees