BPLB2017-009778-495 CALLE TAMPICO D A2, VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 FAX (760) 777-7011DESIGN & DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/25/2017
Application Number: BPLB2017-0097 Owner:
Property Address: 60543 DESERT SHADOWS DR® ® DANIEL ICHIKAWA
APN: 76433004417
Application Description: ICHIKAWA /INSTALL NEW WATE S FTENER jut
2253
Property Zoning: jut
Application Valuation: $5,706.00
Applicant: DFSIGN410C YOF1,4 Q(/JContractor: ,
31225 LA BAYA FCOP�nFNrDFPgRTM YANCHEWSKI 1351 DISTRIBUTION & WARDELL ON WAY STE ENTERPRISES, INC DB
WESTLAKE VILLAGE, CA 91362 FN% VISTA, CA 92081
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 -.,>'71Z-5 � —% Contracto�:��a��rZ _�
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
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 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
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:
(760)754-1960
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:
Carrier: SENTINEL INSURANCE COMPANY LTD Polity 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.
Dat_ ZS I7 ApplicantdfP<�:::
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.
Date:� Signature (Applicant or Agent); �= ���
Date: 7/25/2017
Application Number: BPLB2017-0097
Owner:
Property Address: 60543 DESERT SHADOWS DR
DANIEL ICHIKAWA
APN: 764330044
Application Description: ICHIKAWA / INSTALL NEW WATER SOFTENER
92253
Property Zoning:
Application Valuation: $5,706.00
Applicant:
Contractor:
IE INC
YANCHEWSKI & WARDELL ENTERPRISES, INC DB
31225 LA BAYA
1351 DISTRIBUTION WAY STE 9
WESTLAKE VILLAGE, CA 91362
VISTA, CA 92081
(760)754-1960
------------------------- -----------------------------------------
Llc. No.: 925031
INSTALL ECOWATER ECR 3702'R30 WATER SOFTNER LOCATED IN GARAGE. 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
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
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
I
.'Bin.#
City of La Quin: ta
Building & Safety Division
P.O. Box 1504,78 495 Calle i-ampfco
La.Quinta, CA 92253 - (760) 777-7012
Building Permit Application' and Tracking Sheet
Permit #
7101
Project:Address: 60.543 Desert Shadows S.
Owner's Name:.Daniel & Hedeko Ichikawa
A. P. Number.
Address: 60543 Desert Shadows
Legal Description:
City, ST, Zip: La Quinta, CA' 92253
Contractor. Ecowater Systems of San Diego
Telephone: 760-564-9699
HIM
;� ;s;x
Address: 1351 Distribution Way Suite 9
Project Description: Install Ecowater ECR 3700 R30
City,'ST, Zip: Vista, CA 92081
water softener in garage
Telephone: 760-754-1960 'o ":`C' "M
M Mx IM 100
State Lic. #: 925031 City Lia &
Arch., Engr., Designer.
Address:
City., ST, Zip:
Telephone: v `� . ;
State Lic. #: y`�
Construction Type:. Occupancy:
Project type (circle one): New Add'n. Alter Repair Demo
Sq. Ft.: #Stories: # Units:
Name of Contact Person: Steven Schnierer
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $5,706.00 .
APPLICANT: DO NOT WRITE BELOW THIS UNE
9
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Pian Check submitted
Item Amount
Structuial Cales.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.*.
Mechanical
Grading plan
2'' Review, ready for correctionslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN MUSE:-
'^' Review; ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
AJ.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
a
.• � S Y S T E M� S
ism
SYr[cE 1925_ �L�Z '� r7 c7-0
Customer Name, Address: Equipment:
c�
P---------------------
Hardness? _ Kitchen Sink Drill ❑ Granite ❑ Porcelain EI&Sfinless ❑ Co
nan
�R.O�. Faucet Chrome, rushed Ice Line' CAyes 1:1 No
!�1 Potassium Q Salt ECOWATER supplies 3 bags at start up.
Location of equipment: rage ❑ Outside Other
Plumbing Size: ❑ 1/2" ❑ 3/4" .O 1" X1/4„ ❑ 11/2
Plumbing Type:.Copper Q PVC Q Galvanized
Plumbing Total Feet: 5
Drain Location: Laundry Q Cleanout ❑ Other Explain: '30 J
Drain -Total Feet: ,
Is there landscape removal? ❑Yes is there Trenching? QYeS CIO.' How
many Feet?
Do we need to go under a walkway? Oyes Ilio
Is there electrical? Yes ONo How many feet?
Do we need an Electrician? Q Yes Q; O
Please draw a sketch of main, install location, drain, and electrical.
Customers' approval: