BPLB2017-008078-495 CALLE TAMPI'CO' Ct 0 D �HMUCl/
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BPLB2017-0080
Property Address: 44150 GOLDENROD CIR CIR
AP.N: 604081004
Application Description: NUBIA/SALT WATER SOFTENER ECOWATER ECR 3702 R30
Property Zoning:
Application Valuation: $7,386.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
JAMES NUBIA
44150 GOLDENROD CIR
LA QUINTA, CA 92253
Date: 6/12/2017
Applicant: Contractor: I
IE INC YANCHEWSKI & WARDELL ENTERPRISES, INC
31225 LA BAYA 1351 DISTRIBUTION WAY STE 9! Q1
WESTLAKE VILLAGE, CA 91362 VISTA, CA 92081 i —moi
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: C55 License No.: 925031
Or � e
ate: � - 1 C3 1 Contractor:!
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 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 ) 1 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
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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
oft 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 Policy Number: 76WEGRT5551
_ 1 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, 1 shall forthwith
comply with those provisions.
I—)
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.
Dated �3 11 Si,gnature (Applicant or -Agent): _ Z �?
r
Application Number:
BPLB2017-0080
Property Address:
44150 GOLDENROD CIR CIR
APN:
604081004
Application Description:
NUBIA/SALT WATER SOFTENER ECOWATER ECR 3702 R30
Property Zoning:
Application Valuation:
$7,386.00
Applicant:
IE INC
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362
Date: 6/12/2017
Owner:
JAMES NUBIA
44150 GOLDENROD CIR
LA QUINTA, CA 92253
5
Contractor:
YANCHEWSKI & WARDELL ENTERPRISES, INC DB
1351 DISTRIBUTION WAY STE 9
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 BASI5 UNTIL PROPER RESPONSE IS GIVEN. PER 2016 CALIFORNIA PLUMBING CODE
k
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
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. #
CIi� Of U Qulhta
Building 8r Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777-7012
0080 Building Permit Application and Tracking Sheet
Permit #
a P1.02.01Z-
-Project'AdA� ss44150 Goldenrod Circle
Owna'_'ss—Name;.James Nubia
A. P. Number.ddr_A150
Goldenrod Circle '
Legal Description:
City;ST, Zip: La Quinta, CA: 92253
Contractor
c- Ecowater Systems of SanDiego
fTelcphone: 760-485-0291 ,.Address: A02R30
1-351 Distribution Way Suite 9
—P ect-Descnptio�lnstall Ecowater ECR 37
10ty, ST; Zips Vista, CA 92081
water softener
Tellep" o e• 760-754-1960
-State-Mc.-#y: 925031
{atyLic. 9.
Arch, Engr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic: #:
Name-afContaPer son: Steven Schnierer
Construction Type:. Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: #Stories:
Units:
Telephone #_of Contact Person: 818-735.-7876
=Estimated Va'iue uzrcjecC $7,386.00
APPLICANT: DO NOT WRITE BELOW THIS UNE
N
Submittal
Req'd
-Reed
TRACENG
PERMIT FEES-
Plan Sets
Pian Cheek submitted.Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Cales•
Called Contact Person
Pian Check Balance
Title 24 Cake.
Plans picked up
Construction
Flood plain plan
Plans resubmitted..
Mechanical
Grading plan
2i° Review, ready for correctiionsfissue
Electrical
Subcoetactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
''" Review, ready for correctionsfinue
Developer Impact Fee v
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
oPkr)-bIT- 00sb
Customer Name, Address: uapment•
r1u('�� rnfl,-,.tN�z �#y(�-�o�►' ion eR
Hardness?_
Kitchen Sink'D.rill, D ranite° orcelain
D Stainless 0 Cbria:n
R O.:Faucet DChrome Brushelce.Line: Yes tVp
C,'Potassiu . SaltECOWATERsuppf es ''bags at start u
p
Location of:equipment: �arag Outside Other.
P'IdlMbing Size: CD 1Plf -41' [ J4" 0.11/2
Plumbing Types'Cop:per. D.PUC C3'Galvanized
iPl.urrnbing:lfot�il Feet: --.�__
Drain Location: D Laundry lCleanout D Other' Explain r fSrp
Drain Total feet. : _ _ :i S a U
('GriPS c/rarc
Is there landscape removal? Ol(eSZiONO Is thereTrdhi thing? []Yes ( Eyo wow,
ma:ny.Feet?
Do we: need :to,go under a walkway? Dyes o
Is there electrical?.. es Lido. New many feet
,Do we. need .an Electrician? E3 Yes 1:*0:
Please draw a sketch of main,install locationj drain, :and. electrical.
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