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BPLB2017-008178-495 CAVE• TAM P I CO , LA QUINTA, CALIFORNIA 92253 Tit^r °f s4PQum& DESIGN & DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BPLB2017-0081 Property Address: 79385 AVENIDA LAS PALMAS APN: 604460006 Application Description: ROBINS/SALT WATER SOFTENER ECOWATER ECR 3700 R30 Property Zoning: Application Valuation: $5,706.00 Applicant: IE INC 31225 LA BAYA -WESTLAKE VILLAGE, CA 91362 - 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: License No.: 925031 Date: % III 1-7 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 permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: ( 11, 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.). (_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 Name: Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 6/13/2017 Owner: KATHY ROBINS 79385 AVENIDA LAS PALMAS LA QUINTA, CA 92253 _ FG �- r� m Contractor: ti YANCHEWSKI & WARDELL ENFERPRISESa(NC DB �! 1351 DISTRIBUTION WAY STE 9 VaSTA, CA 92081 o (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: C==:b 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 _ 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. Date:)� Applicant: 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: Applicationis 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. 9 Date: Signature (Applicant or Agent): 17 +-- Date: 6/13/2017 Application Number: BPLB2017-0081 Owner: Property Address: 79385 AVENIDA LAS PALMAS KATHY ROBINS APN: 604460006 79385 AVE NIDA LAS PALMAS Application Description: ROBINS/SALT WATER SOFTENER ECOWATER ECR 3700 R30 LA QUINTA, CA 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 11 --------------=---------- Detail: INSTALL ECOWATER ECR 3700 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 V I HIJ: ,714/.01 -7.9385 ANe-Y,\ Las -\D A� a.s PL. Bill # 0 of La QU"1� Blrilding SC Safety Division P.O. Box 1504, 78-495 Calle Tampico La.Quinta, CA 92253 -:(760) 777-7012 e'o8 l Building Permit Application and Tracking Sheet Permit # 8PL'6MGT— Project Address: 79385 Avenida La a'lmas Owner'sName:.Kathy Robins A. P. Number. Address: 79385 Avenida La Palmas Legal Description: Contractor. Ecowater Systems of San Diego Y g City, ST; Zip: La Quinta, CA' 92253 ` Telephone: 707-484-7942 M,,,��y��'. Address: 1351 Distribution Way Suite 9 Project Description: Install Ecowater ECR 3700 R30 .City, ST, Zip: Vista, CA 92081 water softener Telephone: 760-754-1960 -� State Lic. # : 925031 City Lic. fl, Archy Engr., Designer. Address: City., ST. Zip: Telephone: P _ State Lia #:>y " s ,.. yjl 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: $5,706.0.0 . APPLICANT: DO NOT WRITE BELOW THUS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Pian Check submitted Item Amount Structural Cities. Reviewed, ready for corrections Plan Check Deposit. . Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calci. Plans picked up Construction Flood plain plan Plans resubmitted',:. Mecbarilcal Grading plan 2`! Review, ready for correctionslisme Electrical Subcontactor 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 correetionslissne Developer Impact Fee Planning Approval. Called Contact Person AJ.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees