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78-495 CALLE TAMPICO D VOICE (760) 777-7125
LA QUINTA, CALIFORNIA 92253 DESIGN &DEVELOPMENT DEPARTMENT FAX (760) 777-7011
FAX
(760) 777-7153
BUILDING PERMIT
Date: 3/15/2018
Permit Type/Subtype: PLUMBING/ ® D5120
wner:
Application Number: BPLB2018-0040 QRBARAANDEMON/
Property Address: 55120 SPRING CREEK CT
D SPRING CREEK CT
APN: 767860025 QUINTA, CA 92253
Application Description: ANDERSON / WATER SOFTEN MAR 2018
Property Zoning:
Application Valuation:
CITY OF LA QUINTA
Applicant: DESIGN AND DEVELOPMENT DEPARTMENIontractor:
IE INC YANCHEWSKI & \&ARDELL ENTERPRISES, INC DB
31225 LA BAYA 1351 DISTRIBUTICN WAY STE 9
WESTLAKE VILLAGE, CA 91362 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: 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 -
per 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 certificateof 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 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: 76WEGRTSSS1
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 tha-, if I should become subject to the
workers' compensation provisions of Section 3.00 of the Labor Code, I shall forthwith
comply with those provisions.
Date: 3 5 Applicant:! ifz .
WARNING: FAILURE TO SECURE WORKERS' CON PENSATION 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 th.! 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 cancellztion.
1 certify that I have read this application and sta-e 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 representatE-jes of this city to enter upon the
above-mentioned property for inspection purposes.
� r e
Date: /S Signature (Applicant v Agent):. `�
Date: 3/15/2018
Application Number: BPLB2018-0040 Owner:
Property Address: 55120 SPRING CREEK CT BARBARA ANDERSON
APN: 767860025 55120 SPRING CREEK CT
Application Description: ANDERSON / WATER SOFTENER LA QUINTA, CA 92253
Property Zoning:
Application Valuation:
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
---------------------------------------=-----------------------------------------------------
Detail: INSTALL ECOWATER ERR 3700 WATER SOFTENER IN GARAGE PER 2016 CALIFORNIA BUILDING CODES
1
•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: $1390
y
Btrr #
Qrt}r. of La Qulhta
Bullding u Safety Division
P.O. Box 1504,78-495 Calle Tampico
La.Quinta, CA 92253 - (760) 777 7012
Building Permit Application and Tracking Sheet
Permit #
4pLW F-molgo
Project Address: 55120 Spring Creek Court
Owner's Name:. Barbara Anderson
A. P. Number.
Address: 55120 Spring Creek Court
Legal Description:
City, ST, Zip: La Quinta, CA 92253
Contractor: Ecowater Systems of San Diego
Telephone: 714-815-4846
Address: 1351 Distribution Way Suite 9
Proj e-ct Description: Install Ecowater EFR 3700 water
City, ST; Zip: Vista, CA 92081
softener inside garage
HN F0
Telephone: 760-754-1960 • 4. �'
State Lic. # : 925031 City Lic. #;
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: 1
State Lic. #: c . , y v
Construction Type: Ocarpancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steven Schnierer
Sq. Ft.:#Stories: #Univ:
Telephone # of Contact Person: 818-735-7876
Estimated Value of Project: $5,712.00
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Cheek submitted
Item Amount
Structural Cales.
Reviewed, ready for corrections
`
' Plan Check Deposit. .
Truss Cales.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction-
onstructionFlood
Floodplafu plan
Pians resubmitted.'.
Mechanical
Grading plan
21! Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted.
Grading
IN ROUSE:-
''" Review; ready for correctionsAssue
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permi: Fees
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