BPLB2018-0044j� 4 Qum&
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: PLUMBING/
Application Number: BPLB2018-0044 -
Property Address: 79152 TOM FAZIO LN SO.
APN: 766.042004
Application Description: BURNS RESIDENCE / ECOWATER WATER SO TENERJi7,00 R 0
Property Zoning: ® �1A 9
Application Valuation: $7,298.00
Applicant: ®
IE INC MAR 0
31225 LA BAYA
WESTLAKE VILLAGE, CA 91362 C!� �F LN A
IGN AND DEVE�OP!v4EN� DEPARTMENT
DES
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
Contractor
i22!EiA'�
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 ligensed 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 fora
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
(1 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 I 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
VOICE (760) 777-7125
FAX (760) 777-7011.
INSPECTIONS (760) 777-7153
Date: 3/20/2018
Owner:
ELLEN BURNS
79152 TOM FAZIO S
LA QUINTA, CA 9253
Contractor:
YANCHEWSKI & WARDELL ENTERPRISES, INC DB
1351 DISTRIBUTION WAY STE 9
VISTA, CA 92081 .
(760)754-1960
Llc. No.: 925031
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one o8 the following declarations:
I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by Section 370C of the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain wotkers' ccrnpensation insurance, as required by
Section 3700 of the Labor Code, for the. perforr lance 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 fie 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.
.-,1.-_I,_ u .
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMIN>L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,00[•). IN ADDITION TO THE COST OF .
COMPENSATION, DAMAGES AS PROVIDED FOR11N 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 appliotion 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 2ity of La Quinta, its officers, agents, and
employees for any act or omission related to th a work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this applicVtion becomes null and void if work is
not commenced within 180 days from date of i!suance 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.o*rdin antes and state,laws relating to building
construction, and hereby authorize representatves of this city to enter upon the
above-mentioned property for inspection purpcses._,
DatDat-3Lp 8 Signature (Applicant cr Agent):.E�i� s
�Y
Date: 3/20/2018
Application Number: BPLB2018-0044
Owner:
Property Address: 79152 TOM FAZIO LN SO.
ELLEN BURNS
APN: 766042004
79152 TOM FAZIO S
Application Description: BURNS RESIDENCE / ECOWATER WATER SOFTENER 3700 R20
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $7,298.00
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
--------=-----------------------=------------------------------------------------------------
LIc. No.: 925031
Detail: INSTALL ECO WATER 3702 R50 WATER SOFTENER. LOCATED IN GARAGE. NO CVWD RESPONSE REGARDING GUIDELINES FOR INSTALLATION. WE WILL
APPROVE WATER SOFTENER ON CASE FOR CASE BASIS UNTIL PROPER RESPONSE IS GIVEN. PER
2016 CALIFORNIA PLUMBING CODE
FINANCIAL INFORMATION
DESCRIPTION ACCOUNTQTY AMOUNT
BSAS SB1473 FEE 101-0000-20306 0 $1.60 .
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
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
1QTY
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
�+
--- Gen+ j,r arsexr--........
PERMIT #
PLAN LOCATION:
Project Address' 79152 Tom Fazio Lane South
Project Description: Pool, Remodel, Add't, Elect, Plumb, Medi
APN #:
Install Ecowater ERRC 3702 R50 water s6 tener inside garage
Patio/Porch SF
Email:
Applicant Name: Steven Schnierer
State Lic: 925031 City Bus'Lic:
Address: 31225 La Baya Drive Suite 213
State Lic: City Bus Lic:
City; ST, Zip: Westlake Village, CA 91362
`
Telephone: 818-735-7876
Email:
swschnierer@roadrunner.com
Valuation of Project $ 7,298.00
Contractor"Name:
Ecowater Systems of San Diego
New SFD Construction:
Address: 1351 Distribution Way Suite 9
Conditioned Space SF
City, St, Zip Vista, CA 92081
Garage SF
Telephone: 760-754-1960
Patio/Porch SF
Email:
Fire Sprinklers SF
State Lic: 925031 City Bus'Lic:
Arch/Eng Name:
Construction Type: Occupancy:
Address:
Grading:
City, St, Zip
Construction Type: Occupancy:
Telephone:
Bedrooms:
Stories:
# Units:
Email:
State Lic: City Bus Lic:
Property Owner's Name: Ellen Burns
New Commercial / Tenant Improvements:
Address: 79152 Tom Fazio Lane South
Total Building SF
City, ST, Zip La Quinta, CA 92253
Construction Type: Occupancy:
Telephone:
Email:
78495•CALLE TAMPICO
LA QUINTA, CA 92253
760-777-7000