BWFE2015-013678-495 CALiE TAMPICO
LA L UINTA, CALIFORNIA 92253
T -dT 4 4 Qu&Z
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
I
Application Number: BWFE2015-0136
Property Address: 80256 REDSTONE WY D
APN: 775220021
Application Description: SIGNATURE @ PGA BLOCK WALL
Property Zoning:
Application Valuation: $1,431.00 JUN 18 7015
Applicant: CITY OF LAQUINTA
ULRICH SAUERBREY COMMUNITY DEVELOPMENT DE
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
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.: 927207
Dv ate:" Contractor: C
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt fr the Contr tar's State
License Law for the following reason (Sec. 7031.5, Business a d Professi s Code: Any
city or county that requires a permit to construct, alter, improve, olish, 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 Nam
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/16/2015
REF II CWC LAQ LLC
927 PRIESTLY DR STE 110
ARLSBAD, CA 92008
¢ALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
Llc. No.: 927267
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: _ Polity Number:
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 sub' to the workers'
compensation laws of California, and agree that, if I should becom subject to the
workers' compensation provisions of Secti n3700 of borshall forthwith
comply with os�,provisions.
Date: ' c�jJ( Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVI INES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ONTO 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 160 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 building
construction, and hereby authorize representatives of this city to enter/he above•
mentioned property for inspection purposes. /, /
Date: Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL .•
ACCOUNT
1.
QTY
AMOUNT
PAID
PAID DATE
BSASSB14M J1E .
101-0000-20306
0
$1.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$0.00
PAID BY
METHOD _
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION 6
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL
TOTALS:0•
$108.77
$0.00
0i
Permit Details P.ERIVIIT N.U.MBER
City of la Quinta BWFE�2B15-0136
Description: SIGNATURE @ PGA BLOCK WALL
Type: WALL/FENCE Subtype: Status: APPROVED
Applied: 5/28/2015 MFA
Approved: 6/9/2015 BHA
Parcel No: 775220021 Site Address: 80256 REDSTONE WY LA QUINTA,CA 92253
Subdivision: Block: Lot: V93
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $1,431.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: VILLA #93 FRONT & REAR PATIO - 54 LF GARDEN WALL [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED
WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
Process Summary
Applied to Approved
FINANCIAL INFORMATION
Printed: Tuesday, June 16, 2015 7:26:40 AM 1 of 2 OFP CJ SYSTEMS
0 711 0
0 +
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA
92210
(760)918-2839
(760)918-
6749
ulrichs@uslandlink.co
m
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
STE 110
CARLSBAD
CA _
92008
(760)918-2839
(760)918-
6749
LBELLOSO@CALWESTC
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
110
CARLSBAD
CA
92008
(760)918-2839
(760)918-
6749
LBELLOSO@CALIFORNI
AWESTCOMMUNITIES.
COM
FINANCIAL INFORMATION
Printed: Tuesday, June 16, 2015 7:26:40 AM 1 of 2 OFP CJ SYSTEMS
r
uRUNE
REVIEW TYPE
a
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL-
1 WK
BUILDING
BUCKET
6/9/2015
6/9/2015
6/9/2015
APPROVED
L OF
C.LTD
DESCRIPTION ACCOUNT. QTY
AMOUNT PAID PAID DATE RECEIPT #
CHECK #.
METHOD
PAID BY
!BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
-
100 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL
$108.77 $0.00
SEQID INSPECTION TYPE INSPECTOR SCHEDULED COMPLETED RESULT REMARKS NOTES
DATE DATE
0 BOND BEAM BLD
0 FINAL"* BLD
0 FOOTINGS BLD
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, June 16, 2015 7:26:40 AM 2 of 2
SY57EM5
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL-
1 WK
BUILDING
BUCKET
6/9/2015
6/9/2015
6/9/2015
APPROVED
BOND INFORMATION
ATTACHMENTS
Printed: Tuesday, June 16, 2015 7:26:40 AM 2 of 2
SY57EM5