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BWFE2016-014078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T4ta 4 4vQuI«rw COMMUNITY DEVELOPMENT DEPARTMENT Application Number: BWFE2016-0140 Property Address: 54302 ARDENNAIS DR APN: 767800089 Application Description: . GRIFFIN RANCH / LOT AL / SAD Property Zoning: Application Valuation: $13,000.00 Applicant: ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS, CA 92210 BUILD_NLV'G`P€Rli — D U JUN 3 0 ��'� CLUB ERIIMETER B.LOGK WA CITY OF LAQ00 rnaa�4:u�lITY DEVEI OPMENT DEPART LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 {commencing with Section 7000}0 f Division W the Business and Professio Code, and my License is in full force and effect. License Class: B License No.: 728102 2� 2 Date:- 6 JD Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t4 Contractor' tate 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, 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: G Lender's Address: VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS.(760) 777-7153 Date: 6/27/2016 Owner: IOTA GRIFFIN 4675 MACARTHUR CT NO 1550 NEWPORT BEACH, CA 0 Contractor: LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ALISO VIEJO, CA 92656 (949)349-8269 Llc. No.: 728102 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 subject to the workers' compensation laws of California, and agree thit, if I should Dec me subje to the workers' comp nsation provisions of Section 700 of th Labor Code, I s all forthwith comply th t se provisions. �f �v v Date: Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS UN WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL FIN UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION T T 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 rel to buil ing construction nd hereby authorize representatives of this (Ci#�?onter pon the above-rnen oned property for inspection purposes. Ow Date: Signature (Applicant or Agent): t DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID.DATE BSAS S131473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $130.50 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY 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 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: $239.27 $0.00 w >. Description: GRIFFIN RANCH / LOT AL / SADDLE CLUB PERIMETER BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED Applied: 6/22/2016 MFA APPROVED Approved: 6/27/2016 MFA Parcel No: 767800089 Site Address: 54302 ARDENNAIS DR LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: AL Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $13,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 - APPLICANT ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS Details: 520 LF OF PROTO TYPE II PERIMETER BLOCK WALL. PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. PER 2013 CALIFORNIA BUILDING CODES. jApplied to Approved CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY - STATE, ZIP PHONE FAX EMAIL APPLICANT ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS CA 92210 ulrichs@uslandlink.co m CONTRACTOR LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ALISO VIEJO CA 92656 lennar@lennar.com OWNER IOTA GRIFFIN 4675 MACARTHUR CT NEWPORT NO 1550 BEACH CA 0 FINANCIAL INFORMATION Printed: Monday, lune 27, 2016 1:18:38 PM 1 of 2 srsTEMS INSPECTIONS PARENT PROJEC•TS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES . DATE BOND INFORMATION ATIMACHME IT R Printed: Monday, June 27, 2016 1:18:38 PM 2 of 2 . (7/j/]�LJLJ SY57EM5 CLTD 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 for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $130.50 $0.00 ADDITIONAL 50 LF 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: $239.27 $0.00 5A003 mmp & INSPECTIONS PARENT PROJEC•TS REVIEW TYPE REVIEWER SENT DATE DUE DATE RETURNED STATUS REMARKS NOTES . DATE BOND INFORMATION ATIMACHME IT R Printed: Monday, June 27, 2016 1:18:38 PM 2 of 2 . (7/j/]�LJLJ SY57EM5 I La Quin.ta 'B IdIding &r Safety P 0. Dox 1504,78--r 95 Calle Tanocc U.c CA 92253-(160)777�7012. BuIldinla, Permit -ApplicaVon and Wracking Sheet Nnrift ILI2/v Griffin Ranch -Lot ALG"wrmr*sManle: Lennar Homes, Inc, A. P. Number 54-302 Ardennais Drive Arts: Montecito Dr, Suite 302 - TM 32879 COPframr, LeMat Homes, Inc CkY, ST. ZIP- Corona, CA 92879 Tea note Same as above ......... . 4DOsuiPtiort- City, sTj Zip: Construction qT,LotAL5addle Club Perimeter Wall File On File C; :.Iy Mc. 0, 0 1 an gncr: Addy= City, ST, 7,41: r occuplaw- Sw-- Lit- PtOje t)" (cimle ont)- 'Rtw Addn AAcT Pepulr D:mcp Namt of- coamct Prison: Ulrich Sauerbrey. -Sq, 'FL: Tctcplto,lc4,afCopt=Ptrson: 760-1610-941'.0 Fisnimacd Maltur, of t mjccu 'APPLICAW. DO NOT: WRITE BELOW TMS LINE Rted PERhIrr 1MF-S ptz.0 Stu, ft -*,m aeck: sufmAuted. Rem AmRnncR SMUMed C414C� tvkwed, ready fOr t0(rftUIDM Trass Calm. Ciued ci)nc2ctRlcx=5 check'R2j2ncc' 7 Vans . iM 'idcd 1RDtDtEtaclalr List: tit' IMCdatAct-Ptaws ff.0A. Ap 'P111111w Pis-Mg4bTuMcd CraQiog (Or A fIgnming-Appmvil Ctilet5 o7it4cYPer AJ.P.P. Pub, M5, Appy Date of pooft issue F3NISH10 G^APE c�x I 2 y T,2' 3 ." 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