BWFE2015-0053i
78=495 CALLE TAMPICO I
LA QUINTA, CALIFORNIA 92253
r 1
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
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COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0053
56104 PLATINUM WY '
775220021
SIGNATURE AT.PGA/36537-1/(2) PILASTERS FOR ENTRY GATE
I
$15.000.00
VOICE(760)777-712.5
FAX(760)777-7011
INSPECTIONS (760) 777-7153
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
Date: 4/28/2015
CZ)
N
Applicant: Contractor: 421-711'
CALIFORNIA WEST CONSTRUCTION I CALIFORNIA WEST CONSTRUCTION I <
5927 PRIESTLY DRIVE STE 110 5927 PRIESTLY DRIVE STE 110 Q
CARLSBAD, CA 92008 CARLSBAD, CA 92008 4
L7
(760)918-6768
Lic. No.: 927267
' LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under prov'ions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and P ofessions Code,
and my License is in full force and effect.
License Clas . B License No.:'127267 bP'rofes
2 UDate: ` Contractor:
OWNER -BUILDER DECLARAI hereby affirm under penalty of perjury that I am exem's State
License Law for the following reasor. (Sec. 7031.5, Businde: Any .
city or county that requires a permit to construct, alter,, 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).:
( )1, 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 b;iilds 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.).
(_) 1, 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:
WORKER'S COMPENSATION DECLARATION
I hereby affirm under pena:ty 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 rk 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:_ Policy 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 that, if I should become sub ct to the
workers' compensation provisions of Section 3700 of the la e, shall forthwith
comply wit those provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION 'ERAGE IS LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI 'AND CIVIL FIN S UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ON TO THE W6 OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 E 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 restrictiors set forth ori 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 appli_etion , 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.
CONSTRUCTION LENDING AGENCY I agree to comply with all city and county ordinances and state laws relating to buil ng
I hereby affirm under penalty of perjury that there is a construction lending agency for construction, and hereby authorize representatives of this ci to enter up a ve-
the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). mention�ed/f roperty for inspection purposes.
Lender's Name:
Date: 1L c-' Signature (Applicant or Agent):
Lender's Address:
DESCRIPTION.
JINANCIAL INFORMATION
•ACCOUNTQTY, AMOUNT PAID i
PAID DATE
BSAS SB1473 FEE
101-0000-20306 0 $1.00 $0.00
METHOD , ..RECEIPT # , CHECK #
PAID BY :
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 `.
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 forFENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS; $109.77 •$0.00 l
Description: SIGNATURE AT PGA/36537-1/(2) PILASTERS FOR ENTRY GATE
NAME ,• " .
Type: WALL/FENCE
Subtype: Status: APPROVED
Applied: 3/5/2015 SKH
Approved: 4/22/2015 JJO
Parcel No: 775220021 Site Address: 56104 PLATINUM WY LA QUINTA,CA 92253
Subdivision: PM 20426
Block: Lot: 7
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
LBELLOSO@CALWESTC
OMMUNITIES.COM
LBELLOSO@CALWESTC
OMMUNITIES.COM
Details: PLASLTERS FOR ENTRY GATE. 2013 CALIFORNIA BUILDING CODE.
CALIFORNIA WEST CONSTRUCTION 1
CHRONOLOGY TYPE STAFF NAME
NOTE STEPHANIE KHATAMI
-74 -F'P-7 LU MPPi uvcu
ACTION,DATE COMPLETION DATE,NOTES `
3/12/2015 3/12/2015 PLAN CHECK RECEIVED 03/05/2015. DUE TO COMPLICATED
SUBMITTAL, PLAN CHECK STARTED ON 3/12/15.
NAME TYPE
NAME ,• " .
ADDRESSl.,.
CITY
STATE.,ZIP
.
PHONE '
FAX
.EMAIL•
APPLICANT
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
STE 110
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
OMMUNITIES.COM
LBELLOSO@CALWESTC
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
STE 110
CARLSRAn
CA
92008
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
.110
CARLSBAD
CA
92008
PROJECT ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS CA 92210
MANAGER ulrichs@uslandlink.co
m
Printed: Tuesday, April 28, 2015 1:40:46 PM 1 of 3
CRWYSTEMS
Permit Details PERMIT NUMBER
City of La Quinta BWFE2015=0053
& -I - j
TOTALS: $109.77 $0.00
SEQID
FINANCIAL
INFORMATION
DESCRIPTION . ACCOUNT QTY
AMOUNTPAID
PAID DAVE RECEIPT # CHECK # METHOD PAID BY CLTD
SCHEDULED
DATE
COMPLETED
DATE
RESULT
BY
BSAS SB1473 FEE 101-0000-20306 0
$1.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION
BSA:
$1.00
$0.00
WALL/FENCE - FIRST
0
FOOTINGS
100 LF
101-0000-42404
0
$47.86
$0.00
WALL/FENCE - FIRST
100 LF PC
101-0000-42600
0
$60.91
$0.00
Total Paid forFENCE OR FREESTANDING WALL
$108.77
$0.00
TOTALS: $109.77 $0.00
SEQID
INSPECTION TYPE '
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES'.
0
BOND BEAM
0.
FINAL"
0
FOOTINGS
PARENT PROJECTS
REVIEW TYPE REVIEWERSENT DATE DUE DATE RETURNED STATUS, REMARKS .NOTES
TES
NON-STRUCTURAL JIM JOHNSON 3/12/2015 3/19/2015 3/25/2015 APPROVED APPROVED PENDING STRIJCA . PPROVAL
STRUCTURAL KATHRYN 3/12/2015 3/19/2015 3/23/201S REVISIONS REQUIRED
SAMUELS
PLANNING I WALLY NES817I 3/17/2015 I 3/20/2015 3/30/2015 I READY FOR APPROVAL I CART GATE SEE SHEET
5-5
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CRSYSTEMS
t
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t'.�%�' SYSTEMS