BWFE2015-013178-495 CALLE TAMPICO
LA t�UINTA�CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
BWFE2015-0131
56175 PLATINUM WY
4
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
775220021
SIGNATURE TM36537 LOT 2 BLOCK WALL 135 LF
$3,645.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under'penalty of perjury that I am licensed under provisions ?Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Profes ' ns Code,
and my License is in full force and effect.
License Clap.B License No.: 927267
Date:
601Y 1� Contractc•r:
K,_ - I _
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's tate
License Law for the following reason (Sec. 7031.5, Business an rofessions Co e: Any
city or county that requires a permit to construct, alter, improve, e , r 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 3 (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 excbisively 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 Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date:. 6/15/2015
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
Contractor:
CALIFORNIA 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: _ 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 subjec the workers'
compensation laws of California, and agree that, if I should becom subject to the
workers' compensation provisions of Sectio 700oftheLabarC de, I shall forthwith
comply with hose ?visions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENLALTIESAND
GE IS�UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). INHE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SETHE 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 relating to 0ilding
construction, and hereby authorize representatives of this city to enter, t above.
mentioned property for inspection purposes. / i _
I� Iv4 I
Date: fS Signature (Applicant or Agent):
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT CITY AMOUNT PAID
PAID DATE
w .. BSAS SB14.73 FEE
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 - EA ADDITIONAL SO LF
101-0000-42404
0
$14.50
$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 $123.27 $0.00
TOTALS: $124.27 00
910;it Details
City of La Qu i nta
Description: SIGNATURE TM36537 LOT 2 BLOCK WALL 135 LF
Type: WALL/FENCE Subtype: Status: APPROVED -CONDITIONS
Applied: 5/28/2015 MFA
Approved: 6/9/2015 BHA
Parcel No: 775220021 Site Address: 56175 PLATINUM WY LA QUINTA,CA 92253
Subdivision: Block: Lot:2
PERMIT
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
N.U.MBER
Valuation: $3,645.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STAFF NAME
Details: 135 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.
COMPLETION DATE
NOTES
TELEPHONE CALL
BURT HANADA
BWEEY2U15-0�.3+1
6/9/2015
6/9/2015
Description: SIGNATURE TM36537 LOT 2 BLOCK WALL 135 LF
Type: WALL/FENCE Subtype: Status: APPROVED -CONDITIONS
Applied: 5/28/2015 MFA
Approved: 6/9/2015 BHA
Parcel No: 775220021 Site Address: 56175 PLATINUM WY LA QUINTA,CA 92253
Subdivision: Block: Lot:2
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $3,645.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
STAFF NAME
Details: 135 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.
xroce_ss Summ_a_ry�
_j Applied to Approved
f
Printed: Monday, June 15, 2015 10:36:42 AM 1 of 2
SYSTEMS
•e e o
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE
NOTES
TELEPHONE CALL
BURT HANADA
6/9/2015
6/9/2015
NOTIFIED ULRICH S. THAT THE PRE -APPROVED ORCO WALL
DETAILS ARE NEEDED PRIOR TO ISSUANCE OF PERMITS. HE
INDIICATED THAT HE WILL BE BRINGING IN DETAILS THIS
AFTERNOON.
o � e
o
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA
92210
(760)918-6768
ulrichs@uslandlink.co
m
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
STE 110
CARLSBAD
CA
92008
(760)918-6768
LBELLOSO@CALWESTC
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
110
CARLSBAD
CA
92008
(760)918-6768
Printed: Monday, June 15, 2015 10:36:42 AM 1 of 2
SYSTEMS
Permit Det►a1�5 PERMIT N.W.MRER.
City of la Quinta U7 ,F.E X15-0131
o
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
REMARKS
BOND BEAM
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 forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$14.50
$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 $123.27 $0.00
59m Maw ma
o
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
COMPLETED
DATE
RESULT
REMARKS
NOTES
REMARKS
BOND BEAM
BLD
BURT
HANADA
5/28/2015
6/4/2015
6/9/2015
APPROVED-
CONDITIONS
APPROVED WALL
DETAILS REQUIRED
FINAL"
BLD
FOOTINGS
BLD
BOND11 PFMRMAT'101
ATTACHMENTS
Printed: Monday, June 15, 2015 10:36:42 AM 2 of 2
LJ i.✓ SYSTEMS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
RETURNED
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL -
1 WK
BURT
HANADA
5/28/2015
6/4/2015
6/9/2015
APPROVED-
CONDITIONS
APPROVED WALL
DETAILS REQUIRED
BOND11 PFMRMAT'101
ATTACHMENTS
Printed: Monday, June 15, 2015 10:36:42 AM 2 of 2
LJ i.✓ SYSTEMS