BWFE2015-0004t
4
78-495 CALLE TAMPICO o U
LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
B W FE2015-0004
81655 MACBETH ST
767800064
188 LF GARDEN WALL 133 LF WROUG
$8,127.00
NJAN 14 2015
CP Of LA OUINTA
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 ull force and effect.
License Class B License No.: 728102 -
Dat"eT t Contract -rte
OWNER -BUILDER DECLARATIO
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 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.).
F
Lender's Name: i
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 1/14/2015
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: _ Policy Number: _ i ,
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 subject t the
workers' compensation provisions of Section 37 of the Labor Cod sha forthwith
comply with th a prov Bions.
Dat t Applicant.
WARNING: LURE TO SECURE WORKERS' COMPENSATION COVOAGEISUN WFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TCOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706CODE,
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 relatin to building
construction, and hereby authorize representatives of this 'ty to enter pon th bove-
mentioned1p;ert for inspection purposes.
Date: Signature (Applicant or Agent):
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DESCRIPTION'
FINANCIAL
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FETE
101-0000-20306
0
$1.00
$1.00
1/12/15
PAID BY `
METHOD
RECEIPT #
CHECK #
CLTD BY
LENNAR HOMES OF CALIFORNIA INC
CHECK
R3383
13268
MFA
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00
DESCRIPTION
ACCOUNT
QTY,
AMOUNT
PAID
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$120.36
$120.36
1/12/15
PAID BY
METHOD
RECEIPT #
CHECK # .
CLTD BY
LENNAR HOMES OF CALIFORNIA INC
CHECK
R3383
13268
MFA
`DESCRIPTION :, -
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86
$47.86
1/12/15
PAID BY
METHOD
RECEIPT # ,
CHECK #
CLTD BY
LENNAR HOMES OF CALIFORNIA INC
CHECK
R3383
13268
MFA
"DESCRIPTION
ACCOUNT
QTY.
AMOUNT
PAID
PAID DATE
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$60.91
1/12/15
- PAID BY
METHOD
RECEIPT #.
CHECK #
CLTD BY
LENNAR HOMES OF CALIFORNIA INC
CHECK
R3383
13268
MFA
Total Paid for FENCE OR FREESTANDING WALL $229.13 $229.13
Description: 188 LF GARDEN WALL 133 LF WROUGHT IRON
Type: WALL/FENCE Subtype: Status: ISSUED
Applied: 1/8/2015 MFA
Approved: 1/13/2015 MFA
Parcel No: 767800064 Site Address: 81655 MACBETH ST LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 139
Issued: 1/14/2015 MFA
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $8,127.00 Occupancy Type: Construction Type:
Expired: 7/13/2015 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 314 LF OF 6' GARDEN WALL133 LF WROUGHT IRON [CITY AND PROTO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE
COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING
CODES.
CHRONOLOGY
Applied to Approved
Approved.to Issued
FINANCIAL INFORMATION
Printed: Wednesday, January 14, 2015 8:23:39 AM 1 of 2 Csrsrenns
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
' STATE ZIP
PHONE
FAX 4
EMAIL`_
APPLICANT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA 92210
ulrichs@uslandlink.co
m
CONTRACTOR
L•ENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO
CA 92656
OWNER
IOTA GRIFFIN
4675 MACARTHUR CT
NO 1550
NEWPORT
BEACH
CA _ 0
FINANCIAL INFORMATION
Printed: Wednesday, January 14, 2015 8:23:39 AM 1 of 2 Csrsrenns
DESCRIPTION
ACCOUNT
CITY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD:
PAID BY.
CLTD
;.
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
1/12/15
R3383
13268
CHECK
LENNAR HOMES
MFF4
CALIFORNIA INCC
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1.00 $1.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$120.36
$120.36
1/12/15
R3383-
13268
CHECK
LENNAR HOMES OF
MFA
ADDITIONAL 50 LF
CALIFORNIA INC
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$47.86
1/12/15
R3383
13268
CHECK
LENNAR HOMES OF
MFA
100 LF
CALIFORNIA INC
WALL/FENCE- FIRST.
101-0000-42600
0
$60.91
$60.91
1/12/15
R3383
13268
CHECK
LENNAR HOMES OF
MFA
100 LF PC
CALIFORNIA INC
Total Paid for FENCE OR FREESTANDING WALL $229.13 $229.13
TOTALS:
Printed: Wednesday, January 14, 2015 8:23:39 AM 2 of 2 CR
SYSiEtdS