BWFE2015-0018LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provis' ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Pr fessions Code,
and my Lic rise is in full force and effect.
License CI 2�1_p;7
License No.: 728102
1
Date: 'Contractor:�
t
OWNER -BUILDER DECLARATION
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.).
U 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 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
Lender's
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
offor which this permit is issued.
44_9�
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 sVbject to the
workers' compensation provisions of Section 00 of the L2W Cod/ I shall forthwith
comply wi those rovisions.
(Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS U LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT S AND CIVIL FIN S UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ONTO THE C T OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37 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 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 st to laws relating to buil ng
construction, and hereby authorize representatives of this rty t ente on he ove"
mentione• prope y for inspection purposes.
Date: 2Z % Signature (Applicant or Agent►:
VOICE 760 777-7125
( )
78-495 CAL LE TAMPICO
D
LA QUINTA, CALIFORNIA 92253 `
FAX
FAX (760) 777-7011
J�
COMMUNITY DEVELOPMENT DEPARTMENT
(760) 777-7153
BUILDING PERMIT
Date: 1/22/2015
Application Number:
BWFE2015-0018
Owner:
Property Address:
81740 MACBETH ST
IOTA GRIFFIN
APN:
767800056
Property Zoning:
Application Valuation:
$5,535.00
Applicant:
Contractor:
N a
ULRICH SAUERBREY
LENNAR HOMES OF CALIFORNIA I C
74948 LIVE OAK STREET
25 ENTERPRISE
C,4 S °f
INDIAN WELLS, CA 92210
ALISO VIEJO, CA 92656
0 9
o
�r
(949)349-8269
Llc. No.: 728102
-------------------
i
--------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provis' ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Pr fessions Code,
and my Lic rise is in full force and effect.
License CI 2�1_p;7
License No.: 728102
1
Date: 'Contractor:�
t
OWNER -BUILDER DECLARATION
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.).
U 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 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
Lender's
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
offor which this permit is issued.
44_9�
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 sVbject to the
workers' compensation provisions of Section 00 of the L2W Cod/ I shall forthwith
comply wi those rovisions.
(Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO COVERAGE IS U LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT S AND CIVIL FIN S UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ONTO THE C T OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37 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 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 st to laws relating to buil ng
construction, and hereby authorize representatives of this rty t ente on he ove"
mentione• prope y for inspection purposes.
Date: 2Z % Signature (Applicant or Agent►:
0
ftT
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
FOR CONSTRUCTION
DAA 1/)5/20/5 BY
LOT 131
BI~L.MONT 2B 1.T
FF 488A7
PE 488.8
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._ ... _._. .�.... a ._
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MACIFl ETH STREET
NOME DIMENWNS SHOWN ARE NOTE PLOT PLANS MkY NOT SHO* ioURRENT RECORD PFDRuAT10N. REFER TO THE
tiaa TO BLALMO FACE AND NOT ME REPORT fM DaiDeMNS. EASE AWM AMD OTHER 1NFOfO6kT*N OF REDORD.
ARCMITEC7URAL, POP --0= DRY Ni1Ur" ARE NOT SHOWN ON THIS PLAN.
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CORONA, CA 92879
(951) 817-3663
LENAR / 4,RAI"
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NOME DIMENWNS SHOWN ARE NOTE PLOT PLANS MkY NOT SHO* ioURRENT RECORD PFDRuAT10N. REFER TO THE
tiaa TO BLALMO FACE AND NOT ME REPORT fM DaiDeMNS. EASE AWM AMD OTHER 1NFOfO6kT*N OF REDORD.
ARCMITEC7URAL, POP --0= DRY Ni1Ur" ARE NOT SHOWN ON THIS PLAN.
ADMU C!QNSMlWCr, INC
mm anff rs nwoa • it Mom 9= Mom s" 9
'.i�91.1q�S1 mom umm s Fix (!6D} 9Z3.7!!�i
LENNAR
980 MONTECITO DRIVE
CORONA, CA 92879
(951) 817-3663
LENAR / 4,RAI"
R liCQH
TRACT f A 0.32879
OT I - 8V4+0 MecBeth St~eet.
LA OUWA. NV'EFW6 COUNTY. CAUFOFM
.tAN m 2015
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12..945 SF
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FINANCIALINFORMATION `,
DESCRIPTION ACCOUNT " AMOUNT PAID
PAID DATE
BSAS SB1473 FEE 101-0000-20306
E07
$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
$91.36
$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 forFENCE OR FREESTANDING WALL- $200.13 $0.00
TOTALS:00
Description: GARDEN WALL 205 LF
Type: WALL/FENCE
Subtype: Status: APPROVED
Applied: 1/15/2015 MFA
Approved: 1/15/2015 JFU
Parcel No: 767800056 Site Address: 81740 MACBETH ST LA QUINTA,CA 92253
Subdivision: TR 32879
Block: Lot: 131
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $5,535.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No..Stories: 0 No. Unites: 0
Details: 205 LF GARDEN WALL [PROTO II SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES.
ADDITIONAL SITES
CHRONOLOGY
CONDITIONS
FINANCIAL INFORMATION
Printed: Thursday, January 22, 2015 4:58:30 PM 1 of 2
SYSTEMS
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, January 22, 2015 4:58:30 PM 2 of 2
SYSTEMS
REMARKS
NOTES
SEQID
INSPECTION TYPE
INSPECTOR
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
FOOTINGS
AOR
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$91.36
$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 forFENCE OR FREESTANDING WALL,. $200.13 $0.00
TOTALS:•0
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, January 22, 2015 4:58:30 PM 2 of 2
SYSTEMS
REMARKS
NOTES
SEQID
INSPECTION TYPE
INSPECTOR
SCHEDULED
DATE
INSPECTIONS
COMPLETED RESULT
DATE
BOND BEAM
FINAL"
FOOTINGS
AOR
PARENT PROJECTS
BOND INFORMATION
Printed: Thursday, January 22, 2015 4:58:30 PM 2 of 2
SYSTEMS