BWFE2016-009478-495 CALLE 7AMPICO
LA QUINTA, CALIFORNIA 92253
T4t�v 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:, BME2016-0094
Property Address: 54930 MADAGASCAR WY
APN: ' 7678b0073
Application Description: GRIFFIN RANCH LOT 148 BLOCK WALL 270 LF
Property Zoning:
Application Valuation: $6,750.00
K
Applicant:
ULRICH SAUERBREY IrLAM42D74948 LIVE OAK STREET5 X66
INDIAN WELLS, CA 92210 CITYO INTA
LCO—
M; TYDEVELOPMENTDEPARTMENT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under pr visions of Chapter
9 (commencing with Section 70001 of Division 3 of the Business an Professions Code,
and my Lice a is in ful orce and effect.
License C s : B icee No.: 728102 /�
'`Date: �� .�(n_Contractor:
OWNER -BUILDER DECLARATI
I hereby affirm under penalty of perjury that I am exempfrom the ontractor's State
License Law for the following reason (Sec. 7031.5, Busine of
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
withiri 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
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/19/2016
Owner:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALI50 VIEJO, CA 92656
Contractor:
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO, CA 92656
(949)349-8269
Llc. No.: 728102
WORKER'S COMPENSATION DECLARATION
1 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 per itis issued,
shall not employ any person in any manner so as to become subject to t workers'
compensation laws of California, and agree that, if I should beco esu ect to the
workers' compensation provisions of Section 3 0 of the or Code shall forthwith
comply wit t se pr isions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION CO RAGE I UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES D CIVIL F ES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITI TO THE C ST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 06 OF T 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 l have read this application and state that the above informati is C
I agree to comply with all city and county ordinances and st a laws rel ng to b
construction, and hereby authorize representatives of this ity to ent upgCfFhe
above -me Vioned
jproperty for inspection purposes.
Date: Z ` Signature (Applicant or Agent
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT `
QTY
AMOUNT PAID
PAID DATE
BSAS SB1473 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
$58.00
$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:
TOTALS:
$166.77
$167.77
$0.00
00
``• Permit Details PERMIT NUMBER
0
- 9
City of La Quinta BwFE2o16'=x4
Description: GRIFFIN RANCH LOT 148 BLOCK WALL 270 LF
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 4/18/2016 MFA
APPROVED
Approved: 4/19/2016 MFA
Parcel No: 767800073 Site Address: 54930 MADAGASCAR WY LA QUINTA,CA 92253
Subdivision: TR 32879 Block: Lot: 148
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $6,750.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
ADDRESSI
Details: 270 LF GARDEN WALL [PROTO 11 SPECIFICATIONS) 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
INFORMATION
CONTACTS
CLTD
DESCRIPTION ACCOUNT QTY
AMOUNT
PAID
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA
92210
(949)349-8269
ulrichs@uslandlink.co
m
CONTRACTOR
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO
CA
92656
(949)349-8269
lennar@lennar.com
OWNER
LENNAR HOMES OF CALIFORNIA INC
25 ENTERPRISE
ALISO VIEJO
CA
92656
(949)349-8269
lennar@lennar.com
i
FINANCIAL
INFORMATION
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:
Printed: Tuesday, April 19, 2016 3:32:41 PM 1 of 2 sysTEMs
Printed: Tuesday, April.19, 2016 3:32:41 PM 2 of 2 V -
SY57:M5
ACCOUNT;
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD,
PAID BY
CabDESCRIPTION
BY
WALL/FENCE - EA
101-0000-42404
0
$58.00
$0.00
ADDITIONAL 50 LF
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
100 LF
WALL/FENCE - FIRST
101-0000-42600TO
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL: $166.77 $0.00
TOTALS:• 00
Printed: Tuesday, April.19, 2016 3:32:41 PM 2 of 2 V -
SY57:M5
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NOTE:; :DIMENSIONS SHOWN ME NOM* PLOT PLANS vKY NOT SHOW OURRM nOMD I-WOR14ATION. REFER* TO.Tj4'
TO'861tV00 FACF AIJ0 NOT TITLE REPORT FOR otmuistoNs. CASEKIENTS. AXD OTHER INFORMA70014 OF RECORD-
ARCHir--CIVRAL POP-OUIS DRY UMMES ARE NOT $KO*A'N ON THIS PLAN..,
MSA C pNc LENNAR MFfIN RANCH
MARCH 2016
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Tmxrv�vd (m) 320.9w, w, PAX ow) v -,mm
LOT 148 - 54-930 L Madagwar Way
11 v946 SF
LENINAR LAOLARTAMSWat-zCOUNW,CAL FORMA
R80 t4ONIECITO DRIVE
CORONA.: GA OU75.
(9,51) 817-3663
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P 0 Box 1504, 76-495 Catfe Tartspfc6
L-i:,Quinta, CA 92253 - (7601777-7012
Building. -PerT t Application and Tracking Sheet
Griffin Ranch _ Ocmcr'sN»sYie;: tehnar Homes, Inc •'
Adcrcn; 980 Montecito Or, Suite 342
i si DE3cri taoR; TIM 32$7 _ Cary ST', 2: ; Corona; Chi 92879
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3. SEE SHEET B AND SHEET C PRIOR TO
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AND SLEEVE PER MFR'S SPEC.
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BUILDING & SAFETY.DEPT.
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