BRES2014-105678-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ULRICH SAUERBREY
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74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
J
c&t�p 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
ORES2014-1056
54565 SEA HERO CIR
767780030
GRIFFIN RANCH TRACT 32879
$315,212.50
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 full force and effect.
License Class4qOWNER-BUILDE
e No.: 728102
� Da Contr',acc r:
DEC ATION
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).:
(_) 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 builds or improves thereon, and who does the work
himself or herself through his o' 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, -he 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
Cwner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty o,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:
Lender's Address
M
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/28/2014
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)349-8000
Lic. 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 certify that in the performance of the work for which this permit is issued, I
shal 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 to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply
with those provisions.
�" e: Applican.
WARNI G: FAILURE TO SECURE WORKERS' CO ENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE 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 building
construction, and hereby authorize representatives of this city to enter upon the above-
mentioned property for inspection purposes.
L �
Dice Signature.(Applicant or Agent): Alwgll_"(�
FINANCIAL INFORMATION
DESCRIPTION ACCOUNT QTY AMOUNT
PAID
PAID DATE
ART IN PUBLIC PLACES - RESIDENTIAL 270-0000-43201
0 $288.03
$0.00
PAID BY METHOD
RECEIPT #
CHECK #
CLTD BY
I
i Total Paid forART IN PUBLIC PLACES - AIPP: $288.03 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
$13.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $13.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
0
$942.00'
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
2S1-0000-43200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forDIF - SINGLE FAMILY DWELLING $6,894.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,OOOSF
101-0000-42403
0
$72.96
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $215.96 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL FINISH GRADING PC
101-0000-42600
0
$143.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forGRADING: $143.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$107.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$107.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$83.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forMECHANICAL: $309.86 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI STRUCTURE PLAN CHECK - EACH
101-0000-42600
0
$47.67
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $47.67 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,292.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$638.39
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PERMIT: $638.39 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$11.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
I
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$250.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$35.75
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$23.84
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$11.92
$0.00
PAID BY
METHOD •
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $345.67 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$40.98
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $40.98 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY -�
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00
t
a
Permit Number: BRES2014-1056 Description: GRIFFIN RANCH TRACT 32879
Applied: 7/15/2014 Approved:
Issued: Finaled:
Site Address: 54565 SEA HERO CIR
City, State Zip Code: LA QUINTA, CA 92253
Status: SUBMITTED Applicant: ULRICH SAUERBREY
Parent Permit: Owner: IOTA GRIFFIN
Parent Project: Contractor: LENNAR HOMES OF CALIFORNIA INC
Details: y
4,882SF DWELLING - PLAN 3XA, SERIES 11, LOT 253 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK
WALLS, BBQ OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODES.
Printed: Monday, 28 July, 2014 1 of 1 C `
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