BPAT2015-001478-495 CALLE TAMPICO
LA QUINT A C 0 92253
T"t'1'O%4vQwxfw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BPAT2015-0014
Property Address:
80265 SIGNATURE WAY
APN:
775220021
Application Description:
SIGNATURE AT PGA/36537-1/(2) PATIO COVERS ENGINEERED
Property Zoning:
Application Valuation:
$35,000.00
Applicant:
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
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 essions Code,
and my. License is in full force and effect.
License Cla : B License No.: 927267
Date: Contractor:
r -c'
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from 2tr.ctor'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.).
Lender's
Lender's
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
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 k 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 subject to workers'
compensation laws of California, and agree that, if I should become su iect to the
workers' compensation provisions of Section *00 of the Labor. , shall forthwith
comply wit ose provisions.
Date: Applicant Q
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO OVERAGE IS LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVIL FIN S UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ON TO THE C T OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 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 buil ing
construction, and hereby authorize representatives of thisity to enter u e ove.
mention5d roperty for inspection purposes.
Date: �� Signature (Applicant or Agent)'
Date: 4/28/2015
Owner:
RREF II CWC LAC, LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
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Contractor:ZL
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CALIFORNIA WEST CONST RUCIi-IfON
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5927 PRIESTLY DRIVE STE
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CARLSBAD, CA 92008
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(760)918-6768
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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 k 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 subject to workers'
compensation laws of California, and agree that, if I should become su iect to the
workers' compensation provisions of Section *00 of the Labor. , shall forthwith
comply wit ose provisions.
Date: Applicant Q
WARNING: FAILURE TO SECURE WORKERS' COM PENSATIO OVERAGE IS LAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVIL FIN S UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDI ON TO THE C T OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3 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 buil ing
construction, and hereby authorize representatives of thisity to enter u e ove.
mention5d roperty for inspection purposes.
Date: �� Signature (Applicant or Agent)'
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT-
QTY
AMOUNT PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0
. $2.00. $0.00
PAID BY
METHOD
RECEIPT # CHECK #
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA: $2.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$0.00
PAID BY r
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $48.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED
101-0000-42404
0
$266.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PATIO COVER, DESIGNED PC
101-0000-42600
0
$336.48
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $603.34 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for PLUMBING FEES: $36.26 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$4.55
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid forSTRONG MOTION INSTRUMENTATION SMt $4.55 $0.00
TOTALS:• ••
a ,
SOF i'tn'
Pearn it Detr i Is
City of La Quinta
PERMIT NUMBER
BP�1►T�2015-00.14
Description: SIGNATURE AT PGA/36537-1/(2) PATIO COVERS ENGINEERED
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Type: PATIO COVER
Subtype: Status: APPROVED
Applied: 3/5/2015 SKH
Approved: 4/22/2015 JJO
Parcel No: 775220021 Site Address: 80265 SIGNATURE WAYLA QUINTA,CA 92253
Subdivision: PM 20426
Block: Lot: 7
Issued:
Lot Sq Ft: 0
Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $35,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
- No. Stories: 0 No. Unites: 0
Details: SHADE TRELLIS AND GAS BBQ AND FREE STANDING SHADE TRELLIS. 2013 CALIFORNIA BUILDING CODES.
J Applied to Approved`
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NAME TYPE
NAME
ADDRESS1
CITY
STATE ZIP PHONE FAX EMAIL
APPLICANT
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
STE 110
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
CARLSBAD
CA
92008
110
PROJECT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA
92210
ulrichs@uslandlink.co
MANAGER
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.,IN AN -C I A, -Q INFORMATION
Printed: Tuesday, April 28, 2015 1:35:06 PM 1 of 3
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Permit Detrails
City 0f La a uin.
PERMIT NUMBER
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CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
REMARKS
NOTES
DATE DATE
FINAL"
BY
BSAS SB1473 FEE
101-0000-20306
0
$2.00
$0.00
Total Paid forBUILDING STANDARDS ADMINISTRATION $2,00 $0.00
BSA:
DEVICES, FIRST 20
101-0000-42403
0
$24.17
$0.00
DEVICES, FIRST 20 PC
101-0000-42600
0
$24.17
$uA0
Total Paid for ELECTRICAL: $48.34 $0.00
PATIO COVER,
101-0000-42404
0
$266.86
$0.00
DESIGNED
PATIO COVER,
101-0000-42600
0
$336.48
$0.00
DESIGNED PC
Total Paid for PATIO COVER / COVERED PORCH / LATTICE $603.34 $0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Total Paid for PLUMBING FEES: $36.26 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$4.55
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $4.55 $0.00
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SEQID
INSPECTION TYPE
INSPECTOR SCHEDULED COMPLETED
RESULT
REMARKS
NOTES
DATE DATE
FINAL"
Printed: Tuesday, April 28, 2015 1:35:06 PM 2 of 3
fJ RLJ LJ SYSTEMS
OF U
REVIEW^TYPE-.
-REVIEWER-
-SENTDATE-
-DUE- E-
DATE
STATUS
REMARKS
NOTES
NON-STRUCTURAL
JIMJOHNSON
3/12/2015
3/19/2015-
3/20/201S
APPROVED
APPROVED PENDING STRUC APPROVAL
STRUCTURAL
KATHRYN
-
3/12/201S
3/19j2015
3/23/201S
REVISIONS REQUIRED
I
I SAMUELS
I
1 1
I I
I PLANNING
IWALLYNESBITI
3/17/2015 1
3/20/201S I
3/30/201S I
READY FOR APPROVAL 1
2 SHADE STRUCTURES
1 1 BBQ TRELLIS AND 1 POOL AREA SHADE TRELLIS
Printed: Tuesday, April 28,ZOzSz:35:OhPxx 3of]