BWFE2015-0052� s 4
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T-i&t 4 4 Q"
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2015-0052
Property Address:
80265 SIGNATURE WAY
APN:
775220021
Application Description:
SIGNATURE AT PGA/36537-1/(2) PILASTERS FOR ENTRY GATE
Property Zoning:
Application Valuation:
$15,000.00
Applicant:
CALIFORNIA WEST CONSTRUCTION I
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
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 Clas : B License No.: 927267
Date L� Contractor: �
t
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt f om ontractor'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 Na
Lender's Address:
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 rk 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:
Carriet 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 becomes sect to the
workers' com ensation provisions of Section 00 of the Labor Cod , I shall forthwith
comply wit provisions.
Date:" Applicant: • ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONUOFTHE
NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIT OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION BOR 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 co ect.
I agree to comply with all city and county ordinances and state laws relating to b ding
construction, and hereby authorize representatives of this city to enter upon a bove-
mentionn/ed property for inspection purposes.
Dae Signature (Applicant or Agent):
Date: 4/28/2015
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
Lr)LU
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Contractor:
CL_
CALIFORNIA WEST CONSTRUCTION
II n-
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5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
r�
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(760)91876768
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 rk 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:
Carriet 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 becomes sect to the
workers' com ensation provisions of Section 00 of the Labor Cod , I shall forthwith
comply wit provisions.
Date:" Applicant: • ��
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONUOFTHE
NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIT OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION BOR 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 co ect.
I agree to comply with all city and county ordinances and state laws relating to b ding
construction, and hereby authorize representatives of this city to enter upon a bove-
mentionn/ed property for inspection purposes.
Dae 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 forBUILDING STANDARDS ADMINISTRATION BSA
$1.00
$0.00
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
TOTALS:0•
$108.77
$0.00
i 00
,-�
Permit Details PE--RMIT NUMBER
- City of La Quinta BWFEl2015-OQ52
Description: SIGNATURE AT PGA/36537-1/(2) PILASTERS FOR ENTRY GATE
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Type: WALL/FENCE
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 Scl Ft: 0
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. 11nites: 0
COMPLETION DATE
Details: PILASTERS FOR ENTRY GATE. 2013 CALIFORNIA BUILDING CODES.
NOTES
Process Summary
48��
1 Applied to Approved
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X.3
CHRONOLOGY TYPE STAFF NAME ACTION DATE
COMPLETION DATE
NOTES
PLAN CHECK RECEIVED 03/05/2015. DUE TO COMPLICATED
NOTE
STEPHANIE KHATAMI
3/12/2015
3/12/2015
SUBMITTAL, PLAN CHECK STARTED ON 3/12/15.
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44
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
m
Printed: Tuesday, April 28, 2015 3:15:36 PM 1 of 3 CRWrsreMs
Permit Det°a1�S PERMIT NUMBER
City of La Quints BWFE20115_0052.
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RETURNED
STATUS
REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
CLTD
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK #
METHOD PAID BY
DATE
NON-STRUCTURAL
BY
BSAS SB1473 FEE
101-0000-20306 .
0
$1.00
$0.00
YOUNG
3/12/2015
3/19/2015
3/23/2015
Total Paid forBUILDING STANDARDS ADMINISTRATION
STRUCTURAL
$1.00
$0.00
ENGINEERING
BSA:
WALL/FENCE - FIRST
PEDESTRIAN POOL
PLANNING
WALLY NESBIT
3/17/2015
3/20/2015
3/30/2015
101-0000-42404
0
$47.86
$0.00
GATE
100 LF
_s
t
r, 77
WALL/FENCE - FIRST
000 r '
101-0000-42600
0
Printed: Tuesday, April 28, 2015 3:15:36 PM
$60.91
$0.00
2 of 3
00wrsrEMs
100 LF PC
Total Paid forFENCE OR FREESTANDING WALL
$108.77
$0.00
`
4 . Evi
„.
'TR'
a .
RETURNED
STATUS
REMARKS
REVIEW TYPE
REVIEWER
SENT DATE
DUE DATE
NOTES
DATE
NON-STRUCTURAL
JIM JOHNSON
3/12/2015
3/19/2015
3/25/2015
APPROVED PENDING STRUC APPROVAL
YOUNG
3/12/2015
3/19/2015
3/23/2015
REVISIONS REQUIRED
STRUCTURAL
ENGINEERING
PEDESTRIAN POOL
PLANNING
WALLY NESBIT
3/17/2015
3/20/2015
3/30/2015
READY FOR APPROVAL
GATE
_s
t
r, 77
000 r '
Printed: Tuesday, April 28, 2015 3:15:36 PM
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Printed: Tuesday, April 28, 2015 3:15:36 PM 3 of 3
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