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BWFE2015-001078-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: Applicant: ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS, CA 92210 4 4v Quiaz COMMUNITY DEVELOPMENT DEPARTMENT BWFE2015-0010 81435 THUNDER GULCH WY 767790045 147 LFGARDEN WALL $3,969.00 BUILDING PERMIT VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 mer: FA GRIFFIN 75 MACARTHUR CT NO 1550 WPORT BEACH, CA 0 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 Profe Bions Code, and my License is in ull force and effect. License Clas : B I License No.: 728102 ti �, Q Date: t Contractor: ' 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' Slate 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 Name Lender's Address: Contractor: Date: 1/14/2015 LENNAR HOMES OF CALIFORNIA INC 25 ENTERPRISE ALISO VIEJO, CA 92656 (949)349-8269 Llc: 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 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 becomject to the workers' compensat' n provisions of Section 3700 of the Labor de, I shall orthwith comply with those revisions. Date: Applicant:, 0/ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAG SUNWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVPTO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO TH 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 h reby authorize representatives of this c' y to enter upo e a ve- mentioned prope y for inspection purposes. Date: 17( Signature (Applicant or Agent): DESCRIPTION FINANCIAL INFORMATION • 3. ACCOUNT QTY AMOUNT PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/12/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIFORNIA INC CHECK R3383 13268 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION `' ACCOUNT QTY AMOUNT . PAID PAID DATE WALL/FENCE - EA ADDITIONAL 50 LF 101-0000-42404 0 $62.36 $62.36 1/12/15 PAID BY METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIFORNIA INC CHECK R3383 13268 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $47.86 1/12/15 PAID BY METHOD RECEIPT # ,CHECK # CLTD BY LENNAR HOMES OF CALIFORNIA INC CHECK R3383 13268 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID .:,PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $60.91 1/12/15 PAID BY - METHOD RECEIPT # CHECK # CLTD BY LENNAR HOMES OF CALIFORNIA INC CHECK R3383 13268 MFA Total Paid for FENCE OR FREESTANDING WALL $171.13 $171.13 Description: 147 LFGARDEN WALL Type: WALL/FENCE Subtype: Status: ISSUED Applied: 1/8/2015 MFA Approved: 1/13/2015 MFA Parcel No: 767790045 Site Address: 81435 THUNDER GULCH WY LA QUINTA,CA 92253 Subdivision: TR 32879 Block: Lot: 206 Issued: 1/14/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $3,969.00 Occupancy Type: Construction Type: Expired: 7/13/2015 MFA No. Buildings: 0 No. Stories: U No. Unites: 0 Details: 147LF OF 6' GARDEN WALL [CITY AND PROTO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. J Applied to Approved 17PApproved rto Issued Printed: Wednesday, January 14, 2015 9:10:18 AM 1 of 2 CR SYSTEMS -~ Permit Details PERMIT NUMBER... BWFE2 ,2,05_ City of La-Quinta x001Q DESCRIPTION ACCOUNT QTY, AMOUNT PAID PAID DATE RECEIPT # `CHECK #° .METHOD ` 'PAID BY CLTD INSPECTOR . " SCHEDULED DATE INSPECTIONS COMPLETED DATE RESULT REMARKS - ` NOTES BOND BEAM BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 1/12/15 R3383 13268 CHECK LENNAR HOMES OF MFA FINAL" CALIFORNIA INC Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: WALL/FENCE - EA 101-0000-42404 0 $62.36 $62.36 1/12/15 R3383 13268 CHECK LENNAR HOMES OF MFA ADDITIONAL 50 LF CALIFORNIA INC WALL/FENCE - FIRST iii-vvvu-42404 $47 ,,. ayi.00 �7 $y..SS 1111121111,55 o 3,83 1 68 32.,,. CHECK LENNAR HOMES OF MFA 100 LF CALIFORNIA INC WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $60.91 1/12/15 R3383 13268 CHECK LENNAR HOMES OF MFA 100 LF PC CALIFORNIA INC Total'Paid for FENCE OR FREESTANDING WALL $171.13 $171.13 TOTALS: $172.13 $172.13 PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Wednesday, January 14, 2015 9:10:18 AM 2 of 2 0 SYSTEMS SEQID INSPECTION TYPE _ INSPECTOR . " SCHEDULED DATE INSPECTIONS COMPLETED DATE RESULT REMARKS - ` NOTES BOND BEAM FOOTINGS AOR FINAL" PARENT PROJECTS BOND INFORMATION ATTACHMENTS Printed: Wednesday, January 14, 2015 9:10:18 AM 2 of 2 0 SYSTEMS