BELC2015-0094t
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA.92253 COMMUNITY DEVELOPM
BUILDING P
Application Number:
BELC2015-0094
Property Address:
56152 PGA BLVD
APN:
775220021 C(
Application Description:
SIGNATURE IRRIGATION/LANDSCAPE PEDESTAL
Property Zoning:
Application Valuation:
$10,000.00
Applicant:
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
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 Pr fessions Code,
and my License is in full force and effect.
License Class:Li rise No.: 927267
Date: �" Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Factor'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 11, 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
I'ARMNT Q
0CT.2 3C5vV��r:
L,I
0 W 06927 PR
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
:LA LC
FLY D STE 110
CA 9008
Date: 10/23/2015
Contractor:
CALIFORNIA WEST CONSTRUCTION INC
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
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 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 become subject to the
workers' compensation provisions of Section 3700 of the Labor Code I shall forthwith
comply with tAose provisions.
T
Date: / ` Applicant: -
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION UDCIV
UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESNESUPTO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITIOST 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
I agree to comply with all city and county ordinances and state laws relating to
construction, and hereby authorize representatives of this city toe er,
above -mention ,property for inspection purposes. �`
Date: Signature (Applicant or Agent):
Lender's Address: `
I I'llll'I'I� IIII III
42
F
� %' •+" i• y 9;:X�yy4 ?' �?�"p';�.�/%�,"� ,`�`v ( YrQY ..�.. � .� btx�`L,. z:. WS,
h'� DESCRIPTIONYACCOUNT QTYAMOUNT SPA
{r D D'DATE
BSAS S131473' FEE 101-0000-20306
Jo
$1.00 $1.00 10/23/15
�.,lx'XG`
§ k METHOD
PAID
m'
+.�',-�, E: � - ��.'S '�•�y�'AdEc _n�..
s IPT#.y CLTD BY�
k� _BY�r�
. , •: n 1 . . x „ 1. t ^` :`'� S5: 3. t- ,> 'iibF,? .`��t.�+.. 0A - +4
rA,REC CHECK # • s
`C^Xit,"2;�x
RREF II CWC LAQ LLC CHECK
R10253 11599. MFA
Total Paid for BUILDING'STANDARDS ADMINISTRATION BSA: $1.00 $1.00
�Qr�
� �
AMOU
xa�'�
PA�_aF:
AIDDATE
„ ._,- • ...
00UNT • .
•�. NT
.�
SERVICES
101-0000-42403
0
$24.17
$24.17
10/23/15
BY�s�
TSO`
M H D
Rte#
ECEIP{T
C ECK#
CLTD BYE
.,?Qf xr. r'#''i.Y'�YLl! .b•9�'..,'
..f'LC�
k
,5�.'i11 `.. .
RREF II CWC LAQ LLC
CHECK.
R10253
11599
MFA
SERVICES PC
101-0000-42600
0
$12.09
$12.09
10/23/15
PAID Blf s.
` METHO!0011L
RECEIPT #
CHECK #
c,...d,si.,
' ,.a ;C v s�
�.wf x,...4N,i=fPa'X.a.,':R sF `ei.«_
s.,x•-:kfi`c.+;{N....r✓�,
X
z ��'DBY
RREF II CWC LAQ LLC
CHECK
R10253
11599
MFA
Total Paid for ELECTRICAL: $36.26 $36.26
K 5sx� x, Vis'
DESCRIPTIONS
NOW UNT
l
QTY
AMOUNT
PAID
PAIUDATE
's. Y +. r.�'"". ,�. +"ws"y�r. .,
.�✓./ �. '� �,2'.v+ n,+.•.�
., `.z''
..Ss i9� ".,.
:c':�"k S
PERMIT ISSUANCE,
101-0000-42404
0X
$91.85,
$91.85
10/23/15'
i
�,,; a PAID+BY��
METHOD K
xr RECEIPxT#
E K #,°CLTDBY:
.,.
a
snNwm
RREF II CWC LAQ LLC
CHECK
R10253
11599.
MFA
Total Paid for PERMIT 15SUANCE: $91.85 • $91.85.
F
J
'
Description: SIGNATURE IRRIGATION/LANDSCAPE PEDESTAL
Type: ELECTRICAL Subtype: Status: ISSUED
Applied: 10/12/2015 MFA
Approved: 10/12/2015 BHA
Parcel No: 775220021 Site Address: 56152 PGA BLVD LA QUINTA,CA 92253
Subdivision: Block: Lot: Q
Issued: 10/23/2015 MFA
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00 Occupancy Type: Construction Type:
Expired: 4/20/2016 MFA
No. Buildings: 0 No. Stories: 0 No. Unites: 0
NAME
Details: INSTALL 100 AMP ELECTRICAL PEDESTAL TO INCLUDE MISC IRRIGATION CONTROLLERS AND LANDSCAPE LIGHTING PER 2013
CALIFORNIA BUILDING CODE
! Applied to Approved
Approved to Issued
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS
CA
92210
(760)918-2839
(760)918-
ulrichs@uslandlink.co
6749
m
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
(760)918-2839
(760)918-
LBELLOSO@CALWESTC
INC
STE 110
6749
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
CARLSBAD
CA
92008
(760)918-2839
(760)918-
LBELLOSO@CALIFORNI
110
6749
AW8TCOMMUNITIES.
COM
Printed: Friday, October 23, 2015 3:47:27 PM 1 of 2
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
CLTD
BY
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$1.00
10/23/15
R10253
11599
CHECK
RREF II CWC LAQ LLC
MFA
Total Paid for BUILDING STANDARDS ADMINISTRATION
BSA: $1.00 $1.00
SERVICES
101-0000-42403
0
$24.17
$24.17
10/23/15
R10253
11599
CHECK
RREF 11 CWC LAQ LLC
MFA
SERVICES PC
101-0000-42600
0
$12.09
$12.09
10/23/15
R10253
11599
CHECK
RREF II CWC LAQ LLC
MFA
Total Paid for ELECTRICAL: $36.26 $36.26
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$91.85
10/23/15
R10253
11599
CHECK
RREF II CWC LAQ LLC
MFA
Total Paid for PERMIT ISSUANCE: $91.85 $91.85
TOTALS: $129.11 $129.11
PARENT PROJECTS
Printed: Friday, October 23, 2015 3:47:27 PM 2 of 2 i
City, O*f La Quinto
gdidln& s Safety i?i don
Permit % P.Q: Box f 5O4, 76-495 Calle" Tampico
La Ql inU, CA 922$3 (760) 777-7012
Building Permit ApPiication and Tracking Sheet
Pmje,aA&m.=
GA Blvd
OwAtes Nxyw CalWesf Communities
a P.rh77r�tr
A .5927 Priestly Drive, Suite 110
Y.qf r3ts�t;oL TTM 36537
Cityrsr.Zjx: Carlsbad, CQ 92005"
Contracsnes CaMest CommunitiesTct
isaxx:
� 76t}-915-6768
Address: Same as above
PmjeetUtss Pnonr
City, ST Zip-
installation of 100 Amp,
Tdtphune:
-
1201240 V, 1 phase, electrical
Swo ut- 9 : On File
City idt~. #: Ota File
Ara, E`er_ Desi&1tr
controllers and Landscape
Md'C= Prima
Contact. Liz Selloso
lighting
city, ST, V.. Cell: 764-710-9912
Trar
StatcLiG Y:
y t
»` ` '.:
Constmcu=Type: Ooct-!pncy_'
Pro*ect.typo(circl,-ond),. Nkw Ad(Fn Arca" RepairD=o
Nz=ofCooturxeersa»:
Alt: Ulrich Satterbrey
Sq. t.c�.
Tacplloac i of Contact Pcrzan: 760-610-9410
F4t;tnatrd Value of Pmjcce $10,000
APPLICANT: 7O NOT WRITE BELOW THIS UNE
#
Sobtaittal
Rcq'd
'Atc1d
TRA -Cl , €`LE' Nff FSES
Plan Sets
kiln ChMLtub laid
ittao A�tonct
structum! Calm
'
Restored, rudy for awrt'.edow
. Mo Cb' T3ep6sit
Thrst CsEtx.
Called Cutuat t Person
i'Utn.GFietic l3ataaet
'Ei.6e 24 Qdm
Mul pit ktd up
Ct7astzrlCBRn
F"d pWn ptaa
i'ta7rs rtmbmittLd
fechslsk:E
Ctadi'ag plan
2� Refiew, ready for eorrtctlansRssat
E texArieat
SvbtowEstttSr l est
Catttd. Ccatsef Bir
Ptambin
GRtai ]hed
Yttad pick: d up
SAM
MO.&
€`taus rt: aftitted
Gss3io�
IN MOUSE:-
"' tteykrt, rtsaY for correctionsllssne
3Jerttoper Aenpsu Fet
lytstraltt� Apprtnal
�tleaT ConttuPcrsrxn
et,EP;P.
116. Wks. Appr '
flatt of PM -11t Esstct
Scktwi Pia
Total Y1ertnitPets
I
i!
ul
iGNATUR
All
� � � ,y ter' +- ;g'° � � �' •xw�.y
s..
JF(o tS2 PnA N,Vr,>. UP( OF LA U I NT '
BUILDING & SAF=ETY DEPT.V.;
FOR CONSTRUCTION
DAT��l��.�
Liz 1Belloso
From: Li;z, Be'lloso
Sent Tuesday, April 2%.2014 1:08 PM
To: 4uirichs@uslandlink.com'
Subject: RE: Signature at PGA West Ped location
Yes, outside the. wall. Thanks!
2
r+�uar�yttx< -
Liz Belloso
Forward Planning& .
Land Development Manager
5927 Priestly Drive Suite 1.10
Carlsbad. CA 92008
Direct 760.91a.2839
N13in 760.918.6768
Cell 760.710A912
Rax 160.91.8,6749
LBelloso@CaliforiiiaA(estCominanities.com
nis message may coiitai)i coiifidtrrtioi informatto», Vnlessy'au are the addressee (or authorized to receive for the addressees yoil I:7rry nit° lata
use or distribute this information. lfyou hm`e received this messagtin on -or, please orVise California ` t"estComniuniiiesimr?iedidtety oL
7'60.91&6768orreturnitpromptly bymoil. Thaakyou -
�t� .- �. .w Y rya- . -- - � ✓ -s- r r o 4 rMW,++rw. +r--—.w..wwo. W+M+Msw w+Vw-Mwrw-M-,.ih.• +.iY... Pn.-T+'
From:+ ulrichs@uslandlink,corn [mailto:uldchs@uslandliri�-,com]
Sent: Tuesday, April 29, 2014 11:24 AM
To; Liz Belloso; (Addie Pablos
Subject: FW: Signature at PGA West Ped location
FYI.
1. told Greg outside, the wall on the PGA west side. Correct?
From: Greg Sutler <gbutler • la -q ir�ta.or >
Date: Tuesday, April 29, 201411:21 AM
To: "Ulrich Sauerbrey, PE" <ulrichsfixttslandlink.corn>
Subject: RE` Signature at PGA Voest Peri location
Ulrich
Thanks. 1 have entered an address into ourproperbj database for this meter. pedestal.
Please use the address.
55968 PGA Blvd
La tluinta, CA 92253
Regards,
Greg Butler, KvvcGB
8wWiv-OfriciaVE.nergemy Patanagar
City of La Ouints, CA
760-777»7015 (W)
7813.777 70 t 1 Oak)
t-Ole(Cla
From. lilricbsO rslandlink.com [mailto-u1rir'hs)Iandlink,LM. T
Sent: Tuesday, April 29,2014 11:06 Ali
To: Greg Buyer
Subject: Re. Signature at PGA vilest Ped location
Outside she wall
Sincerely
Uf'rlch
On Apr 29, 2014, at I OAS A Nt "Greg Butler" < wrote,
Quick question: Is this pedestal on the PGA Blvd s1de of the project. perimeter gall, or is it inside the
Signature project?
G9
Froxt: ulrichsDusland-link.yorte.[r? +IE 2= slrc tuslandlirik<ctar l
Sent: Monday, April 2.8, 2014 6:57 PM
io: Greg ButC"
Subject: Signature at PGA west Ped location.
Cart you please assign an address for the following location for an electrical service to the HOA
irrigations,
Thx U