BWFE2015-030978-495 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
B W FE2015-0309
Td„r °F4Q,uxrw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
80305 SIGNATURE WY 46
775220021
SIGNATURE TM 36537 / COMMON AREA WALLS
$4,825.00
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.
LicenfCla : B License No.: 927267
se
Date: Contractor..
OWNER -BUILDER DECLARATIOUrofessio
I hereby affirm under penalty ofperjury that I am exempt fis State
License Law for the following reason (Sec. 7031.5, Businessode: 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 Name:
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153-
Owner:.
77-7153
Date: 11/4/2015
Owner:.
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 92008
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 bec a subj tt to the
workers' co pensation provisions of Section 3700 the or Code, I all forthwith
comply with hose rovisions.
Date: « Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION •OVERAGE IS UNLA FUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A FINES 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 rrect.
I agree to comply with all city and county ordinances and state laws relating to wilding
construct' o ,and hereby authorize representatives of this city to enter u t e
above -me Toned property for inspection purposes.
�i
Date: Signature (Applicant or Agent):
FINANCIAL INFORMATION
DESCRIPTION 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 for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
DESCRIPTION
ACCOUNT
'QTY
AMOUNT
PAID
PAID DATE
COMBINATION GARDEN/RETAINING WALL -
EA ADD 50LF
101-0000-42404
0
$58.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
COMBINATION GARDEN/RETAINING WALL-
FIRST 100LF
101-0000-42404
0
$95.72
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
PAID
PAID DATE
COMBINATION GARDEN/RETAINING WALL -
FIRST 10OLF PC
101-0000-42600
0
$60.91
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for COMBINATION GARDEN/RETAINING WALL: $214.63 $0.00
TOTALS: $215.63 $0.00
Description: SIGNATURE TM 36537 / COMMON AREA WALLS
Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: APPROVED
Applied: 10/26/2015 MFA
APPROVED
Approved: 11/3/2015 JJO
Parcel No: 775220021 Site Address: 80305 SIGNATURE WY LA QUINTA,CA 92253
Subdivision: Block: Lot:
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $4,825.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: THIS PERMIT COVERS THE FOUR INTERSECTIONS AT SIGNATURE WAY AND ROYAL OAKS, BEHIND THE CURB RAMPS. 193 LF OF
BLOCK WALL WITH ORCO APPROVED DETAILS. PER 2013 CALIFORNIA BUILDING CODE.
__j Applied -to Approved
Printed: Wednesday, November 04, 2015 7:47:44 AM 1 of 2 r
SY57EM5
ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION.DATE
NOTES
PLAN CHECK SUBMITTAL MARY FASANO
RECEIVED
10/26/2015
10/26/2015
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-
6749
ulrichs@uslandlink.co
m
CONTRACTOR CALIFORNIA WEST CONSTRUCTION
INC
5927 PRIESTLY DRIVE
STE 110
CARLSBAD
CA
92008
(760)918-2839
(760)918-
6749
LBELLOSO@CALWESTC
OMMUNITIES.CQM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
110
CARLSBAD
CA
92008
(760)918-2839
(760)918-
6749
LBELLOSO@CALIFORNI
AWESTCOMMUNITIES.
COM
Printed: Wednesday, November 04, 2015 7:47:44 AM 1 of 2 r
SY57EM5
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Printed: Wednesday, November 04, 2015 7:47:44 AM 2 of 2 OT
SYSTEMS
PARENT PROJECTS
1.
FINANCIAL
.•
PG2015-0033
PRECISE GRADING
6/17/2015 TRACT 9/2/2015 APPROVED BRYAN MCKINNEY
CLTD
DESCRIPTION ACCOUNT CITY
AMOUNT
PAID
PAID DATE RECEIPT # CHECK # METHOD PAID BY
RETURNED STATUS REMARKS
REVIEW TYPE
REVIEWER SENT DATE
BY
BSAS SB1473 FEE 101-0000-20306 0.
$1.00
$0.00
1ST BLDG NS (1 WK)
Total Paid for BUILDING STANDARDS ADMINISTRATION
$1.00
$0.00
BSA:
PERMITS
COMBINATION
GARDEN/RETAINING
101-0000-42404
0
$58.00
$0.00
WALL - EA ADD 50LF
COMBINATION
GARDEN/RETAINING
101-0000-42404
0
$95.72
$0.00
WALL - FIRST 10OLF
COMBINATION
GARDEN/RETAINING
101-0000-42600
0
$60.91
$0.00
WALL - FIRST 10OLF PC
Total Paid for COMBINATION GARDEN/RETAINING WALL:
$214.63
$0.00
TOTALS:00
Printed: Wednesday, November 04, 2015 7:47:44 AM 2 of 2 OT
SYSTEMS
PARENT PROJECTS
PROJECT NO
PROJECTTYPE
APPLIED PROJECTSUBTYPE APPROVED STATUS CLOSED PLANNER.
PG2015-0033
PRECISE GRADING
6/17/2015 TRACT 9/2/2015 APPROVED BRYAN MCKINNEY
RETURNED STATUS REMARKS
REVIEW TYPE
REVIEWER SENT DATE
DUE DATE , NOTES
DATE
1ST BLDG NS (1 WK)
BUILDING 10/26/2015
11/2/2015 11/3/2015 APPROVED NEED FOUR SEPERATE
BUCKET
PERMITS
Printed: Wednesday, November 04, 2015 7:47:44 AM 2 of 2 OT
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Building.permlt.Apipilicatlofi and Tracking Sheet
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Tdophom'750-918-6758
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Scttuul:Ftes
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S'rgnatUreWod(?l Walt Summary
.Wall Location.
Address
Wali Type.
Combination wall .0-3.' retaining
vvith.Q-3` nan-retain black #Lf j _.j
2'. Block w/4: Wrpught Gombinat.iort oval! 6'ret3inirig v.�ith 2`
to
aim {LFj, poo-retaiRand 4' wro4ht iron {LF}.'
NW'Corner
80-305 _
Signature Way
53
Q 0
SVdorner.
8fJ=305
Si natu
ce-Wa . B Y
44..
0 0
NE Corner
8.0-305
Signature. Way
43
0. 0
SE Cotner
80a305
Signature: Way:
S3
0. 0
_
Total Walls
193
0 Q
ub(&) - 1=oup— S6 pc rzar&- hetn,,(5
CITY OF LA QUINTA
BUILDING & SAFETY DEPT,
fFOR ONSOVED
STRUCTION