Loading...
BWFE2015-0269Y' LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro v' ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code, and my License is in full force and effect. License CI ss: License No.: 927267 Date�I 1� < Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t ntractor'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 Add 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 theylbrk for which this permit is issued. N/ 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 t the workers' compensation laws of California, and agree that, if I should become s ject to the r workers' compe ation provisions of Section 37 0 of the Co , I shall forthwith comply wit'. it tho a provisions. '�. Date: % 5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO 06 F'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 relay b ilding construi/f"ri d hereby authorize representatives of this ci to ent upon t above• mentioerty for inspection purposes.�s Date: Signature (Applicant or Agent): aw VOICE (760) 777-7125 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CAI-lFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Da • 8/31/2015 Application Number: BWFE2015-0269 Owner: z Property Address: 80321 PGA BLVD RREF II CWC LAQ LLC APN: 5927 PRIESTLY DR STE 110 `_ Application Description: SIGNATURE TTM36537-1 GARDEN WALL 45 LF CARLSBAD, CA 92008 O N o Property Zoning: _z w Application Valuation:, $5,000.00 © Sg CL O w O Applicant: Contractor: LLJ ULRICH SAUERBREY CALIFORNIA WEST CONSTRUCTI 74948 LIVE OAK STREET 5927 PRIESTLY'DRIVE STE 110 INDIAN WELLS, CA 92210 CARLSBAD, CA 92008 (760)918-6768 Llc. No.: 927267 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under pro v' ons of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rofessions Code, and my License is in full force and effect. License CI ss: License No.: 927267 Date�I 1� < Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from t ntractor'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 Add 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 theylbrk for which this permit is issued. N/ 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 t the workers' compensation laws of California, and agree that, if I should become s ject to the r workers' compe ation provisions of Section 37 0 of the Co , I shall forthwith comply wit'. it tho a provisions. '�. Date: % 5 Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATIO OVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT SAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADD ION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTIO 06 F'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 relay b ilding construi/f"ri d hereby authorize representatives of this ci to ent upon t above• mentioerty for inspection purposes.�s Date: Signature (Applicant or Agent): a L INFORMATION . DESCRIPTION a 4 -ACCOUNT , .QTY< AMOUNT.. PAIDr ' ? PAID DATE t, =DSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY, +' ` METHOD ; ' ` � RECEIPT # CHECK # x 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` G s METHOD X RECEIPT?#` 4` CHECK #.' ..,,CLTD BY ;DESCRIPTION "QTY= ;� AMOUNTS PAID -� .PAID DATE; WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 'PAID BY z J METIiOO 3,;RECEIPT # CHECK # , a c CLTD'BY. r Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00 _ TOTALS:0• 00 • 1 1 1 • 1 Description: SIGNATURE TTM36537-1 GARDEN WALL 45 LF Type: WALL/FENCE Subtype: Status: APPROVED Applied: 8/31/2015 MFA Approved: 8/31/2015 MFA Parcel No: Site Address: 80321 PGA BLVD LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $5,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 45 LF GARDEN WALL [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. FINANCIAL INFORMATION •• - Printed: Monday, August 31, 2015 12:00:51 PM 1 of 2 srsTenns SECRID INSPECTION TYPE INSPECTOR } SCHEDULED COMPLETED RESULT REMARKS NOTES T :u F _. DATE. 'BATE • • t • r - 0 BOND BEAM BLD 0 FINAL*" BLD - 0 j FOOTINGS j BLD PARENT PROJECTS „ Printed: Monday, August 31, 2015 12:00:51 PM 2 of 2 CRWYSTEMS CLTD DESCRIPTION.. ACCOUNT CITY. AMOUNT, PAID; PAID DATE :RECEIPT #: ' CHECK # METHOD PAID BY , BY:`; ; BSAS SB1473 FEE 101-0000-20306. 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE -FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00 TOTALS:0• 00 SECRID INSPECTION TYPE INSPECTOR } SCHEDULED COMPLETED RESULT REMARKS NOTES T :u F _. DATE. 'BATE • • t • r - 0 BOND BEAM BLD 0 FINAL*" BLD - 0 j FOOTINGS j BLD PARENT PROJECTS „ Printed: Monday, August 31, 2015 12:00:51 PM 2 of 2 CRWYSTEMS .City 6f La QuInta . w I Gig, asoew M/U P 0& x k 5{)4,78-`i;95 Carr- ram U:{FUW.;, CA 92253 - (160)177-10 12 Building Permit Appiicativn and T'raddng Sheet riiidt O ;- V" ° . " C3-321 PGA Blvd. OwrtalsNam CaiWest Communities A. P. Numbcr, Ad&t4w,5827. Priestly Drive, Suite t tai t, t to TTM 36537-1. - City" A Wx Carlsbad, CA 92DOO Omu%d : CalWest °Communities ` ' zeaWmet 760-918-6768, _. .Addrw, Sartre as boVe Dawpdon- aty.sr.zip.. fristaliation of 45 Lk eat Feet of Tdrat , 6 a an a pas attach�cfCti ctetait s i€� n F112 its Ur- : Qn Fite Arm :, add Primary Contact: UZ BeitasCa, Crit', ST, Zip: Cell" 760-716-9912 Ccf�plza�se C;onst"lim' ype- occup- y PrcEjeCLiyp�(eircrtot�ej: Wtw Ad&n after 'Repair Dm* Stsitiac it Sq. fiL; SaEe uiihancef4uotpawn. fiUlrichC1 SaEGt3E$ T C�. OYCt2Rt3Ct Pe t = 760-61091HA T1S�IFL3ISEL YL>UC Q€'P'tKif $5. 000 • , anr=t.rC AM. Ra N07 Wr' E MOW ` nts L M1.4 sacs @r�ur C3cr ink ,iaa e ' `:�Yr'c�dy:.Eac c+DrktC$t6� i F I+i9 C�•ci''ri , Tim Extra. COW :d Pcrox i>ana C Et kw= Tfile 24 LVc ..... :F"11Mfd$ j'�31:i �.a ,_ .. .. . ".�ta6s's ingY�iYftrf.EG� • ... .. ; iC�triicai .. x11 Rrview, rtidy Wr wrradwitrion " ter suac�aaecctrt�a c:trcd.cexp M _. Y�,at�bt _, if E)A. Preus rudwtted rni Eh ES9Era�. ,. p,, �"�rrerr ►ud c�cAr:eetre ap ffip�tE.�ib i�vci , ez pfu�znint Pr E CatiedCaotattPems Ntu WWAtnpr ' fiuEt of pescEi6sva Sd*di .F¢ts ARS { _ q 4•L ;..c`� ��3q ilk ir OWN . �°�� ��cL'1'�ja� � jY�•� f ,_ .,,� �f'e",w .s,�'l, v +,�n,�, + 3 [� � ' sY" ,Pr'w,Pq�••'si•f!•i_u.' �y �.y'�. Y �.�T% <fA �•.�iy�1 Yl ..a "� Aw ..��a+� �". T�'�� _ ,• - aR.m..�,.,r..,l: � ♦""6f•` "Wp ���krJ�1�� [6' �'�.b:. I �;'� '�y �'. ��s"S �•� � .. � ' � �� ♦`f ^�� Y '.� � i �; 4. Sit 3 � � . � � � � �, r'� eta ti e�• � � a ' 4 � � ai �� f` T. R •� �� fir ���� � e ,qf•>s� +1a 1 P^'a;.���'�''�'��• g i�'+9R' 'w'`�'g SGL. i '. r `w+" ,- ' s. � 3 `��:.� P a 5 • � � fax ,g � � _ - -. ,yr ..�A♦♦ '� }� @��'Y p, lla( ��+�,'y ' 1 "� p, ! t ' ,^meg'' moi,{ .. ... 1e4"%�'g.'.'q@•''`.,V 't Y� � � 'G/[�i� : v� {� d"v�`q�t �� �M" "� �. R rA„ k & : �: C'i+N. 'j � � � � ., �vw. N:'IR �' '. , tog F.. TSYf oil . � tea- �� .. • '¢E,.� ,�,��.��� ,�,�� ;�f,, '� � `' ,� J,,; e.e. .d'. #t'"'a•. -, e�"' �'r �� � sib_ �. � >f'p � � r' .V�d d ( M•�. .ge^ yr '• @ f� 'f C i' y?�`r+ f °# e f .... U- . '�"t•,•'ad' .. S ^F irY § f.>Ka. •.•',..hp�.q T4W �.:✓. , Ct <.22LL�� F- ' 1pdx+�.pW�' Z `•��. nO • � � � 7 z CL ((ami S g•.. J. lips A-4 Q4WTY^ x rr, P +s•` y/yy o oO ..�. c r ' > C) L V, 015 z } m U- CL 0 O P A OuLl 40 A WHO MR 0 . wq'm,Mw, -CITY OF LA QLj_lNTA BUILDING & SAFETY DLEPT. APPROVED FOR CONSTRUCTION (L i r DATE'O BY