BELC2015-007978-495 CALLE TAMPICO:
LA QUINTAL.. C,AliFORNIA 92253
Application Number:
Property Address:
APN:
Application Description
Property Zoning:
Application Valuation:
Applicant:
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
BELC2015-0079
56104 PLATINUM WY
775220021
SIGNATURE TM 36537 E
$10,000.00
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that 1 am licensed under provi/_Kssions
ns of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and P Code,
and my Li c nse is in full force and effect.
Licensg CI ss: B License No.: 927267
C Date: Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from te Co)nsCode:Any
r's State
License Law for the following reason (Sec. 7031.5, Business and
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 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:
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 8/27/2015
Owner:.
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 52008
Contractor:
CALIFORNIA WEST CONSTRUCTION I
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6768
Llc. No.: 92726`.
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, l
shall not employ any person in any manner !o as to become subject the workers'
compensation laws of California, and agree hat, if I should becom subject to the
workers' comp nsation provisions of Section 3700 oft abor C Zwith.
comply with os p11ro ns.
I I
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATI COVERAGE I NLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIS&AWICARrFINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,D00). 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 perfcsmed 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 cartellation.
I certify that I have read this application anc state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relatin to ilding
constructi n, and hereby authorize represe--itatives of this c y to ent p n t above
mentione property for inspection purposes.
Date L Signature (Applicant or Agent):
FINANCIAL INFORMATION
,DESCRIPTION
-ACCOUNT ' ,^<
QTY
AMOUNT.` x.
PAID- PAID DATE
BSAS-581473-TEE
101-0000-20306
0
$1.00
$0.00
PAID BY„ '.:-
.n " METHOD -
, RECEIPT*
CHECK #': CLTD BY :.
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
- DESCRIPTION
A00OUNT ;{
:QTY,
AMOUNT"`"
a PAID .,
SPAID DATE
SERVICES
101-0000-42403
0
$24.17
$0.00
PAID BY _
�
ETH 6'.
� ,, � RECEIPT #'
,
/..,..,CHECK
CLTD BY
y
DESCRIPTION -j
�� , "ACCOUNT
QTY.'
` AMOUNTw
y
PAID.,
DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
PAID'BY s:
METHOD '' <, ,' . 6
RECEIPT#
CHECK#
CLTD BY
Total Paid for ELECTRICAL: $36.26 $0.00
� ZESCRIPTION ,
"' % -"-ACCOUNT,
QTY .
*'AMOUNT: t
PAID
-PAID BATE.
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
ePAID BY, t
".:. METHOD
"RECEIPT #
HECK # "
i
CLTD, BY -;
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 8/24/2015 MFA
Approved: 8/24/2015 MFA
Parcel No: 775220021 Site Address: 56104 PLATINUM WY LA QUINTA,CA 92253
Subdivision:
Block: Lot: U
Issued:
Lot Sq Ft: 0,
Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $10,000.00
Occupancy Type: Construction Type:
Expired:
No. Buildings: 0
No. Stories: 0 No. Unites: 0
INDIAN WELLS CA
Details: INSTALLATION OF 100 AMP 126/240V 1 PHASE ELECTRICAL PEDESTAL TO INCLUDE MISC. IRRIGATION
CONTROLLERS AND LANDSCAPE
LIGHTING
Printed: Thursday, August 27, 2015 2:18:02 PM 1 of 2
SYSTEMS
CONTACTS
3 $NAME9TYPE . R NAME fi .z
ADDRESSl '
'CITY ESTATE
ZIP PHONE.
FAX;, EIVIAII -:
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 1
5927 PRIESTLY DRIVE
CARLSBAD CA
92008 (760)918-2839
(760)918-
LBELLOSO@CALWESTC
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
AWESTCOMMUNITIES.
COM
Printed: Thursday, August 27, 2015 2:18:02 PM 1 of 2
SYSTEMS
DESCRIPTION'
.'ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
I METHOD
PAID BY
CL
BY .4
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
SERVICES
101-0000-42403
0
$24.17
$0.00
SERVICES PC
101-0000-42403
0
$12.09
$0.00
Total Paid for ELECTRICAL: $36.26 $0.00
PERMIT ISSUANCE
101-0000-42404
1 0
$91.85
$0.00
Total Paid for PERMIT ISSUANCE: $91.85 $0.00
TOTALS:i0
INSPECTIONS.
SEQb, INSPECTION TYPE ' INSPECTOR .-SCHEDULED COMPLETED RESULT REMARKS .> NOTES
TDAE � DATE ,
d a, 3
0 ELECTRICAL FINAL" BLD
PARENT PROJECTS
BOND INFORMATION
ATTACHMENTS
Printed: Thursday, August 27, 2015 2:18:02 PM 2 of 2 SYSTEMS
review-,rT
p
, 4142A�- ,
Q:
�-4 Z46
46�
0 -:AA
461%
V5%
KA5AIIN
0
8
CUP V -
i3 Preview File Edit View - Go To Is Window Help 3 x$ ®' C�7 j�, : ^ 4> too%'[�]� 7ue 12:01 PM Ulrich Sauerbrey :, .Ci
000-1 (2Jpdf (1 page) — Locked
C] of Q Search72
> 1
T C' Gso ARE BASED
73 UTILITY MA
} ' F A5-BUILT5
- ' 75 OB5ERVATi
9 0
IT 15 RECO
THAT THE
s . • ,: 7
t SME - ';so POTTED IN
_ n
R GATE R QEE SCJ WHERE ExA.
'79 ' '�P LOCATION
7a ,
✓ F OF FAC(UTI
TO BE KNO
BEFORE
EXCAVATIO
CALL U5A.
1-800-227
LEAST TWO
PRIOR TO
THE LOCAT
`` y , ' •' ° NEW DRY U
i, 5HOWN A
<;� F.. UPON UTIU
• E `" INFORMATI
:► " Er_ 5 . ►' ; a,OR.DEI5 O
,91t c N�, l ,1 UTILITY DEe
M Zt r , 7 ANTICIPATE
REQUIREM
EACH Or
A`i •� r l-_,; i 1- x . mow. �++ ..-../ I / i"` t 1' l •.,L
0 " •ti�J _ ` 25 ' A "��/;� ,� ` �'
Bin
City_ of La Quina
Building 8L Safety Division
P.O. Box 1504,78-495 Calle Tampico
I.a.Quinta, CA 92253 -:(760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjectAddress: 56-104 Platinum Way
Owner'sxame:. CalWest Communities
A- P. Number.
Address: 5927 Priestly Drive, Suite 110
Legal Description: TTM 36537
City, ST, Zip. Carlsbad, CA 92008
Contractor- CalWest Communities
Address: Same as above
Telephone: 760-918-6768
Project Description:
City, sr zip:
Installation of 100 Amp,
Telephone:
State Lic• # On File city Lic. #. On File..
120/240 V, 1 phase, electrical
nClild
Arch, Engr., Designer.
controllers and Landscape
Address: " kmitry Contact: Liz Belloso
lighting
City., ST, zip: Cell: 760-710-9912
Telephone:
Construction Type: , Otcupancy:
project type (circle one): New Add'c Alter Repair Demo
Sq.Ft.: #Stories: #Units:
State Lic. #: y, �'
Name of Contact Person: Alt: Ulrich Sauerbrey
Telephone # of Contact Person: 760-610-9410
Estimated Value of project: $10,000
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES"
Plan Sets
Plan Check submitted
item Amount
Structural Caics.
Reviewed, ready for corrections
Plan CheckDeposit. .
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction "
Flood plain plan
Plans resubmitted." .
Mechariica:
Grading plan
2id Review, ready for correctiionslissue
Electrical
Subcoutactor 1.6t
Called Contact Person
Plumbing
Grant Deed
Pians picked up
S3LL
H.O.A. Approval
Plans resubmitted
Grading
IN UOUSE:-
''d Review; ready for correetionslissue
Devdoper-Impact Fee
Planning Approval.
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees