BWFE2015-027878-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
. 4 4 4� 0914rcu
1 COMMUNITY
BUILDING -P
Application Number: BWFE2015-0278
Property Address: 56104 PLATINUM WY
APN: 775220021 1
Application Description: SIGNATURE AT PGA WESTTM36537 BLOCK WALLS 250
Property Zoning:
Application Valuation: $15,000.00
Applicant:
CALIFORNIA WEST CONSTRUCTION INC
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
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 ofessions Code,
and my License is in full force and effect.
License ClassIB License No.: 927267
Date: Contractor:
OWNER -BUILDER DECLARATIUPro
I hereby affirm under penalty of perjury that I am exempractor's State
License Law for the following reason (Sec. 7031.5, BusineonsCode:Any
city or county that requires a permit to construct, alter, ish, 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
SEP 24
CITY OFLA n� QUINT,d g
ry--
VOICE (760) 777-7125
FAX 60) 777-7011
INSPECTIO (760) 777-7153
Date: 9/24/2015
LAQ LLC
FLY DR STE 110
CA 92008
Contractor:
CALIFORNIA VI:ESTCONSTRUCTION INC
5927 PRIESTLY DRIVE STE 110
CARLSBAD, CA 92008
(760)918-6761:
Llc. No.: 927267
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury on -2 of the following declarations:
I have and will maintain a certifi=ate of consent to self -insure for workers'
compensation, as provided for by Section 3700 of the Labor Code, for the performance
of thew9rk for which this permit is issued.
%1 1 have and will maintain workere 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 mannerso as to become subject to a workers'
compensation laws of California, and agreethat, if I should becomes ject to the
workers' co ensati n provisions of Section 37 0 of the L od , I shall forthwith
comply w' those ovisions.
Date: os Applicant:
WARNING: FAILURE TO SECURE WORKERS' Z:OMPENSATI COVERA4 IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTI IVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100 000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED =0R IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKLIOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for, a permit subject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any permit
issued as a result of this application , the owner, and the applicant, each agrees to, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
employees for any act or omission related b the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is
not commenced within 180 days from date -of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and
constructs , and hereby authorize representatives of thi
abovetione .property for inspection purposes.
`Z
Date: Signature (Applicant or Agent):
T +
°. DESCRIPTION`'
-
,- ACCOUNT "' �` "
. ..a. A
QTY".
#�
,
PAID, , k
PAID DATE<
`•_$SAS SB1473 FEE
101-0000-20306' 0
$1.00
$0.00
,,.
,
E
#METHOD
"CHECK #
CLTD BY;PAIDB
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00
:: DESCRIPTION
ACCOUNT.' . "V
QTY.;
`AMOUNT
PAID a
PAID DATE
WALL/FENCE - EA ADDITIONAL 50 LF
101-0000-42404
0
$43.50
$0.00
r PAID BY
�: METHOD
RECEIPT#'
CHECK # <: t`
` CLTD BY ;
DESCRIPTION'-
'ACCOUNT.
QTY
.. AMOUNT }
s °_ PAID ;
PAID DATE
WALL/FENCE - FIRST 100 LF
101-0000-42404
0.
$47.86
$0.00
d
$ PAID BY
�` METHOD '
RECEIPT*1
CHECK #
° CLTD-BY"
.DESCRIPTION:., •. �,
s_ F ' ;.
- ` °„ACCOUNT 5'
QTY
AMOUNT: '
'- i= PAIDL'
`PAID DATE :
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
$60.91
$0.00
PAID BY �`
METHOD
RECEIPT# x
` ,'CHECK#.;: ;
CLTD BY
Total Paid for FENCE OR FREESTANDING WALL: $152.27 $0.00
TOTALS: $153.27 00
1
1
Description: SIGNATURE AT PGA WEST TM36537 BLOCK WALLS 250 LF
Type: WALL/FENCE Subtype: SPECIAL/ENGINEERED Status: APPROVED
Applied: 9/21/2015 MFA
DESIGN
Approved: 9/24/2015 BHA
Parcel No: 775220021 Site Address: 56104 PLATINUM WY LA QUINTA,CA 92253
Subdivision: Block: Lot:.0
Issued:
Lot Scl Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $15,000.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 250 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.
' < Applied to_Approved
FINANCIAL INFORMATION
Printed: Thursday, September 24, 2015 11:13:13 AM 1 of 2 OF&VIYSTEMS
CHRONOLOGY
CONDITIONS
CONTACTS
NAME TYPE
NAME
ADDRESSI
CITY.
STATE -
ZIP -
PHONE ' FAX;"' EMAIL '
APPLICANT
CALIFORNIA WEST CONSTRUCTION
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
INC
STE 110
OMMUNITIES.COM
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION
5927 PRIESTLY DRIVE
CARLSBAD
CA
92008
LBELLOSO@CALWESTC
INC
ST! 118
OMMUNITIES.COM
OWNER
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE
CARLSBAD
CA
92008
110
FINANCIAL INFORMATION
Printed: Thursday, September 24, 2015 11:13:13 AM 1 of 2 OF&VIYSTEMS
s
f
......... -
INSPECTIONS
— PARENT PROJECTS:..,
Printed: Thursday, September 24, 2015 11:13:13 AM 2 of 2 CR&Y.IYSTEMS
LTD
CBY;
S.. DESCRIPTION ' ,
_ ACCOUNT K
QTY
AMOUNT y
v `PAID, " '
w
PAID DATE
RECEIPT #
: CHECK #
METHOD
-'PAID BY''',
-
r
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00
BSA:
WALL/FENCE - EA
101-0000-42404
0
$43.50
$0.00
ADDITIONAL 50 LF
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: $152.27 $0.00
TOTALS:00
......... -
INSPECTIONS
— PARENT PROJECTS:..,
Printed: Thursday, September 24, 2015 11:13:13 AM 2 of 2 CR&Y.IYSTEMS
I
��� ` ., . Ow
suffCfig 8t Safety OmsAD"
'P.O. Box 15K. 7,84os 1(, .Talv#co'
LaQub)4 CA 92253 -.(760) M-7012
BuildkigPermit -A& lication and DkIdng Sheet
0,01-a-Ad4mm 56-104 Platinum WAY- calwo2t Communities
A- P. Ww6bzr Pgnatureat PGA"West
A&tem-,5027 Priestly Drive, SUIte 110
-Lq! tTM' 36537
. ........ .'aAx-yrzip; CarlsbW,':.CA'92D08
C -b -,t.-' G2fflest Corhmunities Telt ph* I ft .76 0-9 1
Ad&-- Sanje.OS above
City,. 59: zip,
v
Construction of Perimeter-.
S, wC vu- W On R lq-atx w - c On "Pile
Ara, 1!nVr,.Dmv1zr'
Adfdre= m ry:Cohtaat: LIZ 8&lloto
a
ST"Zip.
Celle 76041€)? -9912
ft!W ryw (cm te,.mY New Addn. Aher R%Iair Dt;no'
Nmz of Qua—pqz6o: klt: Ulrich Sa erUr6y Sqfl.-
S
-felephonj g of c' 76"10.94,10 00,
EstimawValut of pr� jMC, $1 5,0
-A"UCAN'T- DO NOT WWM BELOW TWS UNE
a Submittal Pmmrr mn,
Put Stu. Flu Chock. mbmiw itch. AmQaMt
StrottWraFCBtce ftrqtwtd. ready for ewteddm
T.0 CAM
Pt--, Pttk id up
'low pwo p1mi
plan --.-wilt"
Grvdfa& pl v. 2;' kWte�,ready for c"wfi4uFwut
Cxftt Coutsft POUR
GfQSL Decd �Mavv picked up SMS
11.0.4- ApprWd
Mawot Approrat. Clutd Coautt Ptrtob
pdG. Vim 4pr k3i.
ow. I
Ti!al
CITY OF LA QUINTA
BUILDING & SAFETY DEPT._".`'��
APPROVE
dew #�yrtl. w•�.e r�+�� iR <ti
FO CO STRUCTI _
{//�////tel ///Gr� }.♦ h} �{ t.
DATE By wr �
. i
L � yy
) I
��+ ...T..x., � it �i +• ,�. ! �^.rt ..j tr � t�j
co
ap
5fO�
00
to
0
109
-
x �
a�
itA•
,, it .: .J
Awy
i iii i fffRRR •¢ a -t{d
14 !ti
•. -4,
—f fit �I ;r'7
Eft ;('S 7 t' '�S'A .�� .✓$( • r. ..e .Y,f�. :KE �r�� �� � � � ��i:
,T R i ii 4,y f ti.r: �.'Ma• 4%AKX
WAY -•'=�... .; Y..
'� �� ' �'Lf ""a^�•a+ r�.�'� � ( .» . *� `*' 'moi-� �...�i. 4 .:�
Y i Y
ti CITY OF LA QUI
NTA
BUILDING & SAFETY DEPT.
4U. APPR
•
[DAT�Is;* �Fm 'Zig Ici;-o�_.
I
aM*VM, FiA TMP -v ob-MA;
115.0
6314 6616, OR twisow
CROMD oar@ VRT
s7w-
M=
IV 06SMJOIN
T,
Ra"McEmaT 04464t
.(3 RC-4r .SA00,71,
a ir )VAM01. W-�Tsm
M491#0&ow. , *
ODUP-NdARAMM
&ME OF omrgamffls
7 MS�VP WAUSAVO IVAU
nuaffawgum
V MVa 0 CEXTa Of
Lsff oy,4Rr..mR REQUIRW AR
AZD AWTING DIMeVSfCW
2,
,x� wA#Pzaw sim mou a mrazwD AAv- catemm 'ro
:WJff*?JrfSWCATM
Mr ROOV-SX411 SE WWWA AMWdW MYD
PAMAN mt.Wnou
CAU&=Cat , CaVrAIMIAV mtm fmw Swum MUD
c9omm
rrw s MCR'rAg P90OW10" tWAI'-'A$TK CM PAIZr
C"XMr rV W WT UAW M 440 PMlr DAWW40M
A 4WM'rM aMPETE Bt6X KR AV N C 476 TO BE I PAR7'
axav r ro 3 pm m �wo rowr wy awrAmm
PEA GM Va IF AV I K -R CMWXV6 ARE FA VM4ME 9 OM&
91 &M STM. M r BE 1*71vri -V21 mo Thr foDAW W&Ir
7?ecomxnF,rmATM St&rs7VNW.Y6Ep4Am ro
wm war or, Tw, mmi rwE Fooma
ItOMW S021,00 00 COMPACTW RU, WMA AWMW
CaWVZ7706%4
fl. nkirMMUM W W; AFIU MCTM.MFfi0IFS.VF
AMrFOR CaV0ZMAA0ALLRF
0AW SrM IS nW M RA a.
TW RMUNW.WATMA1.11.1Af
aAnFA-& Tw &"wAd Ls AaADY ro cwmm
K4XYPftW QJNroWt 20-01croR.
WAUS 7D 8FOWT* V=$" rat
CITY OF LA QUINTA-
APpROVED
FOR,GNSTt; V., -,RU 04
. 40;,
Ts
1�