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BELC2015-00707&495 CALLE TAMPiCO LA QUINTA, CALIFORNIA 92253 `i COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT VOICE (760) 777-7125. FAX (160) 777-7011 INSPECTIONS (760)777-7153. Date: 8/24/2015 Application Number: BELC2015-0070 Owner: Property Address: 80478 PLATINUM VVY RREF II CWC LAQ`LLC AP�IN: 775220021 5927 PRIESTLY DR STE 110 Application Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS CARLSBAD.. �..— Property Zoning: Application Valuation: $10,000.00 0 <� Applicant:. Contractor CALIFORNIA V EST ONfrYAU�Qlti ULRICH SAUERBREY 74948 LIVE OAK STREET 5927 PRIEST L Q ST611 INDIAN 10/ELLS, CA 92210 CARLSBAD, 9 GO LICENSEDCONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 fcommencng with Section 7000) of Division 3 of the Business and P ofessions Code, and my Ucense is in full force and effect. License Class: B' License No.:= 0atei t' is t Z l�j-��'CAntractc OWNER-81.1iLDER DECLARATION. I. hereby affirm under penalty of perjurythat I am exempt from Lntmctoes state License Law for the following reason -ism 7031.5, Business.and Professions Code: Arty 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 provisionsof 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 erempt therefrom and thee, basis for the alleged exemption. Any violation of Section 7031.5 by any appllcant for a permit subjects the applicant to a dull penalty of not more. than five hundred dollars 15500).: 1_) I, as ovrner of the property, or employees with wages as theirsole compensation, will do the worft, 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 prooerty who builds or Improves thereon, and who does the work himself or her. -elf through his or her ovn employees, provided that the improvements are not Intended or offered for safe. If, however, the building or improvement is sold :within one year of completion, the owne(-builder will have the burden of proving that he or she did not build or improve for the purpose of sale.l. f_ 1, 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 taw does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractorfs) licensed pursuant to the Contractors' StateLicense Lave.). (�) I am exempt under Sec. 8.&P.0 for this reason Date: Owner: Lie. No.:' WORKER'S COMPENSATION DECLARATION hereby affirm under penalty of penury one cd the following declarations I have.and will maintain a certificatk of consent to self -insure for workefs' compensation, asprovided for by Section 3709 of the Labor Code. -for the performance Df 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 thispermit is issued. My workers' compensation insurance carer and polity number art:: Carrier: _ Policy Number I certify that in the performance ofthe work for w h this permit is issued, I Shall not employ any person.in any manner s*as to become subjeFull the workers' compensation laws of California, and agree that, If I should becomjectto the workers' compensation provisions of Section 1700 of the Labor shall forthwith comply vAth ase provisions. Date. WARNING: FAILURE TO SECURE WORKERS' CCIMPENSATIO COVERAG IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C:RIMIIU1t.PENALTI D FINS S UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITIO E COST OF, COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTtkCST; AND ATTORNEY'S FEES. APPLICANT ACKNOWLEDGEMENT IMPORTANT:Application ishereby made to the Building Offidal for a permit subject to the conditions and restrictions set forth on tit% 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 arty 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 Quints, its of cem, agents, and emp'.oyees for any act or omission related to tae workbeing performed under or following issuance of this permit, 2. Any permlt Issued as a result of this applkatton 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 twill subject.permit to cancellation.. 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. Q. Lender's Name: �i Lender's Address: certify that I have read this application and state that the above informationIs rrect. I agree.to comply with all city and county ordinances and state laws relating to ilding construction, and hereby authorize representatives of this city to.enter u n t above mentionedpropc4for Inspection purposes ..: � 1 or Agent): j r DESCRIPTION o ACCOUNT '- QTY.'AMOUNT, PAID :, PAID DATE; BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 "PAIDBY��-' '• : .,;'' r ` RE EIPT# METHOD, CHECK #° CLT D BY x Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 DESCRIPTION ACCOUNT ' ' QTY; ' 3 }AMOUNT: PAID ;RAID DATE: SERVICES 101-0000-42403 0 $24.17 $0.00 "x PAID BY w � " � ? ; -METHOD , RECEIPT # ` CHECK # 3 "CLTD BY a DESCRIPTION X, ACCOUNT QTY`•:; "AMOUNT,.,.'PAID PAID DATE` SERVICES PC 101-0000-42403 0 $12.09 $0.00 n PAID BY 'METHOD RECEIPT#° CHECK# 3: M -CLTD.BY;;` Total Paid for ELECTRICAL: $36.26 $0.00 ` DESCRIPTION 3 ; ',ACCOUNT QTY 'AMOUNT PAID', PAID' DATE; PERMIT ISSUANCE 101-0000-42404 0 $91.85 I $0.00 PAID BY ': '''° METHOD RECEIPT # CHECK # . ` CLTD BY', Total Paid forPERMIT ISSUANCE: $91.85 $0.00 j r 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: 80478 PLATINUM WY LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ulrichs@uslandlink.co Details: INSTALLATION OF 100 AMP 120/240V 1 PHASE ELECTRICAL PEDESTAL TO INCLUDE MISC. IRRIGATION CONTROLLERS AND LANDSCAPE LIGHTING. 6749 CHRONOLOGY — ,__ ... — CONDITIONS pe... „ —...�.............. u... ,... _ . . . w__ ...... ,)NTL4 .. TYPE NAME- ADDRES51 -CITY . STATE ZIP • PHONE FAX EMAIL ; _NAME ., 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 CARLSBAD CA 92008 (760)918-2839 (760)918- LBELLOSO@CALIFORNI OWNER RREF II CWC LAQ LLC 5927 PRIESTLY DR STE 110 6749 AWESTCOMMUNITIES. COM FINANCIAL INFORMATION Printed: Monday, August 24, 2015 2:56:04 PM 1 of 2 lYSTE ns DESCRIPTION ACCOUjNT QTY AMOUNT PAID PAID GATE 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: 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 0 $91.85 $0.00 Total Paid for PERMIT ISSUANCE: $91.85 $0.00 TOTALS:00 Printed: Monday, August 24, 2015 2:56:04 PM 2 of 2 ORWIMEMS Bin # City 'f. La Q 0 uinta Building ar Safety DbWon P.O. Box 1504, *78-495 Calle Tampico CO3 "7 � ... .. 1. 7 --La.Quinta, CA 92253 -:(760) 777,7012 Building Permit -Application and Tracking Sheet Pennit # P11 IS. f'rojer"I'M 80-478 Platinum Way Owner's Name:. Cafflest Communities A. P. Number Address: 5927 Priestly Drive, S uite 110 Legal Description: !TM 36537 city, U, Zip: Carlsbad, CA 92C08 Contractor. CaMest Communities" Telephone: 760-918-6768 Project Description: Address: Same as above city, sT,zip: Installation of 100 Amp, Telephone- 120/240 V, 1 phase, electrical ped to nINCOL; nClig 'ion state Lic.#: -On File city Lic- 9, On File Arch, Engr., Designer. controllers and Landscape Address: Primary Contact: Liz Belloso lighting City, ST, zip: Cell: 760-710-9912 Telephone: State Lic.#: Name of Contact Person: Alt: Ulrich Sauerbrey Construction Type: 0-cUpancy: Project type (eh-cle one): New Add' r-. Alter Repair Demo Sq.'Ft: # Stories: Units: Telephone #of contact person: .760-6.10-9410 Estimated Value of Project $10,000 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Reqld 'Reed TRACMG PEPJMTFEES - Plan Setsitem Plan Check submitted. Amount Structural Calm Reviewed, ready for corrections Plan Chock.Deposit. Truss CaIcs. t Called Contact Person Plan Chec"alance Title 24 Calts. Plans picked up Construction Flood plain plan Plans resubmitt.ed.'. M=112MCRI Girading plan 2" Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans old" up S3LL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Reyiew', ready for correctiondissue Developer impact Fee Planning Approval. Called Contact Person A.LP.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees CITY OF LA QUINTA BUILDING & SAFETY DEPT. APPROVED FOR CONSTRUCTI N DATE 119 BY LEGE D � LOAD'�'�, z J J N5 WA �wr�[ I" METER 3/4" METER" 1" M ETER 140 3/4" METER` �■■� 3/4" METERq& 7 i _ v �� La - 49& S'6gNMRS ■ter 1 METER a`I 1" METER WA 3/4" MET 3/4" JERRQS" Re)0'224 – — _ - %� �•gxj7 flATilJtt17 *13/4,.li3/4"R � � �; � � � � � �gy � I ® `CONTROLLER �- �° �, '` ®\ �r 60-451 KtA WAo4 4A% LOCATIONS PHYSICAL METE �. . "w1z1'ze►¢ LOCATIONS ,,`' 'SIGNATURE DEVELOPMENT METER AND CONTROLLER LOCATION EXHIBIT 7/28/14 C( T, I �,, f �> `moi_ ,�� 12 j 1 � x`.::4.1 r. 7b �: {�y �=� �� i� r �"'F"—;� • RE F\ � J`7 , ' ' ~ ' Y` v l—w d1� el f IE4, { ``�•' t ' F.g Ate �! r Tc 3.#10.CU. 110 F E IJ Fri ll l �E METER/PEDESTAL PANrEL 'A' �� d• �- �.. ,�f 100 AMP, 120 /241OV, 1PH. 3W f .�� ,� ,� � �y ,rE r� TS CITY OF LA QUINTAL BUILDING & SAFETY DEPT. ' f APPROVED ,> �, ♦ FOR CONSTRUCTI N►,.� ,♦ DATE / t l