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BELC2015-0072LICENSED 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 Prof ssions Code, and my License is in full force and effect. License Cla : B , .License No.: 927267 S Cl- Date:f - Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fromhe Contra s State License Law for the following reason (Sec. 7031.5, Business and ons 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 Name: Lender's 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 t the workers' compensation laws of California, and agree that, if I should become Wbject to the workers' compensation provisions of Sectio 3700 of the L . Co , I shall forthwith comply hose provisions. 1. Dke:— _Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATILNCOVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALV FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADHE 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. 1 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 ate laws rel 'to bu ing construction, d hereby authorize representatives of thi city to a er upon the ove• menti opr perty for inspection purposes. _ Date: Signature (Applicant or Agent): QUM& VOICE (760) 777-7125 78-r+95 CA;� E, MP CO t D "' LA QUINTA, CALIFOfNIA 92253 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 8/24/2015 Application Number:' BELC2015-0072 Owner: Property Address: 80226 REDSTONE WY RREF II CWC LAQ LLC APN: 775220021. 5927 PRIESTLY DR STE 110 Application Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS CARLSBAD, CA 92008 s Property Zoning: UI) a01-1 Application Valuation: $10,000.00N z o C=3z L„ Applicant: Contractor: o 0 0 ULRICH SAUERBREY CALIFORNIA WEST CONSTRUCT�_ o 74948 LIVE OAK STREET 5927 PRIESTLY DRIVE STE 110 v� c3 INDIAN WELLS, CA 92210, CARLSBAD, CA 92008 g (760)918-6768 Llc. No.: 927267 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 Prof ssions Code, and my License is in full force and effect. License Cla : B , .License No.: 927267 S Cl- Date:f - Contractor: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt fromhe Contra s State License Law for the following reason (Sec. 7031.5, Business and ons 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 Name: Lender's 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 t the workers' compensation laws of California, and agree that, if I should become Wbject to the workers' compensation provisions of Sectio 3700 of the L . Co , I shall forthwith comply hose provisions. 1. Dke:— _Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATILNCOVERAGE UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALV FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADHE 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. 1 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 ate laws rel 'to bu ing construction, d hereby authorize representatives of thi city to a er upon the ove• menti opr perty for inspection purposes. _ Date: Signature (Applicant or Agent): FINANCIAL INFORMATION 'aESCRIPTION ,t ;ACCO.UNT- QTY ' AMOUNT , ;:PAID, PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 'PAID BY ' , METHOD RECEIPT # r> :`$ `CHECK # ' CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00 4 DESCRIPTION `* , x,y z + ACCOUNT ''r : QTY s "AMOUNT; PAID . _. :PAID DATE ., SERVICES 101-0000-42403 0 $24.17 $0.00 'PAID:B a , CLTDBY.a' t � DESCRIPTION ACCOUNT CITY AMOUNT; < PAID,' PAID DATE' SERVICES PC 101-0000-42403 0 $12.09 $0.00 �. PAID,BY METHOD' n." RECEIPT #. _ `� ':CHECK #: 'CLTDBY Total Paid for ELECTRICAL: $36.26 $0.00 DESCRIPTION ;;" ACCOUNT QTY r :AMOUNT ;: PAID`* PAID DATE' PERMIT ISSUANCE 101-0000-42404 0 $91.85 $0.00 . s= PAID,BYz m, a ' ` METHOD RECEIPT # ;CHECK # ` CLTD BY Total Paid forPERMIT ISSUANCE: $91.85 $0.00 TOTALS: $129.11 $0.00 Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS NAME q- -• •. Type: ELECTRICAL Subtype: Status: APPROVED Applied: 8/24/2015 MFA Approved: 8/24/2015 MFA Parcel No: 775220021 Site Address: 80226 REDSTONE 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 Details: INSTALLATION OF 100 AMP 120/240V 1 PHASE ELECTRICAL PEDESTAL TO INCLUDE MISC. IRRIGATION CONTROLLERS AND LANDSCAPE LIGHTING. INDIAN WELLS CA -�� . -- .,. - -.r i` V •.4.'.. Y -,,T, !?Rl�-.-. .A F.. 1.!�l'..•-ry ..x.11 V�.:'�: ': ��. �. .. ................. -.._ . ... ��� ... ... CONDITIONS 71UTC NAME TYPE NAME q- -• •. ADDRESSI CITY. STATE ZIP, PHONE FAX EMAIL „ _. „ ..r , 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 FINANCIAL• • • Printed: Monday, August 24, 2015 3:00:18 PM 1 of 2 OF&VIYSTEMS L0 DESCRIPTION:. ACCOUNT QTY, AMOUNT PAID PAID DATE RECEIPT # CHECK #., METHOD* PAID BY CLTD` BY:: 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 • 00 INSPECTIONS `SEQ[Dv INSPECTION TYPE S � � INSPECTOR [SCHEDULEDCOMPLETED, •RESULT � REMARKS' �� � � �; NOTES Y .a.e _._ .3 z.. DATE � DATES � . ,� 0 ELECTRICAL FINAL'"* BLD PARENT PROJECTS Printed: Monday, August 24, 2015 3:00:18 PM 2 of 2 SYSTEMS # City Of La Qurnta Buttdtng 8r Safety Ai won - P.O. Box 1504,78-495 Calle T'amptco La.Quinta, CA 92253 -:(760) 777-7012 Building pP Permit A lication and TrackingSheet Permit # �,- Project Address: 80-226 Redstone Way Ownes'sName:. CalWest Communities A. P. Number. Address: 5927 Priestly Drive, Suite 110 Legal Description: TTM 36537 City, ST, Zip: Carlsbad, CA 92008 Contractor: CalWest Communities Telephone: 760-918-6768 Address: Same as above Project Description: City, 4T, zip: Installation of 100 Amp, Telephone: f3 " 20 0 V,. I phase, aledtFical. state Lic. # : -On File City Lic. M. On File , Arch, Engr-, Desig►e' ped to controllers and Landscape Address: pjirrlary COntact: Liz Belloso lighting City., ST, Zip: Cell: 760-710-9912 Telephone: State Lic. #: Name of Contact Person: Alt: Ulrich Sauerbrey Construction Type:. Occupancy: Project type (ctrele one): New Add'n Alter Repair Demo Sq.' Ft.: #stories: #Units Telephone # of contact Person: 760-610-9410 Estimated Value of Project $10,000 APPLICANT: DO NOT WRITE BELOW THIS UNE H Submittal Req'd Reed TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Phan Check Deposit. . Truss Calcs. Called Contact Person Pian Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted.. Mechanical Grading plan Z'! Review, ready for correctionsfissue Electrical Subeontactor List Called Contact Person Plumbing Grant Deed Plans picked up SMI. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 7r° Review; ready for correctlonslissue Developer Impact Fee Planning Approval. Called Contact Person Pub. Wks. Appr " Date of permit issue School Fees Total Permit Fees -- M? TS 4 METFR/PFQFS:[AJ�PlANFL 100 AMP, 1.20 /2.40V, IPH. 3W CITY OF LA QUINTA BUILDING & SAFEW DEPT. APPROVED FCYR-COIV ,ST. Ruc ON DATE �Z— L_4! �-ZL15F BY pol ......................... O/Z "072 f Joe L L ni)