BELC2015-007578-495 CALLE TAMPICO
LA QUATA, CALIFORNIA 92253
Application Number: BELC2015-0075
Property Address: 55737 ROYAL OAKS WY
APN: 775220021
Application Description:
Property Zoning:
Application Valuation:
Applicant:
ULRICH SAUERBREY
74948 LIVE OAK STREET
INDIAN WELLS, CA 92210
c&t!t 4 4 QuIRS
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
SIGNATURE TM 36537 ELECTRICAL PEDESTALS
$10,000.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions f Chapter
9 (commencing with Section 70001 of Division 3 of he Business and Profess' ns Code,
and my Li se is in full force and effect.
License Cla s: B License No.: 927267
t Date: / I Contractor: �f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Cont r�nsJAny
e
License Law for the following reason (Sec. 7031.5, Business and Professio
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
V VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
RREF II CWC LAQ LLC
5927 PRIESTLY DR STE 110
CARLSBAD, CA 52008
Contractor:
CALIFORNIA WEST CONSTR
5927 PRIESTLY DRIVE STE 1
CARLSBAD, CA 92008
(760)918-6768
Llc. No.: 927267
Date: 8/24/2015
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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 3:00 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:
1 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 to the workers'
compensation laws of California, and agree that, if I should become sue
ct to the
workers' compensation provisions of Section 3 1 0 of abor Code, shall forthwith
comply y ' hlth'se provisions.
Date: Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATIONCO �ERAGE IS U WFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES A D CIVIL FINES TO
ONE HUNDRED THOUSAND DOLLARS ($1OD000). IN ADDITIO TO THE COS i
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37 6 OF THE OR 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 =his 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 -he 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 an i state that the above information ' correct.
I agree to comply with all city and county c rdinances and state laws relating t building
construction, and hereby authorize representatives of thi city to en upon he above.
menti"e property for inspection purposes.
Date: r Signature (Applicant or Agen .
FINANCIAL INFORMATION
�- ��"DESCRIPTION {� a
., 5# X..a-?+.6.awa+ .<. e.-...':' - •.. .s O. f :r, '.ra
T
ACCOUNT QTY:
-
AMOUNT:
PAID SPAIDDATE
BSAS SB1473 FEE
101-0000-20306 - 0
$1.00
$0.00
PAID BY
METHOD" x"�' �f • < RECEIPT
CHECK #'. z
u
CLTD BY
Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $0.00
DESCRIPTION
'ACCOUNT
QTY
AMOUNT: _
PAID`
PAID DATE
SERVICES
101-0000-42403
0
$24.17
$0.00
PAID BY s. � .
.:METHOD,
RECEIP
'CHECK #'
CLTD BY.,,
v ` ` `DESCRIPTION
ACCOUNT.. '
QTY .
? . AMOUNT
v ` ;PAID _,
PAID DATE
SERVICES PC
101-0000-42403
0
$12.09
$0.00
�. PAID :BY ' �`' '
;. METHOD`
RECEIPT #.
a „ CHECK # '' a
CLTD ABY;':
Total Paid for ELECTRICAL: $36.26. $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
PERMIT ISSUANCE
101-0000-42404
0
$91.85
$0.00
PAID BY f «"'
METHOD
RECEIPT #
CHECK #' 4,
CLTD:BY,.;',
Total Paid forPERMIT ISSUANCE: $91.85 $0.00
TOTALS:00
Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS
CONTACTS
Type: ELECTRICAL
Subtype: Status: APPROVED
Applied: 8/24/2015 MFA
Approved: 8/24/2015 MFA
Parcel No: 775220021 Site Address: 55737 ROYAL OAKS WYLA 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.
CONTRACTOR
CALIFORNIA WEST CONSTRUCTION 1
Printed: Monday, August 24, 2015 3:14:25 PM 1 of 2
SYSTEMS
CONTACTS
NAME TYPE
NAME-ADDRESSI CITY
STATE ZIP
4PHONE:' ;FAX, EMAIL
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
SFE 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: Monday, August 24, 2015 3:14:25 PM 1 of 2
SYSTEMS
DESCRIPTION:
ACCOUNT.
C!TY '
'` 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
TOTALS: e0
w�� PARENT PROJECTS
REVIEWS
q a
A
- RETURNED STATUS'' REMARKS '
REVIEW TYPE". ` REVIEWER SENT DATE`: DUE DATE - - NOTES .;'
a DATE
A,
ATTACHMENTS
Printed: Monday, August 24, 2015 3:14:25 PM 2 of 2
SYSTEMS
F
ern.# Ci/ Of is QUinitd
' Building ar Safety Division
Permit # P.O.Box 1504,78-495 Calle Tampico
� � � - � � '
La.Quinta, CA 92253 - (760) 777-7012
bc Building Permit Application and Tracking Sheet
ProjectAddrrss: 55-737
Royal Oaks Way
ovmer'sxame:. CalWest Communities
A P. Number.
Ate; 5927 Priestly Drive, Suite 110
Legal Description: TTM 36537
City, ST, zip: Carlsbad, CA 92008
Contractor: CaMest Communities
Telephone: 760-918-6768
Project Description:
Address: Same as above
City, ST, zip:
Installation of 100 Amp,
Telephone:
�2 20 ,.1 phase, a ectrlea
State Lic. #: n File
Arch, Eng.. Designer:
city Lic. #c On File .
lied to
.controllers and Landscape
Address:Prima
Contact: Liz Belloso
Ig ting
City, sT, zip: Cell: 760-710-9912
Telephone:
State Lic. #:
Name of contact Person:
Alt: Ulrich Sauerbrey
Construction Type:. Occupancy:
Project type (circle 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
it
Submittal
Req'd
Recd
TRACMG
PERMIT FEES'
Plan Sets
Plan Cheek submitted
Item Amount
Structural Calm
Reviewed, ready for corrections
Plan Check Deposit. .
Truss Calcs.
Called Contact Person
Plan Check Balance
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted.' .
Mechanical
Grading plan
2'! Review, ready for correctiouslissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plana resubmitted
Grading
IN HOUSE.-
''' Review; ready for correctioneiissue
Developer Impact Fee
Planning Approval'
Called Contact Person
A.LP.P.
Pub. Wks. Appr '
Date of permit issue
School Fees '
Total Permit Fees