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BELC2015-008578-495 CALL�,SJANI�ICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: ULRICH SAUERBREY 74948 LIVE OAK STREET INDIAN WELLS, CA 92210 BELC2015-0085 80155 WHISPER ROCK WY 775220021 D VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT /INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 9/8/2015 ' Owner: RREF II CWC LAQ LLC 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 of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P fes! ions Code, and my Lice is in full force and effect. License.Cla : B f License No.: 927267 b Contractor: OWNER -BUILDER DECLARATIO I I hereby affirm under penalty of perjury that I am exempt om the Contractor's State License Law for the following reason (Sec. 7031.5, Business rofe sions 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 Lender's Add 5927 PRIES CARLSBAD, U SEP 0 8 2015 Contractor: CITYOFLAQU AINTAINT CALIFORNIA " r� ¢SfA9'�IIINPf! 5927 PRIESTLY DRIVE STE 110 CARLSBAD, CA 92008. (760)918-6768 Llc. No.: 927267 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 perm is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agree that, if I should become subje t to the workeWtITp 'oensation provisions of Section 3 00 of the La de, 1 s all forthwith compltose R visions. Date: r Applicant: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE ISP WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FI TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION THE C ST 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. I certify that I have read this application and state that the above information is erect. I agree to comply with all city and county ordinances and st to laws relating to wilding constructio •and hereby authorize representatives of this y to nter on t e above. mentio a roar for inspection purposes. Date: �j Signature (Applicant or Agent): FI NANCIALIN FORMATION .DESCRIPTION ' x; Y :<�ACGOUNT QTY' 1'AMOUNT r,' PAID ° PAID DATE b :BSAS581473fEE 101-0000-20306 0 $1.00 $1.00 9/8/15 4 PAID BY METHOD 3RECEIPT # CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R9018 111 MFA Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $1.00 $1.00 DESCRIPTION " ::,,r' $ .- ACCOUNT QTY ` :AM PAID 4 PAID DATE: SERVICES 101-0000-42403 0 $24.17 $24.17 9/8/15 PAID:BY' METHOD Ji RECEIPT# CHECK#'CCTD'BY RREF II CWC LAQ LLC CHECK R9018 111 MFA a 5; DESCRIPTION 'ACCOUNT QTY= AMOUNTh g g ° „PAID `$ "PAID DATE SERVICES PC 101-0000-42403 0 $12.09 $12.09 9/8/15 PAID BY METHOD RECEIPT # CHECK #'' s CLTD BY , RREF II CWC LAQ LLC CHECK R9018 111 MFA Total Paid for ELECTRICAL: $36.26 $36.26 ' DESCRIPTION 'k s ;ACCOUNT;'� QTY: 'i AMOUNT PAID PAID.DATE PERMIT ISSUANCE 101-0000-42404 0 $91.85 $91.85 9/8/15 PAID BY , f4 METHOD ;. RECEIPT # ? CHECK # CLTD BY RREF II CWC LAQ LLC CHECK R9018 111 MFA Total Paid for PERMIT ISSUANCE: $91.85 $91.85 TOTALS: r ' b Description: SIGNATURE TM 36537 ELECTRICAL PEDESTALS Type: ELECTRICAL Subtype: Status: ISSUED Applied: 9/8/2015 MFA Approved: 9/8/2015 MFA Parcel No: 775220021 Site Address: 80155 WHISPER ROCK WY LA QUINTA,CA 92253 Subdivision: Block: Lot: Issued: 9/8/2015 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $10,000.00 Occupancy Type: Construction Type: Expired: 3/6/2016 MFA 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 CONTACTS Printed: Tuesday, September 08, 2015 9:15:03 AM 1 of 2 = YSTEMS CHRONOLOGY CONTACTS NAME TYPE' = NAME - ADDRESSl' x CITY STATE ZIP PHONE'' 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 5927 PRIESTLY DRIVE CARLSBAD CA 92008 (760_)918-2839 (760)918- LBELLOSO@CALWESTC INC 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: Tuesday, September 08, 2015 9:15:03 AM 1 of 2 = YSTEMS DESCRIPTION ACCOUNT QTY AMOUNT.PAfD ''PAID,DATE :=RECEIPT# CHECK.# METHOD PAID BY ':CLTD, BY BSAS SB1473 FEE 101-0000-20306 0 $1.00 $1.00 9/8/15 R9018 111 CHECK RREF II CWC LAQ LLC MFA Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $1.00 BSA: SERVICES 101-0000-42403 0 $24.17 $24.17 9/8/15 R9018 111 CHECK RREF II CWC LAQ LLC MFA SERVICES PC 101-0000-42403 0 $12.09 $12.09 9/8/15 R9018 111 CHECK RREF II CWC LAQ LLC MFA Total Paid for ELECTRICAL: $36.26 $36.26 PERMIT ISSUANCE 101-0000-42404 1 0 $91.85 $91.85 9/8/15 R9018 111 CHECK RREF II CWC LAQ LLC MFA Total Paid forPERMIT ISSUANCE: $91.85 $91.85 , TOTALS: $129.11 $129.11 „ - „ PARENT.PROJECTS . BOND. -INFORMATION ATTACHMENTS Printed: Tuesday, September 08, 2015 9:15:03 AM 2 of 2 srsrenas i _ l 4 . Cid Qufn 6ut�itiis safe€y Ajves�on O P.O. Bo € 504, -78-•95 Calk Tamiuco _ ` Ca,Qulr, CA 92253 - (764) 777=7012 . a . Building Permit A ipiicat on and 'Tracking sheet 3 i i PtojectAddm ss; 0-155 Whig er Rock Way C mer's'N€ams: CalWest Communities A.P. Number Addmw;5927 Priestly Drive, Shite 110 Leg'amccc 46on. TTM 36537 City. ST, 4: Carlsbad, CA 82008 Cn CalWest Communities • 'rise: 760-818-6768 `0 . 40=: Same as above P aj t 1?es:tiption City, sr, Installation of 100 Amp, reltptQv-: 4 1201240 V, I phase; electrical -. StuteLia N: : Cn File Ckv Lic 'U ©n rileinClirding .. ItaVfece dt resdg fo. casrcctiatts Ard,., Engrr„ Designer � _ - ' controllersand 'Landscape Addr=. Peimary, Contact: Liz ,l3#Ho,§o lighting Ci,,y, ST. Z,i?• Cell: 760-710-8912 Te M;ir. # CAoSv iciionTyg4_— OCCUP=CY. . St=!Ac. R: Pmjc d tNW (cirk ono), -Ntw Add'a A.'W u4patr D mo Sq.Ful -Sta-i iiClraGs NsmcofCz;ut=%_-on. Alt.- Uinch Sauerbrey liori� �re� ttP�r�at, 760-610-941,0 �s= �Iv ofr ,C o;000 f APFLICAKF: Ott NOT EMIL BELOW TMS UNE L x 9 a i I s �' Scbmiltat xs,q'd Iree'd TRAC3l. NO Yl~RPM FEES P(au SCI's fita Mc&.sabmlue& Lretaz Amount Sfrncia I Cu€fz ItaVfece dt resdg fo. casrcctiatts Plan Check'Deposit, TMSSt,al.CS. Called .ewuCiptMa. t'Fan C6ech 8alaltce M624 Ci!itY Plods pici;cdup Con3tr€etima ' • Flow piais4 plan 1'ta'resresubtitttct l�3'cehsaicsi C*2.dingplan Zs! ltcwicar, wrady fcr eorrectlousAcssue Eltdriral, isbeantstcfar l ut g Called Coatxet poser rlumbWj; Grantl>v-d itPns.pickid up IMLApPrOV-21 ' laysi�sabrrltftt�8 Oradidg Li:IIf7l sc - ''Q Rf'vitw; resdy Car ce rrcctlansfastsr Yttwdoper ItapActBeC E�Itd'ain�Apgrtir9zt CaUedCantmci:Ftrsoa • .�1,l�.p. . pab.Itr3s.Appr ` Date of permitis%rc Sshcu+i'Feis _ i:rwiit £'<rrsair pots CITY OF LA QUINTA ,zr .. ... . ,.. .. , w, . BUILDING & SAFETY DEPT f i APPROVED FOR CONSTRUCTION ��; i#' � " a f',�: • DATE BY �y L63 � � ' �IN, •,r 'ryA �. v';t�'z���� ��„a'F .. • lj"r /}r.�yy{ } "tom �'y i f. . F its d " i .-f•.?.�L"4:t""$. i % �� Y �'S �,;.' +v,, - /� : f �t {.y I_ R, a. 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