13-1707 (PAT)1 '
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
affirm under penalty of
70001 of Division 3 of 1
13-00001707'
80736 CASTILLO DEL AREANA
762-240-014-20 -34243 -
PATIO COVER - RESIDENTIAL
RL AG/EQ OVERLAY
2115
Contractor:
Architect or Engi
•4 �1 �1 �II,I�iV
VOICE (760) 777-7012
FAX (769) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/13/14
Owner:
r� ALTA VERDE CORAL MOUNTAIN, LLC
`1 315 S BEVERLY DR 208
BEVERLY HILLS, CA 90212.
'r`HR 0 / Contractor:
ALTA VERDE BUILDERS, INC.
71905 HIGHWAY 111, SUITE G
�� AN RANCHO MIRAGE, CA 92270
(760)776-1111 _
Lic. NO.: 969219
------------------------------------
LICENSED CONTRACTOR'S DECLARATION
that,) am licensed under provisions of Chapter 9 (commencing with
iftesis and Professionals C' my c II fore Apd a aau
I hereby affirm under penalty of perjury thatfak exempt fro tit or's'State License Law for'the
following rsason;(Sec: 7031.5; Business and Pr A"r
esalorto Code: ry,dty or county that requires a permit to
construct, after, Improve, demolish, or repair ariV structure„prior to its issuance, also requires the applicent'fa'the
permit to file a -signed statemem that he or she is licensed pursuant to the provisions of the Contractor's State
L(oense Law (Chapter "9'(commencing with Secdon 7000) of.Division 3 of the Business and Professions Codel'or
that-h&or.she_is exempt therefrom and the basis for the.elleged 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 (8500)
(_ 1 1, 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 said (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. Contrectora' Stote 'License Law does not apply to an owner of
property who builds or Improves thereon, and who contracts for the projects with a contrector(s) licensed
pursuant to the Contractors' State License Law:)
(—) I am exempt under Sec. ,;B:AP.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 Address:
LQPBRMIT
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 peorrnance of the work for which this permlris Issued. My workers' compensation
insurance carrier n olicy number are:
Carrier STATE FUND Policy Number 9006140
I certify" that, In the ,p encs of the work for which fids permit is issued, I shell not employ any
person in any ma as to become subject to the workers' compensation laws of Calffornla,
end agree that, "rf I sit d become subject to the tion provisions of Section
3700 of the Labor od Ieshall forthwith ” y ,t N provWons.
Date: Applicant
WARNIN FAILURE TO SECURE WORKER COMPENSATION C ERAGE IS UNLA .AND,S"ALL
SUBJECT AN EMPLOYER TO.CRIMINAL PE_ LTIES AND CML NES UP TO 0 NDRED THOUSAND
DOLLARS (9100;000). IN ADDn ON TO TH 'COST OF COMP NSA
AGES AS PROVIDED FOR IN
SECTION 3708 OF THE LABOR CODE, (NTE ST, AND ATTO EES.
IMPORTANT Application Is hereby made to th4 Directorof'Building and Safety 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, Indemnity and hold harmless the City
of Le Quints, Its officers, agenV7'
oyeas for any_ actor omission related to the work being
performed under or following .this permit.2. Any permit Issued as a result (cation becomes null and void If work Is not commenced
within 1ti0 daps from data.osuch permit, or cessation of wait for 180 days will subject
permit to cancellation.
1 certify that I have,read this application anthe above Information is correct. 1 e ree to_ comply with all
city and ordinances and state laws )ding construction, and her hon ze ntatives
of this y enter upon the above merYa Inspection purpoaDate: Signature (Applicant
Application Number . . . . 13-00001707
• Permit. . . . PATIO COVER 2013
Additionaldesc .
= Permit Fee' . . . . 131.56 Plan Check Fee
.00
Issue Date Valuation . . .
. 2115
Expiration Date . . 9/09/14
Qty Unit Charge Per
Extension
1.00 1311.5600 EA MISC PATIO COVER, SPEC
131.56
-------------------- --- --
Special Notes and Comments
159SF DETACHED POOL STRUCTURE WITH
OUTDOOR SHOWER [ENGINEERED] DOES NOT
INCLUDE CONDITIONED SPACE. 2010
CALIFORNIA BUILDING CODES.
February 19, 2014 8:49:09 AM azarco.
-----------------_-.--------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
•1.00
PLAN CHECK, MULTIPLE STR
47.67
STRONG MOTION (SMI) - RES
.50
Fee summary Charged Paid Credited
-----------------------------------------
Due
-------------------
Permit Fee Total 131..56 .00 .0'0
131.56
Plan Check Total .00 .00 .00
.00
Other Fee Total 49.17 .00 .00
49..1.7
Grand Total 180.13 .00 .00
180.73