14-0308 (BLCK)O;BOX 1504
78495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&tit °F 4 Q"
�- Application Number: 14-00000308
Property Address: 80736 CASTILLO DEL AREANA
APN: 762-240-014-20 -34243 -
Application description: WALL/FENCE.
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 4750
Applicant: Architect or Engineer:
l�A C-rb A" P_
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
ENSED CONTRACTOR'S DECLARATION
I hereb affirm under penalty of perjury t am licensed under provisions of Chapter (commencing with
Section 000) f Division 3 of the Busin Professionals Code, and my LI i ' full force and effect.
Licen lass: B License No:: 9 1
pate: Contractor:
O ER -BUILDER D, LARATIO
I heretiyaffirm underpenelty of.perjury that I am ex _ - pt from the C ctor's State License Law for the
following reason (Sec. 7031.5, Business'and Profess ns Coder city or county that requires a'permit
construct, attar, improve, demolish, or repair any atn, re, brio o Its Issuance, also requires the-appl' tfor the
permit to file a signed statement that.he or;she�ii: lice bur arrtSo the provisions of'the Conti 'a State
License Law (Chapter 9 (commencing with Section 000) of ivision'3'ofthe Business'an essions Code) or'
that he.or she is exempt therefrom and the'basis for the alleg mption. A n of Section 7031.5'by
anyapplieant for a permit subjects the applicant to a civil penatty-of-not more,than five hundred,dollars (9500).:
( —) 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 doesthe work himself or herself through his on her own -employees, provided that the
improvements are not intended or offered for. sale. If, however, the building or Improvement is sokf 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.).
(_) 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 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.).
(_) 1 am exempt under Sec. , BAP.C. for this reason
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty ofperjury that there is a construction lending agency :for the performance of the
work-forwhich this permit -is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's. Address:
L:QPERMIT
Owner:
AV CONSTRUCTION LLC
71905 HWY 111 #G
LA QUINTA, CA 9225
(760)776-1111
Contractor:
ALTA VERDE BUILDER
71905 HIGHWAY 111,
RANCHO MIRAGE, CA
('760)776-1111
Lio. No.: 969219
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777=7153
Date: 3/24/14
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 Coda, for the performance of theworkfor 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. ort, the work for which this permit is issued. My workers' compensation
insurance cad ler' and policy number. are:
Carrier STATE: FUND Policy Number 9006140
1 certify that, Int rtormance of the work for which this permit is issued, I shell net employ any
rson:in any m ner. so as to become subject to the tion laws of California,
And agree that,1 should become subject ra' comper l visions of Section
q�j 700 of the.Le ode, l shall forthwith m those provisions.
Date: /� Applice ..
WARNIN FAILURE TO SECURE ORKERS' CC TION COVERAGE IS UNLA AND SHALL
SUBJECT AN EMPLOYER TO CRIMI AL. PENALTIES NO CIVIL FINESUP TO 0 NDRED THOUSAND
DOLLARS (9100,000)• IN ADDITIO TO THE COST COMPENSA MAGES,AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CO E; INTEREST, AND A Y'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and'Safety for a permit.subjectto 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 follow sauance of {hie permit,
2. Any permit issued as a re of this application becomes null and void if work is riot commenced
within' 180 days from date o e of such,permlt, or cessation of•work for 180 days will subject
permit to cancellation:.
(_
I ceni that I ave read this application and at t the above Information is tort t.J-agr with°all
city a coup ardjnances.and state laws reiati building construction, and y orize representat
of W o,eM r upon.the above -mention pr rty for inspection purpo
Date I1 `nature (Applicant or`Ag
Application Number . . . . . 14-00000308
Permit. . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 75.79 Plan Check Fee
.0.0
Issue Date Valuation . . .
. 4750
Expiration Date 9/20./14
Qty Unit Charge Per
Extension
1.00 47..1900 LS MISC WALL, FIRST 100 LF
47.19
2.00 14.3000 EA MISC WALL, ADDL 50 IF
28.60
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Special Notes and Comments
190 IN FT X6 FT HT LOT 20 BLOCK WALL
PER ORCO SPECIFICATIONS] PRECISION
CONCRETE BLOCK SHALL.BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE
VISIBLE FROM OUTSIDE THE PROPERTY. 2013
CBC.
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Other Fees . . . . . . . BLDG SIDS ADMIN (SB1473)
1.00
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
Due.
Permit. Fee Total 75.79 .00 .0.0
75.79
Plan Check Total .00 .00 .00
.00
Other Fee Total 61.06 .00 .00
61.06
Grand Total 136.85 .00 .00
136.85
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