14-0307 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000307
Property Address: 90750 CASTILLO DEL AREANA
APN: 762-240-014-21 -34.243 -
Application description: WALL/FENCE
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 4175
c&ht 4 XP Qm&m
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
AV CONSTRUCTION LLC
71905 HWY 111
LA QUINTA, CA 92253
(760)776-1111
Applicant: Architect or Engineer:
d'DA� C�b
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LICENSED CONTRACTOR'S DECLARATION
1 hereb ffi under penalty of perj y at 1 am licensed under provisions of Chapter 9 (commencing with
Seco 700 of Division 3 of the, in ss and Professionals Code, and my License is in full force and effect.
Licensettaisal
( B Licen969219.
Date 1 Contractor.
OWNER -BUILD TION
I hereby affirm under penalty of perjury thA I am exempt from tha actor's State License Law forth
21
following reason (Sec. 7031.5, Business a Professions Cod • ny city orwunty that requires a rt to
construct, attar, improve, demolish, or repai any structure for to its issuance, also requires t licantfor the
permit to file,a signed statement that he or she is lice_ _ pursuant to the provisions of t actor's State
License Law (Chapter 9 (commencing with Section 7 0).of Division 3 of the Bu ' and Professions Code) or
that he, or she is exempt therefrom and.the basis f e.alleged exempt: y violation of Section 7031.5 by
any applicant for permit subjects the;applicant to a IviLAaiaa ct morethan five hundred,dollars (8500).:
(_) I, as owner, of the property, or my employees with wages, as their sole compensation, will do the work, and
the structureis 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 projer t:(See.
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
1 hereby affirm under penalty of perjury {hat,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:
t,QPERMIT
Contractor:
ALTA VERDE BUILDERS,
71905, HIGHWAY 111, SU
RANCHO MIRAGE, CA 922
(760)776-1111
LiC. No.: 969219
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/24/14
CITY O
WORKER'S COMPENSATION DECLARATION
1 hereby, affirm under penalty of perjury one of the following declarations:.
_ I have and will maintain a -certificate of consent mselfAnsure for workers' compensation, as provided
for by:Section 3700 of the Labor Code, for the performance of the work for which thispermit Is
issued.
I have and will maintain o ars' compensation insurance, as required by Section 3700 of the Labor
Code; for the perfor- n of the work for which this permit is issued. My workers' compensation
insurance carder and ifinumber are:
Carrier STATE FUND PolicyNumber 9006140
1 certify that, in the pertf the work for which this permit is issued, I shall not employ any
person In any manner sbecome subject to the workers' compensation laws of California;
and agree that, if s me subject to o�Av w! ensation provisions ofSecd
J _ 3700 of the Labor C s I forthwith coni W wWrRse prow
Date:
WARNINO, FAILURE TO SECURE WORKERS' C MPENSA COVERAGE IS UNLAWFUL, W. SHALL
SUBJECTIAN EMPLOYER TO CRINIINAL.PENAL ES AN_ iVIL FINES UP TO ONE HU THOUSAND
DOLLARS (5700,000). IN ADDITION TO THE COST COMPENSATION, DAMABES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTERE , AN TTORN
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of 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 owneri and the applicant, eaeh,agrees to,.and,shall defend,indemnify^and hold harmless the City
of.La Quinta, its officers, agen rid employees for any act or omission related to the work being
performed under or folio ' rice of this permit.
2. Any permit issued as•a result of application becomes null and void if work is, not commenced
within 160 days from date of iss a of such permit; or cessation of work for ISO days will subject
permit to cancellation.
I certi that I eve read this appliwtion:ard "- t theaboveInformation.is correct. 1, ree to comply with all
citye coun ordinances and state laws relat t ilding construction, a., r 1 repress
of this ounty eVm�er upon the abave-mentio pro rty for inspection pu
Date: ( \Signature (Applicant or Age
Application Number . . . . . 14-00000307
A,
Permit. . . . . WALL/FENCE PERMIT 2013
Additional desc
Permit Fee . . . 75.79 Plan Check. Fee .
Issue Date . . . Valuation . . .
Expiration Date . . 9/20/14
.00
4175
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 LF 28.60
--------------------------------
Notes and Comments
167 IN FT- X 6'FT HT LOT 21 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.
-------------------_------------------------------------------- --
Other Fees . . . . . BLDG STDS ADMIN (SB1473.) 1.00
PLAN CHECK, WALLS 60.06
Fee summary Charged
Permit Fee Total 75.79
Plan Check Total .00
Other Fee Total 61.06
Grand Total 136.85
I
L,QPERMff
Paid Credited Due
.00 .00 75.79
.00 .00 ..00
.00 .00 61.06
.00 .00 136.85