13-1706 (PAT).I
P.O. BOX 1504
78-495 CALLE TAMPICO
` LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001706
Property Address: 80764 CASTILLO DEL AREANA
APN: 762-240-014-22 -34243 -
Application description:. PATIO COVER - RESIDENTIAL
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 2115
Applic�l
I hereby affirm;under penalty of pt
Section 000 of OWislon.3 of the
Licerae lasts: B
Dater 7 _(4 Contractor:
c&lf 4 lr
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT Date: 3/13/14
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC.
315 S BEVERLY DR. 208
BEVERLY HILLS, CA 90212
Architect or Engineer:
A VERDE BUILDERS, INC.
r'!FIR j r f-ic7C60
HIGHWAY
ICA� 92270SUITE G
CHOMIRAGE,
)776-1111
1. No.: 969219
---------------------------------
LICENSED
------------- - ----- ---
LICENSED CONTRACTOR'S DECIARATION
I am, licensed under provisions of Chapter (commencing with.
and ProfessionalsCode, and. my License Is In full force and effect.
License'No:: 969219
I hereby affirm under penalty of perjury that I exempt fro a Contractto License: Lew for the
foilowing.resson (Sec..7CV5, Business.and afessbris C ei or county that requires a permit to
construct, atter; improve,, demolish, or repair +y structure, er to Its Issuance, also requires the applicant for the
permit to file a signedstatement that he or shp Is licensed pursuant to the provisions of..the Contractor's State
License Law (Chapter 9 (commencing°wlfh ion 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
I any for a permit subjects the applicant to a civil penalty of not more,thanfiya 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.sale.(See. 7044', Business and Professions Code: The
Contractors' State Lloense Lew does not apply to en 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.).
(_ 1 1, as owner of the property„am exclusively contracting with Hcensed contractors'to.construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to. an owner of
propertywho builds or Improves thereon, and who contracts for the projects with a "cornractor(e) licensed
pursuant to the Contractors' State License Law.).
(_) I am exempt under Sec. . B.&P:C. for this reason
Date: . Owner:
CONSTRUCTION LENDINO'AGENCY
I hereby affirm under penalty of perjury that there is a construction lendingagency for the performance of the
work for which this permit Is issued (Sec. 3097, CW. C.).
Lender's Name:
Lender's Address.
LQPBRMTT
WORKER'S COMPENSATION DECLARATION
I herebyaf rm under pantry of.parjury one of the following declarations:
_ I have and will maintain a certificate of consent to salf-insure forworkars' 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 mairital workers' compensation insurance, as'required by Section 3700 of the Labor
Code; for the soca of the work for which this permit is issued. My workers' compensation
insurance carrier an olicy number, are:
Carrier STATE FUND Policy Number 9006140
_ 1 certify that, In the -perto lance of the work for which this permh'is Issued_, I shall not employ any
person4n any ma r s as to become subjecrto the wodc mpen aws of California,
and agree that, f,
me subject to the works compensation provish of Section
3700 of the Libor I II forthwith corrhply wi provisions.
Date: 1 ( Applicant:
WARNIN FAILURE TO SECURE, WORKERS' COMPENSATION COV AGE IS.UNLAWF D SHALL
SUBJECT AN EMPLOYER TO.CRIMINAL PEN LTIES AND CIVIL Fl S UP TO O DR_ED THOUSAND
DOLLARS (8100;000). 1.N ADDITION TO T COST OF CMPEN MAGES AS PROVIDED FOR IN
SECTION. 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made.to the Director of Building and Safety for a permh 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 Isperformed 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 foranyact or omission.related to the work beirq
performed under or following Issuance of this permit.
2. Any permit issued as a resutt'of thi (catibecomes null and void if work is not commenced
within 160 days from date of Isauan*1fsuc;hpermk; ar cassation of work for 180. days willsubje 7permit to cancellation.
I certify that I have, read this application and stateove Information is correct. I agree to comply with all
city and bou ordinances and state laws relatirg construction,.end her ra reaentatWesof thYs to enterupon the abovementioned r inspection puDate: I Signature (Applicantor Agen
i
LQPERmer
Application Number . . . . . 13-00001706
Permit. . . . PATIO COVER 2013
R Additional desc .
Permit Fee 131.56 Plan Check Fee
.00
Tssue Date . . . Valuation . . .
2115
Expiration Date 9/09/14
Qty Unit Charge Per
Extension
1.00` 131.5600 EA MISC PATIO COVER, SPEC
13.1.56
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Special Notes and Comments
159SF DETACHED POOL STRUCTURE WITH
OUTDOOR SHOWER [ENGINEERED] DOES NOT
.INCLUDE CONDITIONED SPACE. 2010
CALIFORNIA BUILDING CODES.
February 19, 2014 8:47:31 AM azarco.
-----------------I- ---------------------------------------------------------
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 ..00
131.56
Plan Check Total .00 ..00 .00
.00
Other. Fee Total 49..11 .00 .00
49.17
Grand Total 180..73 .00 .00
180.73
LQPERmer