14-0306 (BLCK)P.O. 8(bl 1504
79-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 14-00000306
' Property Address: 80764 CASTILLO DEL AREANA
' APN: 762-240-014-22 -34243 -
Application description: WALL/FENCE
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 3125
T,vf 4
BUILDING & SAFETY DEPARTMENT 61 />
BUILDING PERMIT
Applicant: Architect or Engineer:
Owner-
AV CONSTRUCTION
71-905 HWY 111 # G
FF LA QUINTA, CA 92253
(760)776-2:111
Contractor:
ALTA VERDE BUILDERS, INC.
71905':HIGHWAY 111, SUITE
RANCHO MIRAGE., CA 92270
(760)776-1111
Lic. No.: 969219
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (.760) 777-7153
Date: 3/24/14
1 !I
3 2014 li
CITY OF L A
--
------- - - ---Nesiness
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LICENSFD CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereb affirm underpenalty oatJ
am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury on&of the following declarations:
Section 0001 f Division 3 of
and Professionals Code, my License:is in full force and effect.
_ I have and will maintain a certificate -of consentto self -insure for workers' compensation, as provided
LMass: BLicen
969219
for by. Section 3760 ofthe Labor Code, for the performance,of the work for which this permit is
Date:
I
y Contrac
Issued.
_ 1 have and will, maintain workers' compensation Insurance, as required by Section 3700 of the: Labor
Code; forth rtormance of the work for which.this:permitis,issued. My workers' compensation
OWNER DEC
inscame poi{cy number are:
1 hereby affirm under penalty of perjury -the I am a pt frorf TWContractor's State License Law, fort
followingreason (Sec. 7031.5, Business a Pr aloha Gode:.Any city or county that requires a {t to
Construct, alter, improve, demolish, or repair y structure, prior to
issuance, also requireapplicaM.for 'the
permittofile a signed statement that he e,is licensed pursuant to the provision a Contractor's State.
License Law (Chapter9 (commencing wi ion 7000) of Division 3 usiness and Professions Code) or
that he or she is exempt therefrom and t sis for the all ptiom Any violation' of Section 7031 5 by .
any applicant for a permit subjects the app penalty of not more then five hundred dollars (11500).:
Y _ 1 1, as owner of the property,.or my employees with wages as their sale 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 Lew 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.).
1, as owner of the property, am exclusivelycontracting with licensed contractors to constructthe project (Sec.
7044,;Busmess and Professions Code: The Contractors' State License Law does not apply to anowner of
property who,builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State1icense Law.).
(_ 1 I am exempt under Sec. , 8.&P:C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby afflrm.under penalty of perjury that.there is a construction lending.agency for the performance of the
work for which this permlt is issued (Sec. 3097, Civ. C.).
Lender'sName:
Lender's Address:
LQMRMIT
Carrier STATE FUND Policy Number 9006140
- 1 certify that„{n the - monce:of the work for which this permit is issued, I shall not employ any
rson in any ma ter as to become subjectto the workers' compensation laws of California,
and agree that, if sho become subject to the won non of Section
7`00,of the Labor
Dste:, 1 {4pplicent:
WARNI :, FAI URE`TO SECL
SUBJECT AN EMPLOYER TO, CRIMINA
DOLLARS (5100,000). IN ADDITION 1
SECTION 3706 OF THE LABOR CODE,
MBlIVSATION COVERAGE IS UNLAWFUL, A_ N ALL
it AND CIVIL FINES•UP TO ONE HUNRVArTHOUSAND
ST OF COMPENSATION, DAMA PROVIDED FOR IN
,.AND ATTORNEY'S FEE
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 resu t of this application,
the owner, and the applicant, each agrees to, an&shall defend,.fndemnifyand .hold harmless the City
of La Quints, its officers,: agents a employees for any act or omission related to the work being
performed under orfollowing;issu ce`of.this permit.
2. Any permit issued as a result of this ion becomes null and vokl1f work is not commenced
within 180 days from date of issue o such permit, or cessation of work for 180 days will subject
perm It to cancellation.
I certi that t ave read this applicationand stateth ,t above informationis7corr I agree to co with all
city -an coup ordinances and state laws relating to g construction, and her y authotitze represent as:
of th ounty t etrnt�� upon the above-mentioned pro r Inspection purposes.
Date:. I Signature (Applicant or Agent):
Application Number . . . . . 14-000.00306
Permit. . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . 61.49 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 3125
Expiration Date 9/20/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
1.00 14.3600 EA MISC WALL, AWL 50 LF
14.30
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Special Notes and Comments
125 IN FT X 6 FT HT LOT 22 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 Paid. Credited
---------------------------------------------------------
Due
' Permit Fee Total • 61.49 .00 .00
61.49
Plan Check Total .00 .00 .00
.00
Other Fee Total 61..06 .00 .00
61;.06
Grand Total 122.55 .00 .00
122.55
LQPERMIT