13-1694 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Ap ant:
13-00001694
80792 CASTILLO DEL AREANA
762-240-014-24 -34243 -
DWELLING - SINGLE FAMILY DETACHED
RL AG/EQ OVERLAY
250271
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of ry that I am licensed under provisions of Chapter 9 Icommencing with
Section 70001 of Divisio_n.3•of the sine_ss and Professionals Code, and m and effect.
License lass BB Lice 969219
Date: i 1 CoMractar:
OWNER BUI ER DEC ON
I hereby affirm under penalty of perjury t_ t) am exempt fro ontractor's State License Law for the
following reason ISec. 7031.5, Business nd.Professions Code: Any city or county that requires a permit to
construct, alter; improve, demolish, or -repair any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is.licensed pursuant to the provisions of the Contractor's State
License Law -.(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and the .basis'forthe alleged exemption. Any violation of Section 7031.5 by
any applicant for a permit subjecmthe applicant to a civil penalty of not more then five hundred dollars ($500).:
f _ 1 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 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,ownerotthe 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 ) I am exempt under Sec. , BAP.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 Wissued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMTT
Owner:
AV CONSTRUCTION LLC
315 S BEVERLY DR. 208
BEVERLY HILLS, CA 90212
Contractor:
ALTA VERDE BUILDERS, INC.
71905 HIGHWAY 111, SUITE G
RANCHO,MIRAGEj CA 922,70
(760)776-1111
Lic. No.: 969219
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/13/14
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 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 3100 of the Labor
Code,for the performance of the.work for which this permitis'issuad. My workers' compensation
insurance carrier and policy'numbet are:
Carrier STATE FUND Policy Number 9006140
I certify that, in therformanoe of the work for which this permit is issued, I shall not employ any
person in any me r so as to become subject to the workers' compensation laws of California,
,and agree that, H I uld become subject to thew nsation,provisions of Section
3700 of the Labor - I. shall forthwith c ith those prove
Date: 1f A Applicant:
WARNING:: FAILURE TO SECURE WORKS' COMPENSATION C9VERAGE IS UNVekFUL,.AND'SHALL
SUBJECT AN EMPLOYER TO CRIMINALPENALTIES AND CIVILCNSA
ES UP T HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPT AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR'CODE, INTEREST, AND ATTO,S FEES:
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety fora permit subject wthe
conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose requestand'for
whose benefit work is performed under or pursuant to any permitissuedas 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 officer% agents and employees for any act or omission related to the work being
performed'under or following°issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if work is not, commenced
within 180 days from date; of issua of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state h t the above informationis corect. I agree to comply with all
city a co�to
nances and state laws relating ilding construction,:a authorize representatives
of this uter upon the above-mentioned pro forinspectio rDate: ISignature (Applicant or Agent):
Application Number .. . . . . 13-00001694
Permit
. . . BUILDING 201-3
Additional
desc .
Permit Fee
601.99 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . .
. 250271
Expiration
Date
9/09/14
Qty Unit Charge
Per
Extension
BASE FEE
573.43
51.00
.5.600
THOU BLDG $200,00.1-$1M
28.56
Permit
. . . ELECTRICAL 2013.
Additional
desc .
Permit Fee
. . . .
1"91.15 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date . .
9/09/14
Qty Unit Charge.
Per
Extension
.00
23.8300
LS ELEC DEVICES,, FIRST 20
.00
1.00
23.8300
EA ELEC SERVICES
23.83
1.00
143.0000
LS ELEC NEW RES, FIRS' 1 KSF
143.0.0
2.00
12.1600
-------------------------------------------------------------
EA ELEC NEW RES, ADD'L 1 KS.F
24.32
Permit.
. . MECHA_NICAL 2013
Additional
desc . .
Permit Fee
. . . .
297.94 Plan Check Fee
.OA
Issue Date
. . .
Valuation . .
. 0
Expiration
Date . .
9/09/14
Qty Unit Charge
Per
Extension
3.00
35.7500
EA MECH FURNACE
107.25
3.00
35.7500
EA MECH 'CONDENSER/COMP
107.25
6.00
11.9.200
EA MECH VENT FAN
71.52
1.00
------------------------------------------------------------------------------
11.9200
EA MECH EXHAUST HOOD
11.92
Permit
. . .
PLUMBING 2013
Additional
desc .
Permit Fee
. . . .
.250.31 Plan Check Fee
.00
Issue Date
. . . .
Valuation . . .
. 0
Expiration
Date . .
9/09/14
Qty Unit Charge
Per
Extension
15.00
11.9200
EA PLBG FIXTURE/TRAP
178.80
1.00
11.9200
EA PLBG BUILDING SEWER
11.92
1.00
11.9200
EA PLBG WATER HEATER/VENT
11.92
LQPERMIT
Application Number . . . . . 13-00001694
Permit . . . . . . PLUMBING 2013
Qty Unit Charge Per
Extension
1.00 11.9200 EA PLBG WATER INST/ALT/REP
11.92
1.00 35:7500 LS PLBG GAS SYS, 5+ OUTLETS
35.75
Special Notes and Comments
2849 SF DWELLING - PLAN C3 REV, LOT 24
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT INCLUDE BLOCK
WALLS, POOL, SPA OR WATER FEATURES. 2010.
CALIFORNIA BUILDING CODES.
January 27, 2014 10:41c34 AM azarco.
Other Fees .. . . . . . ART IN PUBLIC PLACES -RES
125.68
BLDG STDS ADMIN (SB1473)
11.00
DIF COMMUNITY CENTERS -RES
129.00
DIF CIVIC CENTER - RES
942.00
DIF FIRE PROTECTION. -RES
433.00
DIF LIBRARIES - RES
344.00
MULTI -SPECIES (MSHCP) FEE:
1278.00
PLAN CHECK, ELECTRICAL
69.13
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK,.MECHANICAL
176.37
PLAN CHECK, PLUMBING
233.62
DIF PARKS/REC - RES
2048.00
BLDG PC 200K -1M
1280.27'
STRONG MOTION ('SMI) - RES
25.03
TUMF: RESIDENTIAL
1837.44
DIF STREET MAINT FAC -RES
116.00
DIF TRANSPORTATION - RES
2842.00
Fee summary Charged Paid Credited
Due
Permit Fee Total 1341.39 .00 .00
1341.39
Plan Check Total .00 .00 .00
.00
Other Fee. Total 11930.54 .00 .0:0
11930.54
Grand Total 13271..93 .00 .00
13271.93
LQPERMrr