13-1705 (PAT)P--.10. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applica
L44�,
13-00001705
80806 CASTILLO DSL AREANA
762-240-014-25 -34243 -
PATIO COVER - RESIDENTIAL
RL AG/EQ OVERLAY
2115
4eIT-,df 4 4 0" VOICE (760) 7774012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS .(760) 777-7153
Architect or_Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
t' �
ontractor.
MAR 7 + TA VERDE BUILDERS, INC.
oil, 71905 HIGHtPAY 111, SIIITE G
RANCHO MIRAGE, CA 92270
Rlnt_n,*. 8 UINZA
(760) 776-1111
kbPi I;ic. No.: 969219
1 hereby affirm.under penalty of rf ry that l am licensed under provisions of Chapter 9 (commencing with
Bastion 000) of Division 3 of thA mess and, Professionals Code,,and my License Is in Dull force and effect.
License lass B LI 19
Date Contractor:
OWNER ILDER DECLARATION_
I hereby affirm under penalty of perjury th 1 am exam from the Contract ' e License Law for the
following, reason (Sec. 7031.5; Business a Professio Code: or county that requires a permit to
construct, after, improve; demolish, or rep any structure; prior to its Issuance, also. requires the applicant for the
permitrto file a signed.statement:that he or sheds 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 for the alleged.exemption. Any violation of Section 7031.5 by
any applicant for 'a permit subjects the applicant to a civil penalty of not more then five hundred dollars 0500).:
(_ 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 Libense 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 am within
one:year of completion, the owner -builder will have the burden.of proving that.he or she did norbuild or
Improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Coda: 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 oomrector(s) licensed
pursuant to the Contractors' State License Law.).
I—) I am exempt under Sec. _, B.&P.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, is Issued ISao. 3097, Civ. C.).
Lender's Name:
Lender's Address:
L,QPSRMIT
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.
_ 1 have and will malmain.workers• compensation Insurance, as.required by°Section 3700 of the`Labor
Code; for the performance of the work for which this.permit Is Issued. My workers'.00mpensawn
insuranoecarrlen hd p Icy number are:
Carrier STATS FOND Policy Number 9006140
_ I certify that, In,erform ce of the work for which this permit is issued, I shall not employ any
person in any m er to become subject to the workers' compensation laws of California,
and agree that, if'I Id me subject to the
pensation provisions of Section
3700 of the Labor C shall forthwith ose pr _
Date ' ( % Applicant:
WARNING: FAILURE TO SECURE WORKERS' OMPENSATI COVERAG��E �ISS' !N� FUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PEN A TIES AND Cl - ONE HUNDRED THOUSAND
DOLLARS (8100,000). IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE:LABOR CODE; INTERE „AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDOEMENT
IMPORTANT Application is hereby made to the Director of Building_ and Safety for a permit subject to the
conditions and reatrictiona:set forth on this application.
1. Each person upon whose behalf thia:applicatlon,is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permitissued as a result of this application,
the owner, and the applicant, each agrees to, and shell defend, indemnify and hold harmless the City
of La Quints, its officers, agents and employees for -any act or omission related to the -work being
performed under or following issuance this permit:
2. Any parmitIssued as a result of this plicationbeeomes null and void If work Is not commenced
within 180 days from date of issuan such:permit, or cessation of. work for 180 days will subject
permit to cancellation.
1' certify 1 have read this application and state tits above Information h correct. 1 agree to comply with all
city and my rdinances and state laws relating to i construction, and es
of this M1 y. enter upon the above-mentioned pr Inspection pu
Dater ` 7 ` 1 Signature (Applicant or Agent):
Application Number 13-00001705
Permit. . . . PATIO COVER 2013
Additional desc .
Permit Fee . . 131.56 Plan Check Fee
.00
Issue Date . . . Valuation . . .
. 2115
Expiration Date 9/09/14
Qty Unit Charge Per
Extension
1.00 131.5600 EA MISC PATIO COVER, SPEC
131.56
---------- -----------------------------------------------------------------
Special Notes and Comments
159SF DETACHED POOL STRUCTURE WITH
OUTDOOR SHOWER [ENGINEERED] DOES NOT
INCLUDE CONDITIONED SPACE. 2010
CALIFORNIA BUILDING CODES,
February 19, 2014 8:44:06 AM azarco.
-----------------_---------------------------------------------------------
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK,_ PATIO COVER_
165..88
STRONG MOTION (SMI) - RES
.SO
Fee summary Charged Paid Credited
Due:
---------------------------------------------------------
Permit Fee Total 131.56 .00 .00
131.56
Elan Check Total_ .00 .00 .00
.00
Other Fee.Total 167.38 .00 .00
167.38
Grand Total 298.94 .00 .00
298.94