14-0297 (BLCK)T4ht 4 00&
P.O. BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 3/24/14
Application Number: 14-00000297 Owner:
Property Address: 80806 CASTILLO DEL AREANA AV CONSTRUCTION LLC
AM: 762-240-014-25 -34243 - 71905 HWY 111
Application description: WALL/FENCE LA QUINTA, CA 92253
Property Zoning: RL AG/EQ OVERLAY (760) 776-1111
Application valuation: 1650 D
Contractor:
Applicant: Architect or Engineer: ALTA VERDE BUILDERS I C ` AR 3 2014
71905 HIGHWAY 111, �1 R
RANCHO MIRAGE`, CA. 2 0,
(760) 776-1111 CIlYQFLAQUINTA
Lic . NO.: 969219 FKAyCE DEPT
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ID CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereb-affirm under penalty of perjury t am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Sects ' 70 ) of Division 3 of the Busin Professionals Code, and my II force and effect. _ I have and will maintain a certificate of consent to self4nsure for workers' compensation, as provided
Lic Ci B - License No<:. 9 for by Section 3700 of the Labor Code, for the, performance of the'work for which this, permit is
issued.
Data: - Contractor: _ I have and will main�t-gworkers' 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' compensation'
ER -BUILDER DON
I hereby.affirm under penalty of perjury that I am xempt from th ontractor's State License Law for
following reason (Sec. 7031.5, Business and Professions Cod fAny city or county that r permlt to
construct,,alter, improve, demolish, or repair any structure, pr r to its iswa vires the applicant for the
permit to file a signed statement that he,or she is Ifcensed purse - o t e 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 than five hundred -dollars (8500).:
(_) 1, as•ownerof.the property, or my employees with wages as their sole compensation, will do the work, and
the structure;is,noVintended or offered for sele-(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 db not build or
improve for the purpose of: sale.).
(_) I, as owner or the 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!buflds or improves thereon, end who contracts for the projects with^a contractors) licensed
pursuantto the Contractors' State License Law.).
(_) I,am exempt under Sec. B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm,under penalty of perjury that there1s 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:
LQPERMIT
Carrier STATE FOND
Icertify that, In the orm)
person,in any manbode
and agree that, if I
of the Labor
Date: / \ Applicant:.
WARNING: FAILURE TO SECURE WORD
SUBJECT AN EMPLOYER TO CRIMINAL
DOLLARS, ($1 00,00M., IN AODITION'T(
SECTION 3708 OF THE LABOR CODE, I
number are:
_ Policy Number 9006140
ce of the work for whidi'this permit fs issued I shaft not employ any
to become subject,to the wor�'pef�CalHomia,
*come. subject to the work on provisions of tion
ENSATiON 9OVERAGE IS UNLAWFULAND SHALL
AND CIVILINES UP TO 0gLNWW i�EO THOUSAND
OF COMP AGES AS PROVIDED FOR IN
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 owner, and the applicant,,each agrees to, and shall defend, indemnify and hold harmless the City
of La'.Quinta, its officers, agentsand employees for any actor omission related to.the work being
performed under or following issue of this permit.
2. Any permit issued as a result of'this 'cation becomes null and void, if work isnot commenced
within 180 days from date of issuanca o uch permit; or ceasation of work for 180 days will subject
permit to cancellation.. `
I certi that I have read this application and state, he bove information.is torr Is ly with all
dty an coun ordinances,and state laws,relating to Ids construction, and he y- or' e r recto lues
of it � _ (enter upon the above-mentioned pr y f Inspection, purposes.
Date t�1` Signature (Applicant or Agent):
Application Number . . . . 14-00000297
Permit . ... WALL/FENCE PERMIT 2013
Additional desc
Permit Fee . . . . 47.19 Plan Check Fee .00
Issue Date . . . Valuation . . . . 1650
Expiration Date . . 9/20/14
Qty Unit Charge Per Extension
1-0.0 47.1900 LS MISC WALL, FIRST 100 LF 47.19
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Special Notes and Comments
66 LN FT X 6 FT HT BLOCK WALL LOT 25'
[ORCO SPECIFICATIONS] PRECISION CONCRETE
BLOCK SHALL BE COVERED WITH STUCCO.,
PAINT, OR TEXTURED COATING WHERE VISIBLE
FROM OUTSIDE THE PROPERTY. 2013CBC.
-----------------..-.---------------------------------------------- -
Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.00
PLAN CHECK, WALLS 60.06
Fee summary Charged Paid Credited Due
Permit Fee Total 47.19 .00 .00 47.19
Plan Check Total. .00 .00 .00 .00
Other Fee Total 61-06 .00 .00 61.06
Grand Total 108'.25 .00 .00 108.25
LQPERMIT