13-1214 (BLCK)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
Application -Number:
Property Address:
APN: .
Application description:
Property Zoning:. -
Application valuation:
Applicant:
BUILDING PERMIT
Date: 9/25/13
13-00001214 Owner:
57572"SALIDA DEL SOL MADISON 58TH LA QUINTA, LLC
762-490-052- - - 1282 PACIFIC OAKS PLACE
WALL/FENCE ESCONDIDO, CA 92029
RL AG/EQ OVERLAY
6512
I herebyaffirm under penalty of
Section ji000).ofiDivision'3 of 1
Architect or Engineer:
Contractor:
ALTA -VERDE BUILDERS,.INC.
71905 HIGHWAY 111, SUITE G
.RANCHO MIRAGE; CA 92270
(760)776=111.1
Lic. No.: 969219
LICENSED CONT 'S,DECLARATION `7 - - WORKER'S COMPENSATION DECLARATION
ury that I. am licensed uitdenprow ' s�6i'6hapter 9 (commencing with ' " - I hereby. affir under penalty, of perjury one'of the following declarations: -
lusiness and Profess' nals Coda; -and m icense.is in.full force and effect. have and will mi certificate of. consent to self -insure -for workers' compensation, as provided
Ci se No.: 96' .for"by Section 3700 of the tabor'Code, for the•performance of the work for which this permit is
"issued:' he -. -
' +I' e'and will maintain workers compensation insurance; as required by Section 3700 of the Labor
• -Code, for the pe rmance of the. work for -which ,this'Permit is issued..My workers' compensation
OWNER -B DER�DECIAHATION - jnsurance�carrier and policy numtier are:
I hereby. affirm ---under penalty of.perjury hat I'am !xenpCfrom the Contractor' to License Law for the Carrier STATE FUND"` Policy Number -9006140
following reason (Sec -7031 .5, Business nd Profes ons Cod ny-fty or county .that requires a permit to _ ('certify that, in the rf` mance of the work for which,tpis-peLmit is issued, I shall not employ any
construct, alter, improve, demolish, or rep ' : any structure,. prior to its issuance, also requires. the applicant: for the
permit to file a signed statement that he or - e is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter9 (commencing with .S6ction. 7006) of Division 3 of the Business and -Professions Code) or
that he.or she is'exempttherefrom and the basisfor the alleged exemption. Any violation of Section 7031. 1 5 by
any applicant fora permiLsubjects the applicant to a. civil_ penalty of not more thim five hundred dollars.($500).:
1 _ 1 I, as owner of theproperty, 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 tat he or she did not build or
improve for the purpose of sale.)..
(_ 1 I,. as!owner of theproperty, am exclusively contracting with licensed contractors to construct the project ISec.
7044;.6usine§s 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.).
I 1 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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
WARNING: FAILURE TO SECURE WORKERS COMPENSATIOf COVERAG UNLAWFUL, AND SHALL
SUBJE&'AN EMPLOYER TO CRIMINAL PEN LTIES AND CI FIL FINES -,U O;ONE HUNDRED THOUSAND
DOLLARS. ($106,000). IN ADDITION TO THE COST.OF CO PE ON, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. "
APPLICANT ACKNOWLEDGEMENT "
IMPORTANT .Application is hereby made to the'Direcior of Building and Safety for a permit subject to the
conditions and restrictions set forth on this _application:
1. Each person upon whose behalf thisapplication is made, each person at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result 6f 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 andV mployees.for any act or omission "related to the work being
performed under or following issu ce.of this permit.
2. Any permit issued as a result of thi application becomes null and void if work is not commenced
within 180 days from date of,issua ce of such permit, or cessation of work for 180 days will subject
permit to cancellation. -
certify at I have read this application and state t t e above information is correct. agree to comply with all
city and ount ordinances and state laws relating to Idling construction, and her horize representatives
of tL��tti c t P�t1er upon the above-mentioned pro y for inspection purpos
Dat �� a► � /Signat(Applicant or Agent):
LQPERMIT
.
Application Number . . . . . 13-00001214
Permit WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee 61.49 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 6512
Expiration Date 3/24/14
Qty Unit Charge Per
Extension
1.0.0 47.1900 LS ' MISC WALL, FIRST 100 LF
47.19
1.00 14.3000 EA MISC WALL, ADDL.50 LF
14.30
_
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Special Notes::.and:-Comments
-------
BLOCK WALL,..,- 148 -LF-OF 6 ft. 'HIGH,GARDEN.
WA;LL-:•ON-'NORTH. PROPERTY LINE; (DIFFEREN.CE'.
SPLIT,,;BETWEEN-NEIGHBORING PROPERTY), AND 5.-
FT. - HIGH -FRONT- FACING-`WALLS, [PER.
ATTACHED APPROVED PLAN & QRCO
SPECIFICATI:ONS];:PRECISION CONCRETE BLOCK
SH,-.BE'.COUERED:WITH STUCCO, PAINT," OR
•TEXTURED.;COATI-NG, WHERE VISIBLE FROM
OUTS:IDt'THE PROPERT.Y..'2010 CALIFORNIA.
BUILDING.:.CODES. _
-
-
r.
' ."
-- - - --.---- -------------------.----------'- - -. -- -
--------------
Other" Fees •BLDG, ST,DS ADMIN (SB1473)
- - - -
1.00
PLANCHECKWALLS
60-..06'
Fee' summary Charged_ Paid Credited
-----------------
-Due
Permit Fee Total 61.49 00, - - -- --.00 -----61:49
Plan- Check Total 00• 0.0 00
0.0
Other, Fee=.Total 61.0.6. .00 :00
-
61.,06
Grand':To,tal 122.55 .00 00
122.55
LQPERMIT