13-1210 (BLCK)4
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: 9/24/13
Application Number: 13-00001210C� Owner:
Property Address: 57599 SALIDA DEL SOLS' MADISON 58TH LA QUINTA, LLC
APN: 762-240-014-51 -34243 - 1282 PACIFIC OAKS PLACE
Application description: WALL/FENCE ESCONDIDO, CA 92029
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 7260
r
Applicant:
Architect or Engineer: IU I' .0 Cif 10 2013
el- QP L
FINANCI
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of par that I am licensed under prov' ' ns.of Chapter 9 (commencing with
Section 7000) of. Division 3 of the B iness and Professionals Code an y License is in full force and effect. -
License .las (B Licen- No.: 9219
Date�O - b. 'Contractor:
A. �' y _
oWNER=B DER�DECL'ARATION
hereby_ affirm under penalty,of perjury tha -I am. exemp ' rom the Contractor's State icense Law for the
following. reason (Sec. 7031.5, Business a Professio -Code: Any -city or county at requires a permit to
construct, alter, improve, demolish,. or repai _any struct re, prior to its issuance, o requires the applicant for the
permit to.file a signed statement that heq or a is licens ursuant to isions of'the Contractor's State
License Law (Chapter 9'(commencing with action 7000)•o ivision 3 of the Business and Professions Code) or
that he or she is exempttherefrom and the basis -for the alleged exemption.' Any violation of Section 7031.5 by
any applicant fora permit subjects the'applicant to a civil:penaltyof not more than five hundred dollars ($5001:
(_ 1 I, asowner of the property, or my employees!with wages as their sole compensation, will do the work, and
the s$ucture is not intended or offered *folrsale (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 I, as owner of the property, am exclusively contracting with licensed contractors toconstruct 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.).
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 (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
ractor:
A VERDE BUILDERS, INC.
05-HIGHW_AY'111, SUITE G
CHO MIRAGE, CA 92270
0)776-1111
No.: 969219
WORKER'S COMPENSATION DECLARATION
I hereVaffirmnder penalty, of perjury one of the following declarations:
ve and will maintain a certificate of consent to self, -insure for workers' compensation, as provided
or by Section 3700 of the Labor Code, for the*performance of the. work for which this permit: is
ssued.ve and will maintain 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' compensation
• insurance carri r and policy number are:
Carrier STATE`FOND 'V -Policy,Number 9006140
_ I certify that,"in*th a ormance"of the work for which this permit is issued, I shall not employ any
person in any ma r�.so as to become subject �e workers' compensation, laws. of California,.
ndaj3ree that;if I Id become subject to the workee�rs' compensation provisions of Section _
700'of; the Labor e, I shall forthwith c ith-tTt se provisions.
1�
Date. / Applicant -:...e.:
W FAILURE TO SECURE WOR RS;COMPE TION COVERAGE IS UNL FUL, AND -SHALL
`-SUBACT-AN EMPLOYER TO CRIMINAL: NALTIES ND`CIVIU--FINES UP TO ONE H DRED THOUSAND
'DOLLAFS'(S100,000). IN',ADDITION T07 HE CO -OF COMPENSATION, DAMAG AS PROVIDED FOR IN
. SECTION 3706 OF THE LABOR CODE, IN EREST; D,ATTORNEY'S FEES. _
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, agent nd employees for any act or omission related to the work being
performed under or following is ante of this permit.
2. Any permit issued as a result oft is application becomes null and void if work is not commenced
within 180 days from date of iss nce of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify at I have read this application and state t the above information is co t. I agree to comply with all
city and oun ordinances and state laws relating building construction, and hereby �rerrives
of t is ty o enter upon the above-mentioned erty for inspection pur
�� -�
Da/te%e Signatur�pplicant or Agent):
V
Application Number . . . . . 13-00001210
Permit . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 75.79 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 7260
Expiration Date 3/23/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
2.00 14.3000 EA MISC WALL, ADDL 50 LF
28.60
--------------------------- 7 - - ----------------------
=Specia•1 Notes.,.and,.Comments,
-------------
BLOCK WALL.-.165.LF•OF 6 ft. HIGH.GARDEN
WALL ON•NORTH PROPERTY LINE (DIFFERENCE
SPLIT :BETWEEN, NEI GHBORI-NG:.PROPERTY) AND 5
.. FT. HIGH FRONT; FACING; WALLS _[PER'.
ATTACHED , APPROVED' -.PI P.N ,&.'ORCO-:
SPECIFICATEONS.]•PRECI-SION.CONCRETE BLOCK
SHALL $E' COVERED,', WITH, .STUCCO, :.PAINT,' OR
TEXTURED COATING .WHERE VISIBLE.FROM
OUTSIDE.'THE PROPERTY.'201'0 CALIFORNIA
BUILDING CODES.
-------=--------------------------------------------
Other Fees . . . BLDG:`STDS ADMIN (SB1473)
;i.00
PLAN CHECK, WALLS
60.06
Fee-summaryCharged Paid Credited-
---'--- -_ ----=------ ---------'-- ---- -----
Due
-- - -=---
,,Permit..Fee Total 75.7.9 .00 00
75.79
-
Plan Check Total 00 00 00
00
Other Fee Total 61..06 .00 .00.
61:06
Grand Total'. 136.85 .00 .00"
136.85
LQPERMIT