13-1209 (BLCK)P.O. BOX 1504 4
78-495 CALLE TAMPICO •.
LA QUINTA,.CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00001209 Owner:
Property Address: 57623 SALIDA DEL SOL 1-19-' 15roP MADISON 58TH LA QUINTA, LLC
APN: 762-240-014-50 -34243 - 1282 PACIFIC OAKS PLACE
Application description: WALL/FENCE ESCONDIDO, CA 92029
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 5412 D
Contractor:
Applicant: Architect or Engineer: :ALTA - VERDE BUILDERS, INC.
OCT 10 2013 719 .05 HIGHWAY 111, SUITE G
RANCHO MIRAGE, CA 92270
CITY OFLAathmin (760)776-1111
//%, -FINANCE DEPT' Lic. No.: 969219
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LICENSED CONTRACTOR'SDECLARATION
I hereby affirm under. penalty of pe,'ulythat I.am licensed under proves _ - apterr9 (commencing with
Section' 000).of Divisiom3 of the• ss
and Professionals,C dmy Licen is in full force and effect. - '
Licen"se las : B % `- Ljc 69219'
Date: Contractor:
OWNER-BUILDE ON -
I hereby affirm under penalty of perjury th I am exempt fro he Contractor's State Licen Law for the
following reasom(Sec. 7031.5, Busines sa d Professions C' e: Any city or county th quires a.permit to
construct, alter, improve, demolish, or rep it any structure, rior,to its issue orequires the applicant for the
permit t6 file a signed statement that he, or she is-licensed,purs . o t e -provisions of the Contractor's 'state
License Law (Chapter 9 (commencing with.Section 7000)'of biv'isi6n 3'of.ihe`Business and Professions Code) or
that he or she is exempt therefrom and the basis for, the allegdd'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 ($500).:
1 _ 1 I, as owner oLthe property," or my.employees,with wages as their sole' compensation, will do the work, and
the structure is nofintended 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
improverrients are:not intended or offered for sale. If, however, thebuilding or improvement is sold within
one year of completion, the'owne'r-builder will have the burden of provirig'that he or she did not build 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 Code: The Contractors' State License Law does not apply to an owner of
propertywho builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I 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 is issued (Sec. 3097, Civ. C.).
Lender's Name: —
Lender's Address:
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/24/13
WORKER'S COMPENSATION DECLARATION r
hereby affirrider penalty.of perjury one of the fojlowing declarations:
have and willmaintain a certificate of consent to self -insure for workers' compensation, as provided
_forby Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued,. ,. :.
it have andwill maintain workers' compensation insurance, as required by'Section 3700 of the Labor.
Code,•for-tt* performance of the work for, which this permit is issued. My workers' compensation
insurance,carrier d.policy number are: -
Carrier STATE FUND Policy Number 9006140
I certify that, .in the -p `imance of''the work for which this permit is issued, I shall not employ any
person in any mann 0'as to become subject to the workers' compensation laws of California,
',and agree that, if fs Id become subjectto the workerr/c mp sation provisions of Section
' 3700 of the Labor I shall forthwith comply yJJWA4Qsa provi ' ns.
DSte _ Applic-
WARNING: FAILURE TO SECURE ,WORKE S' COMPENSATIONVERAGE, IS UN FUL, AND SHALL
SUBJECT 'AN'EMPLOYEFi TO CRIMINAL ALTIES AND CI 'FINES UP TO ONE NDRED THOUSAND
DOLLARS :(5.700,000). IN ADDITION TOT E COST -OF -C PENSATION, DA ES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, IN EREST, AND AT RNEY'
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:6r pursuant to any permit issued as a resultof this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
of La Minta, its officers, agents qd employees for any act or omission related to the -work being
performed under or following is uance of this permit.
2. Any permit issued as a resultoI is application becomes null and void if work is not commenced
within 180 days from date of iss an of such permit, or cessation of work for 180 days will subject
permit to cancellation.'
I certify that I have read this application and staVperty
ve information i correct. I a ee to comply with all
city and oun ordinances and state laws relatconstruction, d author representatives
of thf11,iis c uM to enter upon the above-mentioninspection p os
Dat(I Si�Applicant or Ag
C
Application Number . . . . . 13-00001209
Permit WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee . . . . 61.49 Plan Check Fee
.00
Issue.Date Valuation . . .
. 5412
Expiration Date 3/23/14
Qty Unit Charge Per
Extension
1.00- 47.1900 LS MISC WALL, FIRST 100 LF
47.19
1.00 14.3000 EA MISC.WALL, ADDL 50 LF
14.30
:=-- - - -------------------------
<Speca•1•.Notes),.and Comments
-------- - - - - --
.. .
BLOCK WALL - 123.LF OF 6.ft.•HIGH GARDEN
WALL ';ON NORTH _PROPERTY' LINE"•(DIFFERENCE
' - S°PLIT,, ,BETWEEN, NEIGHBORING PROPERTY)AAND 5 .
FT HI GH_FRONT:FACING:WALLS ;[PER
-
A;rTACHED : APPROVED PLAN, & OR . .
SPECIFICATIONS.]_.'PRECISION CONCRETE:BLOCK
SHALLI;BE COVERED WI:TH.:STUCCO, PAINT; OR.-
R.TEXTURED
TEXTUREDCOATING:WHERE VIS;IBLE-FROM-.
OUTSIDE.THE`-PROPERTY. 20'10'CALIFORNIA
BUILDING.CODES.
------------------------------- -----------------------
Other Fees=. BLDG STDS ADMIN._(SB1473)
1.-00
`PLAN CHECKi°;WALLS :.:...
60.06.
Fee -summary.• , .:Charged Paid Credited-
Due_
Permi Fee Total 61:49 00 0`0'
,
1.:49,
z y Plan' Check .Total. - . 00 :.. : 00 ; 6'0
.6d
Oth"er ee
F. Total° 61.06. `.•00; 00
61.06
Grand Total 122.55'. .00 .00
12.2.55 .
LQPERMIT