13-1212 (BLCK)• '��(7>P.O. BOX 1504
78-495 CALLE TAMPICO 4
LA. QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-06001212
Property Address: 57628 SALIDA DEL SOL T 77
APN: 762-240-014-54 -34243 -
Application description:. WALL/.FENCE D p
Property'Zoning: RL AG/EQ OVERLAY
Application valuation: 5852
Y 0 T TO 2093
Applicant: Architect or Engineer:
-Ihereby`affirm underpenaltyo�hp-
�f.
Section: 000 ' Divi i -n- f1so 3oass
i
LICENSED CONTRACTORS DECLARATION '
that am'licensed under•pYovisions of Chapter 9•(commenting-with - I I hereby af!/i
mess and Professionals Code_an my -U se is in -full force and effect. /
ua[e; —Sf i OntraC[Or:
- OWNER ILDER DECLARATIOt -
hereby affirm under penalty; of perlury.t at 1 am•exem from theContractor's S- to License Law for the ,
following reason' -(Sec. 7031:5;+Business d,ProfeZZ .Code: Any city'.or c Ky that regwres,apermitto
construct, al[er 'improve, demolish, or,rep 'r any strucf ;prior to,its is ce, also requires the applicant for the
.permit to file a signed stiternent that tie'or he is licensed t e provisions ofahe.Contraaor's State
License Law:IChaptery8lcommencing wit Secton.70001 ofDivision3 of the Business and -Professions -Code) or
that he or she is exempt therefrom andthe basis for. the allegedxe
exemption:' Any violationSection
. of 7031.5 by
any applicant for'a perimi it subjects the applicant to a,civil penalty of not more than five. hu ndred"Collars ($500)::
as,owner 9f.t!4.property;,or'my employees with wages_a"s their sole compensation ;will do the uvork; and
the structure is not iritended'or'offered for sale .(Sec. 7044, Business and Professions•Code: The
Contractors`, State License Law does nocapply to an owner of property who builds or.improves thereon,
_..-and who does the. work himself or herself ihrough,his orher.own employees, provided'that the-
improvements,are not intended or offered, for sale. If; however;`ttie building or..improvement is sold'Hiithin
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 salea.
(—)'I, as owner of the property, am excl6sively 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 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
Carrier
Owner:
MADISON 58TH LA QUINTA, LLC
1282 PACIFIC OAKS PLACE
ESCONDIDO, CA 92029
.., .. . .. s --I,. -
Contractor:
ALTA YE -RDE BUILDERS, INC.
719Q5 HIGHWA:Yi111, SUI.TE,.G.
RANCHO•MIRAGE, CA 92270:-
(760)776m-1111
Lic. No.: 969219,
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/25/13
WORKER'S COMPENSATION DECLARATION
m under penalty of. perjury one ofthe following declarations:
I have andwill maintain a certificate of consent to self insure -for workers compensation„as piovided
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
.-issued
he, and`will maintain workers'.compensation insurance, as required by Section 3700 of the Labor
.,Code ,fgr..the,pe_pJV�ntance,of-the work for which this'permrt is issued.. -My workers' compensation
insurance carrier. fid'pohcy. number are: ” ?",tor _
TE FUND '< ,. <Policy Number :'900614`0
_ I certfV thot,, in the p rformance ofi.the work for which this.p rmit'is,issued, I shall notermploy any
persgn in any man ' so as to, become subject io a Workers mpensatiori laws of California_
and agree that,if I s u_ become-subjeci to thee:-'rkers' compe tio'` rovisions.of Section-
.3700of the Labor , I:sfiall forthwith l ' oi
co ws provs sr
. - '-.
Dat Applicant:
WARNING: •FAILURE.TO-'SECURE-WORKE S' COMPENSAT - N COVERAGE'IS UNL_ FUL, AND SHALL
SUBJECT AN EMPLOYERy,TO.CRIMINAL PE A' IES AND IVIL FINES'UP TO.ONE NDRED THOUSAND
DOLLARS'I$100,000).,IN ADDITION.TO Tom. E COST OF. OMPENSATION; DAMA S AS PRO VIDED;FOR IN
SECTION 3706 OF THIE t1ABOR.CODE, INT EST, AND TTORNEY'S FEES.::'' r' �• .
APPLICANTA EMENT.
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 6uinta, its officers, agents and employees for any'act or omission related to.the work being
performed under or followingiss ante of_,his permit.
2. Any permit issued as result oft 's application becomes null and void if work isnot commenced
within .180 days from date of issu nce�of such permit, or•cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state \ [he above information is cy ect. I gree to comply with all
city an coun ordinances and state laws relating t ilding construction, an by aut orize representatives
of this uppn([y� o enLter upon the above
�-mentioned p rty.for inspection purp
Da� : -`'� C JSignature lA scant or Agent):
Application Number . . . . . 13-00001212
Permit . . . WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee 61.49 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 5852
Expiration Date .. 3/24/14
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
--------------------------------------------------------=-------------------
Special .Notes and ,Comments -
BLOCK WALL -.13.3 LF OF 6 ft. HIGH:GARDEN
WALL..ON•-NORTH PROPERTY LINE (DIFFERENCE
SPLIT BETWEEN NEIGHBORING.PROPERTY)AND 5
FT. HIGH.FRONT.FACING_WALLS [PER -
ATTACH --PLAN:& ORCO.
SPECIFICATIONS] PRECISION:.CONCRETE-BLOCK
SHALL BE COVERED';WITH''STUCCO, PAINT, OR
TEXTURED: GOATI.NG" WHERE' VISIBLE. FROM'
OUTSIDE -THE PROPERTY. 2010 CALIFORNIA
BUILDING CODES. -.-
----------------------------------------
'Other Fees BLDG STDS ADMIN-(SB1473)
1.00
PLAN CHECK; WALLS
60.06
Fee summary Charged .. Paid Credited
Due..
---------- ----------
Permit Fee. Total 61.49 .00 .00
61.49
Plan -.Check -Total _ 0.0_ .00 . 0.0
-:'00
Other Fee Total-. 61.-06 .00 .00
61.06
Grand Total 122.55 .00 .'00
122.55-
LQPERMIT