13-1109 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO.
LA QUINTA, CALIFORNIA 92253
Application. Number: 13-00001109
Property Address: 57647 SALIDA DEL SOL
APN: 762'-2407014-49 -34243 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 2115
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perl'ry that I am licensed under pr visions of.Chapter 9 (commencing with
Section 7000) of Division 3 of the B iness and Professionals Cope, e, amy License is in full force and effect.
License las ' B ; . lice eNo 219 -
Date:y II Contractor
. •OWNER-BUI �. R'DECLARATION
hereby. affirm underpenalty. ofd perjury hat I am exempt m:the Contiactor's State L' nse Law for the
following reason'(Sec. 7031.5,4usiness and Professions ode:, Any city of cou at requires;a permit to
.construct_ alter, improve, demolish, or repair any'structure, ce, also requires the applicant for the
permit to-file:a'signed statement that he or'she is licensed pursuant to the-provisions'of the Contractor's State _
i (Chapter(commencingwi h i n 7 f Division f' he B in n Professionse Code or
License Law IC apte 9, t Section 0001 o3 o the Business and1
that.he or she is exempt therefrom and the basis forthe alleged exemption.. Any violation of Section 7031.5 by
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($5001: -
(_) I, as owner of. the property, or myemployees with wages as theirsole 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 Ierself through his or her own employees, provided,that the
.r improvements`are notintended 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 1, as owner ofthe property,,am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors'.Sfate License Law doesnot apply -to an'owner of
.property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
.pursuant.io the Contractors' State License Law.).
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
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC,
315 S BEVERLY DR 208 -
BEVERLY HILLS, CA 90212 D
Contractor:
ALTA VERDE BUILDERS, INC.
71905 HIGHWAY 111, SUITE.G
RANCHO MIRAGE, CA 92270.
(760)776-1111
Lic. No.: 969219
Date: 9/05/13
A u
cry 1 i 2013.
C! OF LA QUINTA
r'�s r+cE IDEPT
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have.and will maintain a certificate of consent to self -insure for workers' compensation, as provided
for by Section 3700 of the Labor -Code, for the performance of the work for which this permit is
-/issued.: .... ,
V I have(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 carrie ari olicynumberare: _
Carrier. STATE FUND Policy Number 9006140
I certify that;:in the p for ance of the work for which this peimit is issued, I shall°not employ any:
person in any mann so s.to become subject to the w kers' compensation laws of California,
and: agree that, if I's I become subject to the wo ers' c pensation provisions of Section
( 3700 of the Labor C d Ishall forthwith comply ions.
Dat
e.l� '\ `Applica'
�..i ' �
WARNING -FAILURE TO SECURE WORKE 'CO I MPSATION COVERAGE IS UNLAW L, AND SHALL
SUBJECT AN.ENIPLOYER TO CRIMINAL PE ALTIES NO CIVIL•,FINES UP TO ONE HUND D THOUSAND
OOLLARS'(S106,000) �TO :IN ADDITION TO E COSOMPENSATION, DAMAGES AS ROVIDED FOR IN
SECTION 3706 OF. THE LABOR CODE, IN EST, AND AT S: -
- APPUCANT 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 aresult 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, agents and employees for any act or omission related to the work being
performed under or following issu eef this permit.
2. Any permit issued as a'result of thi pplication becomes null and void if work is not commenced .
within 180 days -from date of issuan of such permit, or cessation of work for 180 days.will subject
permit to cancellation.
I certify t t 1 have read this application and state that a bove information is correct. a to comply with all
city and unt ordinances and state laws relating to b g construction, and hereby authoriz epresentatives
of this co mI y o enter upon the above-mentioned grope ty or inspection purposes.
,at.
s `� Signature (A�nt or Agent):
Application.Number . . . . . 13-00001109.
Permit PATIO COVER 2013
Additional desc
-
Permit -Fee . . . . 131.56 Plan Check Fee
.00
Issue Date Valuation . . .
. 2115
Expiration, Date 3/04/14
Qty Unit Charge Per
Extension
1.00 131.5600 -EA MISC PATIO COVER, SPEC
131.56
Special Notes and Comments
.,•:. p. :_, ,. ; �159SF,_DETAGHED POOL STRUCTURE WITH,.
OUTDOOR SHOWER [ENGINEERED] DOES NOT
INCLUDE..CONDITIONED.SPACE. 2010
CALIFORNIA BUILDING.CODES:
�.
September''5, .2013 504:40 PM AORTEGA .
------ -------------------------------- ----------------- ------------
Other Fees `. BLDGnSTDS"ADMIN, (SB1473)
------
1 DO
. PLAN CHECK,. -PATI6 COVER'
1'65:.88
STRONG .MODION - (3MI ), - :MES
.50"" - '
_ Fee -summary °Charged Paid ..Credited
Due {
Permit -.Fee Total ----13-1:56 ... 00 00.
131.56 -
Plan Check `Total 00' ..00 Q0
00,
Other .Fee Total 167.38 . 00 .00 -
167.,3.8-
67 ,3;8 -
Grand Total 298.94 00'. .00
Grand
29'8:.94:.,.
LQPERMIT