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13-1208 (BLCK)P.O. BOX 1504 78-495. CALLE TAMPICO' LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 13-00001208 Q 57647 SALIDA DEL SOL' -1 762-240-014-49 -34243 - WALL/FENCE RL AG/EQ OVERLAY 5412 QtMffiln ' Architect or Engineer: Al A7 - 1A, BUILDING & SAFETY DEPARTMENT BUILDING PERMIT D ° OCT`1�0 2013 - CITY OF LA QUINTA- FINANCE DEPT.'- Owner: MADISON 58TH LA QUINTA, LLC 2 PACIFIC OAKS PLACE_ ONDIDO, CA 92029 -uoptractor: (ALTA VERDE BUILDERS,.INC. 71605 'HIGHWAY 111, SUITE G -RANCHO-MIRAGE, CA 92270 (760•) 776-1111 Lic. No.: 969219 l VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/24/13 - - - - - - -. - - - - - - - - --- - --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.- - - - - I 1` LICENSED CONTRACTOR'S .DECLARATION WORKER'S COMPENSATION DECLARATION I'heretiy'affirm under: penalty:bf pe �u y that -I am licensed under provisio apter 9 (commencing with Thereby affirm under penalty of perjury one of the following declarations: -..Section 7 00) of.DiOision 3 of the iness and Professionals CoCe�a d my. Lice a is in full force and effect. _ I have and will maintain a certificate of consent to.self-insure for workers' compensation, as provided License lass B - Licens -:9 _ for by Section 3700 of thelabor Code, for theperformance ofthework for which this'permit is c� issued. t Date 17 Contractor: _ Lhaveand_will.maintain workers' compensation insurance; -as required by Section 3700 of the Labor i V - Code for. the performance of.the work for which this _permit is issued: My. workers' compensation (/ OWNER -B LDER; DECLARATION �' insurance carrier and policy number are: I heretiy�affirm under penalfy.of perjury th t I amexemp'from the:Contractor's St License Law for the Carrier ST TE FiJND ` ' ` Policy.Number 9006140 following reason (Sec. 7031 .5, Business a d Profession Code: Any city o my that requires a.permit to _ I certify that; in the per rTance of the work for which this permit is issued, I shall not employ any' construct, alter, improve, demolish, or re it any structure,. rio ssuance, also requires the applicant.for. the person.in:any manne_ o as to become subject to the workers' compensation laws of California, permit( file a signed statement that he or she is licensed pursuant„to the•,provisions of"the Contractor's State ,and agree that, if I s't become subject.to the workers' co pensation provisions of Section - License Law.IChapter.9'(commencing'with Section 70001of Division 3 of the Business and Professions Code) or (1' 3700 of. the Labor C de 'I shalt forthwith comply wi-hose' ovisions. that he or she is'ezempt therefrom and the basis for the alleged exemption. Any of Section 7031.5 by �\ any applicant fora•pumit subjects the applicant to,a civil penalty of not more than five hundred dollars IS5001.: "�� 1 — 1 I, as owner of:the property, 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 Gontractors'•State License Law does not apply to an owner of property who builds of improves thereon, and who doesthe work himself .or.herself through his or her own employees,. provided that the improvements are not intended ovoffered foi 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` ot build or improve for the purpose of sale.). - - (_ 1 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 doesnotapply to an owner of property whotbuilds or.improves thereon and Who contracts for the projects with a contractors) licensed pursuant to the Contractors' State License Law.). 1 _ I I am exempt under Sec. ; S.&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 Date. - \ �� q�c� - WARNING: FAILURE TO SECURE WORKE S`COMPENSAT COVERAGE I. NLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NA IES AN 'VL FINESUP T -ONE HUNDRED THOUSAND. DOLLARS (S 100;0001. IN ADDITION TO 'E'COST.0 COMPENSA , DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,.INTEREST, AN 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 permitissued-as a result of this application, 4he'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 issuance of 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 issu �e of such permit, or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this application and statkreny bove information is correct. I agree to comply with all city and unty ordinances and state laws relatin'building construction, and her uthorize representatives of this c n( _ [ efnter upon the above-mentioneor inspection pur Dat�1 V�Signature IA�pplicant or Age _ Application Number . . . . . 13-00001208 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 1.0.0 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 - 123 LF -OF 6 ft. HIGH GARDEN WALL ON NORTH PROPERTY LINE:.(DIFFERENCE SPLIT.BETWEEN, NEIGHBORINGPROPERTY)AND 5 FT. HIGH-FRONT•'FACING. WALLS,- [PER. ATTACHED APPROVED"PLAN '& ORCO. SPECIFICATIONS'], PAECIS•ION.: CONCRETE ,BLOCK SHALL BE COVERED WITH 'STUCCO; ;PAINT, -`'OR TEXTURED, COATING' -WHERE VISIBLE jFROM ; OUTSIDE PROPERTY._.2010 CALIFORNIA .THE BUILDING CODES:: ` --- ---- - - - - -------------- - - - - -- - -- -- --------- -------------- Other Fees . . . . BLDG••STDS.ADMIN (SB1473) 1:00 :PLAN CHECK, WALLS,.: '::- 60.06 Fee summary. Charged Paid Credited Due --------- ---------- Permit-Fe Permit Fee Total 61.4-9.-. 00 .0;0 61,.4,9 Plan .Check Total - - ..00 !.: 00: A:0 . .66 Other`. Fee Total 61.06 ..00 : 00'•; 61:.06 Grand -,Total .122.55 00 .00 122.55 LQPERMIT