13-1108 (PAT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001108
Property Address: 57671 SALIDA DEL SOL
APN: 762-240-014-48 -34243 -
Application description: PATIO COVER - RESIDENTIAL
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 2115
Applicant::
affirm underpenalty'of per]\
000of Division 3 of the Bt
lass fB'
�1' / Contrac
T,it�t
� _
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 9/05/13
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S BEVERLY DR 208
BEVERLY HILLS, CA 90212
Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
that I am licensed under prov isions of Chapter 9 (commencing with
ess and Professionals Cod 'my License is in full force and effect;
'Lic se No.: 219
OWNER -BUILD DECLARATION
hereby: affirm under.penalty;of perjury that am exemptr '.the Contractor's State icense:Law for the
following,reason. (Sec. 7031.5. Business an Profession ode:Any city or county at requires a.permit to
consiruct, alter; improve, -demolish, or repai any struct e, prior to its issue " so requires the applicant for -the
permit to file a signed statement that he or she is licens provisions of the Contractor's State
License Law (Chapter 9_ (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that fie.or she is exempt,there'from and the basis for the alleged 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).:
(_) 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 ProfessionsCode: •The •' ”
Contractors' State License Law does'not'apply to an owner.ofproperty who builds'or improves. thereon,
and vA6 does the work himself or herself through his or her own`eniployees, provided that the
improvem_ ents 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.).
(_) 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 town 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 am exempt under Sec. • I , 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
Contractor: /n1
ALTA VERDE BUILDERS, W
71905 HIGHWAY 111., S T G
RANCHO MIPAGE,',CA 9 r'rD 11 2013
'
(760);776-1111 1
Lic Na.: 9.69219 t
L;"y OF LA QuiNra
r!Qll^F
WORKER'S COMPENSATION DECLARATION -
I hereby affirm under penalty of perjury one of-tfie followingdeclarations:r
I have and will maintain a certificate.of consent to self -insure for workers'.00mpensation, as provided
for by Section 3700 of the Labor Code, for the performance ofthe work for which this permit is
/ issued.
t/ I.K-0 arid. 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 carrier and policy number -are:
Carrier STATE `FUND Policy Number. 9006140
I certify that, in the a ormance of;the work for which this permit is issued, t shall not employ any
person.in any ma a so as.to become subject to the workers' compensation laws of California,
and "agree that, if I uld become subject to the wor mpensation provisionsof Section
3700 of the Labor C e,tshall forthwith comp) ith those ovisions. .
Date:
Applican
WA�ING:.-FAILURE TO SECURE WORKE S: COMPS TION"COVERAGE IS NLAWFUL, AND.SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES ND.CIVIL FINES UP'TO E HUNDRED THOUSAND -
DOLLARS ($100,000). IN ADDITION TO HECOS OF'COMPENSATIO ANLAGES AS PROVIDED•FOR IN
SECTION 3766 OF THE LABOR CODE, I EREST,-A ATT 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, agents andemployees 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 thisapplication becomes null and void if work is not commenced
within 180 days from d e f issuance of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this applicationkrelating
hat the above informa[ia is cor I. I agree to comply with all
city an co my ordinances and state lao building construction, and hereby uthorize representatives
of ch//is�� oun y to enter upon the above-roperty for inspec ' purp ses..Date. Signature (Applica:
Application Number . . . . . 13-00001108
Permit . . . . . PATIO COVER 2013
Additional desc .
Permit Fee . . . 131.56 P1an.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 Not es,and.Comments
,.
159SF,:DETACHED POOL . -STRUCTURE
.;... .WITH
OUTDOOR' SHOWER -[ENGINEERED]' .DOES- NOT
INCLUDE @ONbITIONED`SPACE. 201:0
CALIFORNIA BUILDING_.CODES. ,
Septemfier 5; 201.3 5:01:41 PM AORTEGA
------.----------.--.-.`-------------------------- -------------
• Other Fees BLDG STDS .ADMIN:: (SB.1,7=3•)
1.`00
PLAN CHECK; PATIO;�CO,4VER
.165:88
STRONG MOTION, (SMI') - RES'
;50
Fee summary Charged. Paid Credted
Due
----------------- ------
�Permit.Fee Total ,131.56 .0:.0 .00
`131.56
00 OQ' f
' Plan. Check, Total''. :00.
.0 ; 0'
Other -Fee Total 167.38 .00 00:.
167.38
Grande Total 298.94 00 •.00
298.94
LQPERMIT