13-1202 (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:
13-00001202
57671 SALIDA DEL SOL
762-240.-014-48 -34243
WALL/FENCE
RL AG/EQ OVERLAY
2992
T4ht. 4
j
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Q Owner:
L.o� KB MADISON 58TH LA QUINTA, LLC
1282 PACIFIC OAKS PLACE
ESCONDIDO, CA 92029
a n
ontractor:
Architect or Engineer:
OCT. 2013 LTA VERDE BUILDERS, INC.
71905 HIGHWAY.111, SUITE G
:CITY OFLq�U1RITA RANCHO MIRAGE, CA' 92270
] FINAPICEDEPT (760)-776=1111
Lic. No.: 969219.
------------=---- - - - - -- -=---
LICENSED CONTRACTOR'S,DECLARATION
%I hereby,affirm.under penalty of p�Bi\r=
Iam licensed'under provisionsapter 9 (commencing with
Secuon.Z0001 of Division 3 oftheand Professionals Code, and my.l:ice''he-is in fullforce and effect._
License' ass;_ B' License'No.: 969219
� -
- ate h 1' Contractor:
OWNER -BUILDER CLARATION '
• I hereby affirm under.penalty of perjury that am exempt from,the.Contractor°s State License Law r the
following reasom(Sec. 7031:5, Business an Professions Code -Any city or county that requires a rmit to
construct;alter, improve, demolish, or repair any structure kior toits issuance, also requires thepjicant for the
pert to file a signed statement.that he or sheds licensed purs�nt to the. provisionsof the' actor's State
License.Law (Chapier'S (commencing-with'Section 7000) of Divisi ''.3.of the Bus' d Professions Code) or
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by -
any applicant for a permit I subjects the applicant to. a civil penalty of not more than five hundred dollars ($5001.:
(_ 1 1 as;owner�of'tHe property, or my employees with wages as their -sole. compensation, will do the work, and
the structure is not intendedor. offeredfor sale (Sec. 7044,.Businessand-Professions Code: The
Contractors' State license Law :does not apply to an owner of property who builds o? improves thereon,
and who does the work' himself •or herself through his or her own employees, provided that the
improvements are not intended or offered foi sale. If, however, -the building. oil improvernent 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 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
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant io the Contractors' State License Law.).
(_ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
Date: 9/25/13
' I hereby affir under. penalty of perjury one of tne:following declarations:. have and will maintain'acertfificate'of consent*to:self-insure for workers' compensation, as provided
for by Sect3700 'of.the Labor,Code; for the performance of the work for which this permit is
,.. ,..issued. •. _ -..� ..
/I -have and. will maintain workers' compensation insurance, as required by Section 3700 of the Labor
�l ! :.Code, for*the.p ygrmance'o_f the work for which.this permit is issued: My workers' compensation
r. insurance carrier:and-policy number. are: - -
Carrier ATE: FUND' Policy Number " 9006140
Icertify -that, in the erformance of the work for which this permit isissued, I shall not employ any
person in any me er so as to become. subject to the workers' compensation laws of California,
and.agree that, if I s t lid become subject to"the w r pensation provisions of Section
-� 700 of the labor C I shall forthwith comp y- , those p isions.
[Date -v �'�' Applicant: -
WARNING: FAILURE TO SECURE w6k S'ZOMPENSAT�10N. COVERAGE IS UNLA UL, AND SHALL _
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CIVIL FINES UP TO ONE DRED THOUSAND
DOLLARS (8100,0001. IN ADDITION TO THE,COST OF EONIPENSATION, D ES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, -INTEREST,'AND ATT - S.
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 LaQuinta, 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 this application becomes null and void if work is not commenced
within 180 days from date of issu ce 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 t t the above information is correct. I agree to comply with all
city and ount ordinances and state laws relating uiltling construction, and her byatrthorize represen[atives
of thi c mt y� o enter upon the above-mentioned ro y for inspection purpo
Date e: v Signature (App ant or Agent).
;r r
Application Number . . . . . 13-00001202
` Permit . . . WALL/FENCE PERMIT 2013
Additional desc . .
Permit Fee . . . . 47.19 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 2992
Expiration Date 3/23/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
----------------------------------------------------------------------------
47.19
Special Notes and Comments
.-BLOCK WALL•:. .6 .8 . LF OF -6.,f -,t-.: H -IGH_ GARDEN
WALL.-ON::NORTH PROPERTY LINE -(DIFFERENCE
SPLIT BETWEEN NEIGHBORINGt'PROPERTY),.-5
FT. HIGH FRONT FACING WALLS',''[ PER
ATTACHED:,APPROVED 'PLAN -.&. bRCO' .
'SPECIFI;CJTIONS] PRECISION•CONCRETE -BLOCK
-SHALL :BE COVERED WITH. STUCCO, PAINT., OR.
TEXTURED'COATING.WHERE.VISIBLE.FROM.•
OUTSIDE THE: PROPERTY.` 201-0 CALIFORNIA
BUILDING`:CODES .
--------------------
--------------------------------------------
Other Fees BLDG STDS ADMIN .(SB1473)
-------
1.0.0.
-PLAN CHECK, WALLS
60.06.
.'Fee summary Charged Paid: Credited
Due
Permt.Fee Total -----47 19` -------.00 --------00 ---------
P an Check•.Tota,1 :00 , .00 :00
00
`. Other Fee ..Tot'al .61 .'06, .00 :00-
61:06
Grand Total- 108.25-: .00' 00
108.25
LQPERMIT
4
rin #
City of, La Qu1Cltd
Building.& SafetyDivision
P.O.,Box 1504, 78-495 Calle Tampico
La Quin"ta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: P1�' �' —
Owner's Name: V �,
A. P. Number: D. -.Qt
Address:
Legal Description:
City, ST, Zip: CA i V
..� C
Contractor: %VEcu�Em
Telephone:
................. ...........:....:........
Address: `n ��W�
Project Description:
Q
City, ST, Zip:
Tele hone: I- tt
State Lic. # : 01 .*j
City Lia #.: toot
Arch., Engr:, Designer:
x:
e
Address:
✓O
City., ST, Zip:
Telephone:
;:;::<:;:„::<:::.;:;:<;::;:.;:::;;:::::
�»•::;;:»;;.;':.:.;<:;:.>;;::;;:;;>.:;:
Construction Type: Occupancy:
State Lic. #::•.<.<::�
'Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: 0
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person: -7t. ?.06— 4 GD -7'
Estimated Value of Project: 5
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES.
Plan Sets
Plan Check submitted
-Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact, Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2°” Review, ready. for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Project:
Tract:
Alta Verde Builders
Block Wall Linear Feet
CDS�'-
Date:
Address'
Lot
5'- 6' Garden Wall
3' - 4' Street Screen Wall
/M/} '^]q,
IiQ
�,V
s-1— c��� -�
o�
s-(
0
12t7
51
fq&� q51
wo
Total L.F.:
_
OLks
Cost Per L.F..
Total Value of Work:
O
AVE: $44.00 per lineal foot
AVMS $63 per lineal foot
AVCM $44 per lineal foot
RUSLJONES
SEP �&- (�