13-0316 (BLCK)P.O. BOX 1504.
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
13-00000316
Property Address:
57684 SALIDA DEL SOL
APN:
762-240-014-56 -34243 -
Application description:
WALL/FENCE
Property Zoning:
RL AG/EQ OVERLAY
Application valuation:
3050
Applicant: Architect or Engineer:
CoN itR�slvtt�R...
*U
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
UCENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe r that I am licensed'under prov 'ons ofLChapter 9 (commencing with
• Section 7000 '.of Division 3 of the iness and Professionals Code, an y license is in full force and effect.
Licens(ef l(as� (B LicenseNo.:. 69219
XDate: i t ` Contractor:
nwIUFR-RI nl nF Fr`I ARATin -
I hereby, affirm under penalty of perjury thilt l am exempt fro the Contractor's S to License Law for the
following reason'(Sec. 7031.5; Business a d Professions CA: Any.city or.c- ty that requires a permit to
construct, alter, improve, demolish, orrepair any structure, pri ce, also requires the applicant for the
permit.to.file a signed statement tan
hat he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 8 (commencing with Section 7000) of Division 3 of the Business and 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 subjects the applicant to a civil.penalty of not more than five hundred dollars ($500)•:
1 _ 1 I, as owner of the property; or my employees with wages as,their sole compensation, will do the work, and
the structure isnot 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 herself through his, or her own employees, provided that the
improvements are not intended or offered for sale. If," howevei, 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 novbuild 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(sHicensed
.pursuant to 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
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S BEVERLY DR 208
BEVERLY HILLS, CA 90212
Contractor: D
ALTA VERDE BUILDERS, INC.
71905 HIGHWAY 111, SUITE
RANCHO 'MIRAGE, CA 92270
(760)776-1111
Lic. No.: 969219
Date: 4/01/13
74rO4 zot� I�
OF
—-------------—---
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.
I have and will maintain workers'.:compensation insurance, as required by Section.3700 of the Labor .
Code, for the performance 6f,i.6 work for which this permit is issued. My workers' compensation
insurance carrier.a d policy number are: `
Carrier' STATE FUND Policy Number 9006140
I certify that, in the pe mance of the work foi whit his permit is issued; I shall not employ any
person in any marine o.as to become subject to therkers' compensation laws of California,
and agree that, -if I s o Id become subject to the workers ompensation provisions of Section
3700, of the Labor , I shall forthwith comply with os rovisions.
Date: �.�Applicant:
WARNING:' FAILURE TO SECURE WORKE 'COMPENSATION
'i trios
IS rAGES
L, AND SHALL
. SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVI FINES UP TO ORED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COM SATION PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the Director of Building and Safety fora 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 workis 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 and employees for any act or omission related to the work being
performed under or following issuanc of this permit.
2. Any permit issued as result of this a ication becomes null and void if work is not commenced
within 180 days from dais ofissuanc f such permit, or cessation of ork for 180 days will subject
permit to cancellation. f
I certify that) ave read this application and and state the the above information is correct. agree to comply with all
city and lo
ordinances and state I w relating t b ilding construction, and hereby a orize representatives
of this c �nq
ger upon the abov m tinned pr p y for inspection purp
Pate: Signature (Applic n or Agent):
Application Number . . . . . 13-00000316
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . . 63.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 3050
Expiration Date 9/28/13
Qty Unit Charge Per
Extension
BASE
FEE
45.00
2.00 9.0000 THOU BLDG
2,001-25,000
18.00
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Special Notes and Comments
_
122LF OF 6' GARDEN BLOCK WALL AT
NORTH
PROPERTY LINE AND HOUSE RETURNS
(ORCO
SPECIFICATIONS] 2010 CALIFORNIA
BUILDING
CODES.
April 1, 2013 8:32:28 AM AORTEGA
--------------------------------------------------
.Other.Fees . . . .. . . . . . BLDG
--------------------------
STDS ADMIN .(SB1473)
1.00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 63.00
.00
.00
63.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 1.00
.00
.00
1.00
Grand Total 64.00
.00
.00
64.00
LQPERMIT