13-0314 (BLCK)T''s
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&ot 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 13-00.000314
Property Address: 57712 SALIDA DEL - SOL
APN: 762-240-014-57 -34243 -
Application description: WALL/FENCE
Property Zoning: RL AG/'EQ OVERLAY
Application valuation: 4625•
Applicant: Architect or Engineer:
I hereby affirm under penalty of pe
Section 7Q001 9t Division 3 of the
License Class: IB
Date: Contractor:
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
'315 'S BEVERLY DR 208.
BEVERLY HILI;S, CA.90212
'Contractor:
ALTA�VERDE.BUILDER
71905 HIGHWAY 111,
RANCHO MIRAGE, CA
(760).776-1111
Lic.-''No% : 969219
Date:- 4/0.1/13
8
.S G.
)2 APR 0.4'2013 '
CITY OF LA QUINTA
.1 FINANCE•DEPT.
LICENSED CONTR R'S DECLARATION WORKER'S'COMPENSATI6N DECLARATION -
ythat I am licensed under pro ' ns'of Chapter 9 (commencing with I hereby affirmunderpe , ty of perjury one of the following declarations:
'ness and Professionals Code, ndlhLicense�is in full force and effect. I have and wilFinaintain a'certttificate of consent to self -insure for workers' compensation; as provided
Lic o.: 9 1. ` — 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 of the:work for which this.permit is issued. 'My workers' compensation
OWNER-BUILDE ECLA N insurance carrier'and policy number are:
I hereby affirm under penalty of perjury t t I,amlexempt from the Contractor's State License Law for the Carrier STATE FUND -` Policy Number 9006140 '
following reason'ISec. 7031..5, Business nd Professions Code: Any city or county, that requires a permit to' _ I certify that, in the p formance of the.work for Bich this permit i's issued, I shall not employ any
construct, alter, improve, demolish, or air'any structure, prior to its issuance: also requires the applicant for the person in any mann s_o as to become subject to a workers' compensation' laws of California,
permit to file a signed statement that he or she is -licensed pursuant to the provisions of the Contractor's State" -and agree that, if I sh Id become subject to thew ers' compensation provisions of Section
License Law .(Chapter'91commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the Labor C , I shall forthwith`cgyp ly wit hose_ provisions.
that he or%he 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 ($500).: .
1—) I, :as owner of the property; or my; employees with wages as their sole compensation, will ao'the work, and
the structure is not intended'or offered for sale (Sec. 7044, Business and Professions Code: .The
-Contractors-State License Law does noflapply,to an owner of property who builds or improves thereon,
_ and who does the work himself or herself through his or her own employees; provided that the
improvements are not intendetl or offered for sale. If,.however;'the building or improvement is sold within
one year of completion, the owner -builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.).
(_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
property who builds or improves thereon,'and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.). '
(_) I am exempt under Sec. , B.&P.C. for this reason
Date:
Owner:
CONSTRUCTION LENDING AGENCY
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name: _
Lender's Address:
LQPERMIT
`Date: '•1• Applicant
WARNING: FAILURE TO SECURE WOR R$' COMPENSATION C ERAGEI NLAWFUL, AND SHALL
SUBJECT AMEMPLOYER TO CRIMINAL ENALTIES AND CIVIL FI ES UP TO 0)4E HUNDRED THOUSAND
DOLLARS ($100,000). IWADDITION T0, HE COST OF COMPENS ION, AGES AS 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 for a permit subject to the
conditions and restrictions set forth on this application.
1 . Each person upon whose behalf this application is made, eachperson 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 and""e""e"'
for any act or omission related to the work being
performed under or following issuancrmit.2. Any permit issuedas a result of this abecomes null and void if work is not commenced
within 180 days from date of issuanpermit, or cessation o for 180 days will subject
permit to cancellation.
I certify that I have read this application and stateove information is rrect. I a ree to comply with all
city and un ordinances and state laws relating construction, and ereby autho 'ze representatives
of thiscy .enerupon the above-mentioned r inspection purp,Date: 6 / Signature (Applicant or Agen
1 �s
Application Number . . . . . 13-00000314
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 4625
Expiration Date 9/28/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-.25,000
27.00
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Special Notes and Comments
185LF OF 6' GARDEN BLOCK WALL AT NORTH
PROPERTY LINE AND FRONT COURTYARD [ORCO
SPECIFICATIONS] 2010 CALIFORNIA BUILDING
CODES.
April 1, 2013 9:07:03 AM AORTEGA
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Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 72.00 .00 .00
72.00
Plan Check Total .00 .00 .00
00
Other Fee Total 1:00 .00 .00
1.00
Grand Total 73.00 .00 .00
73.00
LQPERMIT