13-0313 (BLCK)Ar -4_llw..
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000313
Property Address: 57719 SALIDA DEL SOL
APN: 762-240-014-46 =34243
Application description: WALL/FENCE
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 4250
Applicant:
I hereby affirmunder. penalty of pe
Section 7 001 Of Division 3 of the
License Class:, IB
Data: Lt I li-A I Contractor:
Architect or Engineer:
14T
4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/01/13
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S BEVERLY DR 208
BEVERLY HILLS, CA 90212
Contractor:
ALTA VERDE BUILDERS, INC
71905 HIGHWAY 111, SUITE APR 0 1013
RANCHO.MIRAGE,.CA 92270
(760) 776-1111 CI'�YB�
Liq. No:: 969219 FINANCE o �u
- - - - - - - - - - - - - - - - - - - - - - - - - - - - — — — — — — — — — — — — — — - — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —
LICENSED CONTRACTOR'S 'D LARATION WORKER'S COMPENSATION DECLARATION
iat I am licensed under provisions o Chapter (commencing with - I hereby affirm,under,penalty of perjury one of the following declarations: '
s and Professionals Code,. a _ rrjy_L ense is in_ full force and effect: _ I have and will maintain a certificate ofconsent to self -insure for workers' compensation, as provided
License 69 19 for bySection3700 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, f 1. or the p Of nqe of the Work for which this permit is issued. My workers' compensation
OWNER -BUILDER D?a,
TION,•. - ,insurance came and policy number. are:
I hereby affirm under penalty of perjury that I m,exempt from the:Cctor's�State icense Law for the Carrier STATE�FUND. Policy,Num e9006140following reason (Sec. 7031.5, Business and' rofessions Code: Anor county tha requires a permit to -1'certify-that, in the p formance of the workfor iqh thispermit is issued, (shall'noYemploy any:construct,-alter, improve, -demolish; r repair ny structure, prior to iance, also re ires the applicant for the person in any man o so'as ieo become subjectto workers' compensation laws of California,
permit-to,file a signed statement that he or she is licensed pursuant provisions of e -Contractor's State and agree that, if I uldbecome subject to the wor 'compensation provisions,of Section
License Law•(Chapter.9 (commencing with Section 7000) of Divisiothe Busine and Professions Code) or 3700 of the Labor e,d shall forthwith comply With th provisions.
that he or. she is exempt therefrom and the basis for the.alleged exemp _ n. .An ation of Section 7031.5 by
any applicant for a permit subjects the applicant to civil penalty of not more than five hundred dollars ($500).:
l —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: Thee
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, 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.).
(_ 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 whobuilds or improves thereon, and who contracts for the projects with a contractor(s) licensed
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
Date: Applicant:
WARNING: FAILURE TO SECURE WOR
SUBJECT,AN EMPLOYER TO CRIMINAL
DOLLARS (5100,000): IN ADDITION T(
SECTION 3706 OF THE LABOR CODE, I
:RS' COMPENSATIO COVERAGE IS UN WFUL, AND SHALL
'ENALTIES AND -CIV L FINES UP TO 0 HUNDRED THOUSAND .
THE COST OF COMhktjSATIO AGES AS PROVIDED FOR IN
TEREST, AND ATTORNEYS FEES.
-J 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 and employees for any act or omission related to the work being
performed under or following issuanoflicthis permit.
2. Any permit issued as a result of this a ation becomes null and void if Work is not commenced
within 180 days from date of issuan f such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify t t I ave read this application and state t the above information co ct. I agree to comply with all
city and oun ordinances and state laws relatingt b ilding construction, and, here authorize representatives
of this my enter upon the above-mentioned p rty for inspection o as. • -
.Date: fK! Signature (Applicant or Agent):
=Ir
Application Number . . . . . 13-00000313
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 4250
Expiration Date 9/28./13
Qty Unit Charge Per
Extension
BASE FEE
45.00
3.00 >. 9..0000 THOU, BLDG 2,0;01-25',000
27.00
Special Notes and Comments
" 22OhF'-OF 611 --GARDEN BliOCK"-WALL AT -NORTH
AND SOUTH•'PROPERTY`LINES••INCLUDING HOUSE
RETURNS [ORCO 'SPECIFICATIONS'] ' 2010
CALIFORNIA BUILDINGCODES. 7.
April '1, 2013 9sT1:1.6.AM.AORTEGP,
Other. Fees--.-__ - - - -_ BLLDG_STDS.ADMIN:(SB1473)
1:00
'- Feesummary charged Paid Credited
Due
. Permit. Fee -Total 72-00, .00 .00
72'. 0.0
Plane Check, Total _ :do .00 .00
.00
Other Fee Total 1.0.0 .00 :00
1.00''
Grand Total ' 73':00 00 00
• '73:00
LQPERMIT