13-0312 (BLCK)P.O. BOX 1504 .. VOICE (760) 777-7012
78-495 CALLE TAMPICO / FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/01/13
Application Number: 13-00000312 Owner:
Property Address: 57740 SALIDA DEL SOL ALTA VERDE CORAL MOUNTAIN, LLC
APN: 762-240-014-58 -34243 - 315 S BEVERLY DR 208
Application description: WALL/FENCE BEVERLY HILLS, CA 90212 D n a
Property Zoning: RL AG/EQ OVERLAY (�
Application valuation: 2875 ®®.042013
ry 99.
Contractor: ADr 04 2013
Applicant: Architect or Engineer: ALTA VERDE BUILDERS, IN. C�
71905 HIGHWAY 111, SUIT G TYOFLA(�VO�p�
RANCHO 'MIRAGE, CA 92270.. NCEOEpt
""tKl/�t111r1/1 94 (760) 776-1111
Lic.: No.:•969219
,LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
.1 hereby affirm under penalty of perjur that I am licensed under prow 'oris of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Bu ss and Professionals Code ,,an y License is' ull force. and effect. _ I have and will maintain a certificate of consent to self-insure for. workers' compensation, as-provided:•
License ass: . Lice o.: o.: 692 for. by Section 3700 of the Labor Code, for the performance of the -work for which this permit is '
_ „
Date: —,(c •,Contractor: 1 have and will maintairi workers' compensation insurance: as required by Section 3700 of the Labor
Code, for theperformance of the work for which this permit is issued.- My workers' compensation
OWNER-BUILDE • ECLARATION insurance carr r and policy number are:: -
_ I hereby affirm under. penalty of perjury that .am exempt from a Contractor's S to License Law for the Carrier STATE-FUND Policy Number 9006140
following reason (Sec.•7031.5, Business an Professions Code: Any city or co ty that requires•a permit to _ I certify that, in th erformance of the work fo which this permit is issued, I; shall not employ any
construct, alter,' improve, demolish, or repair 'ny stiucture, prior o its issu e, also requires the applicant for the peis0n in any ma er so as to become '.subject t the workers' compensation laws of California;
permit to.file a_signed statement that he or she is licensed pursuant a provisions of the Contractor's State and agree that, if I hould become subject to the rkers' compensation provisions of Section
License L.aw (Chapter.9 (commencing with Section 7000) of;Division 3 of the Business and Professioris Code) of 3700 of the Lab ode, I shall forthwith c ply wi those provisions. -
that he or. she is exempt therefrom and the basis for the�alleged exemption. Any violation of Section 7031.5 by
any applicant fora peimit subjects the applicant to a civil penalty of not,more-than five hundred dollars ($5.0.0)..:. Date: Applicant:
as owner,of the property, or my employees.wjth wages as their sole compensation, will do the work, 'and '
•'the structure is not.intended or offered-for.sale (Sec. 7044, Business and*rofessions Coder The WARNING: FAILURE TO SECURE WO KERS' CQMPEN TION COVERA IS UNLAWFUL, AND SHALL
Contractors' State License.Law does.not apply'to an owner of property. who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINA "PENALTIES A D 61VIL FINES COVE)
0 ONE HUNDRED THOUSAND
.and who does the work himself or herself-through his or her own employees, provided that the' DOLLARS ($100,000). IN ADDITION THE COST 0 COMPENSAT , DAMAGES AS PROVIDED FOR IN
:improvementeare not intended or offered for sale. If, however, the buildi4br-improvement is sold within SECTION 3706 OF THE LABOR CODE, TEREST, AND S FEES.
'
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.)., APPLICANT ACKNOWLEDGEMENT
1—) I, as owner of the property; am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made.to the Director of Building.and Safety fora permit subject to the
7044,. Business and Professions Code: The, Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. '
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for
pursuant to the Contractors' State License Law.). whose benefit work is performed under or pursuant to any permit issued as a result of this application,
1 _ 1 1 am exempt under Sec. B.&P.C. for this reason; 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 issue c of this permit.
Date: Owner: 2. Any permit issued as a result of this plication becomes null and void if work is not commenced
within 180 days from date of issuan f such permit, or cessatio f work for 180 days will subject
CONSTRUCTION LENDING AGENCY permit to cancellation.
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that I have read this application and state th a above information is orre I agree to comply with all
work for which this permit is issued (Sec: 3097, Civ. C.)• city and ou y ordinances and state laws relating to Iding construction, an ereby _ tag re
representatives
of this c unt to enter upon the above-mentioned pro y for inspection p
Lender's Name:
Dater �.d Signature (Applicant or Agent):
Lender's Address:
LQPERAIIT
-a. ,,, * 2
Application Number . . . . . 13-00000312
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 54.00 Plan Check Fee
00
Issue Date . . . . Valuation . . .
. 2875
Expiration Date 9/28/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.00
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Special Notes and Comments
115LF OF 6' GARDEN BLOCK WALL AT NORTH
PROPERTY LINE AND HOUSE RETURNS [ORCO
SPECIFICATIONS] 2010 CALIFORNIA BUILDING
CODES.
April 1, 2013 9:15:10 AM AORTEGA
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Other Fees . . . . . . . . . BLDG STDS ADMIN"(SB1473)
1.00
Fee.summary Charged . Paid Credited
----------------- -------- -- ---------- ---------- ----------
Due
Permit Fee Total 54.00 .00 .00
54.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1'.00 .00 .00
1.00
Grand Total 55.00 .00 .00
55.00
LQPERMIT