13-0311 (BLCK)O: 0 K 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: 19-00000311 Owner:
Property Address: 57767 SALIDA DEL SOL ALTA VERDE CORAL MOUNTAIN, LLC
APN: 762-490-044-44 .-34243 - 315 S BEVERLY DR 208
Application description: WALL/FENCE BEVERLY HILLS, CA 90212
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 2850
- Contractor:
Applicant: Architect or Engineer` ALTA VERDE, BUILDERS, INC.
71905. HIGHWAY 111, SUITE G ~APR 0
RANCHO MIRAGE; CA 92270 4 2013
Z�Av>iul'�. T�4 (760) 776-1151
tic'. No.: 969219 CITY BF.L'A:QUINTA
FINANCE DEPT
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LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of..per ry that 1 am licensed under, rovisionsof Chapter 9 (commencing with
_Section 00 )rof Division 3 of the siness and Professionals.0 'and in License is'.in full force and effect.
6` ensue/y llass/ B se' . 969219
Date: 'Contractor:
OWNER -BUIL DECLAR TI03N
I hereby affirm under penalty of perjury t 'at I am exempt fro fthe Contra or`s State License Law for; the -
following reason (Sec. 7031.5, Business, nd Professions C e '. Anypci - or county'thatrequires _a permit to -
construct, alter, improve, demolish, or re it any structure',, p ' issuance, also requires the'applicant for the
permit to file•a signed statement �that: he ' r she is licensed pursuant to the, provisions of1the Contractor's, State '
• License. Law (Chapter 9'(commericing with Section 7000) of Division.3 of the Business and. Professions Coder or
that he or she is exempt therefii6m agd`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 hve.hundred dollars ($500).:
(_ 1 I,.as owner of the property, or my employees -with wages'as their sole compensation will do, the work, and
the str'u'cture isnot intended or offered for sale (Sec. 7044;'Business and;Professions7Code: The.
'
"Contractors' State License Law;does not apply to�an owner ouproperty who'builds or irnp'roies thereon,
and who does the: work'' iimself'of herself through.his_ or her'own employees, provided that the'.
improvements are not'intended_ oroffered for sale. If, however, the building. or improvement is sold within
one year of completion, t owner -builder will have the burden of proving that he or she did not build or
,improve for the purpose'of sale.).. ,
I—) 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 doesnotapply 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:).
1 _ I 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
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of.the'following'declarations:
_ 1 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 andiwill maintain workers'. compensation insurance, as required by Section 3700 of the Labor
Code fortherformance of theawork for which this permit is issued. My.workers' compensation
insurance carr "r`� nd policy number are: t
Carrier STATE FUND PolicyNumber.- 9006140-
'I certify.that,
006140-
'I'certify.that, in'the a formance of the work for hi ch
this, permit is issued, I shall not employ any.
person:in any. ma . _ r s0 as tbbecome subjectt the workers' compensation laws of California,
and agree that, if I ould become subject to the orkers' compensation provisions of Section
(3700 of the Labor de, I shall forthwith co � 'th'those provisions.
f�Date: (L� V Applicant: /
WARNING: � FAILURE TO SECURE WOR ERS' COMPENSATI COVE5ES.'
S UNLAWFUL, AND SHALL
SUBJECT, AN EMPLOYER TO CRIMINAL .ENALTIES AND IL FINESONE-HUNDRED THOUSAND
DOLLARS ($100;000).. IN-ADDITION.TO THE.COST OF MPENSATAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE; I EREST,'AND A
z APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby:made to the'Director of Buildingnd Safety for a permit subject to the
conditions and restrictions -set forthon this application.
.1. Each person upon whose. behalf this, application is made, each person at whose request and for
whose benefit work is performed underor pursuant to any permit issued as a result of this application,
the owner, and the applicant, eachagrees to, and shall defend, indemnity 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 issuan of cats permit.
2. Any permit issued as a result of, this a lication becomes null an void if work is not commenced
within 180 days from date of issuanc of such permit, or cessatio of work for 160 days will subject
permit to cancellation:'
I certWhathaveread this application. and state th the above information is torr . I agree to comply with all
cityanances and state laws relating t ilding construction, ereb authorize representatives
of thter upon the above:mentioned pr y for in pectio ur
)(DateSignature (Applicant or Agent):
Application Number . . . . . 13-00000311
Permit . . . WALL/FENCE
PERMIT
Additional desc . .
Permit Fee . . . 54.00
Plan Check Fee
00
Issue Date . . . .
Valuation . . .
. 2850
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
114 -LF OF 6' GARDEN BLOCK'WALL AT
NORTH
PROPERTY LINE AND HOUSE RETURNS
[ORCO
SPECIFICATIONS] 2010 CALIFORNIA
BUILDING
CODES.
April 1, 2013 9:18:08 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