13-0310 (BLCK)P1
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
13-00000310
57768 SALIDA DEL SOL
762-240-014-59 -34243 -
WALL/FENCE
RL AG/EQ OVERLAY
4875
Architect or Engineer:
VOICE (760) 777-7012
/ FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT v INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/01/13
Owner:
ALTA VERDE.CORAL MOUNTAIN, LLC
315 S BEVERLY DR 208
BEVERLY HILLS, CA 90212
LICENSED CONTCderr
. CLARATION
I hereby'affirrri under penalty of per that I am licensed uvisionsChapter 9 (commencing with
Section 7000) f'Division 3 of the' u iness and Profession, and my ' ense is in full force and effect.
License isss: B No.: 9697219
-AlOate:,
69 19
Dater `t Contractor.
OWNER-BUILD6*f
iSusiness
I hereby affirm under penalty of perjury t t I am' exempt from nse Law for the
following reason (Sec. 7031.5, Business. nd Professions Code: equires a permit to
construct, alter, improve, demolish, or. re it any structure, prionires the applicant for the
permit to file a signed statement that he r she is licensed pursue Contractor's State
License Law (Chaptei'9 (commencing with Section7000),of Divind Professions Code) or
"that he or she. is exempt therefrom andthe basis for the alleged exemption. Any violation of Section 7031 .5 by
any applicant for a permit subjects;the applicanito a. civil penalty of not more than five hundred dollars I$500).:
(_) I, as owner of.the' property, or my.employees,with wagesastheir sole compensation, willdo the work, and
the structure is not intended or offered for sale ISec..7044, Business and Professions Code: The
Contractors' State License Lawdoesnot 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 oCcompletion, the'owner-builder will have the burden of proving that he or she did not build or
improve for the purpose of sale.). '
(_) 1, as ownerrof 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
Contractor: D '.
�.
ALTA.VERDE BUILDER NC.:
/71905 HIGHWAY. 111, U TE APR04:2013
RANCHO MIRAGE, CA 22 0
(760) 776=1111 CliYoo:
Lic. No. 969219.. LA QUINTA
F.,INANCEDEPT..-
WORKER'S--COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of thefollo4uing declarations:^
I have and will maintain a,certificate of'consent to self -insure for workers' compensation,'as provided
for by Section 3.700 of•the Labor Code; for the performance of the work for which this permit is
�.issued.
I have and will maintairi workers' compensation insurance, as requiredby Section 3700 of. the Labor
Code,. for the performance of the work for which thi'spermit is issued. My workers"compensation
insurance:carrier and policy ;number -are- ' - - ?'
Carrier STATE •FUND 'Policy Number, ;O -"'f.4 6
'I certify that, inthe ormance of the:work for.,w 'chthis p mitis issued, I shall not.employ any
person in any ma r so as to become subject to':t a worker compensation laws ofCalifornia,
and agree that, if ould become subject to the wo kers' com enation provisions of Section
3700 of the Lati de, I shall forthwith c pl i se pr isions. '
K Date: �' Applicant: U.
. WARNING:;FAILURE TO SECURE WORT RS' COMPENSATILICiF1
RAGE'IS NLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL ENALTIES AND CISU
UP.T • NE'HUNDREO:THOUSAND
DOLLARS ($100,000). IN ADDITION TO HE COST OF COO AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE,IN EREST, AND ATTEES.
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 a employees for any act or omission related to the work being
performed under or. fol lowing issu n e of this permit.
2. Any permit issued as a result ofthi a plication becomes null and void if work is not commenced
within 180 days from date of.issua c of such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify hat I have read this application and stat t t the above information ' correct. agree to comply with all
city and ou y ordinances and state laws rel tin t buildingconstruction, ereby aut rize representatives
of this unt to. enter upon the above-mentiona pr art for inspection r
`(pate: Signature (Applicant or Agen
Application Number . . . . . 13-00000310
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 72.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 4875
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
Special' Notes and Comments
:. �...
195LF_'OF t GARDEN BLOCK WAIL AT NORTH
r'
_
.-PROPERTY LINE. AND, FRONT' COURTYARD '[ARCO
,•.
SPECIFICATIONS]'2010.CALIFORNIABUILDING
CODES .
April 1,: 2013 '9:21:10 AM'' AORTEGA
-----------------_-_--------------------------------------------
-
Other Fees BLDG• STDS, ADMIN-(SB1473)
..1.00
r F:eel.-summary ; "Charged Paid Credited-.
Due
Permit Fee Total 72.00 00 00
_72. 00
Plan';Check Total .0.0 .00 .00,
.00
Other Fee Total - 1_00 .00 .. 00
1.00.. ,. .
Grand Total. 73.00 00 ,.00
73-.00
LQPERMIT