13-0308 (BLCK)P.O. X 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4
BUILDING & SAFETY DEPARTMENT y
BUILDING PERMIT
Application Number:
13-00000308
Property Address:
57796 SALIDA DEL SOL
APN:
762-240-014-60 -34243
Application description:
WALL/FENCE
Property Zoning:
RL AG/EQ OVERLAY
Application valuation:
3250
Applicant:
J
I hereby affirm under penalty of pe
Section000)frofDivision 3 of the
License rlass: __
Date: C
Architect or Engineer:
--------------------------------
LICENSED CONTRACTOR'S DECLARATION
ry that I am licensed a rovisions of Chapter 9 (commencingwith
sines and Professio al Code, ." d my License is in full force and effect.
Li nse No.: 69219
OWNER -BUIL -DE RATION
I hereby affirm Lnder penalty of perjury th 6' am exernpt fr 4 ntractor's State License Law for the
following reason Ism 7031 .5, Business d Professions C e: Any city or "county that -requires a permit to
construct, alter, improve, demolish, or rep it any structure, prior to its issuance, also requires the applicant for the
-permitto file a signed, statement that he r she is licensed pursuant to the provisions ofthe Contractor's State
License.Law'(Chapter 9 (commencing' with Section 7000) of Division 3 of the Business and ProfessionsCode): or
that"he or she is exempt theiefrom and the basis, for -the alleged exemption.. Any violation of Section,.7031 .5 by
any applicant for a permit subjects the applicant to acivil "penalty of not more than five hundred dollars ($500).:
1—) 1, as owner of the property, or my employees with wages as their sole compensation, will do the work; and
the structure is notintended or. offered for sale (Sec. 7044,. Business and Professions Code: The:
Contractors' State License Law doesrnot.apply to an owner of property who builds of improyesthereon,
and who does the work himselforheiself-through his or her -own employees, provided that the'•` -
improvements are not intended or offered f&,sale. If, however„ the building or improvement, is sold within
m
one year of,copletiori; the owner -builder will have the burden of proving that he or she did not build or
improve foeihe 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 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 am exempt under Sec. , B.&P.C. for this reason
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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S BEVERT.Y nR 2OR
BEVERLY HIL
Contractor:
ALTA VERDE,
71905 HIGHW.
RANCHO MIRA
(760-)776-1111
LiC. No.: 96.9219
Date: 4/01/13
WORKER'S COMPENSATION DECLARATION
I hereby affirm under,penalty.of. perjury one of.the following declarations:. '
_ I 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 and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
'Code, for.the erforMan
ce of the work for which this permit is issued. My workers' compensation
insurance ca i and policy number are:
Carrier STATE FUND- Policy Number 9006140
_ I,certify. that, ,in ie rformance of the workfor which this, permit is issued, I shall not employ any
.person in any ann er.so as to become sug' t to t orkers',cornpensation laws of California,'
.andagree-that;. fl hould become subject to the workeis ompensation provisions of Section
3700 of tie Lab r ode,.l�shall forthwith comply with thos provisions:'
r y
r Date.- tr' Applicant.
`WARNING: FAILURE TO $ECURE-W KERS' COMPEN ATIO��IlNtES
E IS UNLAWFUL,.AND SHALL
SUBJECT.AN EMPLOYER,TO-CRIMINA PENALTIES,A C TO ONE HUNDRED THOUSAND
DOLLARS 1$100,000). IN -ADDITION T THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
'.SECTION 3706 -OF THE LABOR CODE,.I, TEREST, AND ATTORNEY'S FEES. .
-J APPLICANT ACKNOWLEDGEMENT
IMPORTANT Application is hereby made to the'Director of Building and Safety for a permit subject to the
conditions and resthct(onsset;forth on this application:. ; -
1: Each person upon whose behalf this,hpplication is made, each person.at whose request and for
whose benefit work is performed under or pursuant to any permit issued as a result bf'thjs application,
the owner, and the applicant, each agrees to, and shall defend,; indemnify and hold harmless the City
of La Quinta, iIs�officers,agents and employees for any act or omission relatedtothe work being
performed under or following issue 4ce of this permit.
2. Any permit issued as a result.of thi a lication becomes null and void if work is not commenced
within "180 days from date of issu ce of such permit, or cessation of work for 180 days will subject
permittocancellation. "
I certify hat I have read his application and state t t he above information is correct. agree to comply with all
city and ou ty ordinances and state laws relating to ilding construction, and hereby au orize representatives
of this unt( to enter upon the above-mentioned pr p y for inspection purp es. "
Date: t? Signature (Applicant or Agent):
Ank
Application Number 13-00000308
Permit . . . WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 63.00 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 3250
Expiration Date 9/28/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
2.00 9.0000 THOU BLDG 2,001-25,000
18.00
------------- --------------------------------------------------------------
Special Notes and Comments
130LF OF 6' GARDEN BLOCK WALL AT NORTH
PROPERTY LINE AND HOUSE RETURNS [ORCO
SPECIFICATIONS] 2010 CALIFORNIA BUILDING
CODES.
April 1, 2013 9:25:36 AM AORTEGA
----------------------------------------------------------------------------
Other Fees . . . . . ... . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
-----------------•----------------------------------------
Due
Permit Fee Total 63.00 .00 .00
63.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 64.00 .00 .00
64.00
LQPERMIT