12-1469 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
I hereby affirm under penalty of
Section 70001:of.Div
ision 3 of.
4 VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT `�✓ INSPECTIONS (760) 777-7153
BUILDING PERMIT
12=00-0014,69
5782410�SAliI AD DEL SOL
762-240-014-61 -34243 -
DWELLING - SINGLE FAMILY DETACHED
RL AG/EQ OVERLAY
1894'59
tractor
Architect or Engineer:
Owner:
ALTA VERDE _CORAL MOUNTAIN,
315 S. BEVERLY DRIVE
BEVERLY HILLS, CA 90212
Contractor:
ALTA VERDE BUILDERS; INC.
7T905 HIGHWAY 11;1, SUITE G
RANCHO MIRAGE, CA -.922,70-
(760)776-1111
A 92270(760)776-1111
Lic. No.: 969219
Date: 12/21/12
LLC
MIP4
LICENSED CONTRACT R'S DECLARATION WORKER'S COMPENSATION DECLARATION
ry that I am licensed underp visions of Chapter 9 (commencing with I. hereby affirm under penalty 'of perjury one of the following declarations r,:.. -
i siness4ridProfessionals-Code, nd my: License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Licens . 969219 for by Section 3700. of the Labor Code, for the performance of the work, for which this permit -is
Y. I have'and will maintain workers' compensation msurance;,as required by Section 3700 of the,Labor
Code for the performance of�the workforwhich.[his permit is issued.- My workers' compensation
OWNER-BUILDN_ �, - :` insurance carrier an"d pohcy--number'are:
I hereby affirm under penalty ofperjury t_ t,l am ezempifr ` the'.Contractor's tate License Law for the ` Carrier STATE - ,.Policy Number .9006140
following reason (Sec.. 7031 5';Business� d Pro
ode •Any"city or:co my that requires a,permit.to- _ I'certify that, in the D oimance.gf:the work for which thi permit is issued; I shall not employ any
construct, alter, improve, demolish`, or reps an-y,structu , prior to its 'issue , also requires the applicant for the. person in any mann so as to become subject to the orkers' compensation laws of California,
permit to file a signed statement that he or he is license ursuant'to rovisions of the Contractods State and agree that, if I h uld become subject to the worke ':compensafion'provisions of Section
License Law ICnapter9 (commencing wit action:70001 o n 3 ofthe Business and Professions Code) or 3700bf the Labor o e I shall forthwith corn i se ovisions'°
that he'or sheds exempt therefrom and basis for the alleged exem tion: An violation of Section 7031 .5 b
P 9 P Y e Y
any applicant for a permit subjects the applicant to a civil penalty of not more thamfive hundred dollars ($500).:
1 _ 1 I, as owner of the property; or my employees with wages as their, sole compensation will do the work, and ,
.,the structure isnot intended'or offeied forsale (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 does the woik hAielf,or herself.through:his or her own employees, provided that the
' improvemems are not iniended or,offered'for'sale. If, however, the building or. improvement is sold within
one year of completion, the'owner-builder willhave the burden of proving that he or she did not build or
improve forthe purpose of.'sale:)• ? - • - `
(_ 1 1, as owner of the property; am exclusively contracting with licensed contractors to construct the project, (Sec.
7044: Business and Piofessions dde: The Contiactors' State License Law does not apply toan 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
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
/q:h/licant:. .
"
WARNING:' FAILURE T6 SECURE WORK RS' COMPENSATI COVERAGE I UNLAWFUL, AND'SHALL ,
SUBJECT AN EMPLOYER TO.CRIMINALP NALTIES AND:CI IL FINES UP TO- NE, HUNDRED THOUSAND
DOLLARS ($100,000): 1N.ADDITION TO E COST OF CO ENSATION, D AGES AS PROVIDED FOR IN
SECTION 3706 OF THE _LABOR CODE, IN REST; AND ATTO
APPLICANT ACKNOWLEDGEMENT
IMPORTANT„ Application is hereby made to the Director, of Building and 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 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 oromission related to the work being
performed under or following issuance of this permit. `
2. Any permit issued as a.resuIt of thi application becomes null and void if work is not commenced
within 180 days from. date of issu desuch-permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state tthe above information is cor ct. I agree to comply with all
city an cou ty ordinances and state laws relatin t building construction, and here y authorize representatives
ofhis ouLn�t to enter upon the above-mentione pr e y for inspection pure ' S.
/Date:1 l � gnature (Applicant or Agent .
LQPMIIT
Application Number . . . . . 12-00001469
Permit . . .
BUILDING PERMIT
Additional desc . .
Permit Fee . . . .
954.50 Plan Check Fee
620.43
Issue Date . . . .
Valuation
189459
Expiration Date
6/19/13
• .Qty Unit Charge'
Per
Extension
BASE FEE
639.50
90.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
315.00
Permit•' MECHANICAL
Additional desc .
Permit Fee . . .
129.50 Plan Check. Fee''...
32.38
Issue Date
Valuation
0
Expiration Date.
6/19/13
Qty Unit Charge
Per
Extension
BASE,: FEE
15.00
3.00 9.0000
EA MECH FURNACE.<=100K
27.00
1-.0,6 9.0000
EA MECH .B/C. <'=3HP/100K BTU
9.00
1
2.00 ,16.-5000
EA MECH"B/C >3-15HP/>100K-500KBTU
33.00
7:00 6`:5000
EA MECH VENT FAN
45.50
Permit
ELEC-NEW RESIDENTIAL
Additional,-desc
`Permit?Fee".
128_.55. Plan*Check Fee
32.14
Issue'Date`;::.
Valuation
0
Expiration Date
6/19/.13
Qty Unit Charge
Per
Extension
BASE FEE
15.0.0•
299.8.00 .0350
ELEC NEW RES - 1 OR.2 FAMILY
104.93
431.00 0200
ELEC GARAGE:OR NON-RESIDENTIAL
8:62
Permit
PLUMBING
Additional desc .
Permit Fee . . . .
201.75 Plan Check Fee
51.19
Issue Date
Valuation
0
Expiration"Date
6/19/13
Qty' Unit Charge
Per
Extension
BASE FEE
15.00
22:00, 6.0000
EA PLB FIXTURE
132.00.
1.00 15.0000
EA PLB BUILDING SEWER
15.00
Application Number . . . . . 12-00001469
Permit . . . . . . PLUMBING
Qty Unit Charge Per Extension
1.00 7.5000 EA PLB WATER HEATER/VENT 7..50
1.00 3.0000 EA PLB WATER_ INST/ALT/REP 3.00
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00
7.00 .7500 EA PLB GAS PIPE.>=5 5.25
1.00 15.0000 EA PLB GAS METER 15.00
----------------------------------------------------------------------------
PermitGRADING PERMIT
Additional des_c
Permit Fee i5':00 Plan Check -Fee`' 00 "'
issue Date Valuation - 0
Expiration Date ,6/19/13
Qty Unit Charge Per'- Extension
F BASE.FEE 15.00
t., Special Notes-and,Comments::
SFD '. LOT. 61, ` PLAN. D3- WHICH INCLUDES
OPTION A. -:: 18.4 S.F. POOLS STRUCTURE : .THIS
STRUCTURE :`NOT TO, --BE USED'.
AS A SLEEP3-NG'
AREA: PERMIT DOES.NOT-'INCLUDE POOL, SPA,
BLOCK.WALLS OR`DRIVEWAY APPROACH 2010
CODES. s
-------------------------------------------------------
Other.Fees . . . . BLDG.STDS ADMIN•(SB14.7.3)_ `8.00 :
DIF, ,COMMUNITY'CENTERS-RES 104.00"
DIF•..CIVIC.CENTER -'RES 1089x00
ENERGY ;REVIEW_ FEE "62':=04
DIF.FIRE PROTECTION=RES 612:00
GRADING. -PLAN .CHECK FEE 00;
DIF LIBRARIES - RES 334.00-
MULTI=SPECIES (MSHCP). FEE 1254.00,
DIF `PARK,,MAINT FAC = RES- 51...0.0
DIF: PARKS/REC _,RES 17.73:<_00
STRONG' MOTION (SMi) - -RES 18:9`5
:.DIF STREET MAINT FAC -RES 158:00
DIF TRANSPORTATION.- RES 3592.00=
Fee summary Charged Paid Credited Due
Permit Fee Total 1429.30 •.00 .00 1429.30
Plan -Check Total 736.14 .00 .00 736.14
Other Fee -'Total 9055.99 . 0.0 '.00 9055. 99;7u
Grand Total 11221.43 .00. .00' 11221.43
LQPERMIT - -'