13-0306 (BLCK)78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
4VOICE (760) 777-7012
111 FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT - INSPECTIONS (760) 777-7153
BUILDING PERMIT
Application Number: 13-00000306.
Property Address: , 57852 SALIDA DEL SOL
APN: 762-240-014-62 -34243 -
Application description: WALL/FENCE
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 6075 ,
Applicant: Architect or Engineer:
��1'in,K,tt►�,,.
144
LICENSED CONTRACTO DECLARATION -
I hereby affirm under penalty of per ry hat I am licensed under pro ' ions of Chapter 9 (commencing with
Section POOP) of Division 3 of the B sin ss and Professionals Code, an license is in full force and effect.
License las • B Licens o.: 9 9
Date: Contractor:
OWNER -BUILDER DE RATION
I hereby affirm under penalty of perjury t t I am exempt from the C ra tate License Law for the
following reason (Sec. 7031.5, Business a d Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or repa any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
that he or she is exempt therefrom and 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 five hundred dollars ($500)•:
(_) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
the structure is not intended or offered for sale (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 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 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.).
(_) 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.).
(_) I am exempt under Sec. , BAP.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 ..
Date: 4/01/13
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S BEVERLY DR 208
BEVERLY HILLS, CA 90
D°
Contractor: ���
ALTA VERDE BUILDERS, I C. F11 3
71905 HIGHWAY 111, UI O:i Qu��11i�1
RANCHO MIRAGE, CA 9 270 F�NO
(760)776-1111 F A IQUIN
bEpT
Lic. No.: 969219
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(p formance of the work for which this permit is issued. My workers' compensation
insurance car er Td
policy number are:
Carrier STATE FUND Policy Numb r 9006140
)rmance of the work for ich this permit is issued, I shall not employ any
person in any nn r so as to become subject t the workers' compensation laws of California,
and agree that, hould become subject to rkers' compensation provisions of Section .
37)00 of the La ode, I shall forthwith wi those proviso. -
;Date: . 1 Applicant:
WARNING: FAILUR/E TO SECURE WC
SUBJECT AN EMPLOYER TO CRIMIN
DOLLARS ($100,000). IN ADDITION
SECTION 3706 OF THE LABOR COD]
ERS' COMPENS TION COVERAGP IS UNLAWFUL, AND SHALL
PENALTIES AND r,,IVIL FINES UVI`0 ONE HUNDRED THOUSAND
1 THE COST OF CO N, DAMAGES AS PROVIDED FOR IN
VTEREST, AND ATTORNEY'S FEES. ,
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 anda loyees for any act or omission related to theworkbeing
performed under or following issuanc o this permit.
2. Any permit issued as a result of this a li tion becomes null and void if work is not commenced
within 180 days from date of issuanc of uch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that ¢¢¢¢have read this application and state thWe
above information is cor ct. I agree to comply with all
city and�coun y ordinances and state laws relating tong construction, and hereb authorize representatives
of thils q unt to, enter upon the above-mentioned profor inspection purgpstf��
Signature (Applicant or Agent):
m
r
Application Number . . . . . 13-00000306
Permit . . WALL/FENCE PERMIT,
Additional desc .
Permit Fee . . . 90.00 Plan Check
Fee
00
Issue Date . . Valuation
6075
Expiration Date 9/28/13
Qty Unit Charge Per
Extension
BASE FEE
45.00
5.00 9.0000 THOU BLDG 2,001-25,000.
45.00
-------------------------------------
Special Notes and Comments
-------
---------
243LF OF 6' GARDEN BLOCK WALL AT NORTH
AND SOUTH PROPERTY LINES INCLUDING HOUSE
RETURNS [ORCO SPECIFICATIONS] 2010
CALIFORNIA BUILDING CODES.
April 1, 2013"9:30:44 AM AORTEGA
Other Fees* . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
Due
-Permit Fee Total 90.00 .00
.00
---
90.00
Plan Check Total .00 .00
.00.
.00
Other Fee Total 1.00 .00
.00
1.00
Grand Total 91.00 .00
.00
91.00
LQPERMIT