12-1473 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 12 -00001473 -
Property Address: 57887 SALIDA DEL SOL
APN: 762-240-014-39 -34243 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: RL AG/EQ OVERLAY
Application valuation: 172754
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
ALTA VERDE CORAL MOUNTAIN, LLC
315 S. BEVERLY DRIVE
BEVERLY HILLS, CA 90212
Contractor:
Applicant: Architect or Engineer: ALTA VERDE BUILDERS, INC.
71905 HIGHWAY 111, SUITE
RANCHO MIRAGE, CA 92
l (760)776-1111 D
Lic. No.: 969219
rola
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of pe ry that I am licensed under p visions of Chapter 9 (commencing with
Section 7000) of Division 3 of the siness and Professionals Code, d my License is in full force and effect.
Lice a la's's (13 License N .. 969219
Date: ntractor:
I hereby affirm under penalty of perjury th t I am exempt fro the Contracto State License Law for the
following reason (Sec. 7031.5, Business a d Professions C e: Any city county that requires a permit to
construct, alter, improve, demolish, or re it any structure,'or to ' ssuance, 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 ($5001.:
(_ 1 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 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
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: 12/21/12
e
JAN 14 2013
GZ It4TA
— — - — — — — — — — — — — — — — — — — — — — — — v:�•Cl� —.—
WORKER'S COMPENSATION DECLAN. N_iL-
I hereby affirm under penalty of perjury one of the following d0arations:
_ 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 performance of the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier STATE FUND Policy Number 9006140
1 certify that, in the rformance of the work for which this permit is issued, 1 shall not employ any
person in any man r so as to become su lett the workers' compensation laws of California,
and agree that, if I ould become subject o the rkers' compensation provisions of Section
�"o
e Labor e, I shallforthwith o ly wi t those provisions.
a0 te: ` (cant:
WARNING: FAILURE TO SECURE WOR RS' COMPENSAOVE AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL to
ANDN UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF C TION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AGEANDY'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 and employees for any act or omission related to the work being
performed under or following issuance of this permit.
2. Any permit issued as a result of this application 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
permit to cancellation.
I certify that I have read this application and state at the above information is rect. I agree to comply with all
city and count ordinances and state laws relating building construction, ander, y authorize representatives
of this unty o enter upon the above-mentioned perty for inspection oses.
Date: nature (Applicant or Agen .
Application Number .
. . . . 12-00001473
Permit
BUILDING PERMIT
Additional desc .
Permit Fee
895.00 Plan Check. Fee
581.75
Issue :Date
Valuation
172754
Expiration Date
6/19/13
Qty Unit Charge
Per
Extension
BASE FEE
639.50'
73.00 3.5000
----------------------------------------------------------------------------
THOU BLDG 100,001-500,000
255.50
Permit
MECHANICAL
Additional desc .
Permit Fee
111.50 Plan Check Fee
27.88
Issue Date . . . .
Valuation . . .
0
Expiration Date
6/19/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2.00 9.0000
EA MECH FURNACE <=100K
18.00
2.00. 16.5000
EA MECH B/C >3-15HP/>100K-500KBTU
33..00
6.00 6.5000
EA MECH VENT FAN
39.00
1.00 6.5000
-----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
119.74 Plan Check Fee
29.94
Issue Date . . . .
Valuation . . . .
0
Expiration Date
6/19/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
2668.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
93.38
568.00 .0200
----------------------------------------------------------------------------
ELEC GARAGE OR NON-RESIDENTIAL
11.36
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
159.00 Plan Check Fee
39.75
Issue:Date . . . .
Valuation . . . .
0
Expiration Date
6/19/13
Qty ' Unit Charge-
Per
Extension
BASE FEE
15.00
15.00 6.0000
EA PLB FIXTURE
90.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
4�4k__r 4r.
Application Number .
. . . .. 12-00001473
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
6.00. .7500
EA PLB GAS PIPE >=5
4.50,
1.00 15.0000
---------- -----------------------------------------------------------------
EA PLB GAS METER
15.00
Permit . . . . . . GRADING PERMIT
Additional desc
Permit Fee . . . .
15.00 Plan Check Fee
.00
Issue Date . . . .
valuation
0
Expiration Date
6/19/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
------------------------------------------------------------------------
Special Notes and Comments
SFD - LOT 39, PLAN J3.
2668 SF. PERMIT
DOES•NOT INCLUDE POOL,
SPA, BLOCK WALLS
OR DRIVEWAY APPROACH 2010
CODES.
----------------------------------------------------------------------------
Other Fees . ... . .
. . . . BLDG STDS ADMIN (SB1473).
7.00
DIF COMMUNITY CENTERS -RES
104.00
DIF CIVIC CENTER - RES
1089.00
ENERGY REVIEW FEE
58.18
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
51.00
DIF PARKS/REC - RES
1773, 00
STRONG MOTION (SMI) RES
17.28
DIF STREET MAINT FAC -RES
158.00
DIF TRANSPORTATION - RES
3592.00
Fee summary Charged
----------------- ----------
Paid Credited
---------- ---------- -----
Due
----
Permit Fee Total
1300.24 .00 .00
7
1300.24
Plan Check Total
679.32 .00 .00
679.32
Other Fee Total
9049.46 .00 .00
9049.46
Grand Total 11029.02
.00 .00
11029.02
LQPERMIT