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10-1070 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 10-0000.1070 Property Address: 81307 AMUNDSEN AVE APN: 767-690-020- - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 5725 Tjht 4 4 Q" Applicant: Architect or Engineer: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT --------------------------------------------------- U UCEN CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business Professionals Code, and my License is in full force and effect. Licen Class: BM. License No.: 848057 Date: �'® +W ntractor. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury hat I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Busine s and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair 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).: 1—) 1, 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.). '.. ! _ 1 1, 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. , 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: ! 114 Owner: MICHAEL H GRAY TRUST PO BOX 9935 NEWPORT BEACH, CA 92658 Contractor: BRADSHAW CONSTRUCTION INC 46248 ROUDEL LN LA QUINTA, CA 92253 (760)347-4246 Lic. No.: 848057 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/26/10 ---------------------------------- 11---------- 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 performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier DELOS INS Policy Number 01DKRM22005875 I certify that, in the performance /1,vvor.kbfortwhich this permit is issued, I shall not employ any person in any manner so as toe sectothe workers' compensation laws of California, and agree that, if I should becbject to the workers' compensation provisions of Section 3700 of the Labor Code, I s 11 forthwith comply with those provisions. DaF€: pplicanC ` WARNING: FAILURE TO SECURE WOR ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, 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 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 II and void if work is not commenced within 180 days from date of issuance of such permit cessation of work for 180 days will subject permit to cancellation. I certify that 1 have read this application and state that the abov 'formation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin nstruction, and hereby authorize representatives of this county to enter upo the above -mentioned property inspection purposes. Date: r4 nature (Applicant or Agen LQPERMIT Application Number . . . . . 10-00001070 Permit . . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 81.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 5725 Expiration Date . . 4/24/11 Qty Unit Charge Per Extension BASE FEE 45.00 4.00 9.0000 THOU BLDG 2,001-25,000 36.00 ---------------------------------------------------------------------------- Special Notes and Comments 60 LIN FT 11FT ENGINEERED COMBO WALL (4 FT RET & 7 FT SCREEN); 25 LIN FT 6 FT GARDEN WALL; 80 LIN FT 6'-8" CITY COMBO (2'-8" RET); 64 LIN FT 8'-8" CITY COMBO (3'-4" RET) 2007 CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Permit Fee Total 81.00 Plan Check Total .00 Other Fee Total 1.00 Grand Total 82.00 Paid Credited Due .00 .00 81.00 .00 .00 .00 .00 .00 1.00 .00 .00 82.00 LQPERMIT 2 F X, w- i 0 4pul "I 7*ftk� -t% Tw!t4#4" P.O. Box 1504 78-495 CALLE TA`v1PICO LA QUINTA, CALIFORNIA 92253 To: Greg Butler, Building & Safety Manager BUILDING & SAFETY DEPARTMENT (760) 777-70 12 FAX (760) 777-7011 To PD: JAY WUU From: Les Johnson, Director-PDD Due Date: 10-25-10 Permit #: 10-1070 Status: 1 ST REVIEW Building Plans Approval (This is an approval to issue a Building Permit) The Planning Department has reviewed the Building Plans for the following project: Description: 11 FT COMBO WALL Address or General Location: 81-307 AMUNDSON AVENUE Applicant Contact: MARK BRADSHAW 760-275-6891 The Planning Development Department finds that: ❑ ...these Building Plans do not require Planning Department approval. ..these Building Plans are approved by the Planning Department. ❑ ..the Building Plan require corrections. Please forward a copy of the attac corrections to the applicant. When the corrections are made plea return them to the Planning Department for review. 6%d2l Les"',Johnson, irector-P Date 0 r"I, 18 2,0, C, Bin # City of La Quinta Building &r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # h Project Address: 7' .3 "7AwmNoar Owner's Name: ,� A. P. Number: Address: Legal Description: City, ST, Zip: t , Contractor:-%C,A404AL4 hone: Tele P �, �00 _ 4 00 Address: 4 (p ; L� � City, ST, Zip: i;/► Qt�utt•s1v�c p,�., Z.-z,S' 3 elephone:'i(,o0- J�{�� Z.�L r:{;;:i;;<:ss::::::#:' `>z>•<'>: �w ii::l.:jit.v'¢;;•'.`+F.��j::f:>i:?i'f,SC::.'�i 4::':�iii•{?:.i:`i Project Description: � - � �� E+�ty►�.�,c�,o r 1�� [� (//� /��/�► rI V�w�1f� � �r.t�1 i , State Lie. # : d S City Lic. #.: Arch., Engr., Designer: •. Address: City, ST, Zip: Telephone: "% „> r z s W-1 :a::: r>: ¢;;' . r`::::<< r Construction Type: Occupancy: State Lie. #::;<.<.:::: Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: MRAK -9AA0%9A Q Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: -7(p0- J_7: '-C V9 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACIMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°d Review, ready for corrections/issue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correction issue Developer Impact Fee Planning Approval Called Contact Person (V� - A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees r Total Permit Fees T-n ta