BWFE2017-0015P
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
c&t!t 4 XfuQ91K&:'
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2017-0015•
Property Address:
51425 MADISON ST
APN:
777030004
Application Description:
POLO VISTA / (4)42' PILASTERS AND 60 LF OF V BLOCK WALL
Property Zoning:
Application Valuation:
$2,268.00
Applicant:
BRADSHAW CONSTRUCTION
INC
46-248 ROUDEL LANE
LA QUINTA, CA 92253
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Da
m
Owner:
03
MADISON RANCH
P O BOX 2956
Z
JACKSON, WY 92201
v n c
rn
L
t-�p
Contractor: m 10 o
BRADSHAW CONSTRUCTION I!r�
Z
46-248 ROUDEL LANE
CD D
LA QUINTA, CA 92253
M
.—�
(760)347-4246
Llc. No.: 8480S7
M
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter I I hereby affirm under penalty of perjury one of the following declarations:
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
I have and will maintain a certificate of consent to self -insure for workers'
and my License is in full force and effect.
compensation, as provided for by Section 3700 of the Labor Code, for the performance
License Class: B License No.: 848057
of th for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by
®dfe: Contractor /
Sect' 700 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:
OWNER -BUILDER DECLARATION
Carrier: STATE COMPENSATION INSURANCE FUND Policy Number: 9043902'
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
I certify that in the performance of the work for which this permit is issued, I
city or county that requires a permit to construct, alter, improve, demolish, or repair
shall not employ any person in any manner so as to become subject to the workers'
any structure, prior to its issuance, also requires the applicant for the permit to file a
compensation laws of California, and agree that, if I should become subject to the
signed statement that he or she is licensed pursuant to the provisions of the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division
comply with those provisions.
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
late: 1 D 1 Applicant:
permit subjects the applicant to a civil penalty of not more than five hundred dollars
($500).:
WARNING:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
(1 I, as owner of the property, or my employees with wages as their sole
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
compensation, will do the work, and the structure is not intended or offered for sale.
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
(Sec. 7044, Business and Professions Code: The Contractors' State License Law does not
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
apply to an owner of property who builds or improves thereon, and who does the work
INTEREST, AND ATTORNEY'S FEES.
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
APPLICANT ACKNOWLEDGEMENT
within one year of completion, theowner-builder will have the burden of proving that
IMPORTANT: Application is hereby made to the Building Official for a permit subject to.
he or she did not build or improve for the purpose of sale.).
the conditions and restrictions set forth on this application.
(1 I, as owner of the property, am exclusively contracting with licensed contractors
1. Each person upon whose behalf this application is made, each person at whose
to construct the project. (Sec. 7044, Business and Professions Code: The Contractors'
request and for whose benefit work is performed under or pursuant to any permit
State License Law does not apply to an owner of property who builds or improves
issued as a result of this application , the -owner, and the applicant, each agrees to, and
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and
the Contractors' State License Law.).
employees for any act or omission related to the work being performed under or
(� I am exempt under Sec. , B.&P.C. for this reason
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 issuance of such permit, or cessation of
Date: Owner:
work for 180 days will subject permit to cancellation.
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 Na
Lender's Add
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city -to enter upon the
above -mentioned property for inspection purposes.
Dat Signature (Applicant or Agent'
Date: 1/30/2017
Application Number: BWFE2017-0015
Owner:
Property -Address: 51425 MADISON ST
MADISON RANCH -
APN: 777030004
P 0 BOX 2956
Application Description: POLO VISTA / (4)42' PILASTERS AND 60 LF OF"6' BLOCK WALL
JACKSON, WY 92201
' Property Zoning:
Application Valuation: $2,268.00
Applicant' _
Contractor:
BRADSHAW CONSTRUCTION INC
BRADSHAW CONSTRUCTION INC
46-248 ROUDEL LANE
46-248 ROUDEL LANE
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)347-4246
Llc. No.: 848057
Detail: 60LF OF 6' GARDEN WALL AND 4-42' PILASTERS AT KITCHEN PATIO [CITY SPECIFICATIONS]
PRECISION CONCRETE BLOCK SHALL BE COVERED WITH
STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES.
Lr .
rINANCIALINFORMATION;
II DESCRIPTION - , ACCOUNT,
CITY
AMOUNT
' WALL/FENCE - EA ADDITIONAL 50 LF _
101-0000-42404 '.
, '0
$15.20� '
DESCRIPTION
ACCOUNT
CITY
AMOUNT'
I WALL/FENCE - FIRST 100 LF
101-0000-42404
0
" $50.67
DESCRIPTION.
ACCOUNT
CITY
' AMOUNT .:
WALL/FENCE'- FIRST 100. LF PC
101-0000-42600
0
_ $63.33 '
Total Paid for BLOCK WALL: $129.20
l" DESCRIPTION
ii
ACCOUNT
QTY ,
AMOUNT.
BSAS SB1473 FEE
101-0000-20306•
.0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:,' _ $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
u TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
' Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
i
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4
40
Bin #
Permit #
roject Address:
A. P. Number:
arty of La Quota
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
wner's Name:
O 112
ddress: S��J/2 '
Legal Description:
ST, Zip:
ontractordo :
e. eleP ho n •
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ress: .(� Z'7"
ojectDescription:00 �� 0
_91.
—..._:.ST, Zip:LA
/
Ph ne
o .
to Lic: # :
City Lic. tl•:
f♦ l�
Arch., Engr., Designer:
An
Address:
v`Y1V lS
City, ST, Zip:
Telephone:
iru ction Type: Pe:CoOccupancy: •
.
State_ c 1.. Li
ProJect tYPa (circle
le one)• New Add'n Alter Re amr Demo. o
oWamc of Contact Person:
Sq. Ft.:
# Stories:
#Units:
.Telephone # of Contact Person:
imated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE
/I
Submittal
Req'd
Rec'd
TRACKING
PERMIT FEES
Plan Sels
Plan Check submitted
Item
Amount
Structural Cafes.
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" Review, ready for correelions/issue
Electrical . .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN HOUSE_:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees,
Total Permit Fees
HAMMOCK NB'1�KL
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K AREA PERIWALKWAY WITH STEPS EQUIPMENT L�.I AG UNITS 6R/WITE PATHWAY TO WITH COLUMNS L2.1 �'a�` SITTING AREA WALL TO ALIGN WITH WALL o
L�.I BLOAND LANDINGS BE PIEID LOCATED BY AND TREi1.l5 \`�tr'' LOCATION PER TM.
PROPEfl1T LINE 615.32' N69't501 E NSA DE516N 6ROUP "s %b.OiJ
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L2.1 .. DETAIL PLAN .. x"•.'' - - { - - DETAIL'PLAN - -- .
SPORT COURTS BODGE HORSESHOE } . _ BASKETBALL rlb' HT. LEXISTING s' WIDE DECOMPOSED NEW
[COURT COURTS I+A1F COURT SEAT/RETAININ6 MAIN HOUSE, DRIHB IAY GRANITE PATHWAY TO BE PERIMETER o 0 0
SHEET LI.3 WALL " SHEET. LI2 FIND LOCATED BY H5A BLOCK WAIL r' i e
. DESIGN GROUP
GRADING NOTES
CONSTRUCTION NOTES
MASONRY WALL NOTES
I. SLOPE ALL DRAIN LINES AT A MINIMJM OF Yz %
I. REFER TO FIMSN 6RADIN6 R-AN5 FOR CATCH BASIN LOCATIONS
I. GROIJT ALL C a.LS NTH STEM SOLID - IF RETAINING, 6ROUT ALL CELLS SOLID
2. ALL DRAIN LINE -SJNCT10N5 AND CHANGES OF DIRECTIONS TO BE
MADE Y'IITH 45. OR SWEEP TYPE ELLS
2. ALL CONCRETE TO BE 55 SACK MIX TO OBTAIN A MINMLM COFTRESSIVE STRENGTH OF 2500 P51
AT 28 DAYS
--
2. 6RCUT SHALL BE FLUID CON515TENCY MITH A RATIO OF (U PART CEMENT. (5) PARTS SAND.
3. PROVI51ON5 FOR P051TIVE DRAINAGE OF ALL LANDSCAPED AREAS TO TAKE - _
S. ALL CONSTRUCTION TO BE FLLM AND TRUE UNLESS OTHER-KSE INDICATED
(2) PARTS PEA GRAVEL _
3. MORTAR SHALL BE FRESHLY PREPARED AND UNIFORMLY MIXED IN THE RATIO OF (N
PRECEDENCE OVER MOUNDING AS DIAGRAMED ON GRADING FUN
n o,u,a+.cvenv:,n csu:cu umFer.o - -
4. VERIFY PUN THE PROJECT SOILS ENGINEER THE NEED FOR REINFOR ING• BASE MATERIAL,
" -PRESATURATION.ETC -FOR NALKS, STAIRS, MALL FOOTIN65, ETC r
-
PART CEMENT, (VD PART LVE PUTTY, (4-V21 PARTS SAND AND SHALL CONFORM TO -
ASTM C,2T0
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SYMBOL LEGEND
X ELEVATION NUMBER INDICATES MATERIALS REFBZB 6E O
L3.1 5HEET NUMBER - , - • - .
. NOSE BIB (I8) LOCATIONS
(DOMESTIC NATERI
SECTION NFTBER
• fA.
I.
U LL)
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