BWFE2017-001551425 Madison St
BWFE2017-0015
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
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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:
Z
Application Valuation:
$2,268.00
Applicant:
rn
BRADSHAW CONSTRUCTION
INC
46-248 ROUDEL LANE
t- p
LA QUINTA, CA 92253
shall not employ any person in any manner so as to become subject to the workers'
Contractor: m 10 o
BRADSHAW CONSTRUCTION I!r
compensation laws of California, and agree that, if I should become subject to the
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS(760)777-7153
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,
Da
and my License is in full force and effect.
mOwner:
License Class: B License No.: 848057
03
MADISON RANCH
I have and will maintain workers' compensation insurance, as required by
P O BOX 2956
Z
JACKSON, WY 92201
v n c
OWNER -BUILDER DECLARATION
rn
1 hereby affirm under penalty of perjury that I am exempt from the Contractor's State
L
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
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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'
Contractor: m 10 o
BRADSHAW CONSTRUCTION I!r
compensation laws of California, and agree that, if I should become subject to the
Z
46-248 ROUDEL LANE
CD D
LA QUINTA, CA 92253
M
.—
(760)347-4246
Llc. No.: 848057
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: 1D 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 .
II
DESCRIPTION - ,
rINANCIALINFORMATION;
ACCOUNT,
QTY
AMOUNT
'
WALL/FENCE - EA ADDITIONAL SO LF
_
101-0000-42404 '.
, 0
$15.2O-
15.20'DESCRIPTION
DESCRIPTION
ACCOUNT
QTY
AMOUNT'
I
WALL/FENCE - FIRST 100 LF
101-0000-42404'
0 •
" $50.67
DESCRIPTION.
ACCOUNT
QTY
' AMOUNT .:
WALL/FENCE"- FIRST 100. LF PC
101-0000-42600
0
_ $63.33 '
Total Paid for BLOCK WALL:
$129.20
l"
DESCRIPTION
ACCOUNT
QTY ,
AMOUNT.
BSAS SB1473 FEE
101-0000-20306•
.0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:,'
_ $1.00
i;
DESCRIPTION +
ACCOUNT
QTY
AMOUNT
u
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Bin #
arty of La Quota
Building & Safety Division
Permit #
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
roject Address:wner's
Name:
112
O
A. P. Number:
ddress: 5 7/2 '
Legal Description:.4111,
, ST, Zip:
ontractordo :
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gess: q(/ I-4/
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091.0iectDescription:OMY
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to Lic: # :
City Lic. tl•: f♦ l
Arch., Engr., Designer:
Cf a4 V I AM
cf- a4 IL
Address:
v`Y1V lS
City, ST, Zip:
Telephone:
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Cos ction T Y e: Occupancy:
P Y•
P
State to Li _
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Project tYPa (circle le one)• New Add'n Alter Repair. Demo.
o
oWamc of Contact Person:
Sq. Ft:: #Stories: #Units:
lephone # of Contact Person:
imated Value of Project: .
APPLICANT: DO NOT WRITE BELOW THIS LINE
t✓
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 corrections/issue
Electrical . .
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
II.O.A. Approval
Plans resubmitted
Grading
IN IiOUSF_:-
'"' 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
Y
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PROPERTY LINE 615.32' --7,
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EQUIPMENT 2.1
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AC, UNITS 6RANtTE PATHWAY TO
BE rIlD LOCATED 5Yr
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ENTRY GATE TF43-U5 AND
WITH COLUMNS L2 ITTINIS AREA
AND T111-LI5
5' HT. STLICW WEN 6' Hi. K4LL5
WALL TO ALIGN WITH WALL
LOCATION PER T.M
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DETAIL PLAN 'ESHOE
SPORT COURTS5 BOCCE BALL
CORT COURTS
SHEET L13
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DETAIL "FLAN
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5' WIDE DECOMPOSED
NEW 6' HTJ
HALF -COURT SEAVRETAININS
HALL
MAIN HOL15E,
SHEET. LI.2
MVBIAY
6RMITE PATHWAY TO BE
FIELD LOCATED BY H5A
PERIMETER
BLOCK WALL
DES[" 6ROUP
GRADING NOTES CONSTRUCTION NOTES
I. SLOPE ALL DRAIN LINES AT A MINIMUM OF Yi I. REFER TO FINISH 6RAVIN6 PLA16 FOR CATCH BA51M LOCATIOW,
2. ALL DRAIN LINE AND CHANES OF DIRECTIONS TO BE 2. ALL CONCRETE TO BE 55 SACK MIX TO OBTAIN A MIMmum coM96IVE STRENGTH OF 2500 PN
MADE WITH 45' OR SWEEP TYPE ELLS AT 28 DAYS
3. PROVI5101,15 FOR P05 ITIVE DRAINAGE OF ALL LAND5CAPEO AREAS TO TAKE S. ALL CON5TRUCTION TO BE FLUMB AND TRUE UNLESS OTHERWISE INDICATED
PRECEDENCE OVER MOUNDING AS DIAGRAMED ON &RAOINC, PLAN T 4. VERIFY POrH THE PROJECT SOILS ENGINEER - - . THE NEED FOR REINFORCINr, SASE MATERIAL,
PRMATURATION. ETCFOR KALKS STAIRS, WALL FOOTINI ETC
MASONRY WALL NOTES
I. GROUT ALL CELLS NTH STEM SOLID - IF RETAINING, GROUT ALL CELLS SOLID
2. GROUT SHALL BE FLUID GON515TENCr MITH A RATIO OF (1) PART CEMENT. (5) PART. SAND.
(2) PARTS PEA &RAVEL
3. MORTAR 94AU BE FRESHLY PREPARED AND UNIFORMLY MIXED IN THE RATIO or (l)
PART CEMENT. (1/2) PART LIME PUTTY. (4-1/1 PARTS SAND AND SHALL CONFORM To
ASTM r,21n 7W
SYMBOL LEGEND
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DETAIL PLAN
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(SATE WITH COLUMNS.
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ELEVATION NUMBER INDICATES MATERIALS REFBZB46E
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SHEET NUMBER
HOSE SIB (IS) LOCATIONS
(DOMESTIC WATERT
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