10-0981 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
X10-00000981--�_-
Property Address:
46374 BRADSHAW TR
APN:
643-170-999-50 -31348
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
736
Td�/ 4 4 "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Applicant: Architect or Engineer:
a�A
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C SED CONTRACTOR'S DECLARATION '
I hereby affirm under penalty of pe�1.rj
that I m licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of theines nd Professionals Code, and my License is in full force and effect.
License Class: R, License No.: 814468
Date: b ontractor:
OWNER UILDER DECLARATION
I hereby affirm under penalty of perjury that I am exemp from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business 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 700011 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. r , 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE #1 0
LOS ANG CA ® 10
Contractor: V `
FD CONSTR
73081 FRED WARIT'
PALM DESER ,
(760)776-83
Lic. No.: 814468
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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.
K. 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 numb
Carrier GRANITE STATE Policy umber WCO03957781
_ I certify that, in the performan a of the ork for which this permit is issued, I shall not employ any
person in any manner so a to bec a subject to the workers' compensation taws of California,
and agree that, if I should co subject to the workers' compensation provisions of Section
� �D of the Labor Code, 1 s forthwi mply with visions.
,UDate: ��licant:
WARNING: FAILURE TO SECURE WORKERS' 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 null and void if work is not commenced
within 180 days from date of issuanceCeifo
t, or cessation of work for 180 days will subject
permit to cancellation. '
I certify that I have read this application and state tnformation is correct. I agree to comply with all
city and county or nances and state laws relating ttruction, and hereby authorize representatives
of this u q/t�y e t upo the above-mentioned p'on purposes.
/Date: ignature (Applicant or Agent) _
Application Number . . . . . 10-00000981
Permit WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 21.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 736
Expiration Date 3/22/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
3.00 2.0000 HND BLDG 501-2,000
6.00
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Special Notes and Comments
TOTAL OF 34 L.F. 5' GARDEN WALL TO
CREATE FRONT COURTYARD, CITY STANDARD.
2007 CODES.
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Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
----------------- ---------- ----- - ----
Credited
----------
----------
Due
Permit Fee Total 21.00
.00
.00
21.00
Plan Check Total .00
.00
.00
.00
Other Fee Total 1.00
.00
.00
1.00
Grand Total 22.00
.00
.00
22.00
LQPERMIT
DEVELORMEN
Al
0