07-1256 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 07-00001256
Property Address: 46422 • BRADSHAW TR
APN: 643-170-999-52 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3000
Applicant:
T4ht 4 4 Q"
Architect or Engineer:
-----------------f- ------
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of erj r that I am licen under p vis ons of Chapter 9 (commencing with
Section 7000) of Division 3 of he B iness and Professio Is C e, a dmy License is in full force and effect.
LicenserClass: C27, C8, 9 e e N .: 849837
Date:
lOWNER-BUI D R ECLARATION
I hereby affirm under penalty of perjury that I am exempt fro 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 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.:
(_ I 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.).
(_ 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
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE
LA QUINTA, CA 92253
Contractor:
DESERT CONCEPTS LAND
41800 WASHINGTON ST, B-105
BERMUDA DUNES, CA 92201--0
(760)200-9007
Lic. No.: 849837
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/24/07
u
APR 3 01007
Clry OF LA QUIiii I
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 REDWOOD FIRE & Policy Number W6734284
_ I certify that, i Fl2'pe ormanwork for wh' this permit is issued, I shall not employ any
person in ny manne o s to becom ubject t the workers' compensation laws of California,
and agr that, if 1 sho d become subjec the war rs' compensation provisions of Section
3700the Labor Co I shall forthwith co I wit those provisions.
Date: pplicant:
WARNING: FAILURE TO SECURE W KERS' COMPENSAT10 VERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI ES UP TO ONE HUNDRED THOUSAND .
DOLLARS 0100,000). 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 of commenced
within 180 days from date of issuance of such permit, or cessation of work f 180 days will subject
permit to cancellation.
I certify that 1 have read this application and st t thergconstruction,
informati is corr I agree to comply with all
city and county ordinances and state laws re ting to ilan her uthorize representatives
of this .c((ounty to eennt/teer/r upon the above -men oned prop pection purpos
Date: ignature (Applicant o Agent): '
Application Number . . . . . 07-00001256
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 54.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. . 3000
Expiration Date
10/21/07
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
1.00 9.0000
THOU BLDG
2,001-25,000
9.00
-------------------=------------7----------------------------------------'---
Special Notes and
Comments
120 L.F. 6' GARDEN
WALL, CITY STANDARD
Fee summary
-----------------
Charged
-----------------•---
Paid
Credited
-----------------=--
Due
Permit Fee Total
54.00
.00
.00
54.00
Plan Check Total
.00
.00
.00
.00
Grand Total
54.00
.00
.00
54.00
LQPERMIT