07-1257 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: `;07-00001257
Property Address: 46446 BRADSHAW TR
APN: 643-170-999-53 -31348 -
Application description: WALL/FENCE .
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 4175
T &-�/ 4 4a Q"
Applicant: Architect or Engineer:
0y*111 - pla
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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RACT 'S CLARATION
I hereby affirm under penalty of 'under ro i ons of Chapter 9 (commencing with
Section 70001 of Division 3 of a C de nd my License is in full force and effect.
Licens��e��Cla''ss:C,,27,C8,C 9Lic se o.: 849837
Date:�YContra tor:ILD R 9ECLARATION
I hereby affirm under penalty of perju that I am exempt from t 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 ($500).: .
1 _ 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 I, as owner of the property, am exclusively contracting with licensed cont ctors to construct the project (Sec.
7044, Business and Professions Code: The Contractors' State Licen Law does not apply to an owner of
property who builds or improves thereon, and who contracts for con/it
with a contractorls) licensed
pursuant to the Contractors' State Licens
I 1 I am exempt under Sec. P.0 for this rea n
4 N1
Date: 4-30 —0 J wn r:
1`C(7STRUCTION LENDINGENCY
I hereby affirm under penalty of perjury that there j� a construction lendin agency for the performance of the
work for which this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address: P I Pr
LQPERMIT
Owner:
PH RANCH LLC
78370 HIGHWAY 111 STE 20
LA QUINTA, CA 92253 /
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/24/07
U
Contractor: OR 0 B00%
DESERT CONCEPTS LANDS E/MA Ob
41800 WASHINGTON ST, B-1 ��NgNCp pQUINrq
BERMUDA DUNES, CA 92201--0 apr
(760)200-9007
Lic. No.: 849837
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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.
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 R •DWOOD FIRE & Policy Number W6734284
JL I certify that, in the performance of the work for which thrcpensation
ued, I shall not employ any
person in any manner so as to o ject to the nsation laws of California,
and agree that, ' uld bec me subject t e workprovisions of Section-r3700oftheI s 11 forthwith comp ithns.
ate: 4plicaWARNING: FAILURE TO SECURE WORK S' COMPENSATION COVAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL NALTIES AND CIVIL FINES TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION T 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 Ouinta, 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 i hot commenced
within 180 days from date of issuance of such permit, or cessation of work f r 180 days will subject
permit to cancellation.
I certify that I have read this application and st Fal'.the abov information is co -./
. I agree to comply with all
city and county ordinances and state laws rel ing to 'Idi constr on, and reb authorize representatives
of this county to enter upon the above -menti ned prope for inspection o s.
(Applicant of Agent):
Application Number . . . . . 07-00001257
Permit . . . . . WALL/FENCE•PERMIT
Additional desc .
Permit Fee . . . . 72.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 4175
Expiration Date 10/21/07
Qty Unit Charge Per
Extension.
BASE FEE
45.00
3.00 9.0000 THOU BLDG 2,001-25,000
27.00
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Special Notes and Comments
167 L.F. 6- GARDEN WALL, CITY STANDARD
Fee summary Charged Paid
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Credited
----------
----------
Due
Permit Fee Total 72.00
.00
00
72.•00
Plan Check Total .00
.00
.00
.00
Grand Total 72.00
.00
.00
72.00
LQPERMIT