10-0984 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
10-00000984 t.ti
Property Address:
i
46446 BRADSHAW TR
APN:
643-170-999-53 -31348 -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
1321
Applicant:
- - - - - - - - - - - - - - - - -
I hereby affirm under penalty of
Section 70094 of Division 3 of I
T4`i�l °f 4 Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE BLVD. 41020
LOS ANGELES, CA 90010
Contractor: D
Architect or Engineer: FD CONSTRUCTION
73081 FRED WARING DR
PALM DESERT, CA 92260
(760)776-8300
` LiC. No.: 814468
TENSED CO TRACTOR'S DECLARATION
I am licensikd under provisions of Chapter 9 (commencing with
and lssi als Code, and my License is in full force and effect.
/ / cense No.: 81AI 8
I hereby affirm under penalty of perjury that I am exempt from t Contract 's State License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or unty that requires a permit to
construct, alter, improve, demolish, or repair any structure, prio to its issuan , also requires the applicant for the
permit to file a signed statement that he or she is licensed pursua to the pr isions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Divisio 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, 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 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.I.
Lender's Name: �(
Lender's Address: `
LQPERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
OST 0 C- 2�_
ITy QF LA QUIRTA
�Ie[A?.t F -C III= ®T
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 GRANITE STATE Zy Number WC003957781
I certify that, in the perfor nwork for whQemit is issued, I shall not employ any
person it any mann soae subject tos' compensation laws of California,
agree that, if hould bj thempensation provisions of Section
3700 of the Lab Code, I th co ly provisions.
Sat UA0cant:
WARNING: FAILURE TO SECURE WORKER9LG4& 1PENDTION VE GE IS LAWFUL, AND SSfALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL IN UP TO ONE NDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENS TION, DAMAGE S PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE 'S FEES.
APPLICANT ACKNOWLEDGEMERT�
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 ap becomes null and void if work is not commenced
within 180 days from date of issu ce of as h permi[, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application a state that a above informal n is orrect. I agree to comply with all
city and county or finances and state la relating [o wilding constr 'on, d ereby authorize representatives
of hi out r upon the above- entioned pr perry for in ecti purpo r
at : jJ\�ature (Applican r Agent):
-T
LQPERMIT
Application Number . . . . . 10-0000.0984
Permit . .
. WALL/FENCE PERMIT
Additional desc .
Permit Fee
33.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 1321
Expiration Date
3/22/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
9.00 2.0000
HND BLDG 501-2,000
18.00
----------------------------------------------------------------------------
Special Notes and
Comments
TOTAL OF 61 L.F.
5' GARDEN WALL TO
CREATE COURTYARD,
CITY STANDARD. 2007
CODES.
----------------------------------------------------------------------------
Other Fees . . .
. . . . . . BLDG STDS ADMIN (SB1473)
1.00
Fee summary
-----------------
Charged Paid
--------------------
Credited
----------
Due
Permit Fee Total
33.00
.00
----------
.00
33.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
34.00
.00
.00
34.00
Xa-6 -,53
NOW
FIRM
IWO
NOW
FIRM