10-0901 (SPIN)P.O. BOX 1504
78-495.CALLE.TAMPICO_
LA QUINTA, CALIFORNIA 92253
Application Number:
�10-00000901 J
Property Address:
46470 BRADSHAW TR
APN:
643-170-99 -54 -31348
Application description:
SPECIAL INSPECTION
Property Zoning:
LOW DENSITY RESIDENTIAL
Application valuation:
100
T4ht 4 4v Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
GLOBAL INVESTMENTS
'3470 WILSHIRE BLVE. #1020
LOS ANGELES, CA 90010
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/15/10
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 (5500).:
(_ 1 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
Date:O pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AfD CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST O. 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 issuA):
ch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and staabove information is correct. I agree to comply with all
city a ;IAJIT�
oces and state laws relatiing construction, and hereby authorize representatives
oft s the above-mentionfor inspection purposes.
ate re (Applicant or Ag
Contractor:
\V 1
Applicant: Architect or Engineer:
FD CONSTRUCTION f q V
73081 FRED WARING DRIV.D
PALM DESERT, CA 92260 v ��
(760)776-8300
Lic. No.: 814468
4 LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations: ,
Section 7 0) of Division 3 of the Business and Code, and my License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
Vessionals
L e e las License No.: 814468
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
t Contractor:
issued.
Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance of the work foi which this permit is issued. My workers' compensation
OW ER -8 LDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt om the Contractor's State License Law for the
Carrier GRANITE STATE olicy Number WC003 957781
following reason (Sec. 7031 .5, Business and Profession Code: Any city or county that requires a permit to
_ I certify that, in the performanc the work for which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner so as become subject to the workers' compensation laws of California,
Permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
a that, if I shoul c e subject to the workers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3 00 of a Labor Code, I orthwith comply with those provisions.
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 (5500).:
(_ 1 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
Date:O pplicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AfD CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST O. 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 issuA):
ch permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and staabove information is correct. I agree to comply with all
city a ;IAJIT�
oces and state laws relatiing construction, and hereby authorize representatives
oft s the above-mentionfor inspection purposes.
ate re (Applicant or Ag
Application Number
. . . . . 10-00000901
Permit . .
. SPECIAL INSPECTION
Additional desc .
.
Permit Fee . . .
. 100.00 Plan Check
Fee
.00
Issue Date . . .
. Valuation
. . .
. 100
Expiration Date
3/14/11
Qty Unit Charge Per
Extension
BASE FEE
100.00
----------------------------------------------------------------------------
Special Notes and
Comments
SPECIAL INSPECTION
TO FINAL SFD.
ORIGINAL EXPIRED PERMIT # 05-3939.
LOT 54
Fee summary
Charged Paid Credited
Due
-----------------
Permit Fee Total
------------------------------
100.00 .00
----------
.00
100.00
Plan Check Total
.00 .00
.00
.00
Grand Total
100.00 .00
.00
100.00
a
LQPERMIT