10-0986 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Ti&t 4 4a Q"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
Application Number: 10-00000986 Owner:
Property Address: 46518 BRADSHAW TR GLOBAL INVESTMENTS
APN: 643-70 -999-56 -31348 - 3471 WILSHIRE BLVD. 41020
Application description: WALL/FENCE LOS ANGELES, CA 90010
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 931 Dom'" •�1_4___
Contractor:
Applicant: Architect or Engineer: FD CONSTRUCTION
73081 FRED WARIN D IVEDCT O C 2010
PALM DESERT, CA 2
(760) 776-8300 C/jyD��
A Lic. NO.: 81446 F�f-JqF �irZA
!^ T
-------------------------------------------------------------------------------------------------
I hereby affirm under penalty of perjury that 1 am exempt from t e Contractor's S to License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or co y that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior its is e, 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 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.).
(_ 1 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
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
,N II issued.
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 are:
Carrier GRANITE STATE Poli y Number WC003957781
I certify that, in the pert mance of [ work for which this per it is issued, I shall not employ any
person in any ma er so as to b ome subject to the wo ' compensation laws of California,
and agree that, ' I should be a subject to h war s' ompensation provisions of Section
r �3JQp of the L or Code, I all for(RNith co ly h th se provisions.
WARNING: FAILURE TO SECURE WORKERS' C01WENSATN COVERAISkIS UNLAWFUL, AND"SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND-C("RNEY'S
L FINES UP T ONE HUNDRED THOUSAND
DOLLARS ($ 100,000). IN ADDITION TO THE COST OF COPENSATION, DA GES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATFEES.
APPLICANT ACKNOWLZ'BGEA$E*r—
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 p
2. Any permit issued as a result of this applic n becom null and void if work is not commenced
within 180 days from date of issuance such per , or cessati f work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stat that the ab a inform is or act. I agree to comply with all
city and county ordinances and state laws relati to buildin construct �n, nd h by auth�o '�1e representatives
of this county to e➢I[er upon file above -mentiOne rOpertV or inSpeCtiQr1 I1r1rDOseS.
.s �nature (Applicant or Agent):
CENSED CONTP44;TOR'S DECLARATION
1 hereby affirm under penalty of per' ry t
t I am licensed u ovisions of Chapter 9 (commencing with
Section 7000) of Division 3 of th Busi
ss and P e ionals Co and my Lic �s in full force and effect.
License Class: B
Date �C ractor.
Li nse 8 4
()WNFR.RIH.11F nrri ARAT1nrd
I hereby affirm under penalty of perjury that 1 am exempt from t e Contractor's S to License Law for the
following reason (Sec. 7031 .5, Business and Professions Code: Any city or co y that requires a permit to
construct, alter, improve, demolish, or repair any structure, prior its is e, 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 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.).
(_ 1 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
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
,N II issued.
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 are:
Carrier GRANITE STATE Poli y Number WC003957781
I certify that, in the pert mance of [ work for which this per it is issued, I shall not employ any
person in any ma er so as to b ome subject to the wo ' compensation laws of California,
and agree that, ' I should be a subject to h war s' ompensation provisions of Section
r �3JQp of the L or Code, I all for(RNith co ly h th se provisions.
WARNING: FAILURE TO SECURE WORKERS' C01WENSATN COVERAISkIS UNLAWFUL, AND"SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND-C("RNEY'S
L FINES UP T ONE HUNDRED THOUSAND
DOLLARS ($ 100,000). IN ADDITION TO THE COST OF COPENSATION, DA GES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATFEES.
APPLICANT ACKNOWLZ'BGEA$E*r—
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 p
2. Any permit issued as a result of this applic n becom null and void if work is not commenced
within 180 days from date of issuance such per , or cessati f work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stat that the ab a inform is or act. I agree to comply with all
city and county ordinances and state laws relati to buildin construct �n, nd h by auth�o '�1e representatives
of this county to e➢I[er upon file above -mentiOne rOpertV or inSpeCtiQr1 I1r1rDOseS.
.s �nature (Applicant or Agent):
Application Number . . . . . 10700000986
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 25.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 931
Expiration Date
3/22/11
,1
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
5.00 2.0000
HND BLDG
501-2,000
10.00
----------------------------------------------------------------------------
Special Notes and
Comments
TOTAL OF 43 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
25.00
- - - - - - - - - - - - - - - -
.00
- - - ----------
---------Permit
.00
25.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
26.00
.00
.00
26.00
LQPERMIT
OPEN SPACE LOT 73
AIL
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