10-0987 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 10-00000987,_
Property Address: 46542 BRADSHAW TR
APN: 643-170-999-57 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1840
T4ht 4 XP Qum&
Applicant: Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
the
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 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 Cade: 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
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE BLVD. 41020
LOS ANGELES, CA 90010
Contractor:
FD CONSTRUCTION
73081 FRED WARIN,
PALM DESERT, CA
(760)776-8300
Lic. No.: 814468
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
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 Policy Number WC003957781
I certify Zana
per once f the wor hich this permit is issued, I shall not employ any
persor so as t become bject t the workers' compensation laws of California,
and ahould b ome subje to the workers' compensation provisions of Section
37 0ode, I hall for th c p with those provisions.
� �1
WARNING: FAILURE TO SECURNdLO2EDRB`CDMPEN57iTl COVE GE IS UNLAWFQL; RiQ6 SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND IL FINES UP ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OFC MPENSATION, D MAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND A TORNEY'S FEES.
APPLICANT ACKNOWLZRGEMEW
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 applica ' ecomes null and void if work is not commenced
within 180 days from date of issuanZ'&
, or c a of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stateorma "on is c rect. I agree to comply with all
city and county ordinances and state laws relatingru h eby authorize representatives
ofthi countst e4ter upon the above-mentioned io purposmate:�C�/)ignature (Applicant or Agen\
Application Number . . . . 10-00000987
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 43.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 1840
Expiration Date
-3/22/1-1
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
14.00 2.0000
HND BLDG
501-2,000
28.00
----------------------------------------------------------------------------
Special Notes and
Comments
TOTAL OF 85 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
43.00
.00
.00
43.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00-
.00
.00
1.00
Grand Total
44.00
.00
.00
44.00
LQPERMIT
72 RETENTION BASIN LOT G
PAD= 74.0