10-0988 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1 0-000009 8
Property Address: C-46566 BRADSHAW TR
APN: 643-170-999-58 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1299
T4ht 4 XP QuAlM
Applicant: Architect or Engineer:
Nl�
LI NSED CON RACTO 'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
1 hereby affirm under penalty of 9triury t t I am licensed nder p visions of Chapter 9 (commencing with
Section 7000) of Division 3 of a Busi ss and Prof s n C e, and my' is in full force and effect.
License Class: Bh ice Gorcounty
8
Dat V ontractor._
111 OWNER -BUILDER
I hereby affirm under penalty of perjury that I am exempt from the ate icense Law for the
following reason (Sec. 7031.5, Business and Professions Code: Ay t t requires a permit to
construct, alter, improve, demolish, or repair any structure, prior torequires 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 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 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 _ 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
Contractor:
FD CONSTRUCTION
73081 FRED WARING DRIFZ:20113
PALM DESERT, CA 92260
(760)776-8300
LiC. No.: 814468T OC.'
r LA
---------------------------- F>°�>! 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.
t1( I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
Code, for the performance o wo k for which this permit is issued. My workers' compensation
insurance carrier and pi number re:
Carrier GRANITE STATnormance
P IicyNumber WC003957781
I certify that, in tothe workfor hthis permit is issued, I shall not employ any
person in anyecome subje t to he workers' compensation laws of California,
and agree thame subjecttoorkers'conprovisions of Section
370Q of the Lll forthw' comp) ith t e provision
to `� / pplliicant:
,Pl
WARNING: FAIL U ER TO SECURE WORKERS' COMPENSATION OVERAGE IS LAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL INES UP TO ON HUNDRED THOUSAND
DOLLARS 1$100,000). IN ADDITION TO THE COST OF COMPE SATION, DAMA S AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNE ' 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 a lication becomes null and void if work is not commenced
within 180 days from date of i ance f such permit, or cessation of work for 180 days will subject
permit to cancellation.
1 certify that I have read this application a d state at the above iKectn
is correct. I agree to comply with all
city and county ord' ances and state law relatin to building cond he y authorize representatives
Of thi c unty tD�r upod the above•m noon property f 'ses.
l/9� i VVV///
ate: " L) nature (Applicant o A entl:
Application Number . . . . . 10-00000988
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
.
Permit Fee . . .
. 31.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 1299
Expiration Date
3/22/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
8.00 2.0000
HIND BLDG
501-2,000
16.00
-----------------------------------------------------------------------=----
Special Notes and
Comments
TOTAL OF 60 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
------•----
31.00
----------
.00
----------
.00
31.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
32.00
.00
.00
32.00
LQPERMIT
xat s 8
72 RETENTION BASIN LOT C
PAD= 74.0