10-0989 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
.Application Number: 10-00000989 1
Property Address: 46590 BRADSHAW TR
APN: 643-170-999-59 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1407
Applicant: Architect or Engineer:
I hereby affirm under penalty of perju tha am
Section 7000) of Division 3 of the 6rusinFAs and I
<•
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
CTOR'S DECLARATION
sr provisions of Chapter 9 (commencing with
Code, and n14-Q;ense is in full force and effect.
OWNER-BUI ER DECLARA ION
I hereby affirm under penalty of perjury that I am exempt fr m the Contract_ ION
License Law for the
following reason (Sec. 7031 .5, Business and Professions C de: Any city or oumy that requires a permit to
construct, alter, improve, demolish, or repair any structure, 'or to itS.55./ i nce, also .Or
the applicant for the
permit to file a signed statement that he or she is licensed pursuan to the provisions of the Contractor's State
License Law (Chapter 9 (commencing with Section 7000) of Division 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 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: d
FD CONST ION
73081 FR RI TaIve2010
PALM DES CA rW
(760)776 83 0
Lic. No. 814401ItiAAuut,r,
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 that, in the per nce of th ork for which this permit is issued, I shall not employ any
person in any m ner as to bec subject to the workers' compensation laws of California,
and agree that if I sl u becom s ' ct to the workers' compensation provisions of Section
3700 of the abor ode, I shall o hwi m ose provisions.
baterb can
WARNING: FAILURE TO SECURE WOR ' COMP NSATION COVERA IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL CID CIVIL FINES UP T NE HUNDRED THOUSAND
DOLLARS 1$100,0001. IN ADDITION TO THE COST COMPENSATION, DA AGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND TORNEY'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 perm' .
2. Any permit issued as a result of this applicat a as nu and v if work is not commenced
within 180 days from date of issuance such ermit, or ssation o work for 180 days will subject
permit to cancellation.
I certify that I have read this application and stat that t above info ation i o ect. I agree to comply with all
city and county ordinances and state laws relati to bu ding constr and y rize representatives
Dof is cou `y to enter upon the above-mentione opert tion rposes.
6 ( Signature (Applicant or Agent):
Application Number . . . . . 10-00000989
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 35.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 1407
Expiration Date
3/22/11
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
10.00 2.0000
HND BLDG
501-2,000
20.00
----------------- ----------------------------------------------------------
Special Notes and
Comments
TOTAL OF 65 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
35.00
.00
.00
35.00
Plan Check Total
.00
.00 -
.00
.00
Other Fee -Total
1.00
.00
.00
1.00
Grand Total
36.00
.00
.00
36.00
LQPERMIT
72
PAD= 74.0
RETENTION BASIN LOT G