10-0991 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: "10-00000991
1-1
Property Address: 46638 BRADSHAW TR
AM: 643-170-999-61 -31348 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1559
Titvl 4 4& Q"
Annlirant: Arrhitect or Ennineer-
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, 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.J.
Lender's Name: !•y _
Lender's Address:
LQPERMIT
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE BLVD. 41020
LOS ANGELES, CA 90010
Contractor:
FD CONSTRUCTION
73081 FRED WARING DRTt'L'
PALM DESERT, CA 9226
(760)776-8300
Lic. No.: 814468
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/23/10
WORKER'S COMPENISATION DE Ai1�Odl'r"'♦�♦�.J
I hereby affirm under penalty of perjury one of the following --- a + ♦>yh� ���r•�%;
I have and will maintain a certificate of consent to self -insure for wsation, as pr ided
for by Section 3700 of the Labor Code, for the performance of the work for ' W-tbjaper it is
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 number are:
Carrier GRANITE STATE Policy Number WC003957781
I certify that, in the perfo a e of the work fo ich this permit is issued, I shall not employ any
person in any mann s s to become subj ct to a workers' compensation laws of California,
and agree that, if sh Id become sub' ct toNe w rkers' compensation provisions of Section
t 3J00 of the L r C de, I shall fo it comp th those provisions.
l\
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE IS LA L, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ES UP TO ONE UNDR ND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMP NSATION, DAMAGE AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTO EY'S FEES.
APPLICANT ACKNO DGEMENT
IMPORTANT Application is hereby made to the Director of Building an or 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 applicCdmgonstruction
null and void if work is not commenced
within 180 days from date of issuance ofr cessation of ork r 180 days will subject
permit to cancellation.
I certify that I have read this application and state that abrmation is torr t. I gree to comply with all
city and county ordinances and state laws relating to bion d hereb a horize representatives
of 1 31!��ignature
n the above-mentioned propio Pur
(Applicant or Agent):
Application Number . . . . . 10-00000991
Permit . .
. WALL/FENCE PERMIT
Additional desc .
.
Permit Fee . . .
. 37.00
Plan Check
Fee
.00
Issue Date . . .
.
Valuation
. . .
. 1559
Expiration Date -
3/22/11
Qty Unit Charge Per
Extension
BASE FEE
15.00
11.00 2.0000 HND BLDG 501-2,000
22.00
----------------------------------------------------------------------------
Special Notes and
Comments
TOTAL OF 72 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
37.00
.00
.00
37.00
Plan Check Total
.00
.00
.00
.00
Other Fee Total
1.00
.00
.00
1.00
Grand Total
38.00
.00
.00
38.00
0
LQPERMIT
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