10-0992 (BLCK),1 -
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: .10=00000992
Property Address: 46662 BRADSHAW TR
APN: 643-170-999-62 -31348
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1494
C&t!t 4 4
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BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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: AA�
Lender's Address: 1k
LQPERMIT
Owner:
GLOBAL INVESTMENTS
3470 WILSHIRE BLVD. #1020
LOS ANGELES, CA 90010
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7133
Date: 9/23/10
Contractor: .--
FD CONSTRUCTION I
73081 FRED WARING VE
PALM DESERT, CA 9 } �:
(760) 776-8300 QCT of
Lic. No.: 814468
Gi'rY nP LA IGt�3i"1JTFi
F'
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 licy Number WC003957.781
_ I certify that, in the perform athe wor bihich this permit is issued, I shall not employ any
person in any manner s as become uect the workers' compensation laws of California,
and agree that, if I sh Id ecome s bj to th workers' compensation provisions of Section
r ,^@700 of the Labor C e, shall f ith c ly with those provisions.
�u Ap ant:
WARNING: FAILLIFI9 TO SECURE WORKERS' COMPEN ATION COVERAGE UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES UP TO NE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF MPENSATION AMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT S.
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 ion becomes null and void if work is not commenced
within 180 days from date of i once o such permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that 1 have read this applicatio nd state (obuilonstru
e above inf on is correct. I agree to comply with all
city and county ordinances and state I s relatingding c'on, d hereby authorize representatives
o �hiScou t er upon a abov -mentionedy f inspection urp eDa e:Applica or Agen
Application Number . . . . . 10-00000992
Permit
WALL/FENCE PERMIT
Additional desc .
Permit Fee
35.00
Plan Check
Fee
.00
Issue Date
Valuation
. . .
. 1494
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 69 L.F.
5' GARDEN WALL TO
CREATE COURTYARD,
CITY STANDARD. 2007
CODES.
L
-------------------------------------------
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
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