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10-0994 (BLCK)-- P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: `,10-00000994 Property Address: 46734 -.BRADSHAW TR APN: 643-170-999-65 -31348 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 1689 Applicant: I hereby affirm under penalty of perjury that/an Section 70001 of Division 3 of the Busines and T419� 4 4 Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: GLOBAL INVESTMENTS 3470 WILSHIRE BLVD. #1020 LOS ANGELES, CA 90010 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 9/23/10 Contractor: Architect or Engineer: FD CONSTRUCTION kt2olo 73081 FRED WARING DRIVE PALM DESERT, CA 92260 N P^_(760)776-8300 I C Lio. No.: 814468 CITY AF i_A QUiNTA F1:;%A!,IrE C,:,PT. ---------------------------------------------- --------------------------- 4TRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION 1 under visa sof Chapter %1commencing with I hereby affirm under penalty of perjury one of the following declarations: mals e, and y License is full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided c se o.: 814468 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued ►►►��I��111�e� � e:pAf ////�LVCont or: 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 OWN ILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's ate Lice se Law for the Carrier GRANITE STATE Policy Number WC003957781 following reason (Sec. 7031 .5, Business and Professions Code: Any city or c my that quires a permit to is _ I certify that, in the perfor an of the which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issua e, also uires the applicant for the person in any manner so to beco a subjec to the workers' laws of California, permit to file a signed statement that he or she is licensed pursuant to the pr ons of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or and agree that, if I shoo become su ' ct to a workers' comp l'n provisions of Section .i 7 of the Labor C' , I st aQorthwit ply with thosgoofovisions. 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 _ 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. , BAP.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: I a Lender's Address: r LQPERMIT WARNING: FAILURE TO SECURE WORKERS' COMPENSATI CO RAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND 11L FINE UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001• IN ADDITION TO THE COST OF qrOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYXFEES. 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 application becomes null and void if work is not commenced within 180 days from date of issuance permit, or cessation of work for 180 days will subject permit to cancellation. 1 certify that .I have read this application and stat that t above information is correct. I agree to comply with all city and county Qrdinances and state laws relati g to ildi onstruction, and hereby authorize representatives of tl / t ter up o he above-mentio d pr art r inspection purposes. Dat 4 - nature (Applicant or A nt): Application Number . . . . . 10-00000994 Permit . . WALL/FENCE PERMIT Additional desc . . Permit Fee . . . . 39.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 1689 Expiration Date . . 3/2.2/11 Qty Unit Charge Per Extension BASE FEE 15.00 12.00 2.0000 HND BLDG 501-2,000 24.00 ---------------------------------------------------------------------------- Special Notes and Comments TOTAL OF 78 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 39.00 .00 .00 39.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 40.00 .00 .00 40.00 LQPERMIT \ v \ \ I 00 I 4-9 tn I Mfpo oco 11 ir ��$"--- — 40 6 M1 50 ++ 2 p ' �o .- ,� ape• 2.6$ � o1=70.25'_-.- . �o• � .�i• .. R;CB `:. _GB �� ,,.� . _..._� " n _ 71.66 0 -- -- 9�.. F8�5� o -Am JL IT. 04 s _ �c 1� 1 g i '-7 .37 ' 7275+ } �.G -,•72:66 N' 03ro d-JR7 TW 74.46 r` j 74.16 y fi3 TF ik FG FG �� y ia cq ;e 5 R cli o / 1A. t 720 7!_o f fi �c 7480' I a A n o" 7IQ- �iADSFiAW 1RAil! `t 89' o I r, t i oI a _ - { 111 / rn +- t �.$�` � A ,:�• F . 5' S' .�; •e,,., =•�, 7&67�,,iW BSL