BRES2017-002778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BRES2017-0027
Property Address: 81335 THUNDER GULCH WY
APN: 767790063
Application Description: BRADSHAW / REMODEL GUEST GARAGE TO LIVING SPACE
Property Zoning:
Application Valuation: $5,000.00
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
MARK BRADSHAW
Date: 4/25/2017
Applicant: Contractor:
BRADSHAW CONSTRUCTION INC ® BRADSHAW CONSTRUCTION INC
46-248 ROUDEL LANE . 46-248 ROUDEL LANE
LA QUINTA, CA 92253 APR 2 5 2017 LA QUINTA, CA 92253
CITY OF LA QUINTA (760)347-4246
DESIGN AND DEVELOPMENT DEPARTMENT LIc. No.: 848057
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9
{commencing with Section 7000) of Division 3 of the Business and Professions Code, and
my license is in full force and effect.
License Class: B License No.: 848057
DD ate Contractor:, I�{f lel
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State
License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any
city or county that requires a permit to construct, alter, improve, demolish, or repair any
structure, prior to its issuance, also requires 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).:
(� 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.).
( ) 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.).
(� 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
Lender's Address:
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 th work for which this permit is issued.
ave and will maintain workers' compensation insurance, as required by
Section 00 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: STATE COMPENSATION INSURANCE FUND Policy Number: 9043902
_ I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so'as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date)'', 0 Appli� cant -1
WARNING: FAILURE TO SECURE WORKERS' C M ENSAT N COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES:
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official 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 of such permit, or cessation of work
for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this city to enter up o he above-
mentioned property for inspection purposes. / / A
D to e:/T '1/() , ( / Sign`t� ure (Applicant or Ager j
' Date: 4/25/2017
Application Number: BRES2017-0027
Owner:
Property Address: 81335 THUNDER GULCH WY
MARK BRADSHAW
APN: 767790063
Property Zoning:
Application Valuation: $5,000.00
Applicant:
Contractor:
BRADSHAW CONSTRUCTION INC \
BRADSHAW CONSTRUCTION INC
46-248 ROUDEL LANE
46-248 ROUDEL LANE
LA QUINTA, CA 92253
LA QUINTA, CA 92253
(760)347-4246
-------------------------------------------------------------------.-------------------------
Llc. No.: 848057
Detail: 213 SF CART GARAGE CONVERSION TO OFFICE SPACE. THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK `,HALLS OR DRIVEWAY APPROACH.
2016 CALIFORNIA BUILDING CODES.
0
n
f
7
- r
�
r
•. ` ,
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - CITY BUILDING STAFF
101-0000-42600
1
$152.00
. DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES ADMINISTRATIVE STAFF
101-0000-42600
0.25
$10.00
` DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
• $95.00
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
$95.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
HOURLY CHARGE - YES STRUCTURAL PLAN REVIEW ENGINEER
101-0000-42600
1
�' $95.00
Total Paid for BLDG CITY STAFF - PER HOUR: $467.00
DESCRIPTION
ACCOUNT
CITY,
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$152.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$50.16
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $202.16
'DESCRIPTION
tACCOUNT
QTY
AMOUNT
APPLIANCE REPAIR/ALTERATION
101-0000-42402
0
$12.67
DESCRIPTION
ACCOUNT.
QTY
.AMOUNT
APPLIANCE REPAIR/ALTERATION PC
101-0000-42600
0
$5.07
Total Paid for MECHANICAL: , $17.74
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF
101-0000-42400
0
$22.80
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, EA ADDITIONAL 500 SF PC
101-0000-42600
0
$18.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
REMODEL, FIRST 100 SF
101-0000-42400
0
$51.68
DESCRIPTION
ACCOUNT ,
QTY
AMOUNT
REMODEL, FIRST 500 SF PC
101-0000-42600
0
$141.36
Total Paid for REMODEL: $234.08
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI - RESIDENTIAL
101-0000-20308
( 0
$0.65
f Total Paid for STRONG MOTION INSTRUMENTATION SMI: $0.65
DESCRIPTION ACCOUNT QTY AMOUNT
TECHNOLOGY ENHANCEMENT FEE 502-0000-43611 0 $5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
u
Bin #
Permit ff
(ES ai C0 1-1 00 ail
Project Address:
City of La QLlh[ to FEB 2 3 20 7
Building & Safety Division CITY OF L4 QUI 41
78-495 Calle Tampico COMMUNITY REVEL F
La Quinta, CA 92253 - (760) 777-701,2
Building Permit Application and Tracking Sheet
lunr& Owner's Name:.
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor:
Telephone:
Address: C1'V=dmo�f,/_-Project
Description:
City, ST, Zip:
e
Tele}ton .
P
State Lic. # : `Q° 4
City Lie. #;
Arch., Engr., Designer:
Address:
City,.ST, Zip:
Tel h ne:
e o
P
.. < :
Occupancy:
n traction T e: .ancY�
Cons
Co YP F.
State Lic. #.
tYProJectPa circle one : New Ad d'n Alter Repair -air Demo
Name of Contact Person:
tVJ�4114 AAJSq.
Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
tl
Submittal
Req'd
Rccad
TRACKING
PIRMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cafes.
Reviewed,ready for corrections
Plan Cl,eckDepasit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Title 24 Cates.
Plans picked up
Construction '
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Revicw, ready forcorrcctions/issue
Electrical ,
Subcontactor List
Called CoritactPerson
Plumbing
Grant Deed,
Plans picked up
S•A4.1.
14.0.A. Approval
Plans resubmitted
Grading
IN HOUSE.:-
'"' Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. \Vks_ Appr
Date of permit issue
School Fees,
Total Permit Fc -:s
,A
IMENt .
CERTIFICATE OF COMPLIANCE
Desert Sands Unified School District roy. c o
47950 Dune Palms Road y`itFERANMCYlDO MIRAGE o
I- IN WELLS: y
C=PALM DESERT , y
Date: 3/23/2017 La Quinta, CA 92253 LAAQU1JI 'tea
No.: 17-00526-1 (760)771-8515 o IkOIo•,y
Owner: Mark Bradshaw Email:
Address: 46248 Roudel Ln. Jurisdiction: La Quinta
City: La Quinta, CA Tract #:
Type: Residential Addition < 500 sq ft
Lot # Street No. Street Name Sq. Feet APN Permit No.
81-335 Thunder Gulch Way 218 767-790-063
Comments:
RECEIVED
APR 11 2017
CITY OF Lfl, OUINTA
COMMUNITY DEVELOPMENT
At the present time, the Desert Sands Unified School District does not collect fees on garages/carports, covered patios/walkways, residential additions
under 500 square feet, detached accessory structures (spaces that do not contain facilities for living, sleeping, cooking eating, or sanitation). or replacement
mobile homes. It has been determined that the above-named owner is exempt from paying school fees at this time due to the following reason:
Residential Addition 500 Sq Feet or Less
Exempt
This certifies that school facility fess imposed pursuant to
Education Code Section 17620 and Government Code 65995 Et Seq.
in the amount of $0.00 X 218 S.F. or $0.00 have been paid for the property listed above and that building permits
and/or Certificates of Occupancy for this square footage in the proposed project may now be issued.
Fees Paid By: Exempt\Kelly Bradshaw
Bank Name/Recipient of Cert
By Kathleen Feld
Check No.:
Telephone:
Funding: Exemit
Interim Superintendent
Fee Collected/ Exempted by: Virgilio Gar 'a Certifcate Fees Doe:
.0� ` f' -
Original Pawment(s)'Rec'd: 0�0
New Payment Rec'd: $,0.00
t Over/Urdpr, X0.00
NOTICE: Pursuant to Government Code Section 66020(d)(1), this will serve to notify u that the 90 -day approval period in ovhich you may protest.t4 Tees or
other payment identified above will begin to run from the date on which the building or installation permit for this project is.issued, or from the date on
which those amounts are paid to the District(s) or to another public entity authorized to collect them on the District('s) behalf, whichever is earlier.
Notice to Building Department: THIS DOCUMENT VALID ONLY IF IMPRINTED WITH EMBOSSED SEAL.
Griffin Ranch
C/O FirstService Residential, California - Palm Desert
43100 Cook Street Suite #103
Palm Desert, CA 92211
Ph: 866-529-7073
Fax: 760-834-2495
March 23, 2017 RECEIVE®
MARK BRADSHAW / KELLY BRADSHAW 2017
81335 THUNDER GULCH Way APR 1
La Quinta CA 92253
C'TY OF LA QUINTA
RE: Architectural Modification Conditionally Approved
COMMUNITY DEVELOPMENT
81335 THUNDER GULCH Way / Customer ID #: GRIFF-0128-01
Dear Mark Bradshaw / Kelly Bradshaw
We are pleased to inform you that your plans were Conditionally Approved on 3/23/17 LY the Griffin
Ranch community Arch Committee.
Please ensure that you comply with the conditions noted below:
(1) The Committee approves plans and specifications based on aesthetics and compliance with the community
guidelines. They do not review for engineering design or structural integrity. Zoning and building permits are the
responsibility of the homeowner.
(2) The Committee has the right to inspect improvements, constructed or being constructed, to determine that
such improvements have been or are being built in compliance with the plans and specif cations approved.
Thank you for your patience and cooperation. If you have any questions, please refer to your Community Policies
or contact me at 760-851-0753 or at katie.guinaw@fsresidential.com. Thank you.
Sincerely,
Katie Guinaw
Clubhouse Manager