07-2142 (BLCK)P.O. BOX 1504 ;
78-495 CALLE TAMPICO *
LA QUINTA, CALIFORNIA 92253
Application Number: -,�_ 0; -00002142-
Property Address: 57505 ROSEWOOD CT
APN: - 762-240-011-1 -32279 -
Application description: 'WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 2550
Applicant: Architect or Engineer:
VOICE (760) 777-7012
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT' INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 7/23/07
Owner:,.
STANDARD PACIFIC COACHELLA VLY
15326 ALTON PKWY
IRVINE, CA 92618
(949)789-1600
--------------------------------------------------
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 Professionals Code, and my License is in full force and effect.
License Class: B // License No.: 641665
�ta: 0 �uactor:
ha�� GtG s
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 thanfive hundred dollars ($500).:
(_ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and 1-1
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 l,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 contractors) 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: r ,
LQPERMIT
Contractor:
STANDARD PACIFIC CORP' n.�y1
1717.E VISTA CHINO A7PM 1
PALM SPRINGS, CA 922Q
(760)669-6200AUG07
Lic'. No.: 6411 UG 1 n 665 U li
F1A9&v,,, A t166��J11
------------------
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 SEA BRIGHT INS Policy Number BB1070237
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any m ner so as to become subject to the workers' compensation laws of California,
.and agree that, ish esu lec orkers' compensation provisions of Section
4fl
1.1&L.'l
3700 of t oCod I I forth mply wi se provisions.
te:
WARNING:E TO SECU .WORT RS' PENSATIOCOVERA E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL P ALTIES AND CIVIL INES U TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPEL ON, 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 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 personatwhose 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 1 have read this application and state that the abov ation is c fiaetr-l-agree to comply with all
city and unty ordinances and state laws Sing.[ ild' ns r reb autho ' e representatives
of thi ou y t enter upon the above-mentioned property i e t p
ate: (6 al ature (Applicant or Agent):
Application Number . . . . . 07-00002142
Permit.. . . . .WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . . . 54.00
Plan Check Fee
.00
Issue Date
Valuation
2550
Expiration. Date 1/19/08
Qty Unit Charge Per
Extension
..
BASE
FEE
45.00
1.00 9.0000 THOU BLDG
2,001-25,000.
9.00
--------------------------------------------------------------
Special Notes -and Comments
---------------
102 L.F 6' GARDEN WALL, PROM II,SYSTEM
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 54.00
.00 .00
54.00
Plan Check Total .00
.00 .00
• .00
Grand -•Total 54.00
.00 .00
54.00
LQPERMIT,•
-
- - -