08-1006 (BLCK)P.O. BOX 150444a
b s`
78-495 CALLE TAMPICO
LA QUINTA_CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT
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
Dater l Contractor:
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).:
1 _ 1 1, 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
p;aiwny v:ha huilda or impre.-aa thereon, and who vorttreoty IQ, tn, pr,j,nr, ,.,i1h n nnnrrnrrnr(r) lirnnrnri.
pursuant to the Contractors' State License Law.). - -
1 I 1 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:
LQPERAIIT
Owner:
STANDARD PACIFIC
15326 ALTON PKWY
IRVINE, CA 92618
(949)789-1600
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
COACHELLA VLY
Date: 7/07/08
Contractor:
Ik
STANDARD PACIFIC CORP
74923 HIGHWAY 111 STEJUL 28 2008
INDIAN WELLS; CA 9221
(760)669-6214
Lic. No.: 641665 CITYOFLAQUINTA
.. .. •--
----------------------------------------------—
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 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 Cod I shall forthwith comply with those provisions.
Date, %Applicant,
WARNING: FAILURE TO SECURE ORK ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 Farh nersnn nnnn whnsr hehalf this annlicatinn i5 made, each nerson at YvhOse r6ghCBt 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 county to enter upon the above-mentioned property for inspection purposes.
Date:t-moi YA�'Signature (Applicant or Agentl�d/.
Application Number:
08-00001006
Property Address:
57505 ROSEWOOD
CT
APN:
762-240-011-1
-32279- -
Application description:
WALL/FENCE
Property Zoning:
LOW DENSITY RESIDENTIAL "
Application valuation:
2706
Applicant:
Architector
Engineer:
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING PERMIT
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
Dater l Contractor:
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).:
1 _ 1 1, 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
p;aiwny v:ha huilda or impre.-aa thereon, and who vorttreoty IQ, tn, pr,j,nr, ,.,i1h n nnnrrnrrnr(r) lirnnrnri.
pursuant to the Contractors' State License Law.). - -
1 I 1 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:
LQPERAIIT
Owner:
STANDARD PACIFIC
15326 ALTON PKWY
IRVINE, CA 92618
(949)789-1600
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
COACHELLA VLY
Date: 7/07/08
Contractor:
Ik
STANDARD PACIFIC CORP
74923 HIGHWAY 111 STEJUL 28 2008
INDIAN WELLS; CA 9221
(760)669-6214
Lic. No.: 641665 CITYOFLAQUINTA
.. .. •--
----------------------------------------------—
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 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 Cod I shall forthwith comply with those provisions.
Date, %Applicant,
WARNING: FAILURE TO SECURE ORK ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL 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 Director of Building and Safety for a permit subject to the
conditions and restrictions set forth on this application.
1 Farh nersnn nnnn whnsr hehalf this annlicatinn i5 made, each nerson at YvhOse r6ghCBt 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 county to enter upon the above-mentioned property for inspection purposes.
Date:t-moi YA�'Signature (Applicant or Agentl�d/.
LQP wwtr
Application Number . . . 08-00001006
<r.. !-Z..'Permit . . .. WALL/FENCE PERMIT
`- Additional des_c .
Permit .Feer 54.00:.,
Plan Check
Fee
.00
Issue. Date . . . .
Valuation
. . .
2706
Expiration Date 1/03/09
Qty Unit Charge Per
Extension
BASE _FEE
45.00
1.00 9.0000 THOU BLDG 2,001-25,000
9.100 .
Special.Notes and Comments
125 LN FT x 4" 8''HT RETAINNG WALL PER
" APPROVED PLANS
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
LQP wwtr
n
Bin #
Qty of La Quinta
Building 817 Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
(10
b `
Project Address: 57-505 Rosewood Court
Owner's Name: Standard Pacific Corp
A. P. Number:
Address: 15326 Alton Parkway
Legal Description: Lot 1 of
Tract 32279
City, ST, Zip: Irvine, CA 9 2 618
Contractor: Standard Pacific Corp
P
Telephone:
Address: 15326 Alton Parkway
Project Description: Construction of a
side
City,ST,Zip: Irvine, CA
92618
yard retaining wall along the
north -
Telephone: 949/789-1600;
MIME=
erl property lin
Y P p Y e•
State Lic. # : 6 416 6.5
CityLic. #: 1.01286
-Arch., Engr., Designer: Adams -Streeter
VM
Address: 15 Corporate Park
City.,ST,Zip: Irvine, CA
92606
Telephone: 949/474-2330
State Lic. #:
Name of Contact Person: Sean
;y ,> `:.<:<<; .;;<;<
":z< •,•.•<> >< %?`::<>>:: ;:>:;::;;.. •::::
<•,,.;•:,:<::;>;;;:>:::<;:.;:<<
Doyle
onstruction CType: YP N/A Occupancy: N/A.
Project type (circle one): nNewwt Add'n Alter Repair
Sq. Ft.: 8 00#Stories: N/A #Units:
Demo
N/A
Telephone # of Contact Person: 949/789-1716'E
stimated Value of Project: $34,400
APPLICANT- DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted'
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.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. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees