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07-2169 (BLCK)i. P.O. BOX 1504 78-495-CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 �I�IrIUCt/ BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:x_07-0.0002169 , Property Address:* 57510 ROSEWOOD CT APN: 762-240-011-30' =32279 - Application description: WALL/FENCE Property Zoninq: LOW DENSITY RESIDENTIAL Application valuation: 4500 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date:." 7/24/07 Owner: STANDARD PACIFIC COACHELLA VLY 15326 ALTON PKWY IRVINE,.CA 92618, (949)7891600 Contractor: Applicant:- Architect or Engineer: STANDARD PACIFIC CORP .---= --i 1717 E VISTA CHINO A B #.30� a PALM SPRINGS,, CA 922 (760)669-6200 p1 i /� Lic. No.: 641665 AIIG }'U 200 4 ` �1iY or. LA C � INTA -----------------------------------------�-:--'----------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect: _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License lass: B cense No.: !!W65 - - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is � � �� issued. ate: Vtractor: - - 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier SEA BRIGHT INS Policy Number BB1070237 ' following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to- _ I certify that, in the performance of the work for.which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner o become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I ould bec me s bject to the workers' compensation provisions of Section, License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the Labo Code h with those provisions. _ 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 (5500).: e: f'� plicant: " (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION C VERAGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon, SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and'who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). .IN ADDITION -TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (= 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractorls) licensed 1 . Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.). • whose benefit work.isperformed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. BAP.C. for this reason 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. Date: Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the I certify that 1 have read this application and state that the ab mation is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). _ city and county ordinances and state laws relating to buildi g construc on, and hereby authorize representatives • of this y to enter upon the above-mentioned propert for inspecti pu oses. Lender's Name:AJ SSC,/ ate: U D � ignature (Applicant or Agent): Lender's Address: LQPERMIT f r - Application Number . . . . 07-00002169 Permit WALL/FENCE PERMIT Additional desc . Permit Fee 72.00' Plan Check Fee .00 Issue.Date . . Valuation .`. 4500 Expiration Date -1/20/08 Qty -Unit Charge Per Extension BASE FEE 45.00 3.00 9.0000 THOU BLDG 2,001-25,000 27.00 - ----------------- Special Notes and Comments ------------ ----- ---------------- 180 L.F. 61.GARDEN WALL,.PROTO SYSTEM Fee summary Charged, Paid Credited Due Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total .00 .00 .00 .00 Grand Total 72.00 .00 .00 72.00 1 LQPERMIT .. Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 90631 (562) 941-2990 • (714) 526-8441 • Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT' SWI- Job No. coOU0 Date Cl—G-018 TYPE OF INSPECTION REQUIRED lW Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other ❑ Reinforced Masonry ❑ Asphalt Job Address city Job Job Name p ,y1 AA E Permit No. . See_N Is ed By K Type of Structure SE P Architect Material Description (type. grade. source) Engineer Contractor 5&9lu"feck 1PAIrA C41 C, Inspe r(s) No a Subcontracto TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES 6im, 14 d A4 A AuVj INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PR03LEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & IDENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. nwy u eyh y fd a i d r t r iii i' � S:1 hijp-m 1 04 { ) V rancrf I. 'dQanip b L ar'Arred p144 iv"/J-fL 6j FIA. 11 W2Aj -OF K G a A a, _ 1 6'7 - SIC dose wool d k6l vtlwA w.0 I - CS ' loo 57 S 1 dMIC, 85 CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICATIONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. p 2. ySIGNATU E OF EGISTERED INSPECTOR SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE ❑ PAGE OF TIME IN I TIME OUT I REG. HOURS I O.T. HOURS I CYLINDERS All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. Approved by Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - 10B SITE COPY Southwest Inspection and Testing, Inc. 441 Commercial Way, La Habra, CA 90631 (562) 941-2990 - (714) 526-8441 - Fax (562) 946-0026 REGISTERED INSPECTORS'S DAILY REPORT s IT &02JobOa 9t� q" 09 TYPE OF INSPECTION REQUIRED lel Reinforced Concrete ❑ Strcictural Steel Assembly ❑ Quality Control ❑ Post Tensioned Concrete ❑ Fire Proofing ❑ Other ❑ Reinforced Masonry ❑ Asphalt Job Address� 11 S� I CitCIA 112- 0 1y ` Job Name Permit o. i'v ob.a o s ISSLIed By Type of Structureh Architect Material Description (type, grade, so rce) y ` Engineer Contractor S i Inspector( rime 1 Subcontracto TESTS PERFORMED TYPE OF SAMPLE SLUMP QUANTITY IN SET ADDITIONAL REMARKS ON SAMPLES INSPECTION SUMMARY — LOCATIONS OF WORK INSPECTED, TEST SAMPLES TAKEN, WORK REJECTED, JOB PROBLEMS, PROGRESS, REMARKS, ETC. INCLUDES INFORMATION ABOUT - AMOUNTS OF MATERIAL PLACED OR WORK PERFORMED, NUMBER, TYPE & [DENT. NO'S OF TEST SAMPLES TAKEN: STRUCT. CONNECTIONS (WELD MADE H.T. BOLTS TORQUED) CHECKED, ETC. it J St11j0dl a a-' 11 oir -Irl v P a x 1. CERTIFICATION OF COMPLIANCE I HEREBY CERTIFY THAT I HAVE OBSERVED TO THE BEST OF MY KNOWLEDGE ALL OF THE ABOVE REPORTED WORK UNLESS OTHERWISE NOTED. I HAVE FOUND THIS WORK TO COMPLY WITH THE APPROVED PLANS, SPECIFICA IONS, AND APPLICABLE SECTIONS OF THE GOVERNING BUILDING LAWS. i SIGNATURE OF R ISTERED INSPECTOR SPECIALTY NO. AGENCY CONTINUED ON NEXT PAGE I—I PAGE OF TIME IN I TIME OUT REG. HOURS I O.T. HOURS I CYLINDERS L :oo 1 t2Sov All inspections based on a minimum of 4 hours and over 4 hours - 8 hour minimum. Approved by Project Superintendent WHITE - OFFICE COPY, CANARY - ACCOUNTING COPY, PINK - INSPECTOR'S COPY, GOLDENROD - 10B SITE COPY July 24, 2008 To Whom It May Concern: This letter authorizes Troy Hefner, Construction Manager with Standard Pacific to conduct business with the City of La Quinta on behalf of Standard Pacific for our Palo Verde neighborhood. As our. agent Troy Hefner is authorized to submit and sign permits applications and conduct any business necessary for the Palo Verde community. Please contact me if you need any additional information at (949) 789-1752.. Sincerely, STANDARD PACIFIC OF ORANGE COUNTY A division of Standard Pacific Corp. Michael 'C. Battaglia Authorized Representative Vice President of Project Planning IrIC Southern California — Orange County Division 15326 Alton Parkway, Irvine, CA 92618.2338 1 Tel 949.789.1600 1 FAX 949.789.1708 I www.standardpacifichomes.com CALIFORNIAL-PURPOSE ACKNOWLEDGEMENT State of.. County of O -' On( 1 libj %4 • � before me, personally appeared personally known to me -OR- Name an Tjtle of Officer (e.g., "Jane Doe, Notary =a1IA pa nn fhp hnsiS to be the person0 6 whose nameV is/V6 subscribed to the within instrument and acknowledged to me that he/sVe/ditty ;executed the same in his/h/r/thA authorized capacity'i ), and that by his/hof/tKir signature(A on the instrument the pe: son(.0), or the entity upon behalf of which the person (Y) acted, executed the instrument. WITNESS my hand and official deal. Signature of Notary Public ----------------------------------------OPTIONAL----------------------------------------- Though the information below is not required by law, it may prove valuable to persons relying on the document and could prevent fraudulent removal and reattachment of this form to another document. Description of Attached Document Title or Type of Document: Document Date: Number of Pages: Signer(s) Other Than Named Above: Capacity(ies) Claimed by Signer(s) Signer's Name: Signer's Name: ❑ Individual ❑ Individual ❑ Corporate Officer ❑ Corporate Officer ❑ Titles(s): ❑ Title(s): ❑ Partner - ❑ Limited ❑ General ❑ Partner - ❑ Limited [❑ General ❑ Attorney -in -Fact ❑ Attorney -in -Fact ❑ Trustee ❑ Trustee - ❑ Guardian or Conservator ® El Gua or Conservator ❑ Other: ITop of Thumb here ❑ Other: I Top of Thumb here Signer Is Representing: Signer Is Representing: Bin # City of La Quinta Building gt Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # ©� 0, Project Address: 57 -510 -Rosewood Court • Owner's Name: Standard Pacific Corp A. P. Number: Address: 15326 Alton Parkway Legal Description: Lot 30 of Tract 32279 City,ST,Zip: Irvine, CA 92618 Contractor: Standard Pacific Corr><'M P Telephone: ;:;:ra.<;:•;l;a <;;�v::<'<-N:•<;;:�;; Address: 15326 Alton Parkway Project Description: Construction of a"side City,ST,Zip: -Irvine, CA 92618 yard retaining wall along the north - Telephone: 9 4 9/ 7 8 9 -16 0 0: p " s..•... erly property line State Lic. # : 64166.5 CityLic. #.: 101286 Arch., Engr., Designer: Adams -Streeter Address: 15 Corporate Park City., ST, Zip: Irvine, CA 92606 Telephone: 949/474=2330 is r. r. <.:: •:..f• n /.i:?iX:j'}$:%u::::i}� State Lic. #: ;r„z?<N:>'�✓>. »;:<::<�x<:;:zz<:,.M<> Name of Contact Person: Sean Doyle Construction Type: / Occupancy: N/A. Project type (circle one):t New :)Add'n Alter Repair Demo Sq. Ft.: 6 2 9 # Stories: N /A #Units: N/A Telephone # of Contact Person: 949/78971716 Estimated Value of Project: $27,047 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACKING PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cafes. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Tide 24 Calcs. - Plans picked up Construction Flood plain.plan Plans resubmitted Mechanical Grading plan 2°4 Review, ready for torr ctionsgssue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 1nd 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 Perm& Fees 6`2-7 QroS .P640y 10 (65,06