07-2282 (SFD)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
.APN:
Application description:
Property Zoninq:
Application valuation:
Applicant:
•.4
• BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
07-0000228,2,
57510 ROSEWOOD CT
762-240-011-30 -32279 -
DWELLING - SINGLE FAMILY•DETACHED
LOW DENSITY RESIDENTIAL
208902'
Act or Engineer:
VOICE (760) 777-7012
FAX (76b)'777"7011
INSPECTIONS (760) 777-7153
Date: 8/09/07
Owner:
STANDARD PACIFIC COACHELLA VLY,
15326 ALTON PKWY
'IRVINE, CA 92-65-1-A,
(949)-789-1600
Contractor: AUG 2 44 2001
STANDARD •PACIFIC CORP
15326 .ACTON IPKW CITY OF LA QUINTA
IRVINE, CA 92618 FINANCE DEPT.
/!�j
(949)7;9-1606
1201-' 1 LiC. No. 641665
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that nsed 411der provisions of Chapter 9 (commencing with - I herebyaffirmunder penalty of perjury one of the following declarations:
Section 70 01 of Division 3 of the Busi y License is in full force and effect. - - _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
licen�i'Ceractor
CI 9-BILDE
n No.: 5 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
ate:: _ ][7 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
T� Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNS N 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 13B1070237
following reason (Sec. 7031 .5, Business and Professions Code: Any city or county that requires a permit to_ I certify that, in the for
f the work for. which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prio(to its issuance, also requires the applicant for the person in any manner s as 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, ' uld becom orkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code) or - 3 0 of the L or ode, I hall fo c ply ' h 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 ($500).: ate: scant:
(_ 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 WARNI FAILURE TO SECURE WORKERS' COMPENSATIO OVE GE 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 FI 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. C
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
• (_) 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 contractor(s) 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 is performed under or pursuant to any permit issued as a result of this application,
(_ 1 1. am exempt under Sec. , B.&P.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 I have read this application and state that th bove in ation'¢ correct I agree to comply with all ..
•work for which this permit is issued (Sec. 3097, Civ. C.). - city and co my or inances and state laws relating to b ' icu ioo� dd h_�reb uthorize representatives
of this cou n, to ter upon a above-mentione o r �p oses.
Lender's Name: � '
2 gnature (Applicant or Age '
Lender's Address: e:
LQPERMIT
Application Number .
. . . 07-'00002282
Permit
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
1021.00
i. Plan Check Fee
165.91
Issue Date
Valuation
208902
Expiration Date ..
2/05/08
Qty Unit Charge
Per
Extension
BASE
FEE
639.50
109.00 3.5000
THOU BLDG
100,001-500_,000
381.50
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
101.00
Plan Check Fee.•.
6.31•
Issue Date
Valuation
0
Expiration Date
2/05/08
Qty Unit Charge
Per
Extension
BASE
FEE
15.00
2.00 9.0000
EA MECH
FURNACE <=100K
18.00
2.00 9.0000
EA MECH
B/C <=3HP/100K BTU
18.00
6.00 6.5000
EA MECH
VENT FAN
39.00
1.00 11.0000
EA MECH
DOMESTIC INCINERATOR
11.00
Permit
ELEC-NEW RESIDENTIAL
Additional desc .".
-Permit Fee . . .
146.32
Plan Check Fee
9.15
Issue Date . . .
Valuation . . .
0
Expiration Date
2/05/08
Qty Unit Charge
Per
Extension.
BASE
FEE
15.00
3380.00 .035.0
ELEC
NEW RES - 1 OR 2 FAMILY
118.30
651._00 .0200
ELEC
GARAGE OR NON-RESIDENTIAL
-------------
13.02
Permit
PLUMBING
Additional desc .
Permit Fee
191.25
Plan Check Fee
-11.95
Issue Date . . . .
Valuation . . . .
0
Expiration Date
2/05/08
Qty Unit Charge
Per
Extension
BASE
FEE
.15.00
- 20.00 6.0000
EA PLB FIXTURE
120.00
1.00 15:0000
EA PLB BUILDING SEWER
15.00
LQPERMIT
Application Number i . . . . 07-00002282
" r
Permit . . . . . . PLUMBING
Qty Unit Charge Per
Extension
1.00 7.5000 EA PLB WATER HEATER/VENT
7.50
1.00 3.0000 EA PLB WATER INST/ALT/REP
3.00 '
1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM
9.00
9.00 .7500 EA PLB'GAS PIPE >=5
6.75
1.00 15.0000 EA PLB GAS METER
15.00
`=----------------------- --------------------------------------=-
------- - - - - --
Permit GRADING PERMl'1'
Additional desc
Permit Fee . . . . 15.00 Plan Check Fee
.00
Issue Date" . . . Valuation . . .
. 0
Expiration.Date 2/05/08
Qty Unit Charge Per
Extension
BASE FEE
15.00
Special Notes and Comments
SFD - LOT 30,. PLAN 1SCR, INCLUDES
COURTYARD FIREPLACE,- 3380 SF. PERMIT
DOES NOT INCLUDE POOL, SPA, BLOCK WALLS
OR DRIVEWAY APPROACH. 75% REDUCTION TO
PLAN CHECK FEES DUE TO MULTIPLE"
ISSUANCE OF SAME PLAN TYPE 2001 CBC,
CMC, .
CPC, 2004 CEC, 2005 ENERGY CODES
-------------------------------------------.----------------------------------
Other Fees" . . . . . . ART'.IN PUBLIC PLACES -RES
22.25
DIF COMMUNITY CENTERS -RES
74.00
DIF CIVIC CENTER - RES
995.00
ENERGY REVIEW FEE
16.60
DIF FIRE PROTECTION -RES
140.00
GRADING PLAN CHECK FEE
.00..
DIF LIBRARIES - RES
355.00 .
DIF PARK MAINT FAC - RES
22.00
DIF PARKS/REC - RES
892.00
REPLACEMENT INSP CARD
15.00
STRONG MOTION (SMI) - RES.
20.89
DIF STREET MAINT FAC -RES
67.00
DIF TRANSPORTATION - RES
193:0.00
Fee summary Charged Paid Credited
Due"
----- -- ------------ -- ---------- ----------
Permit Fee Total 1474.57 .00 .00
1474.57
Plan.Check Total 193.32 .00 .00:;
193.32
Other Fee Total 4549:74 .00 .00
4549.74
LQPERMIT
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0
0
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