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07-2168 (BLCK)i . , r ' 'R.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:, '07-00002168 Property Property Address: 57540 ROSEWOOD CT APN: 762-240-011-29 -32279 - Application description: WALL/FENCE Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: ' 4500 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Owner: STANDARD PACIFIC 15326 ALTON PKWY IRVINE, CA 92618 (949)789-1600 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/24/07 COACHELLA VLY Contractor: . • /L%\ U Applicant: Architect or Engineer: STANDARD PACIFIC P 1717 E VISTA CHI L62 MB #303 7� a PALM SPRINGS, CAE 2���G 2001 ' p (760)669-6200 LiC. No.: 641665 CITY OFLAQUI,iTA r!l! FiNANCE DEPT. 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 � License No : 641665 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ate: tractor: 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 workerscompensation OWNER -BUIL ER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of,fierjury 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 ofthe 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 so as to ome sub ct 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 sh 'e o thework er I. 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 Labor Cod s i - rovisions. ' 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).: U A cant: (_) 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 WA FAILURE TO SECURE WOR RS' COMPENSATION' COVERAGE 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 sate. 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 1, 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, (_) I 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 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: LQPERM[T of La Quinta, its officers, agents and employees for any actor 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 statethat the ab ov 'r[fo ation is correct. I agree to comply with all city and county ordinances and state laws relating to buildin onstruct on, ancyhereby authorize representatives of [his co�u`rt to ter upon the above-mentioned ' prope pe ru se V ign re (Applicant or Agent): ,`',, - • Application,Number 07-00002168 _ Permit . . . .WALL/FENCE PERMIT _ Additional desc .... r 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 ---------------__-_-__-__-_._ - t 180--L.F. 6' GARDEN WALL, PROTO SYSTEM ' Fee summary Charged Paid Credited Due Permit Fee Total 72.00 .00 .00 72.00 Plan Check Total i .00 00 00 00 Grand Total 72.00 .00 .00 72.00 LQPERMIT - - • .