07-2144 (BLCK)' P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA
92253
Application Number:
_07-00002144
Property Address:
�--57565 ROSEWOOD CT
APN:
762-240-01i-3 -32279 -
Application description:
WALL/FENCE
Property Zoning: .'
LOW DENSITY RESIDENTIAL
Application valuation:
2550
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STANDARD PACIFIC COACHELLA.VLY
15326 ALTON PKWY
IRVINE, CA 92618
(949)789-1600
Contractor:
Applicant: Architect or Engineer: STANDARD PACIFIC CORP
1717 E VISTA CHINO A7
PALM SPRINGS, CA 92262
PIP,(760) 669-6200,
Lic. No.: 641665
Date: 7/23/07
0 3 /,Q\ U
!i
AUG 10 2007
COW OF LA QUINFA
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 _ I have and will maintain a certificate of.consent.to self -insure for workers' compensation, as provided
LicenseQlyss: ,B - A Aicense No.: -:441'665 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
I I . OWNER-BUILDM 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 (5500).: .
(_ 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
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
property who builds or improves thereon, and who contracts for.the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
1 _ I 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 permitis issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 BB 1070237
1 certify that, in the performance of the work for which this permit is issued, I shall not employ any
person in any manner so a ecome subject to the workers' compensation jaws of California,
and agree that, if I she,g subject to he workers' compensation provisions of Section
tt /31t�7Y00 of the rC de, I s all f rt with- y with th se provisions..
We -1 8 �D "! Ap scant:
WARNING T R WORKERS N ATI N C GE IS UNLAWFUL AND SHALL
G. LURE O SECUREC E S 0 O
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 . Each person upon whose behalf this application is'madc, each person at whose 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 ofwork for 180 days will subject
permit to cancellation.
I certify that I have read thisapplication and state that the abov nfor ation is orrect. I agree to comply with all
city and county ordinances and state laws relating to bu"din in --en erab thorize representatives
ofthis county to enter upon the above-mentioned prop or ins a
Bate: D ature (Applicant or Agent):
Application Number . . . . 07-00002144
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 THOUBLDG
2,001-25,000
9.00
----------------------------------------------------------------------------
Special Notes and Comments
102 L.F 6 -.GARDEN WALL, PROTO 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 5.4.00
.00
.00
54.00