07-2147 (BLCK)Pb. BOX 1504
78-495 CALLE TAMPICO
LA.QUINTA, CALIFORNIA 92253
.Application Number: 07-00002147
Property Address: 57655 ROSEWOOD CT -
APN: 762-240-011-6 -32279 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY." RESIDENTIAL
Application valuation: 2550
Applicant:
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 7/23/07
Owner:
STANDARD PACIFIC COACHELLA VLY
15326 ALTON PKWY
IRVINE, CA 92618
(949) 789-1600
r i
Contractor: �7 r'•'r� U 2007
STANDARD PACIFIC CORP U 7
1717 E VISTA CHINO A7 PMB4clod �
PALM SPRINGS, CA 92262--= ` A
(760)669-6200
Lic. No.: 641665
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LICENSED, CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
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 I ss: B Licgnse No.: 642465 -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
�( ,l e I
ate: O V ontrai or:3 I 1 �
`' issued:
C 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor
.
--FF"•• Code, for the performance of the work for which this permit is issued. My workers' compensation
OWNER -BUILDER ECLARATION
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 so to come 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 sho d beco a su ject 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 Labor a M Iy ith 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).:
te: o plicant:
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: AIL RE TO SECURE WORKERS' 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 1$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.).
(_ 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 whq builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
(_ 1 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 permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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 made, 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 tieing
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.
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 bui ng c tructi , a hereby authorize representatives
of this o my o enteSignre
bove-mentioned pro ins os
te: ) pplicant or Agent) -
na(
Application Number . . 07-00002147
Permit . . .. WALL/FENCE
PERMIT
Additional desc .
Permit'Fee . . . . .54.0,0
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 THOU BLDG
2,001-25,000
9.00
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Special Notes and Comments.
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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 54.00
.00
.00
54.00