07-2162 (BLCK)P.O. BOX 1504 VOICE (760),777-7012
78-495 CALLE TAMPICO y FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING &'SAFETY. DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING, PERMIT
« Date: 7/24/07
r
Application Number: 1 07-00002162 j Owner:
Property 'Address: 57720. ROSEWOOD CT STANDARD PACIFIC COACHELLA VLY ,
APN: 762-240-011-23 -322.79 - 15326 ALTON PKWY ,
Application description: WALL/FENCE IRVINE, 'CA 92618
Property Zoning: LOW DENSITY,RESIDENTIAL (949) 789-1600
Application valuation: 4500
Contractor:
Applicant: Architect or Engineer: - STANDARD PACIFIC CORP
171.7'E.VISTA CHINO A7 PMB #3
PALM SPRINGS, •CA'92262 2007. - 7 J
�IA r (760)669-6200 illi t) L�01
�1 Lic. No.: 641665
CITY OF LA Qus PYA
P4� �:FLr3' 1q^gr7
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 farce and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License C ss: P. License No.: 64166 - for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
D V Contractor: P� - - - 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 perform -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 as to b ome subject t 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 become ubject to worke ' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 3700 of the La Gude- a Yf r ft t e provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by C �t
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). Date6 V Applicant:1 41 44
(_ 1 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, andV..
the structure is'notintended or offered for sale (Sec..7044, Business and Professions Code: The WARNING: FAILURE TO SECUR O ATION COVE NLAWFUL•, 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 -
(._) 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 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.
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 cessation of work for 180 days will subject
- CONSTRUCTION LENDING -AGENCY permit to cancellation. - «
I hereby affirm under penalty perjury that there is a construction lending agency for the performance of the I certify that I have read this application and st he above informati 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 rela g t bui i �dhere a orize representatives
of this co my o enter pon the above-mentione operty for �struction,
_
Lender's Name. _ � � •
e: ture (Applicant or Agent).
L'ender's Address: • 1� 1 f'I .. - _. .// -
'LQPERMIT. ti
.Application Number . . . . 07-00002162
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-"25,0.00
27.00
--------------------------------------------------------
Special Notes and Comments
---------------------
' 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 .00
.00
.00
.00
Grand Total 72.00
.00
.00
72.00