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07-0311 (TT)1 PCO. BOX' 1504 .VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011. LA QUINTA, CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT INSPECTIONS (760)'777-7153 BUILDING PERMIT Date:. 2/16/07 Application Number: 07-00000311 Owner: Property Address: G 57835 ROSEWOOD CTi STANDARD PACIFI'C COACHELLA VLY APN: 762-240_011-12 -32279 - 15326 ALTON PKWY Application description: TEMPORARY TRAILER IRVINE, CA 926.18 rFEB Property Zoning: LOW DENSITY RESIDENTIAL (949) 789-1600 Application valuation: 15000 Contractor: 07 Applicant: Architect or Engineer: STANDARD PACIFIC CORP P1T!!15326 ALTONPKWY P% IRVINE, CA 92618 (949)789-1600. Lic. No.: 641665 LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury th�$,l-B 'tensed under provisions of Chapter 9 (commencing with I hereby. affirm under penalty of perjury one of the following declarations: Sectio�Class: 7000) of, Division 3 of the Business and Pr fess' nals e,.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 LicensB No • 641665 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date/: ! Contractor?' _ I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor `/ OWNER -BUILDER DECLARATION Code, for the performance of the work for which this permit is issued. My workers' compensation 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 BB1060237 following reason ISec. 7031.5, Business and Professions Coder Any city or county that requires a permit to' _ 1 -certify that, in the performance of th 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 sous to becom 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 andagreethat, if I sh Id become sub ct to the workers' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or3 00 of the Labor a Ton w h co ly-with thosg. rovisions. that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by & W,?. p .� �. . . any applicant for a permit subjects the applicant to. a civil penalty of not more than five hundred dollars ($5001.: Date: L�/ Applicant:. - (_) 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: FAILURE TO SECURE ERS' OMPE 1 N - V RAGE I FUL, 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 Cl IL 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 issoldwithin 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 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 improvesthereon, 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 I am exempt under Sec. BAP.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 stat o./ forma ' n-is.correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.1. _ city and county ordinances and state laws rela to buil 'ng con u thor' representatives Lender's Name: - of this cos y t enter upon the above -mention fo insp o our os � lender's Address: - Date: /'o Signature (Applicant.or Ag nt): ' • ' .. LQPERMIT .. .