07-0806 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
�T`t
"
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number: 07-00000806'
Property Address: 57865 ROSEWOOD CT
APN: 762-240=011-13 732279
Application description: STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 1500
Applicant:
Architect or Engineer:
LICENSEB.CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that m I' Chapter 9 (commencing with
Section 7000) of Division 3 of the Busines Professi nals ode, nd m is se is in full -force and effect.
License Class: o.:
Date: V Contractor)
OWNER-BUILDE CLARA ON
I hereby affirm under penalty of perjury that I am exempt from the Contractor ate 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 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.).
(_ I 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.).
( 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 permit is issued (Sec. 3097, Civ. C.I. "
Lender's Name:
Lender's Address:
LQPERMIT
Owner:
STANDARD PACIFIC'HOMES
1717 E VISTA CHINO RD.
PMB 303 .
PALM SPRINGS, CA
Contractor:
STANDARD PACIFIC
1717 E VISTA CHIN
PALM SPRINGS, CA
(760)669-6200
Lic. No.: 641665
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760).777-7153
Date: 3/20/07
STE A7
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
have and will maintain a certificate of consent to self -insure for workers' compensation, as provided -
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. '
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 BB1060237
I certify that, in the perfor nce the work for which this permit is issued, Ishall not employ any
person in any mann so as e' uti'ect to the workers' compensation laws of California,
an agree that, if I ould becom su '1_ct to tpe w ' com ensation provisions of Section
00 of the Lab od' shall rt ith co rA os pr isions.
Date: Applicant
WARNI G: AILURE TO,SECURE WORKERS' C PEN I COVER IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL 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 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 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 per or cessation of work for 180 days will subject
permit to cancellation. -
I certify that I have read this application and state that th above inforr ation is orrect. I gree to comply with all
city and county' rdinances and state laws relating to bu' ding oonstru �� au torize representatives
of this cou ethyl t enter upon the above-mentioned prop
/ Date: P Signature (Applicant or Agent): I
LQPERMIT
Application Number .
. . . . 07-00000806
T
Permit . . .
BUILDING PERMIT
Additional desc
-
Permit Fee . . . .
35.00 Plan Check Fee
22.75
Issue Date . . . .
Valuation
1500
Expiration Date
9/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00 "
10.00 2.0000
HND BLDG 501-2,000
20,04
Permit . . .
ELEC-MISCELLANEOUS
Additional desc .
Permit Fee . . . .
15.75 Plan Check Fee
3.94
Issue Date
Valuation
0
Expiration Date
9/16/07
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 .7500
--.--------------------------------------------------------------------------
PER ELEC-DEVICE/FIXTURE 1ST 20
.75
Permit . . .
PLUMBING
Additional desc .
Permit Fee . . . .
18.00 Plan Check Fee
4.50
Issue Date . . .
Valuation
0
Expiration Date
9/16/07
Qty Unit Charge
Per.
Extension
BASE FEE
15.00
1..00 3.0000
EA PLB GAS PIPE 1-4 OUTLETS
3.00
Special Notes and Comments
BUILT IN BBQ
-----------------------------------------------------------------------------
Other Fees . . . . .
. . . . ENERGY REVIEW FEE
2.28
Fee summary Charged
Paid Credited
Due
Permit Fee Total
68.75 .00 00
68.75
Plan Check Total
31.19 .00 .0.0
31.19
Other Fee Total
2.28 .00 .00
2:28
Grand Total
102.22 .00 .00
102.22
Total Permit Fees
Bin !�
City of La Quinta',
Building U Safety Division
Permit #
P.O. BOX 1'504,'78-495 Calle Tampico
La Quinta, CA 92253
f1 v
- (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address:* O ��
Owner's Nanie:
A. P. Number.
Legal Description:
Address:
Contractor:
City, ST, Zip:
��L
Telephone:
Address:
Description:
City, ST, Zip.Pro
Telephone:
State Lic. #':
City Lic. #:
:P1
•
11111111111,
Arch•, I ngr., Designer
.
Address:
1
-
City, ST, Zip:
Telephone: 7 G •,o
State Lic. #:
Construction Type: occupancy:
Name of Contact Person,,
Project type (circle one): New ' Add n Alter Repair Demo
Telephone # of Contact person:
(1
Sq. Ft,; .'
# Stories:
# Units:
Estimated Value of Project
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#.
SubmittalReq,d
Recd
TRAC[QNC
Plan Sets
Plan Check submitted
PERMIT FEES
structural Cala.
Reviewed, readyfor corrections
Item
Amount .
Truss Cala.
Plan Check D --posit
Called Contact Person
Energy Calcs.
Plans Oieked.ap
Plan Check Balance
Flood plain plan
Plans resubmitted
Construction A
.
Crading.plia'
•
2" Review, ready for correcGoos/issne
Mechanical
SabcontactorLaSt .
Called Contact Person
Electrical f
Grant Deed
Plans picked up
Plumbing 1
FLO.A. Approval.
Plans resubmitted
S.KL '
=
IN HOUSE -,L . —
.
1-4 Review, ready for fl
Grading
Planning Approval
Developer Impact Fee
Called Contact Person
.
Pub. Wks. Appr
Date of permit issue
A.LP.P.
.
School Fees
Total Permit Fees