07-0807 (SOTB)e, f
O. BOX 1504
. " 78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
i
Application Number: 07-00000807
Property Address: 57925 ROSEWOOD CT
APN: -762-240-011-15 -32279 -
Application description: ' STRUCTURES OTHER THAN BUILDINGS
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation:. 1500
Applicant:
Architect or Engineer:
Nlh
-----------------
LICENSED CONTRACTOR'S DECLARATION
VOICE (760)777-7 01 2
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
I hereby affirm under penalty of perjury that I er provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busine Profe ionals C my License is in full force and effect.
License Clays: Lic se 65
Date: :Contractor:
OWNER -B LDE UCLA ATION
I hereby affirm under penalty of perjury that I am exempt from the Contra tor's S to License Law for the
following reason (Sec. 7031.5, Business and Professions Code: Any city o y 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 70001 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 ($500).:
( _ 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 licensedcontractorsto 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 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
Date: 3/20/07
Owner: '
STANDARD PACIFIC HOMES
1717 E VISTA CHINO RD. .S.TE�&7
PMB 303
PALM SPRINGS, CA 92262
E MARContractor: MAR 2 0 2007.
STANDARD PACIFIC CORP
1717 E VISTA CHINO A7 PMB #P30- 0FLA �UINTA
PALM SPRINGS, CA 92262 FINANCEI)Ep-:
(760)669-6200
Lic. No.: 6416.65
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I 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.
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 BB1060237
I certify that, in the performance of the work for which this permit is issued, I shall not employ any
-person in any manner so eto come subject to the workers' compensation laws of California,
and agree that,if I sh d become subj t tote workers' compensation. provisions of Section
70 of the Lab. e, I shall fo h ly with those provisions.
Date: Applicant: f
WARN G: AILURE TO SECURE RKERS' 10 CO ERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTI AND CIVI ES 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. personupon 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 permit, or cessation of work for 180 days will subject
permit to cancellation. '
I certify that I have read this application and statethat the information is correct. I agree to comply with all
city and county ordinances and state laws relatin oil", co e ' a h by authorize representatives
of this cou y IqFenter upon the above-mentione o n p
bate: - �Signature (Applicant or Agent)
LQPERMIT
Application Number
. . . 07700000807
Permit . . . .BUILDING
PERMIT
Additional desc .
Permit Fee35.00
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
--------------------------------
20.00
PermitELEC-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
Fee summary Charged
---------------------------
Paid Credited
----------
Due
Permit Fee Total
----------
68.75
----------
.00 .00
68.75
P1an.Check Total
31.19
..00 .00
31.19
Grand Total
99.94
.00 .00
99.94
r
Bin #
City of La Quinta
n
Building U Safety Division
Permit°#
P.O. BOX 1'504,'78-495 Calle Tampico
La Quinta, CA 92253
- (760) 777-7012
i
Building Permit Application and Tracking
Project Address:' 5.7-V5.
rA Wna &f
.Sheet
-
Owner's Name:
A. P. Number.
GI -
Legal Description:
Address: �.� f E / f? D
`k 343
Contractor.
•
City, ST, Zip: ('
Telephone: _
Address:
project Description:
City, ST, Zip:
Telephone:
State Lic. # :
City Lic. #:
Arch., Engr., Designer
Ck— fj
h
Address: 944
City, ST, Zip:
Telephone:r;Xbl ,
State Lic. #:
Construction Type: Occupancy:
Name of Contact Person:
Project type (circle one): New 'Ado'n Alter Repair
Demo
•
Telephone # of Contact Person:
A
Sq. Ft.a . � '.
#Stories:
`#
Units:
•
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS LINE
ti
Submittal
Req'd
Recd
TRACING
Plan Sets
Plan Check submitted
PERMIT FEES
structural Cala.
Reviewed; ready for corrections
Item
Amount .
Truss Cates.
Pon (beck 13eposit
Called Contact Person
Energy Cates.
Picked. up
Plan
Plan Check Daianee s
Flood plain plan
Plans resubmitted
Constrnedon R
Grading. plan
2'' Review, ready for eorrectio
Mechanical
Sabcontactor List .
sue
Called ContactPersoa
Electrical
Grant Deed
Plans picked up
Plumbing
HOA Approval
Plans resubmitted
SALL
IN HOUSE:-,
Review, ready for.corrections/issue
Grading
Planning Approval
Called Contact Person
Developer Impact Fee
•
Pub. Wks. Appr
Date of permit issue
A.LP.P.
.
School Fees
Total Permit Fees