06-3252 (TT)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Pfooerty Zoning:
Application valuation:
06=00003.252—
57942 ROSEWOOD CT
762-240-011-C -32279
TEMPORARY TRAILER
LOW DENSITY RESIDENTIAL
5000
4 4
ht
W
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STANDARD PACIFIC
15326 A.LTON PKWY
IRVINE, CA 92618
(949)789-1600
VOICE (760) 77777012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
COACHELLA VLY
Contractor:
Applicant: Architect or Engineer. STANDARD PACIFIC CORP
15326 ALTON PKWY
IRVINE, CA 92618
(949)789-1600
Lic. No.: 641665
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division -3 of the Business -en Professionals Code, and my License is in full force and effect.
License Class: B 'cense No.: 641665
Date: Con ctorf
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the i
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 ($500).:
(_) 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, 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 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: 9/07/06
D G°a
t
SEP i i 2006
CITY OF LA QUINTA
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 asypbe � me subject to the workers' compensation laws of California,
and agree that, if I should become s ject to the workers' compensation provisions of Section
3700 of the Labor Code those
those provisions.
provisions.
G r"
Date:--- � D 1% Applicant:
-.11 ` ^-
WARNIN FAILURE TO SECURE WORKERS' COMPEN ATION COVER E IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES 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 permit, or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the ab ov fe ation is correct. I agree to comply with all
city and county ordinances and state laws relating to buildin constructi , and reby au or' a representatives
of this co ?ty ' enter upon the above-mentioned prop{ / or inspec u .p as-
Date:
s.
D to e:� 8 Signature (Applicant or Agent):
Application Number . . . . . 06-00003252
i
Permit . . . TEMP TRAILER
/ MOBILE HOME
Additional desc .
Permit Fee 200.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 5000
Expiration Date 3/06/07
`
Qty Unit Charge Per
Extension
BASE..
FEE,
200.00
----------------------------------------------------------------------------
Special Notes and Comments
TEMP CONSTRUCTION TRAILER PER MUP
-
2006-826
Fee summary Charged
-------------------------------------
Paid Credited
Due
Permit Fee Total 200.00
----------
.00
----------
.00
200.00
Plan Check Total .00
.00
.00
.00'
Grand Total. 200.00
.00
.00
200.00
LQPERMIT - -
.
Sep 06 2006 5:24PM
Standard Pacific Homes 7606996217 p..2
Bim#
City of La Quinta
Building BE Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address:' _
A. P. Number. -rf. 3, i�-1
t
Owner's Name:
d me8 3
Addzess: t7 ti� i 1zti 0'1-12
Legal Description:
Contractor: 5
City, ST, Zip:
2
Telephone:
Project Description:
rt' N �Cf1IM 'r �Y`'t k
Address: \l,S!
City, ST, Zip:
Telephone: -((,p — fo2l
State Lic. # : (,c f (,
City Lic. #: a
Arch., Fngr., Designer: /r
Address:
City, ST, Zip: (�
Telephone:
State Lic. #:
Name of Contact Person.
La
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft: #Stories: #Units:
Estimated Value of Project OC->
Telephone # of Contact Person: b
t —of
APPLICANT:
DO NOT WRITE BELOW THIS LINE
#
Submittal
Plan Sets
Req'd
RWd
TRACKING
Plan Check submitted
PkRMIT FEES
Item
Plan Cheek Deposit
Pian Check Balance
Amount
Structural Cates.
Reviewed, ready for corrections
Truss Cates.
Contact Person
Energy Cales.
r0ald
picked up
Construction
Electrical
Plumbing
S.M.L
Flood pain plan
resubmittedMechanical
Grading plau
2Revtew, ready for correctionsdssue
Subcontactor List
Called Contact Person
Grant Decd
Plana picked up
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Review, ready for corrections!issut
Developer Impact Fee
Planning Approval
Called Contact Person
Pub. VVks. Appr
Date of permit issue
School Fees