07-1868 (ELEC)-4 __ ''-i
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-_00001868
57942 ROSEWOOD CT
762-240-011-C -32279
ELECTRICAL
.LOW DENSITY RESIDENTIAL -
1500
Tiht
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STANDARD PACIFIC
15326 ALTON PKWY
IRVINE, CA 92618
(949) 789-160'0
Architect or Engineer:
P /A
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
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 and Professionals Code, and my License is in full force and effect.
Licensees j as�s:� B C10 D3 License No.: 523596
L;
id G // (J / ontract
.OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State 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 ($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.).
(_ 1 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 contractorls) licensed
pursuantto the Contractors' State License Law.).
1 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 '
Contractor:
POWER PLUS TEMP U
1005 N. EDWARD CT
ANAHEIM, CA 92806
(714)764-0020
Lic. No.: 523596
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
COACHELLA VLY
U
SERVCS
JUN 2 7 2007
Date: 6/27/07
-----------------------------------------------
WORKER'S COMPENSATION DECLARATION -
1 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.
EC 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 OLD REPUBLIC Policy Number AlCW37450700
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 as to become subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3700 of the Labor Cod shall forthwith comply with those provisions.
WARNING: FAILURE TO SEf.URE WORKERS' COMPENSATION COVERAGE 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 fallowing 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 above information is correct. I agree to comply,with all
city and my ordinances and state laws relating to building construction, and hereby authorize representatives
of th' ounty to enter upon the above-mentioned property fo spection purposes.
Date: Z7 /%�Iy(n/ature (Applicant or Agentl i(�Lt-��
17 -
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Application Number 07-00001868
Permit ELEC-TEMPORARY POWER
Additional.desc .
Permit Fee 30.00
Plan Check Fee
.00
Issue Date . . .
Valuation . . .
. 0 .
Expiration Date 12/24/07
Qty Unit Charge Per
Extension
BASE -FEE
15.00
1.00 15.0000 FA FT.Fr.
TEMPORARY POWER POLE
15.00
--------
Special.Notes. and Comments
-
TEMP POWER POLE TO REPLACE "TEMP
POWER
SYSTEMS" POLE AT SALES TRAILER
Fee summary Charged.
Paid Credited
Due
Permit Fee. Total 30.00
.00 .00
30.00
Plan Check Total .00
.00 .00
.00
Grand Total 30.00
.00 .00
30.00
LQPERA11T
06/25/2007 20:07 8187353575 STRATZ PERMIT
06/21/2007 09:27 9519484685 PRODUCTION POWERPLUS
STANDARD PACIFIC, HOMES
June 20. 2007
Kay Henspi
City of La QWnta
73^493 Calle Tampico
IA QttiffLq, Ca 92253
Re: 'l etnpumry Power at Palo 'Verde (P 32279 and Tract 33336)
Dear Ms. l4ehael,
This letter is to advise you that we have changed Temponuy Power oompnies a Palo
Verde. We have recently switched from Temp Power Systems to Pawor Plus. PEzame
approve any "amsary ksnsfers to Power Plus.
If you have arty qttesflons6 pleme feel free to contact the at (760) 699-6214.
Thank yott,
Rosie Lata�
A. eWent Projeet A+Miumpr
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