07-1684 (ELEC) d. .
..
..
F P.O. BOX 1504 r uW 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: 6/08/07
Application Number: 07-00001684 Owner:
Property Address: 57810 ROSEWOOD CT STANDARD PACIFIC COACHELLA VLY -
APN: 762-240-011-20 -32279 - 15326 ALTON PKWY
Application description: ELECTRICAL IRVINE, CA 92618
Property Zoning: LOW DENSITY RESIDENTIAL (949)789-1600 '
Application valuation: 3646 dink
Contractor:
Applicant: Architect or Engineer: POWER PLUS TEMP UTILIT r•VC
1005 N. EDWARD CT UN 1 10
0
il ;� ANAHEIM, CA 92806
7 l
for
(ic.)No. : 520 taQUii R
Lic. NO. : 523596
/
LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9(commencing with I hereby affirm under penalty of perjury one of the following declarations:
Section 7000)of Division 3 of the Business and Professionals Code,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
License Class: B C10 D31 . erase No.: 523596 for by Section 3700 of the Labor Code,for the performance of the work for which this permit is
`/ issued.
p
ato: r R I have and will maintain workers'compensation insurance,as required by Section 3700 of the Labor
TTT"' Code,for the performance of the work for which this permit is issued. My workers'compensation
OWNER-BUILDER DECLARATION 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 OLD REPUBLIC Policy Number. A1CW37450700
following reason(Sec.7031.5,Business and Professions Code: Any city or county that requires a permit to — I certify that,in the performance of the 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 so as to become 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 and agree that,if I should become subject to the workers'compensation provisions of Section
License Law(Chapter 9(commencing with Section 7000)of Division 3 of the Business and Professions Code)or 3700 of the La (C hall forthwith comply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by gale?
any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars($500).: ' Wate: 8 f✓e■y
oilcan
(_) I,as owner of the property,or my employees with wages as their sole compensation,will do the work,and 111
the structure is not intended or offered for sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SEC RE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,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 CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees,provided that the DOLLARS(S100,000). 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 is sold within 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
(_) 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 improves thereon,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,
( ) I am exempt under Sec. ,B.&P.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 state that the above information is correct. I agree to comply with all
work for which this permit is issued(Sec.3097,Civ.C.). city and c••fify ordinances and -o laws relating to building construction,and hereby authorize representatives
of thl unty to enter upon e above-mentioned property for inspection purposes.
Lender's Name:Lender's Address: VV q
0J , ■ata: 071167_
gnature(Applicant or Age
LQPERMIT -
Application Number . . . . . 07-00001684
Permit ELEC-TEMPORARY POWER
Additional desc .
Permit Fee . . . . 105.00 Plan Check Fee . . .00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/05/07
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 15.0000 EA ELEC TEMPORARY POWER POLE 15.00
10.00 7.5000 EA ELEC TEMP SUB POLE 75.00
Special Notes and Comments
1 200 AMP TEMP POWER POLE, 10 SUB POLES
AND 10 BARE POLES
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 .00 .00 105.00
Plan Check Total .00 .00 .00 .00
Grand Total 105.00 .00 .00 105.00
LQPERMIT
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SING PLAN
a*? TRACT NO. 32279 LOTS 1-30, 33336 LOTS 1-23 vlcurm MAP
�,m� THEE 1/2 OF THE W 1/2 OF THE SW 1/4 OF THE SE 1/4 OF Nn '"'J
SECTION 21 T.6S, R.7E, S.B.M. w Sa.r+iwno PROJECT
TRACT 33336 s
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Bin# City of La Quinta
Building SI Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: Rose(A>Dea C4. Owner's Name: Sto„clo ed
A.P.Number: al.810 LO Address: 171-) E. V u S}a L-�iho?a
Legal Description: City,ST,Zip: PAI Sp C't q 2 26,c,
BatL pDI+JGr �V S Telephone: 7w...(D q q-(p 2,00
•
Address: Z 75a7 N. Per . Project Description: I Lei-PPokG ZooArt*
City,ST,Zip: e4...65, r_A 4 ZS 71 On Lb+ ZD J 0 Soo f bie5 ` lb Fx-tr1e
Telephone: q51-(2.5,- 04431 , ►7_a.''' 1---c.1es Vtie CD+ s4. tg T�'o. -4 2279
State Lic.#: ,SZ35q(. City Lic.#:
Arch.,Engr.,Designer:
Address:
City,ST,Zip:
Telephone: Construction Type: Occupancy:
State Lic.#: Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq.Ft.: #Stories: / #Units:
Telephone#of Contact Person: Estimated Value of Project: 3 e5 41la
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACKING PERMIT FEES
Plan Sets Plan Check submitted Item Amount
Structural Calcs. • Reviewed,ready for corrections Plan Check Deposit
Truss Calcs. Called Contact Person Plan Check Balance
Energy Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2nd Review,ready for corrections/issue Electrical
Subcontactor List Called Contact Person Plumbing
Grant Deed Plans picked up S.M.I.
H.O.A.Approval Plans resubmitted Grading
IN HOUSE:- '"'Review,ready for corrections/issue Developer Impact Fee
Planning Approval Called Contact Person A.I.P.P.
Pub.Wks.Appr Date of permit issue
School Fees
Total Permit Fees