11-0327 (ELEC) de,
P.O. BOX 1504 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: 4/01/11
Application Number: 11-00000327 Owner:
Property Address: 57501 ROSEWOOD CT STANDARD PACIFIC COACHELLA VLY
APN: 762-240-011-D -32279 - 15326 ALTON PKWY
Application description: ELECTRICAL IRVINE, CA 92618
Property Zoning: LOW DENSITY RESIDENTIAL (949)789-1600 y ��y-
Application valuation: 2500 a -
-
Contractor: }� -
Applicant: Architect or Engineer: STANDARDOPACIFIC CO' • A°°° n 2011
6
IRVINE, CA 92618 R V
1� (949) 789 1600 CITY OFY
APR
/ Lic. No. : 641665 FINANCE DEFT _�
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
Licari Class: B License No.: 641665 for by Section 3700 of the Labor Code,for the performance of the work for which this permit Is
issued.
L.� f Date: 1 —4 r ntractor: 1 , 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
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.NATL UNION FIRE Policy Number WC20635371
following mason(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 Icommencing with Section 7000]of Division 3 of the Business and Professlons Coder or 3700 of the Labor Code,I s II forth ith 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
any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars(S 3001.: •ate: ''1—I I ppticam:
(_) I,as owner of the property,or my employees with wages as their Sole compensadon,will do the work,and
the structure is not intended or offered for.sale(Sec.7044,Business and Professions Code: The WARNING: FAILURE TO SECURE 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(8100,000). IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN
Improvements are oat 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 riot build or
Improve for the purpose of sale.). APPLICANT ACKNOWLEDGEMENT
(_I 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 end 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 Quints,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 county ordinannes end state Iawa relating to building c udhorr,and hereby authorize representatives
of this county to enter u n the above-mentioned property for -
Lender's Name:Lender's Address: 1()
Date:1 !ry�44 I Ighature(Applicant Dr Agentl:
LQPERMIT
Application Number 11-00000327
Permit ELEC-SERVICE CHANGE INV FEE
Additional desc _
Permit Fee . . . . 67.00 Plan Check Fee . . . 00
Issue Date . . . . Valuation . . 0
Expiration Date _ 9/28/11
Qty Unit Charge Per Extension
BASE FEE 30.00
1.00 37.0000 EA ELEC SVC <=600V/<=200A 37.00
Special Notes and Comments
INSTALL 100 AMP METER PEDESTL FOR COMMON
AREA LIGHTING. INVESTIGATION FEE
ASSESSED PER 1997 UNIFORM ADMINISTRATIVE
CODE §304.5 FOR WORK BEGUN WITHOUT
BUILDING PERMIT.2010 CODES.
Other Fees BLDG STDS ADMIN (SB1473) 1.00
Fee summary Charged Paid Credited Due
Permit Fee Total 67.00 .00 .00 67.00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1.00 .00 .00 1.00
Grand Total 68.00 .00 .00 68.00
LQPERMIT
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M►PAa. AT LA Q U'NIA (TSt-219) APD¢ESS MAT "US 4/10 job
Bin# City of La Quinta
Building&Safety Division
Permit# P.O. Box 1504, 78-495 Calle Tampico
l La Quinta,CA 92253- (760) 777-7012
.\\1
Building Permit Application and Tracking Sheet
Project Address: 57-501 Rosewood Ct . Owner's Name: Standard Pacific Corp
A.P.Number: Address: 26 Technology Drive
Legal Description: Lot D of Tract 32279 City,ST,Zip: Irvine, CA 92618
Standard Pacific CorpTelephone: /
Contractor: I�• p 9 4 9 7 8 9-16 0 0
Address: 26 Technology Drive Project Description: Installation of a electric
City,ST,Zip: Irvine, CA 92618 meter pedestal for common area lighting
Telephone: 9 4 9/7 8 9-16 0 0
State Lic.#: 641665 City Lic.#; /O/ZQ 1D
Arch.,Engr.,Designer: LDB, Inc
Address: 15 Studebaker
City,ST,Zip: Irvine, CA 92 618
Telephone: 9 4 9 7 7 0-0 9 0 9 •>5-%.-'' z ' N A
P / s;`e��� <.`-�;::>.: :::::;:�:;:.�:,::,:: Construction Type: N/A Occupancy: /
State i # EE 11453
Project type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: Steve Carren Sq.Ft.: N/A #Stories: N/A #Units: 1
Telephone#of Contact Person: 9 4 9/2 8 3-6161 Estimated Value of Project: $2 , 5 0 0
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Req'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
Title 24 Calcs. Plans picked up Construction
Flood plain plan Plans resubmitted Mechanical
Grading plan 2p!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