Bldg Permit 07-0693 (BLCK)P.O. BOX 1504,
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 1-077-700000693
Property Address: 57865 ROSEWOOD CT
APN: 762-240-011-13 -32279 -
Application description: WALL/FENCE
Property Zoning: LOW DENSITY RESIDENTIAL
Application valuation: 3450
cetty/4 4 atibiz
Architect or Engineer:
aca
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
VOICE (760) 777-7012
• FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Owner:
STANDARD PACIFIC COACHELLA VLY
15326 ALTON PKWY
IRVINE, CA 92618
(949) 789-1600
Contractor:
STANDARD PACIFIC CORP
1717 E VISTA CHINO A7 P
PALM SPRINGS, CA 92262
(760)669-6200
Lic. No.: 641665
Date: 3/07/07
MAR 06 2007
B 303 1
CITY OF LA QUINTA
FINANCE DEPT.
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 Busin nd_Pro essionals Code, and my License is in full force and effect.
License Class: B yr 641665
Mkaillairm—•�fll��r•
7 I ontracto
OWNER -BUILD% CLARATION
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).: .
( 1 1, 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
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 wtiich this permit is issued (Sec. 3097, Civ. C.).
Lender's Name:
Lender's Address:
WORKER'S COMPENSATION DECLARATION
hereby affirm under penalty of perjury one of the following declarations: -
1 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, 1 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 •eco subj-: t to the workers' compensation provisions of Section.
700 of the Labor Codth those provisions.
•
WARNING: FAILURE TO SECURE W • - ERS' COMPE ATIOF'. VERAGE 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 above information is correct. 1 agree to comply with all
city and county ordinances and state laws relating to buildin• uction, =nd her-b/authorize representatives
of this c•u y t enter upon the above -mentioned propert - - • - -
(op
nature (Applicant or Agent):
LQPERMIT
Application Number 07-00000693
Permit WALL/FENCE PERMIT'
Additional desc .
Permit Fee . . 63.00 Plan Check Fee . .00
Issue Date . . Valuation .. 3450 .
Expiration Date . . 9/03/07
Qty Unit Charge Per "Extension
BASE FEE 45.00
,2.00 9.0000 THOU BLDG 2,001-25,000 18,00
Special Notes'and Comments
138 L.F. 6' GARDEN WALL, PHOTO II SYSTEM
Fee summary Charged Paid Credited
Permit Fee Total
Plan Check Total
Grand Total
63.00
.00
63.00
.00 .00
.00 .00
00 .00
Due
63.00
.00
63.00
LQPERMIT