Bldg Permit 07-0806 (SOTB)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
-Property Address: •
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
07-00000806'
57865 ROSEWOOD CT
762-240-011-13 -32279
STRUCTURES OTHER THAN BUILDINGS
LOW DENSITY RESIDENTIAL
1500
Architect or Engineer:
wa
44 Quinn'
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
STANDARD PACIFIC" HOMES
1717 E VISTA CHINO RD. STE A7
PMB 303 .
PALM SPRINGS, CA 92262
Contractor:
STANDARD PACIFIC COR
1717 E VISTA CHINO A7
PALM SPRINGS, CA 9226
(760)669-6200
Lic. No.: 641665
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/20/07
LICENONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that Chapter 9 (commencing with
Section 7000) of Division 3 of the Businese is in full -force and effect.
License Cless:
Date:
Contractor:/
OWNER-BUILDE `'' CLARA
I hereby affirm under penalty of perjury that I am exempt from the Contractor ate 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 ) 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 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 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:
WORKER'S COMPENSATION DECLARATION
, I hereby affirm under penalty of perjury one of the following declarations:
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.
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 perfor•• . the work for which this permit is issued, I shall not employ any
person in any mann> r e' uo'ect to the workers' compensation laws of California,
an agree that, if. I : ould becom- rct to tie `:.- com•ensation provisions of Section
dn 00a of the Lab od=1 shall ith co �+ pr• isions.
Date: Applicant !WM.
WARNIFIG: FAILURE TO•SECURE WORKERS' C PEN I COVER, : IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL ' UP TO ONE HUNDRED THOUSAND
DOLLARS (S100,000). 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 per••' or cessation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that tho above infor -ation is orrect. I . •ree to comply with all
city and county'rdinances999and state laws relating to bu' ding constru - au orize representatives
of this cou�ty enter upon the above -mentioned prop r • --/�
iwiramit.//-'//
,,/_
Date:
Signature (Applicant or Agent)
LQPERMIT
Application Number 07-00000806
Permit
BUILDING PERMIT
Additional desc
Permit Fee . 35.00 Plan Check Fee . 22.75
Issue Date . . Valuation . . . 1500
Expiration Date 9/16/07
Qty Unit Charge Per Extension
BASE FEE 15.00
10.00 2.0000 HND BLDG 501-2,000 ,20,00
Permit
Additional desc
Permit Fee . .
Issue Date . . . .
Expiration Date
ELEC-MISCELLANEOUS
15.75
9/16/07
Plan Check Fee
Valuation . .
Qty Unit Charge Per
BASE FEE
1.00 .7500 PER ELEC DEVICE/FIXTURE 1ST 20
3.94
0
Extension
15.00
.75
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
PLUMBING
18.00 Plan Check Fee . .
Valuation . . .
9/16/07
Qty Unit Charge Per.
1.00 3.0000 EA
BASE FEE
PLB GAS PIPE 1-4 OUTLETS
4.50
0
Extension
15.00
3.00
Special Notes and Comments
BUILT IN BBQ
Other Fees
ENERGY REVIEW FEE 2.28
Fee summary Charged Paid Credited
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
68.75
31.19
2.28
102.22
.00
.00
.00
.00
.00
• .0.0
.00
.00
Due
68.75
31.19
2:28
102.22
LQPERMIT
Bin #
City of La Quints
Building 81.Safety Division
P.O. Box 1504, 78-495 Calle Tampico -
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Address: O o
� Owner's Name:
A. P. Number.
•
Address: bV 514 „,,„
Legal Description:
Cih', ST, Zip: Paint l:�
Contractor: haw " 001L
Permit #
gull/
Address:
City, ST, Zip:
Telephone:
State Lic. #
Arch., Engr., Designer:
Telephone: % • 4'7G .8
State Lic. #:
Name of Contact Person:
City Lic. #:
Telephone # of Contact Person: ( 744) •q•
Submittal
/tit
Telephone: 770) 199 1a2l it
Project Description:
(11
Sk A 7, f18...3
--Arne Tlital 'Fe)r
MiT S
Construction Type: Occupancy:
paacy:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: • # Stories:
Estimated Value of Project: 154
• APPLICANT: DO NOT WRITE BELOW THIS UNE
Req'd • Rec'd
TRACKMC
Plan Sets
Stractaral Calcs.
Tress Calca.
Energy Calcs.
Flood plain plan
Grading. plia'
Pian Check submitted
• • Reviewed, ready for corrections
Called Contact Person
Plans t'icked.up
Plans resubmitted
Subcontactor List
Grant Deed
IELO.A. Approval
IN HOUSE:.
Planning Approval
Pub. Wks. Appr
School Fees
Item
'# Units:
' PERMIT FEES
Amount
2'' Review, ready for corrections/Issue
Called Contactt Person
Plans picked up
. Plans resubmitted •
" Review, ready for.corrections/issne
Called Contact Person • .
.Date of permit issue
Plan Check D-_posit
• Plan Check Balance
Grading
Developer Impact Fee
A.LP.P.
Total Permit Fees