06-1989 (BLCK)IE
P.O. BOX 1504 -- --
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
344
BUILDING &SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
06-00001989
Property Address:
80109 AVENUE 52
APN:
772-410-021- -
Application description:
WALL/FENCE
Property Zoning:
NEIGHBORHOOD COMMERCIAL
Application valuation:
44254
Applicant: Architect or Engineer:
P
--------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 70v01 of Division 3 of the Businj�V
Code, and my License is in full force and effect. .
License C ss: -B cense No.: 690645
Dat tractor:
OWNER -BUILDER DECLARATION
I hereraffilunder 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 I, as owner of the property, or my employees with wages as their sole compensation, will dothework, 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 anowner 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.).
(_ 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: PIPT
LQPERMIT
Owner:
RJT HOMES - CODORNIZ
P.O. BOX 810
LA QUINTA, CA 92253
O
Contractor:
RJT INVESTMENTS INC
1425 E. UNIVERSITY F
PHOENIX, AZ 85034
(602)257-1656
Lic. No.: 690645
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5%12/06
WORKER'S COMPENSATION DECLARATION
I 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.
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 STATE FUND Policy Number 0460014793
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,
00, a.11 agree that, if I should become subject to the workers' compensation provisions of Section
00 of the Lab r Code, hall f 'th c ply with those provisions.
Date: plicant:
WARN G: AILURE TO SECURE WORKERS' MPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJE T EMPLOYER TO CRIMINAL PE LTIES 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
1. Each person upon whose behalf this application is made, each person at whose request and for
whose benefit work is performed under or pursuanyo 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 1 have read this application and state th4building
formation i correct. I agree to comply with all
city and cou y or inances and st to laws relating toruction, d hereby authorize representatives
of this to nter upon above-mentioned pra poses.
ate: 0 ignature (Applicant or Agent):
Application Number . . . . . 06-00001989
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 382.00
Plan Check
Fee
00
Issue Date . . .
.
Valuation
44254
Expiration Date
11/08/06'
'Qty. Unit Charge
Per
Extension
d
BASE
FEE
252.00
20.00 6.5000
THOU .BLDG
25,001-50,000
130.00
------------------ ------------------------------------------------------
Special Notes and
Comments
1662 L.F. 6' PERIMETER -WALL, 169
L.F.
4' PERIMETER WALL,
BOTH ORCO SYSTEM
Fee summary
Charged
Paid
Credited
Due
--------------------
Permit Fee Total
------------------
382.00
--- -----
.00
----------
.00
382.00
Plan Check Total
.00
.00
.00
00
Grand Total
382.00.
..00
.00
382.00
LQPERAIrT.
G►�-s /�/mss
�12ovd 6Y elW
Bin #
City of La Quinta
Building Ut Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
C�
Project address: 80-109
Ave 52
Owner's Nattte: RJT Homes-Codorniz, LLC
A. P. Number:
Address: P.O. BOX 810
Legal Ih scription: Tract 32070
City. ST, Zip: La Quinta,
Contractor: RJT Investments, Inc.
Telephone: 760 564-6555
Address: P.O. BOX 810
Project Description:
City, ST, Zip: La Quinta CA 92247
e,"N &A� of oTe--S-4 ft
Telephone: 760 564-6555
State Lic. # : 690645
city Lic. #: 4990
— (� (� 2 • �, . .
Arch., E• ngr., Designer.
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person:
Sq. FL:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
to
Submittal
Req'd
Recd
TRUCKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Trus.. Calcs.
Called Contact Person
flan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
1lech2nical
Grading plan
Z" Review•, ready for correctioustissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
!Tans picked up
S.M.I.
H.O. %. Approval
Plans resubmitted
Grading
IN IIOUSE:-
'"' Review, ready for eorrectionsfissue
Developer Impact Fee
Planning Approval
'Call4tontaet Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
:592
1-05-06
Chad Meyer
RJT Homes, LLC
80-109 Ave 52
LaQuinta, CA 92253
RE: Codorniz - Structural Observation - Lot 128
Chad,
14712 SW Scholls Ferry Rd
# 328
Beaverton, OR 97007
503-524-8268
503-213-6222 (fax)
Structural observations were made on construction of the house on the Lot
indicated above on 12723-05. Deficiencies*were documented with digital
photographs, annotated with specifics and submitted to you on 1-4-05 for
resolution. Follow-up discussions and observations are now complete, and I
believe the deficiencies have been resolved to a point where the construction
is in reasonable compliance with the overall intent of the construction
documents.
0000af/Yt
Mike Nelson, PE
I�IIIII VIII III �IIII
IIII 35
IE
1-05-06
Chad Meyer
RJT Homes, LLC
80-109 Ave 52
LaQuinta, CA 92253
RE: Codorniz - Structural Observation - Lot 128
Chad,
14712 SW Scholls Ferry Rd
# 328
Beaverton, OR 97007
503-524-8268
503-213-6222 (fax)
Structural observations were made on construction of the house on the Lot
indicated above on 12723-05. Deficiencies*were documented with digital
photographs, annotated with specifics and submitted to you on 1-4-05 for
resolution. Follow-up discussions and observations are now complete, and I
believe the deficiencies have been resolved to a point where the construction
is in reasonable compliance with the overall intent of the construction
documents.
0000af/Yt
Mike Nelson, PE
14712 SW Scholls Ferry Rd
# 328
$IP En meermg Beaverton, OR 97007
Consultants, LLC:
......... ...... . .. ......
503-524-8268
503-213-6222 (fax)
1-05-06
Chad Meyer
RJT Homes, LLC
80-109 Ave 52
LaQuinta, CA 92253
t .
RE: Codorniz -Structural Observation -Lot 129
Chad,
Structural observations were made on construction of the house on Lot
indicated above on 12-27-05. Deficiencies were documented with digital
photographs,_ annotated with specifics and submitted to you on 1-4-05 for
resolution. Follow-up discussions and observations are now complete, and I
believe the deficiencies have been resolved to a point where the construction
is in reasonable compliance with the overall intent of the construction
documents.
QPpFESS10N9
• • �, ` ~ 277
cr. EV. 6/3 Ore
Mike Nelson, PE
q� OF CAS\F�Q
14712 SW Scholls Ferry Rd
%aASIPyEngmeerang n Beaverton, OR 97007
�ConsultantsLLC
503-524-8268
503-213-6222 (fax)
1-05-06
Chad Meyer
RJT Homes, LLC
80-109 Ave 52
LaQuinta, CA 92253
RE: Codorniz - Structural Observation - Lot 130
Chad,
Structural observations were made on construction of the house on Lot
indicated above on 12-29-05. Deficiencies were documented with digital
photographs, annotated with specifics and submitted to you on 1-4-05 for
resolution. Follow-up discussions and observations are now complete, and I
believe the deficiencies have been resolved to a point where the construction
is in reasonable compliance with the overall intent of the construction
documents.
QPpFESSI
s,
Mike Nelson, PE
9� OF CAS\F�