BRES2016-012878-495 CALLE TAMPIICO
LA QUINTA, CALIFORNIA 92253
�^r�F1wQ�rw
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT.
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/9/2016
Application Number: BRES2016-0128 Owner:
Property Address: 52294 ROSEWOOD LN RJT HOMES CODORNIZ
APN: 777460034 PO BOX 6089
Application Description: CODORNIZ / TM32070 / NEW LA QUINTA, CA 92253
Property Zoning: n, .
Application Valuation: $98,772.00 9 1
Applicant: CITY OFLAQUINTA Contractor:
RJT HOMES CODORNIZ SW CONTRACTORS INC DBA SW CONSTRUCTION
PO BOX 6089 COMA°U �(DEVELOPMENTDEPARTME 1130 E MISSOURI AVENUE STE 890
LA QUINTA, CA 92253 PHOENIX, AZ 85014
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 Business and Professions Code,
and my License is in full force and effect.
License Class: B�j /License No.: 1007591
OWNER -BUILDER DECLARATION
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).:
(_) 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, 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 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:
(760)486-0306
Llc. No.: 1007591
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: Policy Number:
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, and agree that, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Da�� r !_I Applicant:
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 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 Building Official 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.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives of this ' y to nter upon the
above-mentioned property for inspection purposes. - i //
Gy� a
Signature (Applicant or Agent)
,I
DESCRIPTION
FINANCIAL •• 1•
ACCOUNTQTY AMOUNT
PAID
PAID DATE
BSAS SB1473 FEE
101-0000-20306
0 $4.00
$0.00
PAID BY _
METHOD
RECEIPT #
CHECK #
CLTD BY'
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $4.00 $0.00
DESCRIPTION
ACCOUNT
AMOUNT
PAID
PAID DATE
DIF - CIVIC CENTER
252-0000-43200
:!TY
$942.00
$0.00
PAID BY
METHOD
RECEIPT #:
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - COMMUNITY CENTERS
254-0000-43200
0
$129.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
... DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - PARKS/REC
251-000043200
0
$2,048.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
DIF - STREET MAINTENANCE
255-0000-43200
0
$116.00
$0.00
PAID BY..
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT ;
QTY
AMOUNT
PAID
PAID DATE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
PAID BY.
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
TEMP POWER SERVICE
101-000042403
0
$24.17
1 $0.00 -
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION -
ACCOUNT
QTY
AMOUNT
PAID -
PAID DATE
TEMP POWER SERVICE PC
101-0000-42600
0
$16.92
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL: $41.09 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
0
$12.33
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION .:
AC,COUNT.
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, EA ADDITION 1,000SF, PC
101-0000-42600
0
$5.08
$0.00
PAID BY --
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION '
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$145.03
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL, FIRST 1,000SF, PC
101-0000-42600
0
$47.86
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00
.DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RESIDENTIAL PRECISE GRADING.- TRACT
HOME
101-0000-42408
0
$133.43
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD:BY
_T
Total Paid for GRADING: $133.43 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK•#
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
CONDENSER/COMPRESSOR PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
.CLTD BY:
DESCRIPTION,
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE
101-0000-42402
0
$36.26
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FURNACE PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN
101-0000-42402
0
$48.36
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD By
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
VENT FAN PC
101-0000-42600
0
$19.32
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CtTD BY
Total Paid for MECHANICAL: $205.46 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
MULTI -SPECIES RESIDENTIAL 0-8 UNITS -
2015 UPDATE
101-0000-20310
0
$1,301.00
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PERMIT
101-0000-42400
0
$498.67
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PERMIT: $498.67 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
NEW CONSTRUCTION PLAN CHECK
101-0000-42600
0
$970.47
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for NEW CONSTRUCTION PLAN CHECK: $970.47 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP
101-0000-42401
0
$120.90
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
FIXTURE/TRAP PC
101-0000-42600
0
$120.90
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
GAS SYSTEM, 1-4 OUTLETS PC
101-0000-42600
0
$24.17
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #.
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER HEATER/VENT PC
101-0000-42600
0
$7.25
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM INST/ALT/REP
101-0000-42401
0
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
WATER SYSTEM-INST/ALT/REP PC
101-0000-42600
0-
$12.09
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
TOTALS: $12,471.38 $0.00
Total Paid for PLUMBING FEES: $362.68 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SMI - RESIDENTIAL
101-0000-20308
0
$12.84
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $12.84 $0.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
$0.00
PAID BY
METHOD
RECEIPT #
CHECK #
CLTD BY
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
TOTALS: $12,471.38 $0.00
Description: CODORNIZ / TM32070 / NEW SFD / LOT 80 / PLAN SF2
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 5/5/2016 MFA
FAMILY DETACHED
Approved: 5/5/2016 MFA
Parcel No: 777460034 Site Address: 52294 ROSEWOOD LN LA QUINTA,CA 92253
Subdivision: TR 32070 Block: Lot: 80
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $98,772.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
5/5/2016
Details: 1,504 SF DWELLING - PLAN SF2 LOT 80 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ
OR WATER FEATURE. 2013 CALIFORNIA BUILDING CODE
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ADDITIONAL
CHRONOLOGY
CHRONOLOGY TYPE
STAFF NAME
ACTION DATE
COMPLETION DATE NOTES
NOTE
MARY FASANO
5/5/2016
5/5/2016
AMY APPROVED THE GREEN SHEET FOR LOTS 79, 80,81 & 82
CONDITIONS
NAME TYPE
NAME
ADDRESSI
CONTACTS
CITY
STATE
ZIP
PHONE
FAX
EMAIL
APPLICANT
RJT HOMES CODORNIZ
PO BOX 6089
LA QUINTA
CA
92253
(
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—]
DESCRIPTION
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID B.Y JCITD
BY
BSAS SB1473 FEE
101-0000-20306
0
$4.00
$0.00
Total Paid for BUILDING STANDARDS ADMINISTRATION $4.00 $0.00
BSA:
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTERS
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
$344.00
$0.00
DIF - PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
255-0000-43200
0
$116:00
$0.00
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
TEMP POWER SERVICE
101-0000-42600
0
$16.92
$0.00
PC
Total Paid for ELECTRICAL: $41.09 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$12.33
$0.00
ADDITION 1,000SF
RESIDENTIAL, EA
101-0000-42600
0
$5.08
$0.00
ADDITION 1,000SF, PC
RESIDENTIAL, FIRST
101-0000-42403
0
$145.03
$0.00
1,000SF
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A
CLTD
DESCRIPTIONS
ACCOUNT
QTY
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
.
BY
RESIDENTIAL, FIRST
101=0000-42600
0
$47.86
$0.00
1,OOOSF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00
RESIDENTIAL PRECISE
GRADING - TRACT
101-0000-42408
0
$133.43
$0.00
HOME
Total Paid for GRADING: $133.43 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$0.00
SOR PC
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
FURNACE
101-0000-42402
0
$36.26
$0.00
FURNACE PC
101-0000-42600
0
$24.17
$0.00
VENT FAN
101-0000-42402
0
$48.36
$0.00
VENT FAN PC
101-0000-42600
0
$19.32
$0.00
Total Paid for MECHANICAL: $205.46 $0.00
MULTI -SPECIES
RESIDENTIAL 0-8 UNITS
101-0000-20310
0
$1,301.00
$0.00
- 2015 UPDATE
Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $0.00
NEW CONSTRUCTION
101-0000-424000
$498.67
$0.00
PERMIT
Total Paid for NEW CONSTRUCTION PERMIT: $498.67 $0.00
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CLTD
DESCRIPTION
ACCOUNT
CITY .
AMOUNT
PAID
PAID DATE
RECEIPT #
CHECK #
METHOD
PAID BY
BY
NEW CONSTRUCTION
101-0000-42600
0
$970.47
$0.00
PLAN CHECK
Total Paid for NEW CONSTRUCTION PLAN CHECK: $970.47 $0.00
BACKFLOW DEVICE
101-0000-42401
0
$12.09
$0.00
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
FIXTURE/TRAP
101=0000-42401
0
$120.90
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$120.90
$0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT
101-0000-42600
0
$7.25
$0.00
PC
WATER SYSTEM
101-0000-42401
0
$12.09
$0.00
INST/ALT/REP
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid for PLUMBING FEES: $362.68 $0.00
SMI - RESIDENTIAL
101-0000-20308
0
$12.84
$0.00
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $12.84 $0.00
SINGLE FAMILY
224-0000-20320
0
$1,837.44
$0.00
DETACHED
Total Paid for TUMF - RESIDENTIAL: $1,837.44 $0.00
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