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13-1455 (SFD)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: 11/21/13 Application Number: 13�00001455 Owner: Property Address: 52058 ROSEWOOD LN RJT HOMES CODORNIZ APN: 772-410-997-26 -32070 1425 E UNIVERSITY DR Application description: DWELLING - SINGLE FAMILY DETACHED PHOENIX, AZ 85034 Property Zoning: MEDIUM HIGH DENSITY'RES Applicaiion valuation: 114653 -Nov 2 N15 Contractor: Applicant: Architect or Engineer: RJT INVESTMENTS INC LA QUI14TA 1425 E. UNIVERSITY DRIVE r-iNAt4CEJD) PT.. PHOENIX, -AZ 85034 (602)257-1656 A/ Lic. No.: 690645 - — — — — — — — — — — — — — — — — - LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licen:sid r pr.ovaisprms yfLChap1eis%1commencing with nd "ofe Section 7000) of Division 3 of the Business a i.en�e fu 11 force and effect. Li��C lass: A B L .6cen N [ 690645 Date: k2d - 201 contractor.-9�-�_C� I-,, V 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 700W 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, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the st�ucture is not intended or offered for sale (Sec. 7044, Busines's 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, 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 fSec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT ----------------------------------------------- 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 g- d� will maintain workers' compensation insurance, as required by Section 3700 of the Labor' -is l 'hayseu:n Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier LUMBERMEN'S UND — PolicyNumber 429034 I certify that, in the performance of the work for which this permit is issued, I shall not employ any -1 at person in any manner so as to become s Nect to the or com ens ion tio prov::ws of California, and agree that, if I sh��ec e o' pensap n ions of Section e Labor _ _,_�me subject 3700 of th I forth wit thos provisions. Date - TApplcant: & 0 10 �3 WARNING: FAILURE TO SECURE WORK6�COMPENSATION C E IS UNLAWFUL, AND SHALL 'OV GE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES4 TO ONE HUNDRED THOUSAND DOLLARS ($100,000I. 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 Lpermit, or cessation of rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above informatio i or ct. I agree to comply with all, city and county ordinances and state laws rela in onstru�'Io , a by thorize representatives nstructio p os g to 0 ' I of th' ty to enter :�po�nbove-mentloned pr� y r inspecti p osesp DateA_z_/ - —2-0 13 Rignature (Applicant or Agent): / IM, I LQPERMIT Application'Number . . . . . 13-00001455 ------ Structure Information 1,731SF DWELLING/VB/RES-3/CLASS A-FR/13D ----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 3.00 FIRE SPRINKLERS' 13D GARAGE SQ FTG 598.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 989.00 ----------------------------------------------------------------------------- 2NIj FLOOR'SQUARE FOOTAGE 742..00 Permit . . . . BUILDING 2013 Additional desc Permit Fee . . . . 504.76 Plan -Check Fee 00 Issue Date Valuation . . . . 1146913 Expiration Date 5/20/14, Qty Unit- Charge Per Extension BASE FEE 431.86 90.00 .8100 ----------------------------------------------------- THOU BLDG $25,001-$200,000 7 --- 7 ------------------ 72.90 Permit ELECTRICAL 2013. Additional desc Permit Fee .191.15 Plan Check Fee .00 Issue Date Valuation . . . . 0 Expiration Date 5/20/14 Qty Unit Charge Per Extension 1.00 23.83.00 EA ELEC SERVICES 23.83 1.00 143..0000 LS ELEC NEW RES, FIRST 1 KSF 143' * 00 2.00 12.1600 ----------------------------------------------------------------------------- F -A ELEC NEW RES, ADDIL I KSF 24.32 Permit . . . . . . MECHANICAL 2013 Additional desc Permit Fee . . . . 143.02 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/20/14 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75 1.0,0 35.7500 EA MECH CONDENSER/COMP 35.75 5.00 11.9200 EA MECH VENT FAN 59.60 1.00 11.9200 --------------------------------- EA MECH EXHAUST HOOD ------------------------------------------- 11.92 Permit . . . . . . PLUMBING 2013 I LQPERMIT Application Number . . . . . 13-00001455 Permit . . . PLUMBING 2013 Additional desc Permi t Fee . . . . 226.47 Plan Check Fee_ .00 Issue Date . . . . Valuation. . . . 0 Expiration Date 5/20/14 Qty Unit Charge Per Extension 13.00 11'.9200 EA PLBG FIXTURE/TRAP 154.96 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 1.00 11.9200 EA' PLBG WATER HEATER/VENT 11.92 1.00 11.9200 KA PLkG WKI-8m ivsi,/Aj,-r/xEP 11.92 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments 1,731SF DWELLING - PLAN SF3BSG, LOT 26, [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR WATER FEATURES. 2010.CALIFORNIA BUILDING CODES. June 25, 2013 4':07:49 PM AORTEGA ---------------------------------------------------------------------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 5.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942-.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES* 344.00 MULTI -SPECIES (MSHCP) FEE 531.GO DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, SFD GRADING 143.00 DIF PARKS/REC - RES 2048.00 PLAN CHECK, MULTIPLE STR 47.67' STRONG MOTION -(SMI) RES 11.47 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- ----------- Due Permit Fee Total 1065.40 .00 .00 1065.40 Plan Check Total .00 .00 .00 .00 Other Fee Total 9469i58 .00 .00 9469.58 Grand Total 10534.98 _00 .00 10534.98 LQPERMIT