13-1424 (SFD)P 0. BOX 1504' VOICE (760) 717-7012
4 4Q. -
78-495 CALLE TAMPICO' FAX (760) 777-7011
LA QUINTA, CALIFORNIA 922�3 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760).777-71153
BUILDING, PERMIT
Date: 11/21/13
Application Number: 13-00001424 Owner:
Property Address: 52066 ROSEWOOD LN RJT HOMES - CODORNIZ
APN: 772-410-997-24* -32070 P.O. BOX 810
Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA-, CA 92253
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 98427
Contractor:
Applicant: Architect or EnginVr: RJT INVESTMENTS INC
1425 E. UNIVERSITY DR E Nov 2'1' 13
PHOENIX, AZ -85034 C1
(602)257-1656 F
F1 [VCS Qui ZA
Lic. No.: OOR SQUARE FOOT Lic. No.: 690645 0 7.
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LICENSED CONT R'S DECLARATION
,J14CTO
I hereby affirm under penalty of perjury that I am licens un er to Wons of Chapter � lcommencing with
K, 1 0
Section 7000) of Division 3 of the Bu nd Prof sion _).nd my License is n. full force and effect.
License Class: A 9 Lic n a d�.: 690645
41" -7:a
Date: N-1 --2-01 Contractor: V,!?11241 7
6ZOWNER-BUILDERICLARATION
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 tile a signed statement that h - a 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, 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, 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 her eby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this permit is issued (Sed. 3097, Civ. C.).
Lender's Name:
Lender's Address:
LQPERMIT
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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
i ssued.
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 LUMBERMEN'S UND — Policy Number 429034
I certify that, in the performance of the work for w h this permit is issued, I shall not employ any
person in manner so to become su j ct I he workers' compensation laws of California,
any -a'
and agree that, if I sh come s ct orkers' compensation provisions of Section
3700 :�� Labor I shall to com p ith those provisions.
Date: 1121'?,0 Applicant:
WARNING: FAILURE TO SECURE WORK ' OM'PENSATIJOVER . AGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PENAL-tIES 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. I I .
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, indemnity and hold harmless the City
of La. Quinta, its officers, agents and employees for any act or omission related to the work,being
b a
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sh a m&e
if' I s co I to s
,,Abhal
or
JR1 WORK , COMPENSATION C
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 ithat t�he.aq ve informat' q corr agree to comply with all
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city and county ordinances and state laws relatin 0 but' ns ucti , a aut rize representatives
co tu
of IN ounty to enter upon t�ve-mentioned prop r inspec n p ses.
.aite7Z*/-z;igna1ure JApplicant or Agen 1:
Application Number .
. . . .. 13-oob01424
Permit .
. . . . .
BUILDING 2013
Additional
desc
Permit Fee
491.80
Plan Check Fee
.00
Issue Date
'Valuation
98427
Expiration.Date
5/20/14
Qty Unit Charge
Per
Extensibn
BASE
FEE
431.86
74.00
.8100THOU
BLDG
$25,001-$200,000.
59.94
Permit .
... . . .
ELECTRICAL
2013
Additional
desc
Permit Fee
178.99
Plan Check Fee
.00
Issue Date
. . . .
Valuation
0
Expiration
Date
5/20/14
Qty Unit Charge
Per
Extension
1.00
23.8300
EA ELEC
SERVICES
23.83
1.00
143.0000
LS ELEC
NEW RES, FIRST I KSF
143.00
1.00
-------------------
12.1600
--------------------------------------------------------
KA ELEC
NEW RES, ADDIL 1 KSF
12.16
Permit .
. . . . . MECHANICAL
2013
Additional
desc
Permit Pee
. . . .
131.10
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
1.00
35.7500
EA MECH
CONDENSER/COMP
35.75
4.00
11.9200
EA MECH
VENT FAN
47.68
1.00
----------------------------------------------------------------------------
11.9200
EA MECH
EXHAUST HOOD
11.92
Permit .
. . . . . PLUMBING 2013
Additional
desc
Permit Fee
. . . .
214.55
Plan Check Fee
.00
Issue Date
. . . .
Valuation . . . .
0
Expiration
Date,.
5/20/14
Qty Unit Charge
Per'
Extension
12.00
11.9200
EA PLBG
FIXTURE/TRAP
143.04
1.00.
11.9200
KA PLBG
BUILDING.SEWER
11.92
1.00
11.9200
EA PLBG
WATER HEATER/VENT
11.92.
1.00
11.9200
EA PLBG
WATER INST/ALT/REP
11.92
LQPERMIT
Application Number . . . . .
. 13-00001424
Permit . . . . . . PLUMBING
2013
Qty Unit Charge Per
Extension
1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS
35.75
- -------------------------------------------------
Special Notes and Comments
--------------------------
1,504SF DWELLING - PLAN SF2B,
LOT 24
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT INCLUDE BLOCK WALLS
OR WATER FEATURES. 2010 CALIFORNIA
BUILD114G CODES.
----------------------------------------------------------------------------
Other Fees . . . . .. . . . .
BLDG STDS ADMIN (SB1473)
4.00
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
531.00
PLAN CHECK, ELECTRICAL
64.12
DIF PARK MAINT FAC - RES
40.00
PLAN CHECK, MECHANICAL
71.51
PLAN CHECK, SFD GRADING
143.00
PLAN CHECK,_PLUMBING
197.86
DIF PARKS/REC - RES
2048.00
BLDG PC 25001-200K
947.59
STRONG MOTION (SMI) RES-
9.84
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 1016.44
.00 .00
1016.44
Plan Check Total .00
.00 .00
.00
Other Fee Total 10700.36
.00 .00
10700.36
Grand Total 11716.80
.00 .00
11716.80
LQPERMIT