14-0278 (BLCK)�1,
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
ct Application Number: 14-000'00278
'. Property Address: 52-066 ROSEWOOD LN
APN: 772-410-997-24 -32070 -
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1126
Applicant:
C ON -ra A
Architect or Engineer:
NIPT_
•
BUILDING & SAFETY DEPARTMENT `\
BUILDING PERMIT
--------------------------------------------------
LICENSED CONTRACTOR' DECLARATION
I hereby affirm under penalty of perjury that I licensed un r r ons of Chapter 9 (commencing with
Section 7000) of Division 3 of the Busin an Professio s my License is in full force and effect.
License Class: A B ense 690645
Date' ZS-� --•Contractor:—
NER-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 Section7000)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.).
(_ 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:
LQPERMIT
Owner:
RJT HOMES - CODORNIZ.LLC
P.O. BOX -6089
LA QUINTA, CA 92253
(760)564-6555
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/20/14
r e
Contractor:
RJT INVESTMENTS I1
1425 E. UNIVERSI d3 RIUy fikj'l o
PHOENIX, AZ 8503 U
(602)257-1656
Lic. No.. 690645 ClTvOFLA.1. 04 -CA
------------------
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 LUMBERMEN!S UND PolicyNumber. 429034
_ 1 certify that, in the performance of the work fgr*hich t permit is issued, 1 shall not employ any
person in any manner so as beco�ee
kers' compensation laws of California,
and agree that, if I shout ome scompensation provisions of Section
3700 of the Labor eI all foose provisions.
_Date:.. = I_ >` pplica
WARNING: FAILURE TO SECURE WO 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 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 void4wknot commenced
within 180 days from date of issuance of such permit, or cessation o 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the above informat n is oree to comply with all
city and county ordinances and state laws relating to build' onstructi , an erize representatives
of this county to enter upon the abovementioned y r inspec ' n pu ses
or
Application Number . . . . 14-00000278
Permit . . . WALL/FENCE PERMIT .2013
Additional desc .
Permit Fee . . . . 47.19 Plan Check Fee
00,
Issue Date Valuation . . .
. 1125
r Expiration Date 9/16/14
Qty Unit Charge Per
Extension
1.00 47.1900 LS MISC WALL, FIRST 100 LF
47.19
Special Notes and Comments
45 LNFT X 6 FT HT GARDEN WALL [ORCO
SPECIFICATIONS) PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH'STUCCO, PAINT, OR
TEXTURED COATING WHERE•VISIBLE FROM
OUTSIDE THE.PROPERTY. 2013CBC
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473)
1.00
PLAN CHECK, WALLS
60.06
Fee summary Charged Paid Credited
,Due
Permit Fee Total 47.19 .00 '.00
47.19
Plan Check Total .00• .00 .00
.00
Other Fee Total 61.06 .00 .00
61.06
_-
Grand Total 108.25' .00 .00
108.25
LQPERMIT -
.
Bin #
City of La Q✓ui ! to
Building 8i: Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: $Z-Uh%
Ly►1,4.'24
Owner's Name: RJT Homes - Codorniz,
LLC
A. P. Number: ? -7-7 _ o 67Address:
P.O. Box 6089
Legal Description:
Contractor: RJT Investments, Inc.
Address: P.O. Box 6089
City, ST, Zip; La Qu i nt a , CA 92248
Telephone: 760-564-6555
Project Description:
`
City, ST, Zip: L•a Quinta, CA
92248
CSF j
Telephone: 760- 564 - 6555
State Lia#. 690645
Arch., Engr., Designer.
City Lie.#, 6089
Address:
City, ST, Zip:
Telephone:
State Lie. #:
Name of Contact Person:
Construction Type: e51 Occupancy:
PmJect type (circle one): New Add'n Alter Repair
Sq. Ft.: # Stories: # Units:
Demo
Telephone # of Contact Person:
p
•• —716 Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balarce
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Pians resubmitted
Mechanical
Grading plan
2" Review, ready for correcdoovissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Pians resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correctionspsaue
Developer Impact Fee
Planning Approval
Called Contact Person
AA.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
FA
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