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13-1347 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT. BUILDING PERMIT Application Number: 13-00001347 Property Address: 52082 ROSEWOOD LN APN 772-410-997-23 -32070 Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 82313 Applicant: Architect Lic No.: OOR SQUARE FOOT —----------------—--------------—--- -------------- LICENSED CONTRAQt'QR'S DECLARATION I hereb ' y affirm under penalty of perjuyJha.t I am lic se un 0 v isions of Chap�er 9 (commencing with I the _r Section 7000) of Division 3 o and Pr si s d , and my License is�in full force and effect. License Class: A B i No.: 690645 Date:Lt�7—d �'L 3cont;rac:tor�::- R-.611101 th dDE �RATION tr, I hereby affirm under penalty of perjury that I am exempt from th tractor'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).: 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 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 P.O. BOX 810 LA QUINTA, CA 92253 Contractor: R,TT INVESTMENTS IN 1425 E. UNIVERSITY PHOENIX, AZ 85034 (602)257-1656 Lic. No.: 690,645 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/21/13 LM U - NOV 2120131 CITY OF LA QUINTA FINANCE DEPT. 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 wor.kers' 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 U14D Policy Number 429034 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manne;c as to become subject to the workers' compensation laws of California, hat, if I ^ La and agree I build become I cl workers' compensation provisions of Section 3700 of 5hp"b Or I . shall I mpfY Vth those provisions. Date:/1--V---21!3kppIicant, WARNING: FAILURE TO SEC U R)DRIETSeC OM PENSATION 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 applicatio n. 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 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 w for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information ' r agree to comply with all city and county ordinances and state laws relating t build i n nstru tio n e a thorize representatives ul 1 0 of thi ounty to ente he above-mentioned prop inspecti pu es. D A la ate L-ZL Signature (Applicant or Agent) Application Number . . . . . 13-00001347 Permit . . . . . . BUILDING 2013 Additional desc Permit Fee . . . . 478.84 Plan Check'Fee .00 Issue Date . . . . Valuation . . . . 82313 Expiration Date 5/20/14 Qty Unit Charge Per. Extension BASE FEE 431.86 58.00 ------------------------------ .8100 THOU BLDG - ------------------------------------------- $25,001-$200,000 46.98 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 .11 ' '00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00 1.00 ------------ 12.1600 ------------------------------- KA ELEC NEW RE&, ADDIL 1 KSF --------- 7 ------------------- 12.16 Permit . . . . . . MECHANICAL 2013 Additional desc Permit Fee . . . . 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 3-5.75 1.00 35.7500 EA MECH CONbENSER/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 . . . . 202.63 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 5/20/14 Qty Unit Charge Per Extension 11.00 11.9200 EA PLBG FIXTURE/TRAP 131.12 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 EA PLBG WATER INST/ALT/REP 11.92 LQPERMIT Application Number . . ... . 13-00001347 Permit . . . . . . PLUMBING 2013 Qty Unit Charge Per Extension .00 11.9200 LS PLBG GAS�SYS, 1-4, OUTLETS .00 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS .35.75 --------------------------7 Special Notes and Comments -------------- 7 ---------------------------- 1,237SF DWELLING --PLAN SF1B, LOT 23 [VB/RES-3/CLASS A-FR/13D/1�NGINEERED1- THIS PERMIT DOES NOT INCLUDE BLOCK -WALLS OR WATER FEATURE3. 2010 CALIFORNIA BUILDING 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 185.94 DIF PARKS/REC - RES 2048.00 BLDG PC 25001-200K 905.03 STRONG MOTION (SMI) - RES 8.23 TUMF: RESIDENTIAL 1837.44 DIF.STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged --------- Paid Credited' ---------- ----------- ---------- Due ----------------- 7 Permit Fee Total 991.56 .00 00 991.56. Plan Check Total .00 .00 .00 .00 Other Fee Total 10644.27 .00 .00 10644.27 Grand Total 11635.83 .00 .00 11635.83 LQPERMIT