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14-0277 (BLCK)-1� P.O. BOX 1504 78-495 CALL.E TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:14-0000027_7 Property Address: 52082 .ROSEWOOD LN APN: 772-410-997-23 -32070 - Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 875 Applicant: /�\ n Architect or Engineer: /LJ VOICE (760) 777-7012 4 j4/ FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT C INSPECTIONS (760) 777-7153 BUILDING PERMIT Owner: RJT HOMES.- CODORNIZ P.O. BOX 6089' LA QUINTA, CA 92253 FN (760)564-6555 Contractor: RJT INVESTMENTS INC 1425 E. UNIVERSITY PHOENIX, AZ 85034 (602)257-1656 Lic. No.: 690645 Nr►S 9r, Jii Date: 3/20/14 ----------------------------------------------- • LICENSED CONTRACTOR'S DECLARATION --- ----------------------------------------------— WORKER'S COMPENSATION DECLARATION , I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section 7000) of Division 3 of the Busin and Profes ' als de, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: A B ce se No.: 690645 _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. Date:Contras: _ 1 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier LUMBERMEN' S UND Policy Number 429034 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the - person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if 1 d ecome subj�cet' compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or 700 of the La Code, shall forthose provisions. 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 permiNubjects the applicant to a civil penalty of not more than five hundred dollars (5500).: Date: :- App pl ( ) I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and yJ the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The WARNING: AILURE TO SECURE WORKE COMPENSATION AGE IS UNLAWFUL, AND SHALL Contractors' State License Law does not apply to an owner of property who builds or improves thereon,. SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND and who does the work himself or herself through his or her own employees, provided, that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN ' improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 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.). APPLICANT ACKNOWLEDGEMENT (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application is made, each person at whose request and for pursuant to the Contractors' State License Law.)• whose benefit work is performed under or pursuant to any permit issued as a result of this application, (_ 1 I am exempt under Sec. , BAP.C. for this reason the owner, and the applicant, eachagrees 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 - 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 performed under or following issuance of this permit. 2. Any permit issued as a,result of this application becomes null and void if kis not commenced within 180 days from date of issuance of such permit, or cessation of rk � or 180 days will subject permit to cancellation. I certify that I have read this application and state that the above information is c t. gree to comply with all city and county ordinances and state laws relating to build' onstructi er y a horize representatives of this co ty to enter upon the above-mentioned pro y r ins - on rposes� Date: ignatu�re (Applicant or Agent): - Application Number . . . . . 14-00000277. Permit WALL/FENCE PERMIT 2013 . Additional desc . Permit Fee 47.19 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 875 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 35 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. 2013 CBC -.------------------------------------------------------------- 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 Bin # City of LQ Qui ! ta ' BuIlding 8r Safety Dhhdsslon P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Pennft # Project Address: goq'InJC?xI L %'Z3 Owner's Name: RJT Homes - Co3orniz, LLC A. P. Number: SD _ 07--3 Address: P.O. Box 6089 Legal Description: City, ST, Zip: La Qu i nt a, CA 92248 Contractor: RJT Investments, Inc. Address: P.O. Box 6089 Telephone: 760-564-6555 Project Description: city, sT,zip: L•a Quinta, CA 92248 6 91 A-) Telephone: 760-564 -6555 "C11;1c.#, State Lia#: 690645 6089 Arch., Engr., Designer Address: City,, ST, Zip: Telephone:ConstructionType: �(C 1i1 Occupancy: State Lic. #: Project type (circle one): New Add'n pilar Repair Demo Name of Contact Person: G,� Sq. Ft ; #Stories: # Units; Telephone # of Contact Person: - -716 Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACIONG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calm Called Contact Person Pian Check Balaice Tide ?A Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan V Review, ready for correctiouvIssue' Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- Review, ready for correctionvIssue Developer Impaxt Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fe -s t' :.;1 l ,f '�:r 's �F�> F' % . --i � i�':`�g�.3y � � .r,•ti � �S l'Ic. @ 't 1'� 1 CSY ��'• 3� �'7"ty`Du. �� � v _f.'... ,(!� � �. � to , �—s'yC p �-.�t'..� ��i�. � ?.• �. + N'�.�ti 13,y - � ',k� ry+ t�$ �n�;l{ " • 4. °.T Y ,.•�ij' _� .p. ;eSf !y[.,C�' "�'S �^ Sis+} ��,ta %r'�t )' t, •i'd 't}'rek ��.>; �{ Y ,j x,.>r,. ta _ . T t q�l - i t r J r LU 41 1 ( t f 1 2..1TG, t • "F - L U- 441 AL r �` ii II 2 t I i:11t fi np IT. { y 1 { d , , - r 'fes 1,68 yp Ax�- �6 & ` .TS 14 IF 13 ... _ r- —