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13-1454 (SFD)X 4 P.O. BOX 1504 4.4 4"' 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: 13-00001454 Owner: Property Address: 52098 ROSEWOOD LN R�T HOMES - CODORNIZ APN: 772-410-997-29 -32070 P.O. BOX 810 Application description: DWELLING - SINGLE FAMILY DETACHED LA QUINTA, CA 92253 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 9842'/ 0 Contractor: Applicant: Architect or Engineer: RJT INVESTMENTS INC 1425 E. UNIVERSITY DR NOV 2 PHOENIX, AZ 85034 larry- - (602)257-1656 . F - Lic. No.: OOR SQUARE FOOT Lic. No..: 690645 FINAN DE LICENSED NT CTOR'S DECLARATION . . I hereby affirm under penalty of perjury that I am Ii n d u r provisions of Chapter 9 (commencing withi- Section 7000) of Division 3 of the Busi ss and ofe na Code, and my License is in full force and effect. Licens Class: A B L enseNo.: 6.90645 D te: Contract r: V V\4 OWNER -BUILDER DECLARATION I hereby affirm under penalty of per ury t 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 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 1$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 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 qissued. 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 which this permit is issued, I shall not employ any person in any manner s s to become su to t workers' compensation laws of California, a su6i and agree that, if I s I become sub, the .. I ers' compensation provisions of Section 3700 of th b d I shall forth c IV w those provisions. pplicant: Date: 4 WARNING: FAILURE TO SECURE WORK COMPENSATION C ERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FI ES 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 void if work is not commenced within 180 days from date of issuance of such permit, or cessation of w rk for 180 days will subject permit to cancellation. I certify that I have read this application and state that the above infor ation is corre I agree to comply with all city and county ordinances and state laws relating to building constru 1here authorize representatives of th!i��unty to enter upon the above-mentioned pro foriinspe purp+e Date&&�2�psignature JApplicant or AgemJ: -V Application Number . . . 13-00001454 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 Extension BASE FEE 431.86 '74.00 ---------------------------------------------------------------------------- .8100 THOU 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.OdOO LS ELEC NEW RES, FIRST I KSF_ 143.00 1.00 ------------------------------------------------ 12.1600 EA ELEC NEW RES, ADDIL 1 KSF m ---------------------------- 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 35.75 1.00 35.7500 KA 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 EA PLBG BUILDING SEWER 11.92 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.92*00 EA PLBG WATER INST/ALT/REP 11.92 LQPERMIT Application Number 13-00001454 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 SF2A, LOT 29 [VB/RES-3/CLASS A-FR/13D/ENGINEERED) THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR WATER FEATURES. 2010 CALIFORNIA BUILDING CODEO.� ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 4.00 DIF COMMUNITY CENTERS -RES 129.00 DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION7RES 433.00 DIF LIBRARIES - RES 344.00 MULTI-SPECIES.(MSHCP) FEE 531.00 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 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 9466.95 .00 .00 9466.95 Grand Total 10483.39 .00 .00 10483.39 LQPERMIT