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05-4624 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: "�� 05=00004624_ j Property Address: 52114 ROSEWOOD LN APN: 772-410-997-31-32070— Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 101048 rr Applicant: Architect or Engineer: ----------------- LICENSED CONTRACTOR'S DECLARATION VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/05 Owner: RJT HOMES - CODORNIZ P.O. BOX 810 MQUINTA, CA 92253 OCT 2 8 2005 1 lintractor: T HOMES LLC sj�®��%i�)I�T� 1 25 E. UNIVERSITY DRIVE R NAf�.l. P OENIX, AZ 85034 60)123-4567 Lic. No.: 690645 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, a y License is in full force and effect. LicenseClas : A -B o.: 690645 atel0 ��� ntractor: - OWNER -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 foi 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).: (_) 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.). ( ) I am exempt under Sec. , BAP.C. for this reason /Date: i0wner: 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 VII/I1 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 STATE FUND Policy Number 0014793-2005 I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that, if I should become subject to the w9L4atlicompensation provisions of Section 3700 of the L or Code, I shall forthwith those provisions. Dates pplicant: WARNING: FAILURE TO SECURE WORKERS' 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 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 that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building construction and hereby authorize representatives of�ounty to enter upon the ove-mentioned property f rposes. ate/,�" Si ature (Applic or Agent)+ Application Number . . . . 05-00004624 Permit BUILDING PERMIT Additional desc . Permit Fee . . . . 646.50 Plan Check Fee 105.06 Issue Date . . Valuation 101048 Expiration Date . 4/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 2.00 3.5000 THOU BLDG 100,001-500,000 7.00 Permit . . . MECHANICAL Additional desc . Permit Fee 52.50 Plan Check Fee 3.28 Issue Date Valuation . . . . 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9-.0000 EA MECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 2.00 6.5000 EA MECH VENT FAN 13.00 1'.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee . . . . 80.99 Plan Check Fee 5.06 Issue -Date . . . . Valuation . . . . 0 Expiration Date ., 4/12/06 Qty Unit Charge Per Extension BASE FEE' 15.00 " 1574.00 .0350 ELEC NEW RES.- 1 OR 2 FAMILY 55.09 545.00 .0200 ----------------------------------------------------------------------------- ELEC GARAGE OR NON=RESIDENTIAL 10.90 Permit PLUMBING Additional desc . Permit Fee . .". . 140.25 Plan Check Fee 8.77 Issue Date . . . . Valuation . . . 0 Expiration Date .. 4/12/06 Qty Unit Charge Per- Extension BASE FEE 15.00' 12.00 6.0000 EA PLB FIXTURE 72.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 1 Application Number . . . . . 05-00004624 Permit . . . . PLUMBING Qty Unit Charge Per Extension 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000•EA PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 5.00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 EA PLB GAS METER, 15.00 Permit . . . GRADING PERMIT Additional desc . .Permit Fee . . . . • 15.00 Plan -Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE *15. 00 Special Notes and Comments SFD - LOT 31, SF3SGB, 1574 S.F. PERMIT 0 DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO -01 BLDG. M, P/ 04 CEC/ 05 ENERGY PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF'SAME PLAN TYPE Other Fees . . . . . . . . ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER --RES 366.00 ENERGY REVIEW FEE 10.51 DIF FIRE PROTECTION -RES 97.00; GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI)"- RES 10.10 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 935.24 .00 .00 935.24 Plan Check Total -122.17 .00' .00 122.17 Other Fee Total 2445.61 .00 .00 2445.61 Grand Total 3503.02. .00 .00 3503.02 LQPERMTT �feca te - of Occupancy Cert - . - Oda&, . .V. . . . . . ..... 9w Building,. & Safet De artment. OF 9► Y p This Certificate is -issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, ..at the time of issuance, `this structure was -in compliance with the provisions of the Building Code and the, various ordinances of the City, regulating building, construction, and/or use, ti BUILDING ADDRESS: 52-114 ROSEWOOD LN G , Use classification: SINGLE FAMILYDWELLINGBuilding Permit No.: 05-4624 Occupancy Group: R-3 _ Type of Construction: VN Land Use Zone: RMH 3 r' Owner of Building: RJT HOMES- CODORNIZ .Address: P.O. BOX 810 Q j City, ST, ZIP: LA QUINTA, CA 92253 , By: STEVE TRAXEL Date: OCTOBER 26, 2010 Building. Official POST IN A CONSPICUOUS PLACE