13-0418 (SFD)cT&4 `!�tl 4
Y BOX 1504 VOICE (760) 777-7012
78-495 CALLE TAMPICO C �� FAX (760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 4/10/13
Application Number: 13-00000418 Owner:
Property Address: 52121 ROSEWOOD LN RJT HOMES CODO Z
APN: 772-410-997-18 -32070 - 1425 E UNIVERS R__�- 3_
Application. description: DWELLING - SINGLE FAMILY DETACHED PHOENIX, AZ 85 ' �� �o��
Property Zoning: MEDIUM HIGH DENSITY RES i
Application valuation: 82313
l -A QUINTA
Contractor:
Applicant: Architect or Engineer: RJT INVESTMENTS INC
1425 E. UNIVERSITY DRIVE
PHOENIX, AZ 85034
(602) 257-.1656
Lia. No.: 690645
LICENSED CONTRACTOR'S DECLARATION
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, and my License is in full force and effect.
xLicense ss: 1A B Lice se No.: 690645
' -Date: 6V Contractor:
OWNER -BUILDER DECLARATION
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 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 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 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 I'am exempt under Sec. , B.&P.C. for this reason
bate:
Owner:
CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the
work for which this peimit 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
w 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 . Policy Number 424430
_ 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 workers' compensation provisions of Section
0 of the Labor Code, I shall forthwith omply with those provisions.
7kate:! PC
Applicant:
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 1$100,0001. 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
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 this count toe r upon the above-mentioned propertyfor m ection�purposes.
ate: nature (Applicant or Agent): �//'��� .
Application Number
. . . . 13-00000418
------ Structure Information
1,237SF DWELLING/VB/RES-3/CL-A-FR/13D
-----
Other struct info . .
. CODE EDITION 2010
# BEDROOMS
2.00
FIRE SPRINKLERS 13D
GARAGE SQ FTG
427.00
PATIO SQ FTG
27.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
634.00
----------------------------------------------------------------------------
2ND FLOOR SQUARE FOOTAGE
603.00
Permit ... .
BUILDING PERMIT
Additional desc .
Permit Fee . . . .
563.00 Plan Check Fee
365.95
Issue Date
Valuation . . . .
82313
Expiration Date•.
10/07/13
Qty 'Unit Charge
Per
Extension
BASE FEE
414.50
33.00 4.5000
THOU BLDG 50,001-100,000
148.50
. Permit . . .
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee
66.84 Plan Check Fee
16.71
Issue Date . . . .
Valuation . . . .
0
Expiration Date
10/07/13
Qty Unit Charge.
Per
Extension
BASE FEE
15.00
1237.00 .0350
ELEC NEW RES - 1 OR 2 FAMILY
43.30
427.00 .0200
ELEC GARAGE OR NON-RESIDENTIAL
8.54
Permit . . .
GRADING PERMIT
Additional desc .
Permit Fee
15.00 Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
0
Expiration Date ..
10/07/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
Permit . . .
MECHANICAL
Additional desc .
Permit Fee
•65.50 Plan Check Fee
-16.38
LQPERMIT
7
4
i
Application Number. .
. . 13=0.0000418
' Permit . . . _
MECHANICAL
Issue Date . .
Valuation . . . .
0
Expiration Date
10/'07/13
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
4.00 6.5000
EA MECH VENT FAN
26..00
1.00 6.5000
-----------------------------------------------------------------------------
EA MECH EXHAUST HOOD
6.50
Permit . ..
PLUMBING
Additional desc..
Permit Fee . .134.25
Plan Check Fee
33.56
Issue Date . .
Valuation . . . .
0
Expiration Date
10/07/13
Qty Unit Charge
Per
Extension
BASE FEE
15.00
11.00 6.0000
EA PLB FIXTURE
66.00
1.00 15.0000
EA PLB BUILDING SEWER
15.00
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
----------------------------------------------------------------------------
Special Notes and Comments
1,237SF DWELLING - PLAN SF1B, LOT 18
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THIS PERMIT DOES NOT
INCLUDE BLOCK WALLS
OR WATER FEATURES. 2010
CALIFORNIA
BUILDING CODES.
April 8; 2013 10:54:40
AM AORTEGA
--------------
-----------------_--------
Other Fees . . .
---------------
. . . ART IN PUBLIC PLACES-RES
20.00,
BLDG STDS ADMIN (SB1473)
4.00
DIF COMMUNITY CENTERS-RES
104.00
DIF CIVIC CENTER - RES
1089.00
ENERGY REVIEW FEE
36.60
DIF FIRE PROTECTION-RES
612.00
GRADING PLAN CHECK FEE
.00
DIF LTBR4PYRS = RES
334.00
MULTI-SPECIES (MSHCP) FEE
521.00
DIF PARK MAINT FAC -'RES
51.00
DIF PARKS/REC - RES
1773.00
STRONG MOTION (SMI) - RES
8.23
LQPERMIT -
-.
Application Number
. . . . .
13-00000418
-----------------------
Other Fees .
------------------------
. . . . . .
DIF STREET MAINT FAC -RES
158.00
DIF TRANSPORTATION - RES
3592.00
Fee .summary
Charged
Paid Credited
---------- -------- - - ----------
Due
------------ - ----
Permit Fee Total
--------=-
844.59
.00 .00
844.59
Plan Check Total
432.60
.00 .00
432.60
Other Fee Total
8302.83
.00 .00
8302.83
Grand Total
9580_.02
.00 .00
9580.02
Sent By: Print Name
R7.wsJ-OF:ce:M3NW4LSL, Ste. 153,RheVd'e,CA 02UM Ph. (W)SWAM Fax (E6119h,-nutr
' palm Desert Offin: 77.433 las MonMaas PA. S 201 F'oJm 0--3M CA92211-4131 M. (7601 8 6 3-6886 rax (760) 963-7072
Fire Department Clearance/Release
Date: 10/1812013
To: LA QUINTA B&S
Fax:
Tract/Parcel Map #:
Permii/Lot#:
LAQ-13-RS-047 LOT#18
Job Site Address:
52121 ROSEWOOD LANE
City, State, Zip
LA QUIN TA, CA
Final For Recordation
❑ Release For Building Permit(s) -
Q Shell Final Only (No Tenant)
❑ Final for Sprinkler System
❑ Release For Residential Sprinkler Installation
❑ Building Plan Check Fees Paid, Water Requirement Met= if water applicable
❑ Building Plan Check Fees Not Paid
❑ Residential Sprinkler Plan Check Fees Paid
❑ Retsidential Sprinkler Plan rhprk Fps Nnt Paid
❑ Other Fees
❑ Fees Not Required
It you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for
further assistance.
. _ KOHL HETRICK .
Print Name of Plan Reviewerilnspector Approved Release
Sent By: Print Name
PROUDLY SERVING THE
UNINCORPORATED AREAS
OF RIVERSIDE COUNTY
AND THE CITIES OF:
BANNING
BEAUMONT
CALIMESA
CANYON LAKE
C OAC H E LLA
DESERT HOT SPRINGS
EASTVALE
INDIAN WELLS
INDIO
LAKE ELSINORE
LA QUINTA
MENIFEE
MORENO VALLEY
PALM DESERT
PERRIS
RANCHO MIRAGE
RUBIDOUx CSD'
SAN JACINTO
TEMECULA
WILDOMAR
BOARD OF
SUPERVISORS:
BOB BUSTER
DISTRICT 1
JOHN TAVAGLIONE
DISTRICT 2
JEFF STONE
DISTRICT 3
JOHN BENOIT t
DISTRICT 4
MARION ASHLEY
DISTRICT 5
RIVERSIDE COUNTY FIRE DEPARTMENT
IN COOPERATION WITH
THE CALIFORNIA DEPARTMENT OF FORESTRY AND FIRE PROTECTION
77-933 Las Montanas Rd., Ste. #201, Palm Desert, CA 92211-4131 • phone (760) 863-8886
• Fax (760)863-7072
www.rvcfire.org
July 9, 2013
Symons Fire Protection
1050 Pioneer Way Suite R
EI Cajon, CA 92020
Reference LQ11-RS-001 for plans
Re: Residential Fire Sprinkler Plan Review
LAQ-13-RS-047 52-121 Rosewood Lane La Quinta, CA
The sprinkler plans you submitted for the above referenced project hav-- been reviewed by
Riverside County Fire Department Planning & Engineering personnel and are approved with
the following conditions: ,.-
A minimum of three spare fire sprinklers of each type and temperature -ating along with a
sprinkler wrench should be located in a spare head cabinet at the system riser or othe( .
approved location.
Permanently marked identification signs shall be attached to all control valves.
A warning sign, with minimum'/ inch letters, shall ,be affixed adjacent t) the main shutoff valve
and shall state the following:
WARNING: The water system for this home supplies fire,sprinklers that require-certaii flows and pressures to fight a
fire. Devices that"restrict the flow or decrease the pressure or automatically shut off the water to the fire sprinkler
system, such as.water softeners, filtration systems, and automatic shut-off valves, shall not be added to this system
without a review of the fire sprinkler system by a fire protections specialist. DO NOT reri-ove this sign.
The following inspections/tests are required to be witnessed by the Fire Department Planning
Division staff:
(a) Overhead Rough and Hydro static test: All piping shall be visible and
pumped at normal operating pressure.
(b) Final inspection.'
The Fire Department job card, approved plans and conditions letter must be at the job site or
NO inspection will be performed. Applicant/installer shall be.responsible to contact the Fire
Department to schedule inspection(s) a minimum of 72 hours prior to the requested inspection
date.
All questions regarding the meaning of these conditions should be referred to the Fire
Department Planning & Engineering staff at (760) 863-8886.
Applicant/installer-shall be responsible to contact the Fire Department to schedule inspection
Sincerely, 1
- - kTA.
Jas Stubble
Fire Safety Specialist