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05-4633 (SFD)-P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 T-v4t 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: F-0 004633 Property Address: 52162 ROSEWOOD LN APN: 772-410-997-37 -32070 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY . RES Application valuation: 88677 D Applicant: �rchitect or Engineer: Owner: RJT HOMES - CODORNIZ P.O. BOX 810 LA QUINTA, CA 92253 HOMES LLC OCT1005 5 E. UNIVERSITY DRIVE l� �J a ENIX, AZ 85034 77 0)123-4567 �IT1�Q��L11t�SA Li . 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 !Dylicense is in full force and effect. License Class: A -B Licens I 645 Dat ontractor: 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 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).: (_) 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 ISec. 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—) I am exempt under Sec. , BAP.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 ISec. 3097, Civ. C.). Lender's Name: _ Lender's Address: LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/05 - _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _. _ _ _ _ _ - _ _ _ _ _ _ _ WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ I have and will maintaina 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 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 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 workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith co Mese provisions. ate cant: 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 Quints, 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 cons and by authorize representatives of this count toent r upon the above-mentioned pr;p�e�e�e d' nature (Applicant or Ager LQPERMIT Application Number 05-00004633 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 590.00 Plan Check Fee 95.•88 Issue Date Valuation . .. 88677 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 414.50 34;00 .4,•5000 ----------------------------------------- THprT BLDG, 50,001_100,000 175.50 Permit . . . MECHANICAL. Additional desc . Permit Fee . . ... 46.00 Plan Check Fee 2.88 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 19.0000 EA MECH B/C <=3HP/100K BTU 9.00 1.00 6.5000 EA MECH VENT FAN 6.50 1.00 6.5000 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 6.50 Permit . . . ELEC-NEW RESIDENTIAL Additional desc . Permit Fee 72.72 Plan Check Fee 4.55 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension , BASE FEE _ 15.00 1385.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 48.48 . 462.00 .0200 --------------------------------------------------------------------------- ELEC GARAGE OR NON-RESIDENTIAL 9.24 Permit . . . PLUMBING Additional desc . Permit Fee 128.25 Plan Check Fee •8.02 Issue Date . . . . Valuation . . . . 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 10..00 6.0000 EA PLB FIXTURE 60.00 1.00 15.0000 EA. PLB BUILDING SEWER 15.00 LQPERMIT " 0..Y •. • i ; .. v , ` • 'Application -Number 05-00004633 , Permit PLUMBING , t 5# Qty Unit Charge Per, Extension :r ' - .1.00* .7. 5 0 0 0 -EA. "PLB WATER HEATER/VENT, - 7.50 * - 11.00 3.0000 EA PLB`WATER INST%ALT/REP, 3.00 j X1:00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 ` 5.00 .7500 EA. PLB GAS PIPE >=5 3.75 1`.00 _i 15.0000,EA PLB GAS METER - 15.00 ., ,• r ,. Permit -GRADING PERMIT ,. a , .. Additional desc ,. ` Permit Fee 15.00.1--:. Plan Check.Fee, r. .00 Issue Date Valuation. 0 -' Expiration.Date 4/12/06 ;Qty Unit Charge Per. ti Extension �. BASE FEE 15.00 Special Notes and Comments �. . s _SFD -_LOT 37, PLAN SF2A,• 1385 S.F. PERMIT DOES NOT INCLUDE POOL, SPA,. 7 �� ' BLOCK WALLS OR DRIVEWAY APPROACH,. 75%; O1 BLDG. M P/ 04 CEC% ' 05 EN'ERGY.' ` / REDUCTION TO PLAN CHECK FEES DUE TO . MULTIPLE ISSUANCE OF SAME PLAN TYPE e Other Fees -. DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER = RES 366.00 • ENERGY: REVIEW FEE 9.59 ' _DIF FIRE PROTECTION -RES 97.00 K 'DIF LIBRARIES - RES * (.225.00. DIF PARK MAINT FAC - RES 5 . 00 ' DIF PARKS/REC - RES 502.00 r STRONG MOTION ,:(SMI)' - RES 8.86 '. DIF STREET MAINT FAC -RES 15.00 . DIF TRANSPORTATION.- RES 1098.00. g Fee summary' Charged, Paid Credited -, Due. ------------------------------------- ---- -------------- Permit•Fee Total .851.97. :00 :.00 F 851.97 Plan Check Total 111.-33 .00 00, i• 111.33 -• , i ..Other Fee Total 2423 .45 . 00 -. . 00 -•- 2423.45 ., r _ - Grand.Total• .. 3386.75- .00 00 3386.75 { LQPERMIT = a! a�6u�"�`��c e e Of -errirtc uccuplancy = — NC ATM G OF �uildin &' Safet Department of g 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 i construction and/or use. - - = -,- BUILDING ADDRESS..52-162 ROSEWOOD LANE Use classification: SFDBuilding Permit No.. 05-4633 -Occupancy Group:! R3' Type of Construction: VN Land Use Zone: RMH Owner of Building: RJT-CODORNIZ Address: P.O. BOX 810 P ' City, ST, ZIP: LA QUINTA, CA 92253 ' B DAVID GATICA 7. Date. AUGUST 25, 2006 Building Official POST INA CONSPICUOUS PLACE CO -® RJT HOMES CONSTRUCTI .PAGE 03 u� Elm . CITY OF LA QUINTA r,.,-_• E: BUILDING ENT INSPE N REQUEST�L ''�� � Owner—JUT. ONMS., & 2005 Contractor—WT.,INYES-T ulnlT� Permit Number -0.5=4,633... POST ON JOS IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52--tG—RQ5X3L0-0D—jLANE— SBD. LOT 37 PLAN S1:2A. PERMIT DOLS NOT INCLUDED POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION T DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING % • - .� FOOTINGS / STEEL CONCRETE SLAB �T DO NOT POUR CONCRETE UNTIL ABOVE SIGNED - ROOF NAIL / PRE -ROOF //%' OKAY TO WRAP T/ F' •SING COMBINATION !/ •.._JUGH ELECTRIC W ROUGH PLUMBING ROUGH MECHANICAL % ;! INSULATION _COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP? BD, DRYWALL i i 11 EXTERIOR LATH ;7/11WL / -71 GAS TEST _ _ i, �7/ /— SEPTIC ABANDONMENT_ SEWER CONNECTION:fry 1 n _ SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL BOND BEAM POOL / SPA _/ WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS. U/G PLUMBING U/G GAS U/G ELECTRICAL PRE.PLASTER (ALARMS/BARRIERS) . . FINAL INSPECTIONS _ TEMP. USE OF PERMANENT POWER ! ELECTRICAL PLUMBING PLUMBING _ A 1ANICAL P% ---;JC WORKS DEPARTMENT _ - r� COMMUNITY DEVELOPMENT DEPT. -p G . ..:. FINAL./ Jl1B. COMPLETED 8_a S^O: W ABOVE APPROVALS:D,O,NOT INCLUDE. RIGHT TO •• • :• T.URN ON UTILITIES OR OCCUPY BUILDING':.:.::.. ,..•