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05-4603 (SFD)( P.O. BOX 1504 4 -78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: --05 000046.03 '_� Owner: Property Address: 52178 ROSEWOOD—LN RJT HOMES - CODORNIZ APN: 772-410-997-42 -3207 P.O. BOX 810 Application description: DWELLING - SINGLE F DETACQ LA QUINTA, CA 92253 Property Zoning: MEDIUM -HIGH DENSITY - Application valuation: 100157 0` /r 119 8 Contractor: Applicant: Arch' ect or r: ?O�5 RJT HOMES LLC 1425 E. UNIVERSITY DRIVE N QU/N' PHOENIX, AZ 85034 C �Fpj q (760) 123-4567 Lic. No.: 690645 LICENSED CONTRACTOR'S DECLARATION 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 an;��nseNo.: , and my License is in full force and effect. /License Clars��A-B 690645 Date ri/4/ mractor: ((( OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reasonISec. 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 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. , 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: f ` 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 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 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 becoTg.1mWect to the workers' compensation provisions of Section 3700 of th@,Labor Code ori' 9htply with those provisions. 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. 1 agree to comply with all city a county ordinances and state laws relating to building construction, and hereby authorize representatives of s count �tpeabove-mentioned property ape oses. Date (Applicant or Agen Application Number . . . . 05-00004603 Permit . . . BUILDING PERMIT Additional desc . Permit Fee 643.00 Plan Check Fee 104.49' Issue Date Valuation . . . . 100157 Expiration Date 4/12/06 - Qty Unit Charge Per Extension BASE FEE 639.50 1.00 3.5000 -------------------------- THOU BLDG ------------------------------------------------- 100,001-500,000 3.50 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 1.009.0000 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 . . 79.66 Plan Check Fee 4.98 Issue Date Valuation . . 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 1592.00 0350 ELEC NEW RES - 1 OR 2 FAMILY 55.72 447.00 ..0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 Permit PLUMBING Additional desc . Permit Fee 140.25 Plan Check Fee 7.83 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 LQPERMIT LQPERMU Application Number 05-00004603 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 42, PLAN SF3A, 1592 SF. . �I PERMIT•DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR -01 BLDG. M, P/ 04 CEC/ 05 ENERGI DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE OF SAME PLAN TYPE Other Fees . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 10.45 DIF FIRE PROTECTION -RES 97.-00 DIF LIBRARIES -.RES 225.00 DIF PARK MAINT FAC - RES 5.00 - DIF PARKS/REC - RES 502.00 STRONG MOTION (SMI) - RES 10.01 DIF STREET MAINT FAt-RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid 'Credited Due Permit Fee Total 930.41 .00 .00 930.41 Plan Check Total 120.58 .00 .00 120.58 Other Fee Total 2425.46 00 .00 2425.46 Grand Total 3476.45 .00 .00 3476.45 LQPERMU , ^ a ANN DJ ,,r -%f Occupancif ...ueutltiCde OF Building & Safety Department'. This Certificate is issued pursuant to the requirements of Section 109 of the California Building Code, certifying that, at the time of islsUance,-this structure 'was in compliance with the provisioris.1of the Building Code and the various ordinances of the City regulating Ouilding . construction andlor use. BUILDING ADDRESS: 52-178 ROSEWOOD LANE Use classification: SFD Building Permit No.: 05-4603 Occupancy Group: R3 Type of Construction: VN Land Use Zone: RMH Owner of BuiIdin6:'RJT-Q0D6RN4i �ddres8: P.O. BOX 810 City, ST, ZIP- LA QUINTA; CA 92253, By: DAVID GATICA AUGUST 11, 2006 Building Pfficidl POST IN A CONspicuous PLACE 094"17/2006 22:35 7605646505 E BUILDING FET 'D PAR ENT `M OF' M 77-7 12 `! 1 INSP Cl N R QU71 1 77 ' IA , Owner HIT ROyI'P.S. LLC' �we� QV rx Contractor R.iT TNVF,STMF.NTs, INC. Permit Number 05-4603 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-178 ROSEWQOD LAN1: SFD. LOT,,42 PLAN SF3A. PERMIT DOES NOT INCLUDED POOL, SPA; BLOCK WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS U/G PLUMBING/ WASTE El U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL_ CONCRETE SLAB " lDO- OT POUR CONCRETE UNTIL ABOVE SIGNED OF NA30 PRE -ROOF ///,I I/-,- OKAV TO WRAP F MING COMBINATION r / k HUGH ELECTRIC j ROUGH PLUMBING / �.... ROUGH MECHANICAL INSULATION (, COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION A T SEPTIC / GREASE INTERCEPTOR' � r 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 df� ELECTRICAL PLUMBING �w 'iANICAL F IC WORKS DEPARTMENT n� COMMUNITY DEVELOPMENT DEPT.�1 FINAL /"JOB COMPLETED`:4' :''. C W w / ' OF ABOVE:APP.ROVAL`S DO NOT.INCLUDE RIGHT. TO' TURN ON UTILITIES OR OCCUPY, BUILDING `