Loading...
05-4644 (SFD)4 P.O: BOX 1504- ^� 78-495 CALLE TAMPICO LA. QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 05-00004644 Owner: Property Address: 5218"6-ROSEWOOD-�LN RJT HOMES - CODORNIZ APN:772-410-997-39 -32070 -P.O. BOX 810 Application description: DWELLING - SINGLE ' FAMILY DETACHED/V' LA QUINTA, CA 92253 Property Zoning: MEDIUM _HIGH DENSITY -RES Application valuation: 79869 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/05 v ®c ontractor: Applicant: rchitect or Engineer: � �JT HOMES LLC C/ ?O 1425 E. UNIVERSITY DRIVE PHOENIX, AZ (760) 85034 123-456 ®lE�NPq Lic. No.: 690645 -------------------------------------------------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby affirm under penalty of perjury one of the following declarations: Section .7000) of Division 3 of the Business and Professionals , and my License is in full force and effect. _ I have and will maintain a certificate of consent to self -insure for workers' compensation; as provided License C ass: A -B ense No.: 690645 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ,11tratV4a4&,-<on1,actor: 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 OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the . Carrier STATE FUND Policy Number 0014793-2005 following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to _ I certify that, in the performance of the work for which this permit is issued, I shall not employ any - construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State and agree that, if I should become subje workers' .compensation provisions of Section License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or l,�C _ 37DOof the or Code, I shall f it comply with those provisions. 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).: Date: 0pplicant: (_ 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.). (_ 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 applyto 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 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: t4 ' 1% LQPERMIT 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 constructs;;,,pnd hereby authorize representatives of this county to enter upon a above-mentioned property fo pe purposes. afT te�/0���� ignature (Applicant or Agent): LQPERMIT Application Number . . . . . 05.-00004644 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 549.50 Plan Check -Fee 89.30 Issue Date Valuation . . . 79869 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 414.50 30.00• 4.5000 ---------------------------------------------------------------------------- THOU BLDG 50,001-100,000 135.00 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 9.0000 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 67.29 Plan Check Fee 4.21 Issue Date ' . Valuation 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 1250.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 43.75 427.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.54 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 LQPERMIT Application Number 05-00004644 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 39, PLAN SF1A, 1250 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 7516 i 01 BLDG. M, P/ 04 CEC/ 05 ENERG REDUCTION TO PLAN CHECK FEES DUE TO l MULTIPLE ISSUANCE OF SAME PLAN TYPE --------------------------------------.--------------------------------------. Other Fees . . . . . . . . . DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 8.93 DIF FIRE PROTECTION -RES 97.00 DIF LIBRARIES - RES. 22.5.00" DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC -,RES 502.00 STRONG MOTION (SMI) -,RES 7.98 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited --------- Due ----- - ------------------------------ Permit Fee Total 806.04 .00 .00, 806.04 Plan Check Total 104.41 .00 .00 104.41 Other Fee Total 2421.91 .00 .00 2421.91 Grand Total \3332.36 .00 .00 3332.36 LQPERMIT t ... , - a-er tificcu C y. ' iez � o �' ° _ Building, &- Safet .. De • artment 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. 4 - - -- ' -BUILDING ADDRESS: 52-186 ROSEWOOD LANE Use classification: SFD Building Permit No.: 05-4644 Occupancy Group: R3. Type of Construction VN Land Use Zone: RMH • Owner of Building: RJT-CODORNIZ� Address: P.O. BOX 810 City, ST ZIP: LA QUINTA, CA 92253 By: DAVID GATICA ' Date: AUGUST 11, 2006 '{• Building Official - POST IN A CONSPICUOUS PLACE - 09/17/2006 22:35 7605646505. CITY 0 TA BUILDING & D RTM 7012 INSPECT NRE F -ST LINE 77 �711f• r 2 8'2005 Owner R.TT HOMES, i.L CITYpF� Contractor J TNVEC SIMEN S, INC�EpEp R -Permit Number___05,.4644 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOBADDRESS_ 57-18612Cl.SEW IDD 1',ANE SFD. LOT39:l?,LAN SF.IA. PERMIT DOES NOT INCLUDED, POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. • TYPE OF INSPECTION f DATE INSP. TEMPORARY POWER ? SETBACKS U/G PLUMBING /WASTE _ / `- u - ; 5_ U/G ELECTRICAL/ GROUNDING 'u FOOTINGS / STEEL 1 D CONCRETE SLAB ROUGH MECHANICAL INSULATION /2 .; �.r' ' :" .--DO NOT POUR CONCRETE UNTIL ABOVE SIGNED /. R OK NA / PRE -ROOF 0 Y-rO WRAP MING COMBINATION 'u -UUGH ELECTRIC r ROUGH PLUMBING D ROUGH MECHANICAL INSULATION ,o D �.r' ' :" COVER NO WORK UNTIL ABOVE SIGNED / INTERIOR GYP. BD, DRYWALL /,WD /..'4 EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR T MASONRY INSPECTIONS I 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 iANICAL LIC WORKS DEPARTMENT P COMMUNITY DEVELOPMENT.DERT. f► .:`...'.'FINAL/ J.OB.COMPLETED ;-. ABOVE APOROVALS DO. :NOT-INbLUD ' 91644T TO TURN'ON-.UTILITIES OR 6CCUPY BUCL-DING' +