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05-4632 (SFD)R:Q. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 05=00004632 Property Address: 52194 -ROSEWOOD LN Tjht °F 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT APN: 772-410-997-41 -32070 - Application description: DWELLING - SINGLE FAMILY DETAC d Prnpp.rty 7nnin0: MEDIUM HIGH DENSITY RES Application valuation: 88677 OCT 2 8 Applicant: Architect or Enginee 'A Cath. - OF N E pal 1 Owner: RJT HOMES - CODORNIZ P.O. BOX 810 LA QUINTA, CA 92253 ?005 Contractor: RJT HOMES LLC 1425 E. UNIVERSITY DRIVE �lq PHOENIX, AZ 85034 (760)123-4567 Lic. No.: 690645 ------------------------------------------7------- 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 Professional, , and my License is in full force and effect. License Cla s: A-�ontr.ct�.r. cense No.: 690645 D W 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 rand 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.). 1 _ 1 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 (Sec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT .VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/18/05 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION 1 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. V—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 fort ith those provisions. ate� Iicant: 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 Ihave 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 hereby authorize representatives s county to enter upon t above-mentioned property for in purposes. Date nature (Applicant or Age Application Number 05-00004632 Permit BUILDING PERMIT Additional desc . Permit Fee 590.00 Plan Check Fee 95.88 Issue Date Valuation 88677 Expiration Date-. 4/16/06 Qty Unit Charge Per. Extension BASE FEE 414.50 39.00 4.5000 THOU 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 4/16/06 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 . . . . 72.72 Plan Check Fee 4.55 Issue Date . . . Valuation . . . . 0 Expiration Date 4/16/06 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 . 4/16/06 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 . . . . 05-00004632 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 4/16/06 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 41, PLAN SF2B, 1385 S.F. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE"ISSUANCE OF SAME PLAN TYPE ***01"BLDG./04 ELEC./05 ENERGY*** Other Fees . . . . . . . . DIF COMMUNITY CENTERS -RES __ 97.00 DIF CIVIC CENTER - RES 3.66.00 ENERGY REVIEW FEE 9.59 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 8.86 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee.summary Charged Paid Credited --------------------------------------------------------- Due. Permit Fee Total 851.97 .00 .00 851.97 Plan Check Total 111.33 .00 .00 111.33 Other Fee"Total 2423.45 .00 .00 2423.45 Grand Total 3386.75 .00 .00 3386.75 LQPERMIT -- -- --BUILDING ADDRESS: 52-194 ROSEWOOD LANE Use classification: SFD - Building Permit.No.: 05-4632. - 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 922534. By: DAVID GATICA - `�6�L Date: AUGUST 11, 2006 - • Building Official • POST IN A CONSPICUOUS PLACE Cleirtiricate.-of0ccupancy 0 T -d y 4 OFT�'�w. 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 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. Z -- -- --BUILDING ADDRESS: 52-194 ROSEWOOD LANE Use classification: SFD - Building Permit.No.: 05-4632. - 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 922534. By: DAVID GATICA - `�6�L Date: AUGUST 11, 2006 - • Building Official • POST IN A CONSPICUOUS PLACE RJT HOMES CONSTRUCTI PAGE 05 r' ✓'rb CITY OF LA OUINTA BUILDING RTMENT INSPEA N REQ n u 77-17)T s 2g05 1 Owner�J'r HO _ Contractor,..RJT_LAtY ulnri OJT Permit Number -05-A637 .r POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS -5i249.4 RJOSEWOOD L,ANV SF)). LOT al. PLAN SF2B. PERMIT DOES NOT INCLUDED POOL, SPA, BLOCS: WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE y-�INSP, TEMPORARY POWER U/G PLUMBING / WASTE /!:._ y ' cl. U/G ELECTRICAL/ GROUNDING FOOTINGS / STEEL CONCRETE SLAB NOT POUR CONCRETEUN L A OVE SIGNED ROOF NAIL / PRE -ROOF /////nr i F -MING COMBINATION / UGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL, t" INSULATION COVER NO WOR INTERIOR GYP, 6D. (DRYWAL EXTERIOR LATH GAS TEST L ABOVE SIGNED SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS / STEEL _ BOND BEAM POOL, / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING PRE -PLASTER (ALARMS/ BARRIERS) I I FINAL_ INSPECTIONS TEMP, USE OF PERMANENT_ POWER " /! • !�'` ELECTRICAL PLUMBING . �. IANiCAL .P-. ,LIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT_ FINAL / JOB COMPLETED ' I (-- s6 ABOVE APPROVALS DO NOT INCLUDE'RIGHT TO TURN ON UTILITIES'OR OCCUPYBUI.LDING' .