05-4604 (SFD)°-P.O: BOX 1504 =
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: r--^05-00004604
Property Address: L52202 -`ROSEWOOD -LN
APN: 772-410-997-40 -32070 -
Application description: DWELLING - SINGLE FAMILY DETACHED
Property Zoning: MEDTiTM HIGH DENSITY RES
Application valuation: 100157
Applicant:
• "
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT.
Architect or Engineer:
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, ar1divorLicense is in full force and effect.
LicenseClas : A -B L' 690645
Date Contractor.
Owner:
RJT HOMES-.CODORNIZ
P.O. BOX 810
LA QUINTA, CA 92253
Oct 8 C R E. U LLC
E. UNIVERSITY DRIVE
01
NIX, AZ 85034
�y. J 0)123-4567
No.: 690645
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 (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 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: pipir
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.
11have 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 t�r Code, I shall forthwith ii those provisions.
licant:
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 c unty ordinances and state laws relating to building construction, and here b orize representatives
of thi ounty to enter upon t above-mentioned property for inspectio
Dat9 gnat�pplicant or Agent):
LQPERMIT
Application Number .
. . . . 05-00004604
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 , 5QQQ
--------------------------
TRO T RT,nr. i nn; nnl•-5nn, nnn
--------------------------------------
"i Sn .
------------
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
1.00 9.0000
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
Application Number . . . . . 05-00004604
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
-40,
SFD - LOT PLAN SF3B, 1592 SF.
PERMIT DOES
ENE.RG�
NOT INCLUDE POOL, SPA, BLOCK WALLS OR Io
O1.BLDG.
M, P/ 04 CEC/ 05
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 FAC -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
LQPERMIT
0-
ert9fOCate f CC C
C�
OF 9w Building Y p & 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.
- BUILDING ADDRESS: 52-202 ROSEWOOD LANE
Use classification: SFD Building Permit No.: 05-4604
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
RJT HOMES CONSTRUCTI
OKAY TO WRAP
F' MING (COMBINATION)
o � b
._jUGH ELECTRIC
ROUGH PLUMBING
_
CIT`
BUILDIN
1106
INSP
Owner
PAGE 04
SAEEEPA TMEN
777^%012
777- 15f
0—F
CITY OF Ld �l ►iuTo
1SNI *011051101011lkleW
Permit NumberJ1546.04
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB AD1)RESS_5,2_202 ROSEWOOD LANE
SFD. TAT 40 PLAN SF3R. PERMIT DOES NOT INCLUDED
POOL, SPA, BLOCK WALLS OR DRIVEWAY
APPROACH.
TYPE OF INSPECTION DATE INSP
TEMPORARY POWER T
SETBACKS
U/G PLUMBING /WASTE /: �('r
U/G ELECTRICAL/ GROUNDING
FOOTINGS / STEEL
CONCRETE SLAB
.-DO NOT POUR CONCRETE UNTIL ABOVE Sli
ROOF NA)L•/ PRE -ROOF
OKAY TO WRAP
F' MING (COMBINATION)
._jUGH ELECTRIC
ROUGH PLUMBING
_
ROUGH MECHANICAL
INSULATION
1106
COVER NO WORK UNTIL ABOVE SIGNED
INTERIOR GYP. BD. (DRYWALL) -,
EXTERIOR LATH _
GAS TEST
SEPTIC ABANDONMENT
SEWER CONNECTION
~
SEPTIC /GREASE INTERCEPTOR [
FOOTINGS /STEEL y'
BOND BEAM
POOL/ SPA/ WATER FEATURE INSPECTIONS
PRE-GUNITE / SETBACKS__ M
U/G PLUMBING
U/G CAS
U/G ELECTRICAL y
PRE -PLASTER (ALARMS / BARRIERS
FINAL INSPECTIONS /.
TEMP USE OF PERMANENT POWER
ELECTRICAL
PLUMBING
I . '-IANICAL
_
P^ _LIC WORKS DEPARTMENT
COMMUNITY DEVELOPMENT DEPT
1106
FINAL /JOB COMPLETED . •
=f L – O•,
ABOVE APPROVALS DO NOT INCLUDE:RIGHT,TO .
000UPY.BUILDING
TURN:ON:U.TILITfES OR