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05-4630 (SFD)P.O.,BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description -Property Zoning: Application valuation: Applicant: ,r05-6 004630 52210—ROSEWO0D LN 772-410-997-43 -32070 - DWELLING - SINGLE FAMILY MEDIUM HIGH DENSITY RES 88677 Tu!t440" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT DETACHED 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__ggde, and my License is in full force and effect. License Class: A-B,.__1cense No.: 690645 ate/ ntractor: - 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):: 1 _ 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 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: I I' LQPERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/14/05 Owner: RJT HOMES - CODORNIZ P.O. BOX 810 LA QUINTA, CA 92253 Contractor: RJT HOMES LLC 1425 E. UNIVERSITY DRIVE PHOENIX, AZ 85034 (760)123-4567 Lic. No.: 690645 ------------------ 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 become sublect to the kers' compensation provisions of Section 3A�oftheor Code, I shall forthwi ith those provisions. Daa 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 constd hereby authorize representatives of this county to enter upon the above-mentioned property for i n � D_47Q4b&Anature (Applicant or Agent): LQPERMIT Application Number" 05-00004630 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 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 4/12/06 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 . . . . 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 - Application uxzmber . . . . . 05-00004630 ' ' Permit . . . . . ' PLUMBING Unit � Qty � Per' Extension i 1.00 7.5000 EA .eLa '7.50 1.00 3.0000 EA gLBWATER INST/ALT/RoP 3.00 1.00 9.0000 EA rLB z�SPRINKLER SYSTEM LAWN 9'00 ' 5.00 .7500 Eu eLo GAS PIPE >~s 3.75 1'00 15.0000 EA PLB GAS METER ___----_-_----__-----__--_--------__--------__----_----_---~_--- 15.00 gezmit . . . . . . GRADING PERMIT . Additional deoo . . Permit Fee . . . . 15'00 Plan Fee . . .00 Issue Date . . . . Valuation . . . . O ' Expiration Date . ' 4/12/06 Qty Unit Charge Pez� � Extension � BASE FEE ---------- 15.00 -------------------------------- Notes and Comments 8Fo - LOT 43 ezAux SF2A' 1385 S.F. ` PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK vmuLL8 OR oaznoWAY APPROACH. 75% FOIBLDG. M, P/ 04 CEC/ 05 ENERGY aooUCrzom TO PLAN CHECK FEES ono TD MULTIPLE ISSUANCE OF SAME PLAN TYPE - _-------------'-------------------------------_----------------------------- ' Other Fees . . . . . . . . . DIF coomnomzTz ComrooS-Roo 97.00 ozr CIVIC -,CENTER - RES uaa'oo ` ENERGY REVIEW Foo 9.59 ' DIF rzRo oROzoCrzOm-Rmo 97.00 DIF - RES 225.00 DIF PARK xmAzmT FAC - RES 5.00 DIF znRKS/aoC -- RES 502 .00 . MOTION (SMI) - RES 8'86 DIF STREET MAzxrr FAC -RES ' 15'00 ozr raamSeDRTxxrI00 - RES 1098.00 Fee summary Charged Paid Credited ----------------- Due _--__eeznuit ---------- ---------- --------- -------- Permitnee Total 851'97 .oV ' .OV 851.97 Plan Check Total � 111.33 .00.VO. 111.33 Other Fee Total 2423.45 .00 .00 2433* 45 Grand Total 3386.75 'OO .00 3386.75 Certiricate of Occupancy jhf ot �- �" ` Loco %xnro �Cc y ri OF �► y. p 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. --- - BUILDING ADDRESS: 52-210 ROSEWOOD LANE Use classification: SFD Building Permit No.: 05-4630 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: STEVE WILLETT Date: AUGUST 10, 2006 Building Official POST IN A CONSPICUOUS PLACE RJT HOMES CONSTRUCTI PAGE 06 CITYr-AF NTA J; ��,F\✓'"��;��' BUILDINGPAF�IE1d�ov T�`t' INSP�ST LINE ( 7-715 = ... 2005 LJ c17Y0�� OwnerT�L Contractor RJT INVESTMENTS, Permit Number- RS -4630 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESs 52-2>�0 ROSEWOODLA�II: SFD. LOT 43 PLAN SF2A. PERMIT DOES NOT INCLUDED POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE INSP. TEMPORARY POWER SETBACKS - U/G PLUMBING / WASTE U/G ELECTRICAL / GROUNDING FOOTINGS / STEEL CONCRETE SLAB DO NOT POUR CONCRETE UNTIL ABOVE SIGNED/ ROOF NAIL / PRE -ROOF /7 O_I 45 77.,' OKAY TO WRAP * 1. /.•, !' F ,`AING COMBINATION •,,— , UGH ELECTRIC ROUGH PLUMBING ROUGH MECHANICAL !! INSULATION COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. (DRYWALL) _ EXTERIOR LATH GAS TEST SEPTIC ABANDONMENT SEWER CONNECTION SEPTIC / GREASE INTERCEPTOR MASONRY INSPECTIONS FOOTINGS/STEEL.T—_ BOND BEAM " POOL / SPA / WATER FEATURE INSPECTIONS PRE-GUNITE / SETBACKS U/G PLUMBING LECTRICAL LASTER (ALARMS/ BARRIERS FINAL INSPECT) USE OF PERMANENT POWER TRICAL BING" �^ / 1AN I CAL PLIC WORKS DEPARTMENT COMMUNITY DEVELOPMENT DEPT. FINAL./ J.OB COMPLETED. ":. ABOVE APPROVALS.DO NOT.INCL•UDE RIGHT TO TURN ON UTIL(CIES.OR OCCUPY BUILDING'