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05-4622 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: r05-00004622 Property Address: 52218—ROSEWOO6 LN APN: 772-410-997-44 -32070 - Application description: DWELLING - SINGLE FAMILY DET Property 7nnin0• MEDIUM HIGH DENSITY RES Application valuation: 101048 Applicant: BUILDING & SAFETY DEPARTMENT BUILDING PERMIT U___7 �rhitect or Enginee : OC' 2 8 ;2995 CF AI �F �A 011, . I LICENSED CONTRACTOR'S DECLARATION - hereby affirm under penalty of perjury that 1 am licensed underprovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect. License Cl a A nse Nb.: 690645 ontractov 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 155001.: (_ 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 1, 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 contractorls) 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'ISec. 3097, Civ. C.). Lender's Name: Lender's Address: LQPERMIT 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 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 become subject to the w2jk@wWweftpensation provisions of Section 3700 of the L bor Code, I shall forthwith ith those provisions. pplicant: 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 applicatidn 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•cenify 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 construclWigimosdiiiiiereby authorize representatives of this �cc nty to enter upon the above-mentioned property for ins n purposes. t,Ba g/ •• nature (Applicant or Agent): LQPERMIT Application Number• 05-00004622 Permit . . BUILDING PERMIT Additional desc . Permit Fee . . 646.50 Plan Check Fee 105.06 Issue Date Valuation . . . . 101048 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 639.50 2.00 3.5000 ---------------------------------------------------------------------------- THOU BLDG 100,001-500,000 7.00 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 80.99 Plan Check'Fee 5.06' Issue Date . . . . Valuation 0 Expiration Date 4/12/06 Qty Unit Charge Per Extension BASE FEE 15.00 1574.00 .0350 ELEC-NEW RES - 1 OR 2 FAMILY 55.09 545.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 10.90 Permit PLUMBING Additional desc . Permit Fee . . . . 140.25 Plan Check Fee 8.77 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 iC Application Number 05-00004622 ; • M Permit = PLUMBING :. t Y .F. '�. - w" Qty Unit, Charge Per_ ... Extension Y , • `r U . 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., :'d .; 3.75 ` 1.00 15:0000 EA PLB GAS•METER .15.00 +. --_--- 'T -------- ------------------------------------------------ -----GRADING Permit-` PERMIT Additional desc e• Permit Fee 15,'00 - Plan Check Fee .00 r Issue Date Valuation .. 0 Expiration Date, Y 4/12/06 `. S Qty Unit Charge Per ?- I Extension e .. BASE FEE 15.00 Special Notes and Comments �: •� • SFD - LOT 44,"SF3SGA,1574 S.F.-PERMIT• POOL, = - f . , DOES NOT INCLUDE. SPA, BLOCK' WALLS �- r ` -' -OR ,DRIVEWAY APPROACH._ 75% REDUCTION TO 01''}3LDG. M, P/ 04 CEC7'OSENERGY ; PLAN CHECK FEES DUE.TO MULTIPLE �. ISSUANCE OF -;SAME PLAN TYPE. ' -----Other Fees ;. ART IN PUBLIC PLACES -RES 20.00 DIF COMMUNITY CENTERS -RES 97.00. ` DIF. CIVIC CENTER - RES' 366.00 ' ENERGY REVIEW,FEE' 10.51 DIF 'FIRE PROTECTION=RES 97.00 - GRADING PLAN CHECK'FEE .00 - ,.' c - DIF LIBRARIES -'RES 225.00 • ;. DIF PARK MAINT FAC.- RES 5:00 += DIF PARKS/REC - RES 5_'02.00 - - `; STRONG, MOTION (SMI) - RES 10 .10 . • - DIF,STREET'MAINT FAC -RES•. ' 15.00 - + DIF'TRANSPORTATION .,`RES 1098.00 -Fee summary ;'Charged :. Paid Credited - Due - 4 ,•, ' _ ---------- -- - - -----------------.- - - ------ - - - - --- Permit Fee Total 935.24' .00 .00 --- - - - - -- 935.24 V 'Plan Check Total 122.17 00 .00 -122.17 Other Fee Total-- 2445.6.1 00 .00 2445.61 Grand Total 3503:02 00 *.00 -3503.02- ' 't;r •LQPERMIT _ ' •,r - � ' . `. • � .. � ° � ' �. � � La�tiuQ aANN eP%ter irtCof CC 4 C� OF T9� 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: 52-218 ROSEWOOD LANE Use classification: SFD . Building Permit No.: 05-4622 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 09/17/2006 22:35 Iy7605646505 I � �AA N 7 Cl BUILDIN SAFE f OFT Hw 4 Zl 'I INS E 0 t Owner nJ A MvIvir.a L,,LJ%. -Gv Contractor I2JT INVESTMENTS INC. Permit Number 054622 POST ON JOB IN CONSPICUOUS PLACE INSPECTOR MUST SIGN ALL APPLICABLE SPACES JOB ADDRESS 52-218 ROSEWOOD LANE SFD..LO'T;44;,PL,AN SF3SGA- PERMIT DOES NOT . iCLUDED°PUOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. TYPE OF INSPECTION DATE �. INSP. U/G PLUMBING / WASTE �f �) a h,- -T CONCRETE SLAB -1/11' QL*_e "-,-L- P) .. 1. u i DO NOT POUR CONCRETE UNTIL SOVE ROOF NAIL / PRE -ROOF OKAY TO WRAP MING COMBINATION UGH ELECTRIC HOUGH PLUMBING i IA AV - ROUGH MECHANICAL. %- COVER NO WORK UNTIL ABOVE SIGNED INTERIOR GYP. BD. DRYWALL EXTERIOR LATH GAS TEST b D6 SEPTIC ABANDONMENT REAS ND BEAM RE INSPECTIONS PLUMBI GAS FINAL INSPEGTIUNZS TEMP. USE OF PERMANENT POWER e LANICAL LIC WORKS DEPARTMENT ...COMMUNITY DEVELOPMENT. DEPT. - C. ,- FINAL/ JOB COMPLETED,/is?' ' �Ido�o ,fie W►►1�+fi ABOVE APPROVALS DO'NOT INCLUDE RIGHT TO .. . TURN ON UTILITIES OR OGCUPY,'BUIL'D;N•G'