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BRES2014-1065l 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 t T-itr44�4" COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT Application Number: BRES2014-1065 Property Address: 80031 SILVER SAGE LN, APN: 777450009 Application Description: CODORNIZ TM 32070 PH 6A Property Zoning: PHOENIX, AZ 0 Application Valuation: $98,772.00 Applicant: R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 PHOENIX, AZ 85034 �n 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 Professions Code, and my License is in full force and effect. License Clas B A License No.: 690645 a Date:Contractor: OWNER -BUILDER DE LARATION 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.). (_) 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: I Lender's VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/24/2014 Owner: RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX, AZ 0 C �n C. o� r Contractor:o R J T INVESTMENTS INC 5 1130 E MISSOURI AVE STE 890 m c N PHOENIX, AZ 85034 _ o �► 1 (602)257-1656 C 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 worke:-s' compensatio 9, as provided for by Section 3700 of the Labor Code, for the perform once r which this permit is issued. have and will maintain workers' compensation insurance, as required )y ecti 3700 of the Labor Code, for the performance of the work for which this pe mit is issued. My workers' compensation insurance carrier and policy number are: Carrier: A; Policy Number: . 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 worker.: 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 forthwith comply with ose ovisions. n Date Applicant'. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP `O 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 Building Official for a permit subje_t 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 permil 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 cerrect. I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this city to enter upon the a-bove- mentioned yropertytor inspection purposes. Dah2l Signature (Applicant or Agent)* n FINANCIAL INFORMATION w j DESCRIPTION w #` - t . + ACCOUNT , :: QTY < AMOUNT' - PAID : PAID DATE BSAS SB1473 FEE .. 101-0000-20306 • . 0 $4.00 $0.00 S «, PAID BY. ;" METHOD-` '` ''RECEIPT #... �: - CHECK # CLTD GY' Total Paid forBUILDING STANDARDS ADMINISTRATION BSA $4.00 $0:00 DESCRIPTION' ✓ . AMOUNT, PAID PAID:DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD RECEIPT # ° " CHECK #. CLTD BY W DESCRIPTION :' ."'� `ACCOUNT QTY -` AMOUNT +> 'PAID ; 'PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY + : =, METHOD Y RECEIPT# s ', CHECK # �, CLTD BY , "DESCRIPTION r •. }"ACCOUNT QTY' T AMOUNT:.; " ,,".' PAID r PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 -$433.00 $0.00 PAID BY '' METHOD RECEIPT # • - « ;` CHECK # CLTD BY' 'pESCRIPTION F,. , J ACCOUNT .„ r''.„ QTY, AMOUNT-� _,+ PAID - PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 PAID BY''', °METHOD ' is 'RECEIPT # '' CHECK # CLTD dY'" .: DESCRIPTION :. _x _ ACCOUNT QTY`_A ,.. MOUNT:« r PAID -� PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 t PAID BY : ' ` METHODz RECEIPT # CHECK #„ s CLTD BY DESCRIPTION ., - .-. ; ;ACCOUNT.. CITY AMOUNT... � PAID :PAID�D_>TE DIF - PARKS/REC 251-0000-43200 0, $2,048.00 $0.00 PAID BY -'"METHOD RECEIPT # � . ` :' ' �",CHECK # CLTD. BY DESCRIPTION .ACCOUNT J ='� -- • QTY AMOUNT PAID ;7 PAID D' _ DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY METHOD _. t , : • •, RECEIPT # CHECK # 'CLTD BY m DESCRIPTION r 'ACCOUNT. .QTY, - AMOUNT: PAID" PAID DATE DIF-TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 s. PAID BY, ,,. r= METHOD > r :, RECEIPT # s . .CHECK.# "G CLTD 3Y Total Paid forDIF - SINGLE FAMILY DWELLING $6,894.00 $0.00 DESCRIPTION _" , :''ACCOUNT '- _ - QTY AMOUNT PAID + ` ' PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 ' r PAID BY *' - METHOD., "' 'RECEIPT # CHECK #' • CLTD BY Total Paid for ELECTRICAL: $23.83 $0.00 µ DESCRIPTIO., N n z ACCOUNT CITY.• AMOUNT PAID- PAID DATE RESIDENTIAL, EA ADDITION 1,000SF "` 101=0000-42403 0 $12.16 $0.00 '..PAID BY METHOD '- : - RECEIPT # .' : CHECK # CLTD BY ` DESCRIPTION , . r' -' ' •_ ' .. ACCOUNT s �. QTY _ AMOUNT, PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $0.00 PAID BY , .. METHOD ; RECEIPT # __ z ;CHECK # ., : _ CLTD BY Total Paid for ELECTRICAL - NEW CONSTRUCTION: $155.16 $0.00 DESCRIPTION ACCOUNT- QTY AMOUNT, a: :,PAID PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 • `.., ; PAID BY METHOD ` r RECEIPT #' ,F_ CHECK # CLTD BY Total Paid forGRADING: $143.00 $0.00 DESCRIPTION_ _' = kA000UNT QTY AMOUNT..' ' PAID• -PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $35.75 $0.00 PAID BY METHOD *- °`:. 'RECEIPT #' CHECK #' CLTD BY . = DESCRIPTION ' '. ACCOUNT QTY "AMOUNT PAID • PAID DATE EXHAUST HOOD 101-0000-42402 0 .$11.92 $0.00 PAID BY a METHOD RECEIPT # `T- �. ' ;',_ r C, .; HECK # t CLTD 6Y DESCRIPTION ' ACCOUNT ; ., QTY; AMOUNT ' . PAID"' .. PAID DATE FURNACE 101-0000-42402 0 $35.75 $0.00 p PAID BY - METHOD , , RECEIPT # CHECK # CLTD BY. -DESCRIPTION '.' ,;.. ACCOUNT rr QTY,; AMOUNT_ c- PAID 4, PAID DATE VENT FAN 101-0000-42402 0 $47.68 $0.00 PAID BY _�- METHOD RECEIPT# CHECK # •• CLTD. BY Total Paid forMECHANICAL: $131.10 $0.00 ' DESCRIPTION 'ACCOUNT CITY '' AMOUNT PAID = '' PAID DATE MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS 101-0000-20310 0 $537.00 $0.00 PAID BY METHOD = 'RECEIPT # .. CHECK # 'CLTD BY, Total Paid forMULTI-SPECIES RESIDENTIAL, $537.00 $0.00 "`DESCRIPTION ACCOUNT "'_• QTY AMOUNT _s' ° PAID PAI D DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $491.80 $0.00 PAID'BY.' �', ' - METHODS .RECEIPT # ,` w` >ti CHECK #" CLTD 6Y Total Paid forNEW CONSTRUCTION PERMIT: $491.80 $0.00 L> ,'DESCRIPTION Sw ?`ACCOUNT QTY - AMOUNT+ :, "PAID'- .1, PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 PAID BY •. 9-, % :' gw METHODv " RECEIPT r- CHECK# �" CLTD"EY . ;,DESCRIPTION'` a ACCOUNT QTY' AMOUNT PAID,, ,;PA, DATE FIXTURE/TRAP 101-0000-42401 0 $119.20 $0.00 �., .PAID.BY . , METHOD j r RECEIPT # CHECK #' R ,� „ . ' 'CLTD E,Y "DESCRIPTION. ', ACCOUNT y QTY, , AMOUNT �' °.^' PAID' + ; PAID.DA►TE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $11.92 $0.00 , PAID BY _, :METHOD _. _, :' 4. RECEIPT"# ` CHECK#` CLTD`EY c"DESCRIPTION :; - 4 �` ;_ ACCOUNT x , , Y QTY7 _. , .AMOUNT PAID PAID DATE,' WATER HEATER/VENT 101-0000-42401 0 $11.92 $0.00 PAID BY'i 4: ` ; '. _j'aMETHOD _: `RECEIPT # CHECK # CLTD"E•Y, -DESCRIPTION ,`. .. ;. _. ;, -,ACCOUNT ", QTYa, '; �- AMOUNT .'" PAID w'r PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID`BY = '` A _' :.`i7. ...'METHOD , ". ,. ':: RECEIPT # ' X ': CHECK # CLTD E:Y Total Paid for PLUMBING FEES: $166.88 '$0.00 _.DESCRIPTION �� N ACCOUNT _ QTY= ", AMOUNT' y - :PAID PAID DATE SMI = RESIDENTIAL 101-0000-20308 0. $9.88 $0.00 =METHOD r : ; ,,, .� ^RECEIPT# y �� y CHECK;# CLTD EY.,: 4 Total Paid forSTRONG MOTION INSTRUMENTATION SMI $9.88 $0.00 _.. DESCRIPTION'.- ; ;„ - , ACCOUNT , {., QTY ' .. AMOUNT , -„' AID: PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 z -= PAID BY = --METHOD - a RECEIPT # ni, . CHECK # �; CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 • • 0• $0.00