BRES2014-1234a 78-495 CALLE TAMPICO VOICE (760) 777-7125
Twit D � QuArcu
LA`LIUINTA"CALIFORNIA 92253 FAX (760) 777-7011
COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 11/24,'2014
Application Number:
BRES2014-1234
Owner:
Property Address:
80040 SILVER SAGE LN
RJT HOMES CODORNIZ
APN:
777450005
1425 E UNIVERSITY DR
Application Description:
CODORNIZ TM 32070 PH 6B PLAN 44
-PHOENIX, AZ 0
Property Zoning:
Application Valuation:
$110,139.10
Applicant:
RJT HOMES CODORNIZ
Contractor:
R J T INVESTMENTS INC
1425 E UNIVERSITY DR
1130 E MISSOURI AVE STE 890
PHOENIX, AZ 0
DDE
PHOENIX, AZ 85034
(602)257-1656
CITY F LA
Llc. No.: 690645
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 Class:AAl ��f' License No.: 690645yJ��%/� �/f
Date: I� / G t Contractor: ' I o"./A;7—
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.).
(_) I am exempt under Sec. % . B.&P.C. for this reason
Date: / 2 JndA/Owner: /�zh/_�
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:
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 wodcers'
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: 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 workers'
compensation laws of California, and agree that, if I should become subject to tF e
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with t seeprr isi/on/s. /M/
Date: 1 21/ � `7- ADDlicant: `// lir?
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U3 TO
ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABORCODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit sutject to
the conditions and restrictions set forth on this application.
1. Each person upon whose behalf this application is made, each person at whose
request and for whose benefit work is performed under or pursuant to any pernit
issued as a result of this application , the owner, and the applicant, each agreesto, and .
shall defend, indemnify and hold harmless the City of La Quinta, its officers, age its, and
employees for any act or omission related to the work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this application becomes null and void if wcrk is
not commenced within 180 days from date of issuance of such permit, or cessation of
work for 180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to ouilding
construction, a d hereby authorize representatives of this city to enter upon the above-
mentio/n/e�pr pertyforeinspectionpurposes.
Date: G ignature (Applicant or Agent):
t i
r
1 1 • • 1 � !
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DESCRIPTION : ' OACCOUNT .. Q0 ° NT A UDA�E
4 .sem .� _PAID$ ,.
' BSAS S61473 FEE,101 0000 20306
0 ; '. ;$5 00 _< $0:00
PAID BY METHOD
RECE PT # CHECK # CLTDBY
,Total Paid forBUILDING STANDARDS ADMINISTRATION ,BSA; ` 50 $0.00
wD C IPTION <
ACCOUNT'
QTY��
OU,NT
f� PAID �'
WE
�P�AID DANE
'DIF:CIVIC CENTER '
' „" 252-0000743200
0.
'$796 00 ;
$0:00
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RECEIPT#
CHECK#
CLTDB,Y
-
DES,CRIPTI,ON
` AUNT
QTi� AMOUNT
PSA D
PARD DATE
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254 0000 43200
0 $129.00 ° ,
$0.00 '.
MET.
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C TDBY
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e
PAID DATE
z�
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25770000-43200
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253-0000-43200
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HECK #
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QTY
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PAID DATE
Dlf -:PARK •MAINTENANCE , %'
256 0000'43200
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y $40 OO . {
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ye
&IDDAT+,E
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.,251-00007432W:,
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$2;048 00;"
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CLTD BY
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so'I DESCRIU,I.OfV 4£, � a
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r.: DIF - STREET,.MAINTENANCE'. "
255 0000 43200
$116 00
: $0.00
PAI, „
METHOD
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CHECK #
CLTm BAY
•
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} "
L
fills DESCRIPTiION�>.�
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QTY
AMOUNT
PAi -�
PAI
u. .
"DIF. -TRANSPORTATION;
.250 0000 43200.,
0
$2;842`00
$0:00
$ arm y� t ��
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°� °METHOD
� :�,�
RECEI,P�#'
CHECK #
GLT4 BY
TotaLP,aid forbIF SINGLE FAMILY.ATTACHEf]
TIO
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AVOUNNTDC
PAID
PAID SATE
r
TEMP POWER SERVICE
101 0000 42403,: <<
0
$M17 _
$0:00
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GL�TD.BY:
,1
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TEMP POWER SERVICE PC ., .
"16170006414033
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. ; ��$16 92'x_
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Total Paid for ELECTRICAL : $'4109 $0.00
'
'
'•
�DESCRIPsTION
A@ NT
AMOUNT
PAID
PA D DATE
RESIDENTIAL, EA'ADDITION 1,000SF
..
101-0600-42403'.
0
$2466 `;
$0.00
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WffMETHQ
.,
RECEIPT #
CHECK #
CLTD BY
DESG PT�ION
ACCOUNT d .
QTY r
AMOAUNT
PAID
PPRIDQDATE
RESIDENTIAL,.EA ADDITION 1,000SF; PC
101=0000-42600 +
0 '
t ;$10 16 .`;
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$0.0 0
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> RECEIPT`#j
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CITY MOl1NT"
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RESIDENTIAL; FIRST:I000SF ':
x: "101-0000 42403
0 _ $145 03
$0.00
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CHECK #
CLTD B
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DESCRIPTION:
ASC O NT ffliQTY
AMO
,PSD DAT
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�� .
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101'0000742606
0 $47 86
PAIUBY
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CLTD'BY''
_. Total Paid for ELECTRICAL - NEW CONSTRUCTION:—"_227.71,'$0:00
DESCRIPTION
AC OUNT
QTY AMOUNT
PAID
PAIDDATE
;CON DENSER/COM PRESS( R ;, ;
: ;101-0000 42402
026 '.
$0:00
'
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_MET€HOD �
RECEIPT #
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CLD BY
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i]ESCRIPTION ��
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MOUNT
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PAID DATE
EXHAUST HOOD: ..
,.'.101-0000-42402
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METHOD
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101,0000-42600•
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$4 83 ^
$0;00
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" �.DESCRIPTwry
ACCOUNT
EWA.
QTIf,AMOUNT'
a
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FURNACE
101 0000,42402
PAID BY-
�ME*TROD
RE`CEIP�T # � '
CHECKS#
,
,
'DESCRIPTiIOIVVn,ffl�`'''
ACCOUNT
QTY
AMOUNT`
g gPA D
02.
PAID DATE
FURNACE PC .
% -101-090042600
0
$24 17>
{' $0.00
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"sRECEIP #
CHECK #
CLTRIBBY
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"DESCRIPTIO11-72,
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RISCDESCRIPTION ra- , a^+
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QTY AMOUNT
r
PAID,
�
PAIDDATE
v raz"
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;101-0000=42600
0> $19.32 '-
$0.00
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METHODS
WA RECEIP #
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Total,'Paid for.MECHANICAL $205.46 ' $0:00
DESCRIPTIONACCOUNTMffRMM
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PAIDDATE
- *>�
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res v w
MULTI-SPECIES RESIDENTIAL>14 UNITS '-'
-101-0000 20310
0 _, " ° $237 00;
PAID BY e
METHOD
RECEIPT #
CHEF#
CLT�BY
-.''Total
Paid forMULT1=SPECIES RESIDENTIAL' $237 00, :; $0,00
` DERI�PTION��
A000UNT �.
CITY AMOUNT'
PAID
'PAIOID TE.
NEW CONSTRUCTIONPERMIT _
101-0000-42406'-i"
0 .= ; $508 51' '
$0.00
PAID
MEOD a!"^
A RECEIPT #
CHECK#
CLTD
Total Paid forNEW CONSTRUCTION PER J`` $508.51_Lr $0:00
" DESCRIPTION
ACCO=UNT�
QTY
ANT
7w 1 PAI6=1
OAICUE
NEW CONSTRUCTION PLAN CHECK
101 0000 42600
0 ;-
$992 75
$0.00
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C E5K # a�
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Total Paid:forNEW
CONSTRUCTION PLAN CHECK: t . "$992 75 •-r ! $0:00
n0AWMM:SM
��DESCRIPTION
QTYANIOUNT
PAIDPAIG
DAtTEf
. ..
.rn�rniinir_
a
�.
BACKFLOW DEVICE
10p51 0000 42401.
0 .$12 09 :'
$0:00
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ME 'F OD
RECEIPT #
C CK #
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4TY
AMOUNT
PAID
PAICDAT
,^
BACKFLOW?DEVICE PCS
101:0040 42600
0 , ..
, ,$4 83 ::.� `.
$000
PAID BY
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DESCRIPTION
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QTY MA"A N
NA
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P C DAT
BUILDING SEWER
101 0000 42401
0,-,,. $12:09,
PAID BY
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RECEIPT #,
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CL7DBY
DESCRIPTION" �°QTLY
''�rAC�CO'UNT
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PAD DATE
BUILDING SEWER PC
`'101-0000-42600-0--
;
` $12.09` '
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IVIN
METHOD �.
F2E IP�T #
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,Y`;§gjS` �$'R^'`'. _
gMOT ..
,yN ix`2 3 x`i R x
PADS
i. f... , -iOA '
PAID DATa
FIXTURE/TRAP.
101 0000 42401
0
$241 80 ``
$0.00 '..
r101`� y�"Fk':'4.:�� °,ssb,�';� �„�"T:l��`nk Si:�' 4lyiZ�a �`� 1y'��,s`a.%
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�q "!��:r'
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s
AIVIOU TsrPAID.,
�PAIDD?T�Ei
= FIXTURE/TRAP;PC ;`
101-0000-42600
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-
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will
ACCOUNT
QT�Y�
AMOUNTPAID�{PAIDDATE
GAS SYSTEM„ 1-4 OUTLETS . ` " .
101-0000 4240P
0 , :
; $12.69'
F PAS B� K . �
ffi METHOD
Rl_
ks. Fx.
RECEIPT#
lam
'21 CHECK #
CLTD BY
.` .. '..'. ..
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DESCRIPTION S
<. SCRI?�
P`F."''1
ACCOUNT.
*`s.
QT=Y
`.£
S AMOUNT ��
l',F&.�{YP
� �PA1D��
PAD DATE
'GAS SYSTEM,1-4 OUTLETS PC
101 0000 42600"
"0
$24:17 '
$0.00 ,
Ab�c�
;'. rA�DBY�
as
6INIE�THOD
..
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k CHECK #
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�CLTDB
' ' DESCRIPT ONS�a(
` .. - € a R?uYAi c,F"2
•.y� d QAC OUNT a
A'� � 5z "<.,i�iz...C47N-;:".,k7ayi ='w-,M,'N
QTY
MOON ' „.
�...�:e.s�a"�,#�'>
PA D
PAID AT
zk�°s:?"3'i.F>�a�:°.
WATER HEATER/VENT
101-0000',42401
0
.$12 09 .::
$0.00
PAID°BY'.
�.��lYIR,
v4MET OD
� a
RE SIFT #
CH
:i
1"D SE CRIPT ION X'e� °
€tfFdS.d?°#sY;Nib;:"5:..Yta".:'f3E'tl:18.�i�.Sm'ro:.....?'&e$.'sx.
AC OUNT
QTY
.ti.'
s, .yAOUN=T',
°k`.s."f_3.iAYr+.
PADPAIDDATE
a'.,:s.'�A",i
WATER HEATER/VENT PC ''
101-0000-42600;
0
$7 25�; " '
,$0.00
A DBY�
tlMETHO
�r
S� REC EIPT #
CHECK # ,CLTDIBY
..'` "" .' e adR'w , Ss .g+Sa'
nW DESCRIPTIONA L �gACCOIINTi'a"',
1'v 7^
QTY
f.,.. `n
AIVIOl1NT
h.'"'�a ' +.,y:
PAID '�3.
?'yea# l-l-
PAID DATE- .
WATER SYSTEM INST/ALT/REP
101-0000.42401
0 ;
$12 09, .:
$0.00
BY. y' :F
�akf, k:.1..ohn:M ...,}3�.`AHb:4G`lt b';r°.#.A'e;x>:'a.,? ..•A�. N^
0".t�METMOD
a`.'^4'e'?•,!Y3§fX�KYs k^'+`a1:ar;;L..z?SS,
REC PT�y#
AN &I n'a$i6Rt^.FS?7 ...f.„','SCa i£.
CFIECK# £'£
'bv`�.¢Ati�9£.:
,' LTDB
Il'' ra DES,CR PTIONr: h _d s &.'. s,
ACCOUNT�?�"
P' .�+� ''�. k ;.a�^.lull �
, Nz
�Q�.
AINIOU T �'�PAID
�� :BZW,
�
PAID DATE
�WATERSYSTEMINST/ALT/REPPC
•..:'�
:101-0000T.426001
0 ,'.
- $12.0
$0.00
;
PAID�BY ��
.v5.,�I, a . $tPkss;'a?s:.w...,;,a .:.,..
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{ x
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RECEIPT#
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CLTD BY
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,
;Total Paid forPLUMBING FEES: $604 48, ; $0y.00 "
xr.> DESCxR1I0N
A�C�COUNT
QTYIff
AIVhOUNT
PAID
�PAIDDATE
SMI RESIDENTIAL
101-0000 20308
•,
0
`^s,�y,
i.
ffl
MINIM`� p a F ..
s;� ��PAY�HOD
, . • '�+ , ,
y ,;A ,a.
e ��
EC�EIPT #
�i➢ £`4$`8" ".4%t ,
�¢t
3' -fwv" - �'u
wCT� BY
Total Paid:forSTRONG MOTION INSTRUMENTATION SMi $14 32 `.', $0.00
uK-..
DESCRIPTIONACCOUNT
' s L b'
QTYkAMOUNT.�`
.,
°PAID
P,AI,D DATE
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44 't
$0.00
i'PAIUBY` `�`.
METHODpRECEIPT#
CHECK#',CLTOBY
`
k€Fx
assn- "`fr
.,wkpa-
•,.j -x> .
-Total Paid forTUMF - RESIDENTIAL: $1,837.44 ' $0.00.
A �
TOTALS: $11,354.76 $0.00
Description: CODORNIZ TM 32070 PH 6B PLAN 44
Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: APPROVED
Applied: 11/20/2014 AZA
FAMILY ATTACHED
Approved:
Parcel No: 777450005 Site Address: 80040 SILVER SAGE LN LA QUINTA,CA 92253
Subdivision: TR 32070 Block: Lot: 5
Issued:
Lot Sq Ft: 0 Building Sq Ft: 0 Zoning:
Finaled:
Valuation: $110,139.10 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No. Unites: 0
Details: 1660 SF DWELLING - PLAN 44, LOT 5 [VB/RES-3/CLASS-A/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS, BBQ OR
WATER FEATURE. 2013 CALIFORNIA BUILDING CODES
„
„�
ONDITI8IVS"
Printed: Monday, November 24, 2014 4:34:47 PM 1 of 4 CRWIYSTEMS
DESCRIPTION*
'ACCOUNT ` "
QTY
, AMOUNT
�� PAID `
PAID DATE
'RECEIPT-#
CHECK #: "
METHOD
PAID BY
. ,
, .
t�
Y
DIF - CIVIC CENTER
252-0000-43200
0
$796.00
$0.00
DIF - COMMUNITY
254-0000-43200
0
$129.00
$0.00
CENTER
DIF - FIRE PROTECTION
257-0000-43200
0
$366.00
$0.00
DIF - LIBRARIES
253-0000-43200
0
.$344.00
$0.00
DIF - PARK
256-0000-43200
0
$40.00
$0.00
MAINTENANCE
_
DIF - PARKS/REC
251-0000-43200
0
$2,048.00
$0.00
DIF - STREET
255-0000-43200
0
$116.00
$0.00
MAINTENANCE
DIF - TRANSPORTATION
250-0000-43200
0
$2,842.00
$0.00
Total Paid for DIF - SINGLE FAMILY ATTACHED $6,681.00 $0.00
TEMP POWER SERVICE
101-0000-42403
0
$24.17
$0.00
TEMP POWER SERVICE
101-0000-42403
0
$16.92 '
$0.00
PC
Total Paid forELECTRICAL: $41.09 $0.00
RESIDENTIAL, EA
101-0000-42403
0
$24.66
$0.00
ADDITION 1,OOOSF
x
RESIDENTIAL, EA
101-0000-42600
0
$10.16
$0.00
ADDITION 1,000SF, PC
_
RESIDENTIAL, FIRST
1\ 101-0000-42403
0
$145.03
$0.00
1,000SF
RESIDENTIAL, FIRST
101-0000-42600
0
$47.86
$0.00
1,000SF, PC
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $227.71 $0.00
CONDENSER/COMPRES
101-0000-42402
0
$36.26
$0.00
SOR
CONDENSER/COMPRES
101-0000-42600
0
$24.17
$0.00
SQR PC
Printed: Monday, November 24, 2014 4:34:47 PM 2 of 4 CRWSYSTEMS
Printed: Monday, November 24,20144:34:47 PM 3 of 4
SYSTEMS
7-_77
7CTU
-DESCRIPTION,
ACCOUNT
1.QTY•
AMOUNT ,.
PAID
'PAID DATE
RECEIPT #:
CHECK #
' METHOD.,
. PAID BY--
4
.
ya
EXHAUST HOOD
101-0000-42402
0
$12.09
$0.00
-
-EXHAUST HOOD PC
101-0000-42600
0
$4.83
$0.00
.FURNACE
101-0000-42402
0
$36.26
$0.00
FURNACE PC
101-0000-42600
0
$24.17
$0.00
VENT FAN
101-0000-42402
0
$48.36
$0.00
VENT FAN PC
101-0000-42600
0
$19.32
$0.00
Total Paid forMECHANICAL: $205.46 $0.00
MULTI -SPECIES
101-0000-20310
0
$237.00
$0.00
RESIDENTIAL >14 UNITS
Total Paid forMULTI-SPECIES RESIDENTIAL $237.00 $0.00
NEW CONSTRUCTION
101-0000-42400
0
$508.51
0
PERMIT
.$0,0
Total Paid for NEW CONSTRUCTION PERMIT: $508.51 '- $0.00
NEW CONSTRUCTION
101-0000-42600
0
$992.75
$0.00
PLAN CHECK
-
Total Paid for NEW CONSTRUCTION PLAN CHECK: $992.75 $0.00
BACKFLOW DEVICE •
101-0000-42401 '
0
$12.09
$0.00
BACKFLOW DEVICE PC
101-0000-42600
0
$4.83
$0.00
BUILDING SEWER
101-0000-42401
0
$12.09
$0.00
BUILDING SEWER PC
101-0000-42600
0
$12.09
$0.00
FIXTURE/TRAP
101-0000-42401
0
$241.80
$0.00
FIXTURE/TRAP PC
101-0000-42600
0
$241.80
$0.00
GAS SYSTEM, 1-4
101-0000-42401
0
$12.09
$0.00
. OUTLETS
GAS SYSTEM, 1-4
101-0000-42600
0
$24.17
$0.00
OUTLETS PC
Printed: Monday, November 24,20144:34:47 PM 3 of 4
SYSTEMS
'
"'DESCRIPTION
'CITY
RESULT REMARKS NOTES. -
DATE
A
AMOUNT
WATER HEATER/VENT
101-0000-42401
0
$12.09
$0.00
WATER HEATER/VENT
101-0000-42600
0
$7.25
$0.00
PC
WATER SYSTEM
101-0000-42401
0
$12.09 1
$0.00
WATER SYSTEM
101-0000-42600
0
$12.09
$0.00
INST/ALT/REP PC
Total Paid forPLUMBING FEES: $604.48 -$0.00
SMI - RESIDENTIAL
101-0000-20308
0
$14.32
$0.00
Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $14.32 $0.00
Total Paid forTUMF - RESIDENTIAL: $1,837.44 -$0.00
TOTALS: $11,354.76 $0.00
INSPECTIONS
SCHEDULED
1SEQID INSPECTION iikl, INSPECTOR COMPLETED
RESULT REMARKS NOTES. -
DATE
Printed: Mnnday, November 24,ZO144:34:47PM
.
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