BWFE2015-0228t
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
J
1,
Application Number:
Property Address:
APN:
Application Description:
Property Zoning:
Application Valuation:
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING PERMIT
BWFE2015-0228
80040 SILVER SAGE LN
777450005
CODORNIZ / RJT HOMES / 39 LF OF 6' BLOCK WALL
$1,950.00
Applicant:
RJ T INVESTMENTS INC
1130 E MISSOURI AVE STE 890
PHOENIX, AZ 85034
JUN 3 0 2015
CITY OF LA OUINTA
COMMUNITY DEVELOPMcNT DEPARTidiENT
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: B, A License No.: 690645
Date: Contractor
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 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 777-711
INSPECTIONS (760) 777-7453
Date: 6/26/2)15
Owner:
RJT HOMES CODORNIZ
1425 E UNIVERSITY DR
PHOENIX, AZ 0
Contractor:
R J T INVESTMENTS INC
1130 E MISSOURI AVE STE 890
PHOENIX, AZ 85034
(602)257-1656
Llc. 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:_ 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 the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith
comply with those provisions. . /
Date: —*/— Applican
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 Building Official 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 whore
request and for whose benefit work is performed under or pursuant to any perm
issued as a result of this application , the owner, and the applicant, each agrees ti, and
shall defend, indemnify and hold harmless the City of La Quinta, its officers, agenrs, 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 worx is
not commenced within 180 days from date of issuance of such permit, or cessatic n 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 c xrect.
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 above-
mentioned property for inspection purposes.
Date: Signature (Applicant or Agen
FINANCI�I_
''� DESCRIPTION A000UNT ft f
QTY
AMOUNT
PAID PAID
_, .tr
BSAS SB1473 FEE 101-0000-20306
0
$1.00
$0.00
f PAID BY 7 ' f METHOD r
r • '
-
- 6Wr `,RECEIPT`#,
iT
CHECK# ,CLTD3Y";
v z d r+
y
•Total Paid forBUILDING STANDARDS ADMINISTRATION BSA;
$1.00
$0.00
sY . DESCRIPTION ` ;
; ryr a '`ACCOUNT,;,.= f'.
=QTY
;,` 'AMOUNT
¢PAID : s.
PAID DATE,
,� y :.yi
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$47.86 t
$0.00
'L "`,PAID. BY r -j
- "" METHODr �`' x
4� `RECEIPT# 1 ._
^' CHECK #,- �;4i
CLTDz3Y ?
to
,
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:." ACCOUNT
"QTY
AMOUNTS-'
".-PAID R xa:+
rPAID DATE
.t:
;' , ,
:,
WALL/FENCE - FIRST 100 LF PC
101-0000-42600
0
'$60.91 '
$0.00
f� -' +, PAID,BY, " "'per
+. L "METHOD � `
"RECEIPT# !
CHECK
!t CLTD BY
�
a
` ..
Total Paid forFENCE OR FREESTANDING WALL
$108.77 '
$0.00
TOTALS:0•
00
Description: CODORNIZ / RJT HOMES / 39 LF OF 6' BLOCK WALL
Type: WALL/FENCE Subtype: Status: APPROVED
Applied: 6/26/2015 SKH
Approved: 6/26/2015 SKH
Parcel .No: 777450005 Site Address: 80040 SILVER SAGE LN LA QUINTA,CA 92253
Subdivision: TR 32070 Block: Lot: 5
Issued:
Lot Scl Ft: 0 Building Scl Ft: 0 Zoning:
Finaled:
Valuation: $1,950.00 Occupancy Type: Construction Type:
Expired:
No. Buildings: 0 No. Stories: 0 No: Unites: 0
..z
Details: 39LF OF 6' GARDEN WALL PATIO ENCLOSURE AND A/C EQUIPMENT WALL [PROTO 2 SPECIFICATIONS] PRECISION CONCRETE BLOCK
SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA
BUILDING CODES.
CONTACTS
Is`NAME'TYPE
't' ' NAME ', >z.7
ADDRESSh
* ;CITY _7STATE
ZIPe
PHONE r
FAX=` „
- , s'.:EMAIL
..z
t
APPLICANT
R J T INVESTMENTS INC
1130 E MISSOURI AVE
PHOENIX
AZ
85034
STE 890
CONTRACTOR -
• R J T.INVESTMENTS INC
1130 E MISSOURI AVE
PHOENIX
AZ .
85034
-
STE 890
`
OWNER OWNER
HOMES CODORNIZ
1425 E UNIVERSITY DR
PHOENIX
AZ
0
FINANCIAL INFORMATION
Printed: Friday, June 26, 2015 10:37:19 AM 1 of 2
' SYSTEMS
�ESCRIPTION
-'AMOUNT'-
"_;-�C-PAID
IiEai�
-METHOD
INSPECTION TYPE
CLTD
f
ACCOUNT
ACC
QTY�
REMARK
tPAIDW�E.�
Ilk w
CHECK
DATE
PAID BY
tDATE
0
BSAS SB1473 FEE
101-0000-20306
0
$1.00
$0.00
0
FINAL"
BLD
Total Paid forBUILDING STANDARDS ADMINISTRATION
$1 .00 $0.00
BSA: .
WALL/FENCE - FIRST
101-0000-42404
0
$47.86
$0.00
106 LF
WALL/FENCE - FIRST
101-0000-42600
0
$60.91
$0.00
100 LF PC
Total Paid for FENCE OR FREESTANDING WALL $108.77 $0.00
TOTALS: $109.77 $0.00
I PARENT PROJECTS
I BOND INFORMATION I
Printed: Friday, June 26, 2015 10:37:19 AM 2 of 2 CRWYSTEMS
INSPECTIONS
INSPECTION TYPE
INSPECTOR-i,
SCHEDULED
COMPLETED,
-RESULT-
REMARK
Ilk w
DATE
tDATE
0
BOND BEAM
BLD
0
FINAL"
BLD
0
FOOTINGS
BLD
I PARENT PROJECTS
I BOND INFORMATION I
Printed: Friday, June 26, 2015 10:37:19 AM 2 of 2 CRWYSTEMS
Bin #
D f
City of La Qurnta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
ProjxtAddress: PZ)
Owner's Name: RJT Homes — Codorniz,
LLC
A. P. Number:
Address: P.O. Box 6089
Legal Description:
Contractor: RJT Investments, Inc.
Address: P.O. Box 6089
City, ST, Zip: La Qu i nt a, CA 92248
Telephone: 760-564-6555
Project Description:
City,ST,Zip: L•a Quinta, CA
92248
°
Telephone: 760-564 -6555
"` '� "'�
State Lia#: 690645
Arch., Engr., Designer.
City Lie. #; 6089
Address:
City, ST, Zip:
Telephone:
State Lie. #: ,
Name of Contact Person: j j�/� �'r /�%
Construction Type: '',v/XJT)Mbfcupancy:
Project type (circle one) ew Add'n Alter Repair
Demo
$--: Ft.: 3
# Stories:
#Units:
Telephone # of Contact Person:.' 6
6431
Estimated Value of Project: Q •. O -a
APPLICANT: DO NOT WRITE BELOW THIS LINE
N
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Coles.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Pians picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
i
IN HOUSE:-
'"' Review, ready for corrections/Issue
Developer Impact Fee
t
i
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
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