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13-0792 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA .92253 4. ar& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13-00000792 Property Address: 80046 SILVER SAGE LN APN: 772-410-997-3 -32070 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 115026 Applicant: Architect or Engineer: ------------------ LICENSED CONTRACTOR'S DECLARATION I her affirm under penalty of perjur that I am lice a under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the B i ess and Pr es als Code, and my License is in full force. and effect. License Class: A B License No.: 690645 Date: �� �, Contractor: OWNER -BUIL ER 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 apermit 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.). (_ 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: f 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: LQPER1111T- -- VOICE (760) 777-7012' FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/05/13 Owner: RJT HOMES CO 1425 E UNIVE Y DR .PHOENIX, AZ 0 4 JUL 05 2013 J CITY OF LA QUINTA Contractor: FINANCE DEPT. RJT INVESTMENTS INC 1425 E. UNIVERSITY DRIVE PHOENIX, AZ 85034 (602)257-1656 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 LUMBERMEN'.S UND Policy Number 429034 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 ahe workers' compensation laws of California, and agree that, if I sho ecome suorkers' compensation provisions of Section 8q3,�700 of the Labor C shall fort wwith those provisions. Date: / - u/1 Applicant: WARNING:. FAILURE TO SECURE RKERS OMPENSATION VERAGE 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 EES.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 t above infor a 'o is co rect. I agree to comply with all city and county ordinances and state laws relating to b ing constr do , a he eby authorize representatives of this county to enter upon the above -mention( pr e y for inspe ti urpo Date: i5 W 1 Signature (Applicant or Agent) Application Number . . . . 13-00000792 ------ Structure Information 1,731SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct.info . CODE EDITION 2010 # BEDROOMS-; 3".00 FIRE SPRINKLERS 13D GARAGE SQ FTG 598.00 PATIO SQ FTG 25.00 NUMBER OF UNITS 1.00 1ST FLOOR SQUARE FOOTAGE 989.00 2ND FLOOR SQUARE FOOTAGE 742.00 'Permit BUILDING.2013 Additional desc . Permit Fee . . . . 505.57 Plan Check Fee .00 Issue Date Valuation . . . . 115026 Expiration Date 1/01/14 r t Qty Unit Charge Per Extension BASE FEE 431.86 91.00 .810.0 THOU BLDG $25,001-$200,000 73.71 ------------------------------------------------- ------------------- 7 -------- Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee 191.15 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension 1.00 23.8300 EA ELEC SERVICES 23.83 1.00 143.0000 LS ELEC NEW RES, FIRST 1 KSF 143.00. 2.00 12.1600 ---------------------------------------------------------------------------- EA ELEC NEW RES, ADD'L 1 KSF 24.32 Permit MECHANICAL 2013 Additional desc . Permit Fee . . . . 143.02 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date.. 1/01/14 1 Qty Unit Charge Per Extension 1.00 35.7500 EA MECH FURNACE 35.75, 1.,00 35.7500 EA MECH CONDENSER/COMP 35.75 5.00 11.9200 EA MECH VENT FAN 59.60 1.00 11.9200,EA ---------------------------------------------------------------------------- MECH EXHAUST HOOD 11.92 Permit . . . . . . PLUMBING 2013 LQPERIIIIT Application Number . . 13-00000792 Permit . . . PLUMBING 2013 Additional.desc . Permit Fee . . . . 226.47. Plan Check Fee.. .00 Issue Date Valuation . . . . 0 Expiration Date 1/01/14 Qty- Unit Charge Per Extension 13.00 11.9200 EA PLBG FIXTURE/TRAP 154.96 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 ' 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 35.7500 LS PLBG GAS_SYS, 5+ OUTLETS ------,------------------------------------- 35.75 ----------------------- Special Notes and Comments ---------- 1.,731SF DWELLING - PLAN SF3ASGR, LOT 3 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS,PERMIT DOES NOT INCLUDE BLOCK WALLS OR WATER FEATURES .**APPLICATION ASSESSED A BASE PLAN REVIEW FEE OF $47.67 DUE TO MULTIPLE ISSUANCE OF BUILDING TYPE**. 2010 CALIFORNIA BUILDING CODES. June.25, 2013 4:48:52 PM AORTEGA ---------------------.----------------------------------- Other Fees . . . . . . BLDG STDS ADMIN,(SB1473) 5.00 DIF COMMUNITY CENTERS" -RES 129.00 'DIF CIVIC CENTER - RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES'- RES 344.00 MULTI -SPECIES (MSHCP) FEE 531.00 DIF.PARK MAINT FAC - RES 40.00 -DIF PARKS/REC - RES 2048.00 PLAN CHECK, MULTIPLE STR 47.67 STRONG MOTION (SMI) - RES 11.50 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT.FAC-RES 116.'00 DIF TRANSPORTATION - RES 2842.00 Fee.summary Charged Paid Credited ---------------------.---------------------------------- -Due Permit Fee Total 1066.21 .00 .00 1066.21 Plan Check'Total .00' .00 .00 .00• :Other -Fee Total 9326.61 .00 .00 9326.61 Grand Total 10392.82 .00 .00 10392.82 LQPERMIT