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13-1325 (BLCK)2 P.O. BOX 1504 78-495 CALLE TAMPICO : LA QUINTA, CALIFORNIA 92253 Application Number: 13-00001325 Property Address: 80046 SILVER APN: 772 -410 -997 - Application description: WALL/FENCE Property Zoning: MEDIUM HIGH Application valuation: 1100 Applicant: V( (76) 77771? FAX FAX (7600) 777-70011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 SAGE IN -32070 DENSITY RES Architect or Engineer: LICENSED CONTRACTOR'S DECLARATION BUILDING PERMIT I hereby affirm under penalty of perjury t I am licens unde provisions of Chapter 9 (commencing with Section 7000) of Division 3 of [he Bu ' sand Prof si s de, and my License is in full force and effect. License Class: A B Lic seNo.: 690645 Date: / /C'ontracto- ' OWNER -BUILDER DECLARATION 1 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 70001 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 _ 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 contractor(s) licensed - pursuant to the Contractors' State License Law.). (_ I I am exempt under Sec. , BAP.C. for this reason Date: Owner: CONSTRUCTION LENDING AGENCY 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: LQPERMIT Owner: D RJT HOMES - CODORN P.O. BOX 810 LA QUINTA, CA 9225 OCT 17 2813 CIYY OF L,q Contractor: RJT INVESTMENTS INC 1425 E. UNIVERSITY DRIVE PHOENIX, AZ 85034 (602)257-1656 LiC. No.: 690645 .10/16/13 - ---------------------------------------------— 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. 1��l 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'$ UND PolicyN tuber 429034 I certify that, in the performance of the w rk or which this permit is issued, I shall not employ any person in any manner so as to bec su ect to the workers' compensation laws of California, and agree that, if I sh Id beco e s c o the workers' compensation provisions of Section 3700 9Pthe Labo o e, I s I f i omply with those provisions. ' ate: /-q JApplicant: �l WARNING: FAILURE TO SECURE WO ERS" COM E SATION COVERAGE IS UNLAWFUL, AND'SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ND 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 application becomes null and void if work is not commenced within 180 days from date of issuance of such permit, or cessa ' n of work for 180 days will subject permit to cancellation. - I certify that I have read this application and state that t above infor do is orrect. I agree to comply with all city and county ordinances and state laws relating to i ing const cti " d ereby authorize representatives of this county to enter upon the above-mentioned p p y for ins c ' n u os s. --'D`ate!,/? 13 Signature (Applicant or Agent): Application_Number . . . . . .13-0000132.9 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . Permit Fee . . . . 47.19 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 1100 Expiration Date 4/14/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF ---------------------------------------------------------------------------- 47.19 Special Notes and Comments. BLOCK WALL - 22 L.F. OF 6 FT. BLOCK, GARDEN WALLS PER ATTACHED APPROVED ORCO DETAIL [PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM 'OUTSIDE THE PROPERTY]. 2010 CALIFORNIA BUILDING CODES. ----------------------------------------------------.--------------- Other Fees . . . . . . . BLDG STDS ADMIN (SB1473) 1.40 PLAN CHECK, WALLS 60.06 Fee summary Charged Paid Credited Due Permit Fee.Total 47.19 .00 .00 47.19 Plan Check Total .00 .00 .00• .00 Other Fee Total 61.06 .00 .00 61.06 Grand Total 108.25 .00. .00 108.25 Bin ty City of La Quinta Building 8T Safety Dh4slon P.O. Box 1504,78-495 Calle Tampico a Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #7- 2� �� Project Address:] Owner's Name: RJT Homes - Codorni z , LLC A. P. Number: - — Address: P.O. Box 6089 Legal Description: City, ST, Zip: La Qu i nt a, CA 92248 Contractor: RJT Investments, Inc. Telephone: 760-564-6555 r Project Description: Address: P.O. Box 6089 City,ST,Zip: La Quinta, CA 92248 Telephone: 760 - 564 - 65 5 5 ZZ r/r,e�r StateLio.#: 690645 CityLic.#, 6089 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: p �,.� Construction Type: K Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: # Stories: # Units: Telephone # of Contact Person: 160 TO q - _716 Estimated Value of Project: l� APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted l� ID Item Amount Structural Cake. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Title 24 Cales. Plans 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 Pians resubmitted Grading IN HOUSE:- '"' Review, ready for correctionvIssue I Developer Impact Fee Planning Approval Called Contact Person A,I.P,P, Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees !l 11