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13-0788 (SFD)P.O: BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000788 Property Address: 80043 SILVER SAGE LN APN: 772-410-997-11 -32070 - Application description: DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 98772 Applicant: VOIrF. (76n) 777.7012 4 �1 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/05/13 Owner: RJT HOMES CODORNIZ 1425 E UNIVERSITY DR DETACHED PHOENIX, AZ 85034 Architect or Engineer: LICENSED CO TRAC R'S DECLARATION I hereby affirm under penalty of perjury that I am licen d rovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus* sand Pro ss' als de, and my License is in full force and effect. License Class: A B _ se No.: 690645 1 Date:', Contractor: 3 f OWNER -BUILD DECLARATION I hereby affirm under. penalty of perjury that 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.). 1 _ 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.). (_) 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: Lender's Address: LQPERMIT Contractor: RJT INVESTMENTS 1425 E. UNIVERSI PHOENIX, AZ 85.03 (602)257-1656 Lic. No.: 690645 L 05 2013 L CITY OF LA QUINT FINANCE DEFT. 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 eissued. 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 workerscompensation insurance carrier and policy number are: Carrier LUMBERMEN'S UND Policy Number 429034 I certify that, in.the performance of the work for h this permit is issued, 1 shall not employ any person in any manner o as to )eco sub' he workers' compensation laws of California, and agree that, if I sh Id become N to th orkers' compensation provisions of Section 3700 of the Labor I shall rt ith compt ith those provisions. Dater �Applicant: WARNING: FAILURE TO SECURE WOROC OMPENSATION 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 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 i ork is not commenced within 180 days from date of issuance of such permit, or ces n of rk for 180 days will subject permit to cancellation. I certify that I have read this applicationandstate that th bove inform ion' c . I agree to comply with all city and county ordinances and state laws relating to b ' di g constructs n, a hes authorize representatives of this county to enter upon the above-mentioned pr a for inspects n p p ses. . Date: - Sr120! ignature (Applicant or Agent) LQPERMIT e r Application Number 13-00000788 ------ Structure Information 1,504SF DWELLING/VB/RES-3/CLASS A-FR/13D--.--- Other struct info CODE EDITION 2010 # BEDROOMS 3.00 FIRE SPRINKLERS. 13D - GARAGE SQ FTG 462.00 PATIO SQ FTG 26.00 NUMBER OF UNITS 1.00, 1ST FLOOR SQUARE FOOTAGE 722.00 ----------------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE 782.00 Permit BUILDING Additional desc . 1.2013, ._ Permit Fee 491.80 Plan Check Fee .00 Issue Date Valuation 98772 Expiration Date 1/01/14 a Qty Unit Charge Per Extension BASE FEE 431.86 74.00• .8100 7 --------------------------------------------------------------------------- THOU BLDG $25,001-$200,000 59.94 Permit r ELECTRICAL 2013 Additional desc i Permit Fee 178.99 • 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 1.00 12.1600 --------------------------- EA ELEC NEW RES, ADD'L 1 KSF ------------------------------------------------- 12.16 Permit . . MECHANICAL 2013 Additional desc Permit Fee . . . . 131.10 Plan Check Fee .00.. Issue Date . . . . Valuation . . . . 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension 1.00 35.7500 EA` MECH FURNACE 35.75 1.00 3-5.7500 EA MECH CONDENSER/COMP 35.75 4.00 11.9200 EA MECH VENT FAN 47.68 Y 1.00 11.9200 =-------------------------------------------- EA MECH EXHAUST HOOD ------------------------------- 11.92 Permit PLUMBING.2013 LQPERMIT e r LQPERMIT Application Number Permit... . . . . PLUMBING 2013 Additional desc Permit Fee- 214.55 Plan Check Fee .00 Issue Date Valuation . . . . 0' Expiration Date 1/01/14 Qty Unit Charge Per Extension 12.00 .11.9200 EA PLBG FIXTURE/TRAP 143.04 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 I 1,504SF DWELLING - PLAN SF2BR, LOT 11 [VjB/RES-3/CLASS'A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR WATER FEATURES. 2010 CALIFORNIA BUILDING CODES. June 25, 2013 1:16:54 Pm A6RTEGA ----------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 4.0,0 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 PLAN CHECK, ELECTRICAL 64.12 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 71.51 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 197.86 DIF PARKS/REC - RES 2048.00 BLDG PC 25001-200K 947.59 STRONG MOTION (SMI) - RES 9.88 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 1016.44 .00 .00 1016.44 Plan Check Total .00 .00 .00 ..00 Other Fee Total 10700.40 .00 .00 10700.40 Grand Total 11716.84 .00 .00 11716.84 I 11