13-0789 (SFD)P.O. IBOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00000789 '
Property Address: 80049 SILVER SAGE LN -
APN: 772-410-997-12 -32070 -
Application description: DWELLING - SINGLE FAMILY
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 82313
--- yrs
VOICE (760) 777-7012
J
FAX (760) 777-7011
BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Owner:
RJT HOMES CODORNIZ
1425 E UNIVERSITY DR
DETACHED PHOENIX, AZ 85034
Applicant: Architect or Engineer:
' LICENSED CONTRACTOR'S DECLARATION
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 Professionals Code, and. my License is in full force and effect.
License C ss: A BContcense No.: 690645
Date: ractor: -
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 (55001.:
(_ 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 1 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 INC
1425 E. UNIVERSITv nuTVF
PHOENIX, AZ 85034
(602)257-1656
Lic. No.: 690645
Date: 7/05/13
WORKER'SCOMPENSkr1f.
NPE L4 LA%AW�`�'- 1
I hereby affirm under penalty of perjury one of the following deations: G% pEPY•
I have and will maintain a certificate of consent tosure for ��ai nsation, as provided
for by Section 3700 of the Labor Code, for thee work for which this permit is
g'ad
- 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 subject to the workers' compensation laws of California,
and agree that, if I should become subject to the workers' compensation provisions of Section
3760 of the Labor Cd I hall forthwith
comply with those Provisions.
Dater Applicant:
WARN G: AILURE 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 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 the above information is correct. I agree to comply with all
city and county ordinances and state laws relating to building construction, and hereby authorize representatives
ofthis codnty o enter upon the above-mentioned prope for 'nspection p poses.
Date, Signature (Applicant or Agent): �
LQPERMIT
Application Number., .
. . . 13-00000789
------ Structure Information
11237SF DWELLING/VB/RES-3/CLASS A-FR/13D-----
Other struct info.,.
. .` . CODE EDITION
2010
# BEDROOMS
2.00
FIRE SPRINKLERS
13D
GARAGE SQ FTG
427.00
PATIO SQ FTG
27.00
NUMBER OF UNITS
1.00 -
1ST FLOOR SQUARE FOOTAGE
634.00
---------------------------------------------------------•---
2ND.FLOOR SQUARE FOOTAGE
603.00
----------------
_ Permit • .
BUILDING -2013
Additional desc
Permit Fee . . . .
478.84 Plan Check Fee
.00
Issue Date
Valuation . .
. 82313
Expiration Date
1/01/14
Qty Unit Charge
Per
Extension
BASE FEE
431.86
58.00 ..8100
THOU- BLDG $25,001-$200,000
46.98
Permit
ELECTRICAL 2013
Additional desc
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 35.7500
EA MECH CONDENSER/COMP
35.75
4.00 11.9200
EA MECH VENT FAN
47.68
1.00 11.9200
--------------------------------------------------------------------
EA MECH EXHAUST HOOD
11.92
Permit . . . .
PLUMBING 2013
LQPERMIT
Application Number
13-00000789
Permit
PLUMBING 2013
Additional desc
_
Permit Fee
202.63 Plan Check Fee-
.00
Issue Date
Valuation. _
0
Expiration Date
1/01/14
Qty Unit Charge.
Per
Extension
11.00 11.9200
EA PLBG FIXTURE/TRAP
131.12
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
1,237SF DWELLING - PLAN SF1B, LOT�12
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]:
THIS PERMIT DOES NOT
INCLUDE BLOCK WALLS
OR WATER FEATURES. 2010
CALIFORNIA
BUILDING CODES.
June 25, 2013 3:39:55
PM AORTEGA
-----------------_--------
Other Fees . . .
-------.----------------------------
. . BLDG STDS ADMIN (SB1473)
4.00
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
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
185.94
DIF PARKS/REC - RES
2048.00
BLDG PC 25001-200K
905.03
STRONG MOTION (SMI) - RES'
8.23
�.
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
991.56 .00 .00
991.56
Plan Check Total
.00 .00 .00
.00
Other Fee'Total
10644.27 .00 .00
10644.27
Grand Total
11635.83 .00 ..00
11635.83
LQPERMIT