13-1322 (BLCK)to
P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 13-00001322
Property Address: 80049 SILVER SAGE LN
APN: 772-410-99.7-12 -32070 -
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 1750
Applicant: l Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICJ'i
TRACTOR'S DECLARATION
I hereby affirm under penalty of perj y that I Iiunder provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the siness anals Code, and my License.is in full force and effect. _
License Class: A B License No.: 690645
Date47:,j-3 Contra or:
- OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury th t 1 am exempt from the Contractor's State License Law for the
following reason ISec. 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).:
(_ I 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, as owner of the property, am exclusively'contractingwith licensed contractors to construct the project ISec.
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. , BAP.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:
LQPERM IT
VOICE (760)777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/16/13
Owner:
RJT HOMES - CODORNIZ
P.O. BOX,810 D A
LA QUINTA, CA 92253
OCT i 7 2®�9
Contractor:-
RJT INVESTMENTS INC CI QUIf�T.4
1425 E. UNIVERSITY DRIVE FIFNJ�AIq �RICEDEi1�
PHOENIX, AZ 85034
(602)257-1656
Lic. No.: 690645
WORKER'S COMPENSATION DECLARATION
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
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 AND Policy No ber 429034
_ I certify that, in the perfor ance of t or f r which this permit is issued; I shall not employ any
person in any manner as to b o e j t to the workers' compensation laws of California,
and agree that, if I o d beco e s lect t the workers' compensation provisions of Section
3700o the Labo od , I she fo with ply with those provisions.
Date: g / ' l 3 Applicant:
WARNING: FAILURE TO SECURE WORK S' COMPENS ON COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT'AN EMPLOYER TO CRIMINAL PENALTIES AND IVIL 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 d void if work is not commenced .,
within 180 days from date of issuance of such'permit, or ce tion of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that th above i or is correct. I agree to comply with all
city and county ordinances and state laws relating to b . ing co tr i nd her authorize representatives
doff this county
)Apto enter upon tf)Q agove-mentioned pr y for,i p tion rposes.
bate: rC�/ '/ ' Signature (Applicant or Agent):
LQPERN11T
Avolication Number _. . . .. .. 13-00.001322
Permit . . . WALL/FENCE PERMIT 2013
Additional desc .
Permit Fee . . . . 47.19 Plan Check Fee
.00
Issue Date . . . . Valuation . . .
. 1750
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
35 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)
1.00
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
r
Bin #
City of La Quinta
Building 8t Safety Division
P.O. Box 1504, 78.495 Calle Tampico
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
r/3zot
ProjxtAddress: e(7-6Q1 S/ n
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 Quinta, CA 92248
°
Telephone: 760-564-6555
Project Description:
City, ST, Zip: L•a Quinta, CA 9224861't�9gL
A-j UAIT- 69r� j
Telephone: 760- 564 -6555
State Lia#: 690645 CityLic.#; 6089
Arch., Engr., Designer:
��h y
Address:
City, ST, Zip:
Telephone: Construction Type: F51d4k Occupancy:
State Lic. #: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Sq. FL: # Stories: # Units:
Telephone # of Contact Person: 160 0
Estimated Value of Project: et?
APPLICANT: DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Plan Check submitted
lD ( `
Item
Amount
Structural Colcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calts.
Called Contact Person
Plan Check Balance
Title 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°4 Review, ready for correcdowlssue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S,IyLL
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"' Review, ready for correcdons/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
®e