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13-0422 (SFD)P.O. BOX, 1504 78-495 CALLS TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 13700000422 Property Address: 80061 SILVER SAGE LN • APN: 772-410-997-14 -32070 - Application description: DWELLING SINGLE FAMILY DETACHED Property Zoning: - MEDIUMHIGH DENSITY RES Application valuation: 82313 Applicant: Architect or -Engineer: ---------------------------------------------------- LICENSED CONTRACTOR'S DECLARATION I 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 CI ss: jpA B License No.: 690645 Y 'Date: Contractor: 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 ($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, as owner of the property,.am exclusively contractingwith licensed contractors to construct the project (Seca 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 I am exempt under Sec. 8.&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 Owner: RJT HOMES CODORNI 1425 E UNIVERSITY PHOENIX, AZ 85034 VOICE (760) 777-7012 FAX (760) 777-7011 MIONS47601 777-7153 D u e: RPR .1 12013 CITY OF LA QUIMTA FINANCE DEPT Contractor: 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 424430 _ 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 700 of the Labor Code, I shall forthwith comply with those provisions. !Date: /&*Applicant:y `WARNING: 4AILURE 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. A agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this c tly7t nter upon the above-mentioned property.fo inspection purposes. kDate: fV rignature (Applicant or Agent): r 4 - Application Number .. . . . ., 13-00000422 , • ------ Structure Information 1,237SF DWELLING/VB/RES-3/CL-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 PERMIT Additional desc Permit Fee . . 563.00 Plan Check Fee .. 91.49 Issue Date Valuation 82313 Expiration Date 10/07/13 �- ,Qty 'Unit Charge Per Extension BASE FEE 414.50 33.00 4.5000 ------------------------------------------------------------------------------- THOU BLDG :50,001-100,000 148.50 PermitELEC-NEW-RESIDENTIAL Additional desc '. Permit Fee 66.84 Plan Check Fee 4.18 . Issue Date - Valuation 01 ' Expiration Date , 10/07/13 + Qty Unit Charge Per Extension . BASE FEE 15.00 1237.00• .0350 ELEC NEW RES - 1 OR 2 FAMILY 43.30 427.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.54 Permit GRADING PERMIT Additional desc.. 1 ' Permit Fee 15.00 Plan Check Fee , .00. Issue Date . . . . Valuation . . . 0 Expiration Date 10/07/13 Qty Unit Charge Per Extension.. ' BASE FEE 15.00 Permit . . . MECHANICAL Additional desc Permit Fee 67.50 Plan.Check.Fe=e 4.22 LQPERMIT ' r • " ApplicationNumber . . . . .13-00000422, " Permit . . . . . MECHANICAL Issue Date Valuation. 0 Expiration Date 10/07/13 Qty Unit Charge. Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH FURNACE >100K 11.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 4.00 6.5000 EA MECH VENT FAN 26.00 1.00 6.5000 EA MECH EXHAUST HOOD ---------------------------------------------------------------------------- 6.50 Permit . . PLUMBING Additional desc . Permit Fee . . 134.25 Plan Check Fee 8.29 Issue Date Valuation 0 Expiration Date.. 10/07/13 Qty Unit Charge Per Extension BASE FEE 15.00 •11.00 6.0000 EA PLB FIXTURE 66.00 1.00 15.'0000 EA PLB BUILDING SEWER 15.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 , 1.00 3.0000 EA- PLB.WATER INST/ALT/REP 3.00 1.00 9.0000 EA. ''PLB LAWN SPRINKLER SYSTEM 9.00 5.00 :7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000.EA PLB GAS METER 15.00 Special Notes and Comments 1,237SF DWELLING - PLAN SF1B, LOT 14 [VB'/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES.NOT INCLUDE BLOCK WALLS OR WATER'FEATURES ***75% REDUCTION TO PLAN CHECK FEES DUE TO MULTIPLE ISSUANCE . OF PLAN TYPE*** 2010 CALIFORNIA BUILDING CODES. April 8, 2013 10:21:34 AM'AORTEGA ------------------_---- Other Fees ART IN PUBLIC PLACES -RES 20.00 BLDG STDS ADMIN (SB1473) 4.00 DIF COMMUNITY CENTERS -RES 104.00 DIF CIVIC CENTER - RES 1089.00 ENERGY REVIEW FEE 9.15 DIF FIRE PROTECTION -.RES 612.00 GRADING PLAN CHECK'FEE' .00 DIF'LIBRARIES - RES 334.00 -MULTI-SPECIES (MSHCP) FEE 521.00 DIF PARK MAINT FAC-- RES 51.00 ' LQPERA11T - a Application Number . . . . 13-00000422 --------------------------------------- Other'Fees ------------------------------ DIF PARKS/REC 7 RES' - 1773.00 STRONG MOTION (SMI) -RES 8.23 DIF STREET MAINT'FAC-RES' 158.00 DIF TRANSPORTATION - RES 3592.00 Fee summary' Charged .. -------- Paid Credited Due ----------------- Permit Fee.Total 846.59 .00 .00 846.59 Plan Check Total 108.18 .00 -.00 108.18 Other Fee Total 8275.38 .00 .00 8275.38 Grand Total 9230.15 .00 .00 9230.15 LQPERMIT •. .. - A • Ri,mFJdeOffice: 23)0 t/zUt Ste. 150, FCfrrsida. CA 97501 V1. 1,_01) 1,�aIii raK ltbll;.c�aeco Adm Des:n 05ze 77-933 !as MiTra8as PA., 0 201 Palm D� CA §Z211-413 I F41. aw 563-6986 Pax (760} 853-7072 f Fire Department ClearanceJRPlease. . Date: 10118/2013 1 i� To: LA QUINTA B&S Fax: Tract/Parcel Map #: Permit/Lot#: LAQ-13-RS-043 LOT#14 Job Site Address: 80061 SILVER SAGE LN City, State, Zip.. LA QUINTA, CA ® Final For Recordation ❑ Release For Building Permit(s) Shell Final Only (No Tenant) ❑ Final for Sprinkler System ❑ Release For Residential Sprinkler Installation rl Building Plan Check Fees Paid, Water Requirement Met- Water app/rcabfe ❑ Building Plan Check Fees Not Paid ❑ Residential Sprinkler Plan Check Fees Paid ❑ Residential Sprinkler Plan Check Fees Not Paid ❑ Other Fees ❑ Fees Not Required If you should have any questions, please contact the appropriate Riverside County Fire Protection Planning office for further assistance. KOHL HEiRICK Print Name of Plan Reviewer/I nspector Approved Release. Sent By: Print Name