13-0423 (SFD)yi
P.O. BOX 1504
78-495 CALLE TAMPICO"
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
�NTll�c�dt.
13-00000423
80067 SILVER SAGE LN
772-410-997-15 -32070 -
DWELLING —SINGLE FAMILY
MEDIUM HIGH DENSITY RES
114693
BUILDING & SAFETY DEPARTMENT'S
BUILDING PERMIT
Owner:
RJT HOMES CODORNIZ
'1425 E -UNIVERSITY DR
DETACHED PHOENIX, AZ 85034
Architect or Engineer:
1�4
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.
Licess: A B LicenseNo.: 690645
�Qate(ns�e/
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 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.).
1 _ 1 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/10/13
-Contractor:
RJT INVESTMENT C
1425 E. UNIVER
f@ 73�a
PHOENIX, AZ 85d
(602)257-1656 1 APR 112013
Lic. No.: 69064.5
LA QUINTA
CE DEPT
-----------------------------------------------
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
1 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
%00 of the Labor Code, I s all forthwith comply wi those provisions..
`Date: ! / Applicant:
WARN NG: FAILURE 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
of this cou to nter upon the above-mentioned prope ' or in pection purposes.
Date: ignature (Applicant or Agent):
Application Number- .
. . . . 13-00000423
.------- Structure Information
1,731SF DWELLING/VB/RES-3/CL-A-FR/13D -----
- Other struct info
CODE EDITION 2010
# BEDROOMS
3.00
FIRE SPRINKLERS 13D
GARAGE SQ FTG
598.00
NUMBER OF UNITS
1.00
1ST FLOOR SQUARE FOOTAGE
•989..00
2ND FLOOR SQUARE FOOTAGE
742.00
Permit.
BUILDING PERMIT,
Additional desc .
•
Permit Fee . . . .
692.00 Plan Check Fee
112.45
Issue Date . . .
Valuation
114693
Expiration. Date
110/07/13
Qty .• Unit Charge
Per
Extension
BASE FEE.
•639.50
15.00 3.5000
--------------------------=-------------------------------------------------
THOU BLDG 100,001-500,000
52.50
Permit
ELEC-NEW RESIDENTIAL
Additional desc .
Permit Fee . . . .
87.55 Plan Check Fee
5.47 r'
Issue Date
Valuation . . . .
0
Expiration Date
10/07/13
Qty- Unit Charge
Per.
;Extension
BASE FEE
15.00
1731.00 .0350
ELEC NEW RES,- 1 OR 2 FAMILY
598.00 .0200
'ELEC GARAGE OR NON-RESIDENTIAL
11.96
Permit
GRADING PERMIT
Additional 'desc .
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 Feer
81:50 Plan Check Fee
5.10
Issue Date
Valuation . . . .
0
LQPERM IT
..
.. ,
040f
Application Number . . . . 13-00000423
Permit MECHANICAL
" 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" 16.5000 EA MECH B/C >3-.15HP/>100K-500KBTU
16.50
5.00 6.5000 EA MECH VENT'FAN
32.50
1.00 6.5000 EA MECH EXHAUST HOOD
----------------------------------------------------------------------------
6.50
Permit . . . . PLUMBING
Additional desc .
Permit Fee . . . . 146.25 Plan Check Fee
9.14
-
-Issue Date . . Valuation
0
Expiration Date 10/07/13
Qty ,Unit Charge Per �°
Extension
BASE FEE
15.00
13.00 6.0000 EA PLBFIXTURE
78.00
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
1,731SF DWELLING -` PLAN SF3ASG, LOT 15
[VB/RES-3/CLASS A-FR/13D/ENGINEERED]
THi5 1 ERMiT DUES NUT 1NULUIJE bj uuK VYALLS
OR WATER FEATURES ***75% REDUCTION TO
PLAN CHECK -FEES DUE TO MULTIPLE ISSUANCE
OF PLAN TYPE*** 2010 CALIFORNIA BUILDING
CODES.
April•8, 2013 10:12:33 AM AORTEGA
-----------------._-_------------------
Other Fees . . . . . ART IN PUBLIC PLACES -RES
20.00
BLDG STDS ADMIN (SB1473)
5.00
DIF COMMUNITY CENTERS -RES
104.00
DIF CIVIC CENTER - RES
1089.00
ENERGY REVIEW FEE
11.25
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
DIF PARKS/REC.- RES
1773.00
LQPERMIT
Application Number
. . .
13-00000423,
-----------------_------
Other Fees .
-----------
. .
----------------------
-
STRONG MOTION (SMI) RES
11.47
DIF STREET MAINT'FAC-RES
158.00
DIF TRANSPORTATION -RES
3592.00
Fee summary
Charged
Paid Credited;
---- - - - - ---- - - - - --
Due
----------- -- - - --
Permit Fee Total
---- - - - - --
1022.30
--
- .'00 .00
1022.30
-Plan•.Check Total
132,.16
.00 .00
132.16
other Fee Total
8281.72
00 .00
8281.72
Grand Total
9436.18
00 _00
9436.18
" LQPERMIT
-
w.,e-si]eLYnrz:2.M01,WV4t5L.Ste. 1KPjkTrsido, Ga U:bUt raKlt*ifI DAUno
PatTD^srl09ltr_: 77.933 Las 1&wafias Rd-4 ZOIPaIn Desert, CA 92211-4131 Ph. (760) 963-BBBS Fax (760) 863-7072
Fro Dopartmont GloaranceiRelease
Date: 16118/2013
To: LA QUINTA B&S -
Fax:
Tract/Parcel Map
--PermWLot#: LAQ-13-RS-044 LOT#15
Job Site Address: 80067 SILVER SAGE LIN
City,'State, Zip LA QUINTA, CA
l� Final For Recordation
❑ Release For Building Permit(s)
[� Shell Final Only (No Tenant)
❑ Final for Sprinkler System
[] Release For Residential Sprinkler Installation
�] Building Plan Check Fees Paid, Water Requirement Met- jf wafer applicable
❑ Building Plan Check Fees Not Paid
F1 Residential Sprinkler Plan Check Fees Paid
❑ Residential Sprinkler Plan Check Fees Not Paid
rl 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 HETRICK
Print Name of Plan Reviewer/Inspector Approved Release
c
Sent By: Print Name