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BRES2014-1063VOICE (760) 777-7125 78-495 CALLE TAMPICO 4 D 760 LA QUINTA, CALIFORNIA 92253 FAX ( ) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT.. INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/24/2014 Application Number: BRES2014-1063 Owner: Property Address: 80086 SILVER SAGE LN RIT HOMES CODORNIZ APN: 777450021 1425 E UNIVERSITY DR Application Description: CODORNIZ TM 32070 PH 7A PHOENIX, AZ 0 Property Zoning: Application Valuation: $82,720.10 s ff Applicant: Contractor: R J T INVESTMENTS INC R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 1130 E MISSOURI AVE S PHOENIX, AZ 85034 PHOENIX, AZ 85034 0 c o (602)257-1656 Llc. No.: 690645 Z 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 Professions Code, and my License is in full force and effect. License Class- B, A License No.: 690645 Date' \ Contractor: ( OWNER -BUILDER DECLA ATION 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).: (_) 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.). (_) 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: 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 o k f which this permit is issued. N ave and will maintain workers' compensation insurance, as required by Sectio 3700 of the Labor Code, for the performance of the work for which this permit is iss ed. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: 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 3700 of the Labor Code, I shall forthwith comply with Pose pr isions. Dateq# VA/Applicants .A/4 WARNING: FAIL RE TO SECURE WORKERS' COMP SATION 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 Building Official 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 city to enter upon the above- mentioned operty f r inspection purposes. Date. t Signature (Applicant or Agent): ,t INFORMATION :. DESCRIPTION. ACCOUNT QTY AMOUNT ;' :•. PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 PAID BYZ METHOD RECEIPT # CHECK # • CLTD EY Total Paid forBUILDING STANDARDS ADMINISTRATION BSA; $4.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT-: < PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 PAID BY METHOD 7.'RECEIPT # CHECK # CLTD 6Y DESCRIPTION ACCOUNT- QTY AMOUNT' PAID'' PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ' ACCOUNT QTY' AMOUNT _ PAID., PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 PAID BY.. t METHOD RECEIPT # CHECK # • CLTD BY DESCRIPTION ACCOUNT >QTY, AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 -PAID BY '.. ",,METHOD RECEIPT #' - CHECK # .,CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT " PAID - PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $0.00 PAID.BY METHOD - RECEIPT # - CHECK # 'CLTD BY DESCRIPTION _ ACCOUNT,. QTY 'AMOUNT zr PAID ' PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $0.00 _ PAID BY' METHOD `. RECEIPT # .CHECK # CLTD BY 'DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $0.00 PAID BY'-' METHOD RECEIPT # CHECK # CLTD 'BY . DESCRIPTION - - ACCOUNT QTY AMOUNT - r PAID PAID DATE DIF TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 -PAID BY -- y _ " METHOD RECEIPT# ' ' ' f CHECK # _.CLTD BY Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION _ ' ' ,' " ' �' `ACCOUNT - :- QTY .. -AMOUNT PAID ' PAID D_aTE TEMP POWER SERVICE 101-0000-42403 0 $23.83 $0.00 ,^ "PAID BY ,;. METHOD; RECEIPT # ,;:7 x' CHECK #, ; i CL D Yr DESCRIPTION " "i "A' c?� "�'A000UNT„ to ry QTY: AM '-: " OUNT PAID ii PAID D�4TE TEMP POWER SERVICE PC 101-0000-42403 0 $16.68 $0.00 PAID BY "'- `, METHOD ' RECEIPT,#r 4,".. ' , 'CHECK .# .,CLTD 6Y Total Paid for ELECTRICAL: $40.51 $0.00 x DESCRIPTION'.; 'yA000UNT ; ; . "' QTY y AMOUNT . I ; r PAID x PAID DATE RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $12.16 $0.00 PAID BY,,,, - METHOD _ RECEIPT # ..' 4 . CHECK # 1CLTD BY- DESCRIPTION w` 'ACCOUNT QTY AMOUNT PAID y { PAID DATE RESIDENTIAL, EA ADDITION 1,000SF, PC 101-0000-42600 0 $5.01 $0.00 a PAID BY ., ,__ METHOD .. RECEIPT #' .' , "w CHECK # CLTD BY DESCRIPTION ACCOUNT:• - QTY °3 AMOUNT .b PAID. 'PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $143.00 $0.00 PAID'BY " METHOD- .. RECEIPT.# CHECK #„ , CLTD BY DESCRIPTION' LL ACCOUNT '' ;; .. QTY AMOUNT '""PAID ,' .. PAID ATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.19 $0.00 rs f = PAID BY, METHOD-_ RECEIPT # ' ' r CHECK # CLTD BY , Total Paid for ELECTRICAL - NEW CONSTRUCTION; $207.36 $0.00 ry DESCRIPTION ' -"ACCOUNT .. � QTY ': AMOUNT-' PAID � 'PAID DATE RESIDENTIAL FINISH GRADING PC 101-0000-42600 0 $143.00 $0.00 PAID BY. -y 'METHOD: '' RECEIPT # '.t CHECK # '' CLTD :3Y1 Total Paid forGRADING: $143.00 $0.00 r w DESCRIPTION, :,; '= ACCOUNT QTY; -_ �' AMOUNT '.; a • PA _AIDs PAID DOTE CONDENSER/COMPRESSOR 101=0000-42402 0 $35.75 $0.00 PAID BY,• •. - " • ' METHOD ," , ,RECEIPT # f#: CHECK # 71 CLTDF3Y' 3 ' DESCRIPTION :, �4 -`; ACCOUNT'* QTY AMOUNT.',t,A , PAID : 'PAI6.64TE CONDENSER/COMPRESSOR PC 101=0000-42600 0 $23.83 $0.00 BY roc. y METHOD RECEIPT # CHECK # . CLTD _3Y' ":' ;-,'DESCRIPTION ACCOUNT`QTY.: s's� AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $11.92 $0:00 PAID BY.', � �s. ,_ METHOD p RECEIPT # k CHECK # N CLTD.3Y' "'. >'DESCRIPTION°_ ; ACCOUNT - CITY; ;SAMOUNT =, : .' _ PAID PAID DATE ., k EXHAUST HOOD PC 101-0000-42600 0 $4.77 $0.00 'PAID BY METHOD. RECEIPT# , ' -` CHECK# CLTD'E-.Y. ` DESCRIPTION + "`,ACCOUNT QTY AMOUNT -=°PAID,-' :,PAID DbTE FURNACE 101-0000-42402 0 $35.75 $0.00 PAID BY METHOD' r RECEIPT # - . •CHECK#' CLTD BY DESCRIPTION ACCOUNT =- ;QTY _AMOUNT 'PAID PAID:DATE FURNACE PC 101-0000-42600 0 $23.83 $0.00 „ PAID BY., . :'_.' METHOD - . _,RECEIPT # CHECK # - CLTD 6Y `DESCRIPTION ACCOUNT QTY '.. AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $47.68 $0.00 PAID BY METHOD -, _ RECEIPT# , CHECK # CLTD 6Y DESCRIPTION y ACCOUNT QTY AMOUNT, PAID PAID DATE' VENT FAN PC 101-0000-42600 0 $19.08 $0.00 ',PAID BY. - METHOD RECEIPT # ' ` . ,CHECK #'*-` I CLTD BY Total Paid forMECHANICAL: $202.61 $0.00 -° 'DESCRIPTION : r - '-`ACCOUNT ' - QTY, AMOUNT PAID PAID DATE' MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS 101-0000-20310 0 $537.00 $0.00 y - PAID BY ". _: METHOD RECEIPT# f CHECK # CLTD BY", Total Paid forMULTI-SPECIES RESIDENTIAL- $537.00 $0.00 DESCRIPTION , ACCOUNT QTY ` AMOUNT: ,_' PAID _ PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $478.84 $0.00 r 3' PAID BY '. r . METHOD-: ,. ; R •RECEIPT # - r •CHECK # ; �'� .CLTD 6Y Total Paid forNEW CONSTRUCTION PERMIT: $478.84 $0.00 DESCRIPTION ACCOUNT QTY AMOUNTS PAID' :PAID,DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $905.03 $0.00 PAID BY. - METHOD RECEIPT # _ ,' `CHECK #` CLTD BY Total Paid for NEW CONSTRUCTION PLAN CHECK: $905.03 $0.00 - :-,DESCRIPTION `" :. "' ., ACCOUNT QTY AMOUNT j• , PAID, PAID DATE BUILDING SEWER 101-0000-42401 0 $11.92 $0.00 PAID BY ,METHOD '_ - RECEIPT # _ CHECK #° CLTD BY -_, • DESCRIPTION ACCOUNT QTY . AMOUNT ,PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $11.92 ' $0.00 PAID BY .--.-METHOD RECEIPT # - ` CHECK # `CLTD BY " .r� DESCRIPTION = '..:, ACCOUNT:. ­...Y AMOUNT ' ' . PAID r,. • - 'PAID DATE FIXTURE/TRAP 101-0000-42401 0 $107.28 $0.00 PAID BY z1: .y METHOD �:: µ . 'RECEIPT # ..' : CHECK #' .' CLTD 6Y DESCRIPTION" m ! _ _, ACCOUNT „:' QTY AMOUNT.'",. PAID.,• :.tPAID DATE FIXTURE/TRAP PC 101-0000-42600 0 $107.28 $0.00 PAID BY - R METHOD; RECEIPT # ' .. CHECK #.,` CLTD 6Y DESCRIPTION .`' ACCOUNT.;- QTY, . - AMOUNT; PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000742401 0 $11.92 $0.00 ' PAID BY METHOD RECEIPT # CHECK # CLTD BY, DESCRIPTION ,,ACCOUNT- .QTY :_,AMOUNT PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS PC 101-0000-42600 0 $23.83 $0.00 _ PAID BY : -'. METHOD RECEIPT # CHECK #_ . , .• CLTD 6Y . =". DESCRIPTION,.'.' .` _ ACCOUNT, QTY AMOUNT PAID:'.,,, PAID DATE WATER HEATER/VENT 101-0000-42401 0 $11.92 $0.00 PAID: BY ._'• , . ` - �' METHOD ;: `RECEIPT # ., _ {HECK #. _ CLTD 6Y• .DESCRIPTION `.•, ACCOUNT ` ".' 'QTY, AMOUNT" : .. ` PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 -0 $7.15 $0.00 PAID BY METHOD RECEIPT # CHECK # .CLTD 6Y, - DESCRIPTION.` ..ACCOUNT, - .QTY; _ AMOUNTS �< r PAID' - 4 E PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $11.92 $0.00 PAID BY'' _ METHOD RECEIPT# i CHECK:#> -CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT ' V.. PAID. :. � .PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $11.92 $0.00 .PAID BY METHOD RECEIPT•# . ; • ` CHECK # CLTD 6Y Total Paid for PLUMBING FEES: $317.06 $0.00 - DESCRIPTION ACCOUNT' .' QTY: AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $8.27 $0.00 • , . PAID BY METHOD - RECEIPT #„ `• CHECK # CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $8.27 $0.00 DESCRIPTION ACCOUNT QTY,, AMOUNT PAID 4 ` ' PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $0.00 PAID BY :";,, '' METHOD.- . ., RECEIPT#:" CHECK# :' CLTD BY, Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 • • •• A e a