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BWFE2014-1133LICENSED 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: � /d/����'� 5 Contrac�ol=T�" 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).: (_) 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: (760)564-6555 Llc. 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 worl�---rs' ensation, as provided for by Section 3700 of the Labor Code, for the performance of twor r which this permit is issued. Pa I'have and will maintain workers' compensation insurance, as requirec by ct'ion!°t3700 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:_ Policy Number: _ I certify that in the performance of the work for which this permit is is;ued, I shall not employ any person in any manner so as to become subject to the worke-s' 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 those provisions. Date; Z — / Applicant�•'"'� 11&21CX_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5"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 whcse request and for whose benefit work is performed under or pursuant to any perm It issued as a result of this application., the owner, and the applicant, each agrees b, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agen:s, 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 wor< 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 carrect. I agree to comply with all city and county ordinances and state laws relating to b-jilding construction, and hereby authorize representatives of this city to enter upon the 3bove- mentioned propertyfor i spection purposes. Dates Signature (Applicant or g r c i 'aftiNNCl/ VOICE (760) 777-7125 78-495 CALLE TAMPICO D � FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/24/2014 Application Number: BWFE2014-1133 Owner: Property Address: 80092 SILVER SAGE LN RJT HOMES CODORNIZ APN: 1425 E UNIVERSITY DR Application Description: 45 LF BLOCK WALL PHOENIX, AZ 0 l� b Property Zoning: G Application Valuation: $2,250.00 a C= y N r Applicant: Contractor: RJT HOMES CODORNIZ R J T INVESTMENTS IN " `�• 1425 E UNIVERSITY DR PO 60X.6089 c...) � L J I~• PHOENIX, AZ 0 LA QUINTA, CA 92253 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: � /d/����'� 5 Contrac�ol=T�" 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).: (_) 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: (760)564-6555 Llc. 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 worl�---rs' ensation, as provided for by Section 3700 of the Labor Code, for the performance of twor r which this permit is issued. Pa I'have and will maintain workers' compensation insurance, as requirec by ct'ion!°t3700 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:_ Policy Number: _ I certify that in the performance of the work for which this permit is is;ued, I shall not employ any person in any manner so as to become subject to the worke-s' 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 those provisions. Date; Z — / Applicant�•'"'� 11&21CX_ WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE I5"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 whcse request and for whose benefit work is performed under or pursuant to any perm It issued as a result of this application., the owner, and the applicant, each agrees b, and shall defend, indemnify and hold harmless the City of La Quinta, its officers, agen:s, 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 wor< 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 carrect. I agree to comply with all city and county ordinances and state laws relating to b-jilding construction, and hereby authorize representatives of this city to enter upon the 3bove- mentioned propertyfor i spection purposes. Dates Signature (Applicant or g r ;r:. v' >, r ,..� y,, T m _ � .� � � .�'-,� pyx- r�' ,� �l � �;�rJ _: • k._ }L>�•`�'--�"�',( 1.'� a'�`: .,1 7 .cc � x�.��.,�:c". ; �,,� . �s3'�--s`*`"�-,t��. k _,i�z 67`.� �s t, .' �#y 5�,1 µ � ' V�'I T'`- 'x1 ,'h.,fA' vki�t`•'`':;' zG`'' 1.^. u'�'•�R,' -V"" t ' PO�tT JfL f a (�1 1 i z 1 aa A S IT Std r - Ax 4- t00 TC .�_ f03 ............:..... =C�TFU"a+C�t�. NOT iANSTRUCT 6" ORETir PAVES QdT CQt.tSTRUCT 6" CONT i?PIVEWAY . �,�52, •[ � WAX. . � CQNSTRUCT 3' MIN, WlRTN GiSNC E{E SIDEYVALt4. RGR6llNC x � I ' < VpI.U.iIEf QlliREi1 ' . 712 >�GG, _ 3T'015 C F. W/ 2X MAX, CROSS SL ;tANI�5CAF'E. 300 C >tiGEVf�.UME —: 0 994 AC 1-T .-- �'. ' I L -` '. ARCttT€CT'S PLAN . 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STRUC7UR£ — 24,60 'FG 2 -- .. .. - .. •. . :suRF�►e 19:9:1• ::TW , S EET ^ ,TFiPR 1 AEKT PLAN: T v:C 0�1Z SIJLiI(L s' - . 58t 38' so �38i1` f �.; ,�,�a,>.�������i' _ . �i f �i f. _ �� ._ r �{ ;Sj���#. is A � � 'Y °.t l•7i1 �.� f ,�t 'r R� �,�i rf'k }lt Fi. .. �51�� i � {`T � i ' � ! i � � � �Y i � S y moi. -:t � i'A•i "' ,�•�,fj .3 M. 1 ca• ,r�� . 1 ti Z c .z> � :.`"?��� t --s• ,� i � � aha+ .''��- 1,--.� `9 �-'� �ri�..-•iir" 'm'x -�` :.3� 'd'z �� X r - ..�-r'4 S � ,y ., c O � � :7 ! � + -�•` .�. "x"37 632 ,, 1200' r cel K: • ui v cel 2 � � _ I d s 11^ '� ` � ! � !� i►-kr+ }� tai.. � 1 `i i 5 OTCs. ,•'�' �; t �• ' �� 127.1. a• ' 12 • ```� i C? fJ 9 "r M 1650': II N � a Y. TC: E ;. r:. -z,'f, Yai i°z- DESCRIPTION�.' n ACCOUNT �� �'QTtiY �AIVIOUNT PAIDFAIO DANE-* �'- <�'z.�'��,��:„_ `�::°.�� a... � s''' _���--'. �t:�€.Yc".'�T?��:.�`�a�'�rs �0��, m 0000-20306 f , . 0 $1.00 �� $0.00 BSAS;S61473 FEE 101- ,, �- _ '• as ,*w.- r}':; �.+'ti+:. ax .:n:`t-y.3:4.,-..:c$;, s'-` €. `F 4r .''^". .,:":7fsva o`§g n"' '" �-6 -; ."' '• P `- `%, ?dy'�,+`n ; A,rKPAID�BY �� �MM METHOD�� - aRECEIPT #� �" @HECK#� CLTD BY ...,� a...s• .. is a, " s `�„. .�. €grin s�Z.S` :! r .+�v�. �^'� ., s .` s, it + .*'nz , 1� Total -Paid forBUILDING STANDARDS -ADMINISTRATION BSA' $1 00 $0.00 ' OWN "i�'i'�`s-3',3: xh"?.s�,� r• r', �s, , ,ee�°.-:.r;, rn .. :. a :;:'�r' 3: f , .?tw5&fiSs.' ".,6 u: v" -.r DESCRIPTIQN z ACCOUNT�� QTYr "��AIVI©UNT�? .PAID PAID DAT( " !�a,t,, t.i'S'u•. ri 3:. ,�:-I,+�... N_�#�k,l.���..a.::t.,x.�:..a�is�r a�„��w r�;a WALL/FENCE - FIRST 100 LF- " .'101-0000-42404 0' .$47.86 j, $0:00: ' ,r �• :.T ` .&aS O u, ''*e r. '. -}"A" �'a.` ,� ,w,�tt'; .'-. • , .� i s 'PAIDBY - 47 ' MEaTHOQ t..RECEIPT# t� °`CHECKS#� fz� CLTDBY MMM ;e •o-:..•wa.,, a :�;'a �x�.�. .. :.. :' is x, .;ea" 'vva 7tjtU IBM � <: �^� g `c ' ,�5 fl��2asINS `zM,'` #�,i DESCRIPTION.' f R ACCOUNT � � -Mis. MITIQTY AMOUNT' PAID �PAID�ATE WALL/FENCE -,FIRST 100 LF PC:"..101-0000-421600, r 0 $60.91 x, $0.00-, , e xi'E`H0D� C„xr�P:#v?°"f H^` Li 7��% E?CT� § Y M ::, t rt. Total Paid for FENCE OR FREESTANDING WALL $108.77;- „ $0;00 gim i J. + , '` • � � �, '* � . , to ..- - 1 �• S f ` Description: 45 LF BLOCK WALL Type: WALL/FENCE Subtype: Status: SUBMITTED Applied: 11/24/2014 MFA Approved: Parcel No: Site Address: 80092 SILVER SAGE LN LA QUINTA,CA 92253 Subdivision: Block: lot: Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $2,250.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: 45 LF BLOCK WALL [CITY AND PROTO II C -DIP FOOTING SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. Printed: Monday, November 24, 2014 4:15:05 PM 1 of 2 ,. Srsreens ---CHRONOLOGY, CONDITIONS CONTACTS _� '.;� a.y.:.- NAME TYPE, ;>' " " `' NAME.e; .:.F. �'S^:, .--"'wi�`:�r.a... ,�.-.;by,d♦ .mak. �'�'. ATX'S " g „ �k`EMAIC shy yS ":CITY.t�.�`a�?+STE=:4 ZIP.. <` PHONE' ,,FA— „^v.,w8'" :�....�' a . , , 'iS"x{y+ hi. • .+ZF b.+i. . 4 « "tom ;.SrR'" rt' .... t...Fe ' :v.ir yef Z' i:-1::3.. "* /,� .�Tl: :.f r ni " APPLICANT RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX AZ 0 CONTRACTOR R J T INVESTMENTS INC PO BOX 6089 LA QUINTA CA 92253 OWNER RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX AZ 0 FINANCIAL INFORMATION " 44; - ~`; ,r �v , =�.' DESCRIPTION . R .; - °'ACCOUNT. ` ` TY ' `=AIVI AID PAID'DATE r.� Q O U NT, P = RE EIPT CHECK.#. C #, ,, Y e '. * ,,, : � 1:• t.t; a ;<« a fx BYE BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $1.00 $0.007j BSA: Printed: Monday, November 24, 2014 4:15:05 PM 1 of 2 ,. Srsreens PARENT PROJECTS . Printed: Monday, November 24, 2014 4:15:05 PM 2 of 2 CI?WIYST'EMS Bin # City Of La Q[lInt2 Building 8L Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: g(j_ 6,21 '9LV6e-- Owner's Name: RJT Homes - Codorni z , LLC A. P. Number: Address: P.O. Box 6 0 8 9 Legal Description: Contractor: RJT Invest men t s, Inc. City, ST, Zip: La Quinta, CA 92248 Telephone: 760-564-6555 ` Address: P.O. Box 6089 Project Description: City,ST,Zip: L•a Quinta, CA 92248 Telephone: 760 - 564- 6555 WIN'' City Lic. #: 6089 State Lia #: 690645 Arch., Engr., Designer Address: City, ST, Zip: Telephone: ConstructionType: F-05/J)�AT)A cupancy: State Lie. #: Project type (circle one) ew Add'n Alter Repair Demo Name of Contact Person: JIM Evl fNAI`TW Sq. Ft.: #Stories: #Units: Telephone # of Contact Person: '760 6U ,9 — 6439 Estimated Value of Project: Zrz�' e APPLICANT; DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted 1 Item Amount Structural Cates. Reviewed, ready for corrections Plan Check Deposit Truss Calts. Called Contact Person Plan Check Balance Tide 74 Cates. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2" Review, ready for correcdoos/issue ElecMcal Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading tN HOUSE:- '"' Review, ready for correctionvlssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees