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04-5147 (SFD)11 BUILDING & SAFETY DEPARTMENT (760) .777-7012 f AMPICO , FAX (760) 777-7011 LIF ORNIA 9'2253 INSPECTION REQUESTS (76 0) 777-7153 BUILDING PERMIT tF��e►Nc�®mow"�._ App Tt i n umber Property Address' APN: Application description Property Zoning . . . . . . . Application valuation . . . . Owner ------------------------ R J.T HOMES 1425 E UNIVERSITY DR PHOENIX AZ 85034 L4-00005147 Date 6/25/04 50265 VIA IAMANTE 772-390-035- DWELLING 72-390-035 DWELLING - SINGLE FAMILY ATTACHED LOW DENSITY RESIDENTIAL 210416 Contractor RJT HOMES LLC 1425 E. UNIVERSITY DRIVE PHOENIX AZ 85034 4 WCC: STATE FUND WC: 1583906 10/01/04 CSLB: 690645 06/30/04 CCC: A -B ---------------= - ---- ----- Structure Information ------------------------- Construction Type .. TYPE V - NON RATED Occupancy Type . . .. . . . DWELLG/LODGING/CONG <=10 Flood Zone . . . . . . . . NON -AO FLOOD _ZONE Other struct info . . . . . .CODE EDITION 2001 CBC FLOOD ZONE NO GARAGE SQ FTG - 568.00 PATIO SQ FTG l 8601.00 TOT ELIGIBLE NO p. -NUMBER ''OFt UNITS' ` "` 1. 00 FIRST FLOOR SQ FTG 3284.00 ----------------------------------------- Permit . . . . . --------'--------------------- BUILDING PERMIT ----- Additional desc Permit Fee 1028.00`' ..Plan Check Fee 668.20 Issue Date . . . . Valuation . . . . 210416 Qty Unit"Charge Per Extension BASE FEE 639.50 111.00 3.5000 THOU BLDG 100,001-500,000 388.50 ------------------7---------------------------------------------------------- Permit . . . . MECHANICAL Additional desc . Permit Fee 65.50 Plan Check Fee 16.38 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension 4 A ►� P.O. Box 1504 • ���� VOICE (760) 777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 �1 BUILDING & SAFETY DEPARTMENT 7 Application Number: 0 ^ S/�/ % Date: 7 ' oZ t3 73 q Applicant: Applicant's Mailing Address: —Architect or Engineer: Architect or Engineer's Address: DOW "A5d dri IF c. No.: d t� BUILDING PERMIT DECLARATIONS 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 Licen 's in full ree and effect. License Class License No. -Date 6o My �raaora ], : &J.o _T OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): ( j 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 or 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.). U I, as owner of the property, am exclusively contracting with licensed ccntractors 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.). U 1 am exempt under Sec.._, BA P.C. for this reason Date WORKERS' 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 issyed. My ers' mpensation iy �an�e carrier and policyUmber re: arrier /policy Number _ I certify that, in the perfolmance 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 those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPEN T N COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR $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. 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 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 county to enter upon the above-mentioned property for inspection purposes. D te7!:�ILJ�g� re (Applicant or Agent): 1 � { .10 Page 2 Application Number . . . . . 04-00005147 Date 6/25/04 Qty Unit'Charge Per Extension BASE FEE 15.00 1.00 9.0000 EA MECH-FURNACE <=100K 9..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 ---------------------=---------------7-------------------------------------- Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 141.30 Plan Check Fee 35.33 Issue Date Valuation 0 Qty Unit Charge Per. Extension" BASE FEE 15.00 3284.00 .0350 ELEC NEW RES - 1.OR 2 FAMILY 114.94 568.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 11.36 ------------------------ Permit -- . . . -----------------=--------------=----------------- PLUMBING Additional desc Permit Fee . . . . 195.00 Plan Check Fee 48.75 Issue Date . . . . Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.f00 19.00 6.0000 EA PLB FIXTURE 114.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 2.00 6.0000 EA PLB ROOF DRAIN 12.00 .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 '6.00 .7500 EA PLB.GAS PIPE >=5. 4.50 1.00 15.0000 EA PLB GAS METER 15.00 ------------------------------------------------------'---------------------- Permit . . . . GRADING PERMIT Additional desc". Permit Fee . . . . 15.00 Plan Check Fee .00 Issue Date . . . Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFA - LOT 140. PLAN P3B, 3284 SF. �w Page 3 Application Number . . . . . 04-00005147 Date 6/25/04 ---------------------------------------------------------------------------- Special Notes and Comments Page 3 Application Number . . . . . 04-00005147 Date 6/25/04 ---------------------------------------------------------------------------- Special Notes and Comments PERMIT DOES NOT INCLUDE BLOCK WALLS, POOL,.SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other.Fees . . . . . . . . ART IN PUBLIC PLACES -RES 26.04, DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 66.82 DIF FIRE PROTECTION -RES 78.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES - RES 158.00 DIF PARK MAINT FAC - RES 3.00 DIF PARKS/REC - RES 352.00 STRONG MOTION (SMI)• -.RES 21.04 DIF STREET MAINT FAC -RES 15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1444.80 .00 .'00 1444.80 Plan Check Total 768.66 .00 .00 768.66 Other Fee Total 2114..90 .00 .00 2114.90 Grand Total 4328.36 .00 .00 4328.,36 PREPARED 10/21/13, 16:01:52 INSPECTION HISTORY REPORT PAGE1 PROGRAM BP521L 0/00/00 THRU 0/00/00 CITY OF LA QUINTA ------------------------------------------------------------------------------------------------------------------------------------ APPLICATION PROPERTY ADDRESS APN Alternate ID STRUCTR -------------- PERMIT ----------------------------------------------------------------------------------------------------------------------- INSPECTION RESULT DATE/STATUS INSPECTOR - 04 00005147 v50265_VIA AMANTE.. 772-390-035- - - _ 000 000' B001 00 BUILDING PERMIT 100 0001 SETBACKS .10/11/04 APPROVED GS . 000 000 B001 00 BUILDING PERMIT. 120, 0001 FOOTINGS S 10/15/04 APPROVED GS 000 000 B001 00 BUILDING PERMIT — 125 0001 SLAB 10/15/04 APPROVED GS 000 000 B001 OO'BUILDING PERMIT 127 0001 PRELIM PARTY WALL/FIREWAL 10/25/04 APPROVED GS 000 000- B001 00 BUILDING PERMIT 135- 0001 ROOF NAIL 11/23/04 APPROVED GS, 000 000 B001 00 BUILDING PERMIT 140 0001 OKAY TO WRAP - 12/22/04 APPROVED GS ,.000 000 B001 00 BUILDING PERMIT - 145 0001. FRAMING,. 12/22/04 APPROVED .GS _ 000 000 B001 00 BUILDING PERMIT 150 0001 INSULATION 1/18/05 APPROVED GS ' 000 000 B001 00 BUILDING PERMIT -160 0001 DRYWALL'NAIL 1/27/05 APPROVED GS 000 000 B001 00 BUILDING PERMIT 155. 0001 LATH - 2/02/05 APPROVED GS . 000 000 B001 00 BUILDING PERMIT - 199 0001 FINAL 5/26/05 APPROVED GS 000 000 E01 00 ELEC-NEW RESIDENTIAL 310 0001 ROUGH ELECTRICAL 12/22/04 APPROVED GS' 000 000 E01 00 ELEC-NEW RESIDENTIAL 315. 0001 TEMP USE OF PERMANENT POW 4/11/05 APPROVED GS 000 000 E01 00 ELEC-NEW RESIDENTIAL 399. 0001 ELECTRICAL FINAL 5/26/05 APPROVED GS 000 000 GP 00 GRADING PERMIT .197 0001 GRADING FINAL 5/26/05 APPROVED GS 000 000 M01 00 MECHANICAL 405 0001 ROUGH MECHANICAL - 12/22/04 APPROVED GS 000 000 M01 OO MECHANICAL 499 000I4 MECHANICAL FINAL 5/26/05 APPROVED GS 000 000 P01 00 PLUMBING ,200 0001 UNDERGROUND PLUMBING 10/11/04 APPROVED GS , 000 000 P01 00 PLUMBING 210. 0001 SEWER CONNECTION 10/11/04 APPROVED GS , 000 000 P01 00 PLUMBING 230 0001 ROUGH PLUMBING 12/22/04 APPROVED 'GS 000 000 P01 00 PLUMBING 245, 0001 SHOWER PAN 12/22/04 APPROVED- GS - 000 000 P01 00 PLUMBING - 299. 0001 PLUMBING FINAL 5/26/05 APPROVED, GS 000 000 P01 00 PLUMBING 235 0001 GAS LINE / GAS TEST 5/26/05 APPROVED GS G