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BRES2015-019178-495 CALLE TAM PICO L4 QUINTA, CALIFORNIA 92253 �r Application Number: Property Address: APN: Application Description: Property Zoning: Application Valuation: BRES2015-0191 52462 HAWTHORN Cf VOICE (760) 777-7125 FAX (760) 777-7011 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 6/24/2015 Owner: RJT HOMES CODORNIZ 777460024 CODORNIZ TM32070 PH 8 PLAN SF 2B $98,772.00 Applicant: R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 PHOENIX, AZ 85034 A hlN242015 CITY OFLA QUINTA COMMUNITY DEVELOPMENT DEPARTMENT 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: —�� !Contracto . 1425 E UNIVERSITY DR PHOENIX, AZ 0 Contractor: R 1 T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 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 Cede, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: OWNER -BUILDER DECLARATION Carrier: _ Policy Number: _ I hereby affirm under penalty of perjury that I am exempt from the Contractor's State I certify that in the performance of the work for which this permit is issued, 1 License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any shall not employ any person in any manner so as to become subject to the workers' city or county that requires a permit to construct, after, improve, demolish, or repair compensation laws of California, and agree that, if I should become subject to the any structure, prior to its issuance, also requires the applicant for the permit to file a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith signed statement that he or she is licensed pursuant to the provisions of the comply with those provisions. 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 Date: Applicant. 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ($500).: AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO (_) I, as owner of the property, or my employees with wages as their sole ONE HUNDRED THOUSAND DOLLARS ($100,000). IN ADDITION TO THE COST OF compensation, will do the work, and the structure is not intended or offered for sale. COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not INTEREST, AND ATTORNEY'S FEES. 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 APPLICANT ACKNOWLEDGEMENT are not intended or offered for sale. If, however, the building or improvement is sold IMPORTANT: Application is hereby made to the Building Official for a permit subject to within one year of completion, the owner -builder will have the burden of proving that the conditions and restrictions set forth on this application. he or she did not build or improve for the purpose of sale.). 1. Each person upon whose behalf this application is made, each person at whose (_) I,as owner of the property, am exclusively contracting with licensed contractors request and for whose benefit work is performed under or pursuant to any permit to construct the project. (Sec. 7044, Business and Professions Code: The Contractors' issued as a result of this application , the owner, and the applicant, each agrees to, and State License Law does not apply to an owner of property who builds or improves shall defend, indemnify and hold harmless the City of La Quinta, its officers, agents, and thereon, and who contracts for the projects with a contractor(s) licensed pursuant to employees for any act or omission related to the work being performed under or the Contractors' State License Law.). following issuance of this permit. (� I am exempt under Sec. . B.&P.C. for this reason 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. , 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 Lender's 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 propeerty.` r inspection purposes. Date: L7—/Signature (Applicant or Agent4,.4 ' DESCRIPTION FINANCIAL INFORMATION ACCOUNT : QTY AMOUNT' PAID PAID DATE BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY 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 RECEIPT # CHECK # CLTD BY 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 METHOD RECEIPT # CHECK # {LTD 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 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 PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 PAID BY. " METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION i : - ACCOUNT QTY AMOUNT PAID PAID DATE TEMP POWER SERVICE PC 101-0000-42403 0 $16.92 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY° Total Paid for ELECTRICAL: $41.09 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID. PAID DATE „RESIDENTIAL, EA ADDITION 1,000SF 101-0000-42403 0 $12.33 $0.00 PAID BY METHOD - RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNTQTY AMOUNT PAID PAID DATE RESIDENTIAL, EA•ADDITION 1,000SF, PC 101-0000-42600 0 • $5.08 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ; ACCOUNT QTY AMOUNT PAID:; PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE RESIDENTIAL, FIRST 1,000SF, PC 101-0000-42600 0 $47.86 $0.00 PAID BY METHOD. RECEIPT # CHECK # CLTD BY Total Paid forELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL PRECISE GRADING -TRACT HOME 101-0000-42408 0 $133.43 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forGRADING: $133.43 $0.00 DESCRIPTION - ACCOUNT QTY AMOUNT PAID PARD GATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $0.00 PAID BY . METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR PC 101-0000-42600 0 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD PC 101-0000-42600: 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE PC 101-0000742600 0 $24.17 $0.00 PAID BYMETHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $48.36 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION . ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN PC 101-0000-02600 0 $19.32 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMECHANICAL: $205.46 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI-SPECIES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,292.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 DESCRIPTION ACCOUNT QTY .AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $498.67 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PERMIT: $498.67 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PLAN CHECK 101-0000-42600 0 $960.47 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid forNEW CONSTRUCTION PLAN CHECK: $960.47 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE` BACKFLOW DEVICE 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION: ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY_ DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD • RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $120.90 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP PC 101-0000-42600 .0 $120.90 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID 'PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $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 $24.17 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD RECEIPT# CHECK# CLTD BY` DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT PC 101-0000-42600 0 $7.25 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY DESCRIPTION 'ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $0.00 PAID BY METHOD • RECEIPT # CHECK # CLTD BY DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP PC 101-0000-42600 0 $12.09 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid.forPLUMBING FEES: $362.68 $0.00 DESCRIPTION ACCOUNT, QTY AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $12.84 $0.00 PAID BY METHOD RECEIPT _# CHECK # t CLTD BY Total Paid forSTRONG MOTION INSTRUMENTATION SMt $12.84 $0.00 DESCRIPTION ACCOUNT_ QTY AMOUNT. PAID PAID DATE SINGLE FAMILY DETACHED 224-0000m20320 0 $1,837.44 $0.00 PAID BY METHOD RECEIPT # CHECK # ' CLTD BY Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 Description: CODORNIZ TM32070 PH 8 PLAN SF 213 Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: UNDER REVIEW Applied: 5/12/2015 MFA FAMILY DETACHED Approved: Parcel No: 777460024 Site Address: 52462 HAWTHORN CT LA QUINTA,CA 92253 Subdivision: TR 32070 Block: Lot: 70 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $98,772.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: 1,504 SF DWELLING. PLAN TYPE SF26, LOT 70 [VB/RES-3/CLASS A-FR/13D] THIS PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2013 CALIFORNIA BUILDING CODES CHRONOLOGY CONDITIONS EMAIL NAME TYPE NAME ADDRESSI rONTACTS CITY STATE ZIP PHONE FAX: APPLICANT R J T INVESTMENTS INC 1130E MISSOURI AVE STE 890 PHOENIX AZ 85034 CONTRACTOR R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 PHOENIX AZ 85034 OWNER RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX AZ 0 FINANCIAL INWRIVIA'HON Printed: Wednesday, June 24; 2015 11:47:58 AM 1 of 5 SYSTr: ti1S Printed: Wednesday, June 24, 2015 11:47:58 AM 2 of 5 SYS TC: AAS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT# .. CHECK# METHOD PAID 13 BY BSAS SB1473 FEE 101-0000-20306 0 $4.00 $0.00 Total Paid forBUILDING STANDARDS ADMINISTRATION $4.00 $0.00 BSA: DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $0.00 DIF - COMMUNITY 254-0000-43200 0 $129.00 $0.00 CENTERS DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $0.00 DIF - LIBRARIES 253-0000-43200 0 $344.00 $0.00 DIF - PARK 256-0000-43200 0 $40.00 $0.00 MAINTENANCE DIF - PARKS/REC 251-0000-43200 0. $2,048.00 $0.00 DIF - STREET' 255-0000-43200 0 $116.00 $0.00 MAINTENANCE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $0.00 Total Paid forDIF - SINGLE FAMILY DWELLING: $6,894.00 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $0.00 TEMP POWER SERVICE 101-0000-42403 0 $16.92 $0.00 PC Total Paid for ELECTRICAL: $41.09 $0.00 RESIDENTIAL, EA 101-0000-42403 0 .$12.33 $0.00 ADDITION 1,000SF RESIDENTIAL, EA 101-0000-42600 0 $5.08 $0.00 ADDITION 1,000SF, PC RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $0.00 1,0005E Printed: Wednesday, June 24, 2015 11:47:58 AM 2 of 5 SYS TC: AAS DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY. RESIDENTIAL, FIRST 101-0000-42600 0 $47.86 $0.00 1,000SF, PC Total Paid for ELECTRICAL - NEW CONSTRUCTION: $210.30 $0.00 RESIDENTIAL PRECISE GRADING - TRACT 101-0000-42408 0 $133.43 $0.00 HOME .Total Paid forGRADING: $133.43 $0.00 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $0.00 SOR CONDENSER/COMPRES 101-0000-42600 0 $24.17 $0.00 SOR PC EXHAUST HOOD 101-0000-42402 0 $12.09 $0.00 EXHAUST HOOD PC 101-0000-42600 0 $4.83 $0.00 FURNACE 101-0000-42402 0 $36.26 $0.00 FURNACE PC 101-0000-42600 0 $24.17 $0.00 VENT FAN 101-0000-42402 0 $48.36 $0.00 VENT FAN PC 101-0000-42600 0, $19.32 $0.00 Total Paid forMECHANICAL: $205.46 $0.00 MULTI -SPECIES 101-0000-20310 0 $1,292.00 $0.00 ' RESIDENTIAL 0-8 UNITS Total Paid forMULTI-SPECIES RESIDENTIAL- $1,292.00 $0.00 NEW CONSTRUCTION 101-0000-42400 0 $498.67 $0.00 PERMIT Total Paid for NEW CONSTRUCTION PERMIT: $498.67 $0.00 NEW CONSTRUCTION 101-0000-42600 0 $960.47 $0.00 PLAN CHECK Total Paid for NEW CONSTRUCTION PLAN CHECK: $960.47 $0.00 Printed: Wednesday, June 24, 2015 11:47:58 AM 3 of 5 My SYSTEMS DESCRIPTION ACCOUNT QTY AMOUNT, PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY CLTD BY BACKFLOW DEVICE 101-0000-42401 0• $12.09 $0.00 BACKFLOW DEVICE PC 101-0000-42600 0 $4.83 $0.00 BUILDING SEWER 101-0000-42401 0 $12.09 $0.00 BUILDING SEWER PC 101-0000-42600 0 $12.09 $0.00 FIXTURE/TRAP 101-0000-42401 0 $120.90 $0.00 FIXTURE/TRAP PC 101-0000-42600 0 $120.90 $0.00 GAS SYSTEM, 1-4 101-0000-42401 0 $12.09 $0.00 OUTLETS GAS -SYSTEM, 174 101-0000-42600 0 $24.17 $0.00 OUTLETS PC WATER HEATER/VENT 101-0000-42401 0 $12.09 $0.00 WATER HEATER/VENT 101-0000-42600 0 $7.25 $0.00 PC WATER SYSTEM 101-0000-42401 0 $12.09 $0.00 INST/ALT/REP WATER SYSTEM 101-0000-42600 0 $12.09 $0.00 INST/ALT/REP PC Total Paid forPLUMBING FEES: $362.68 $0.00 SMI - RESIDENTIAL 101-0000-20308 0 $12.84 Total Paid forSTRONG MOTION INSTRUMENTATION SMI: $12.84 $0.00 SINGLE FAMILY. 224-0000-203200 $1,837.44 $0.00 DETACHED Total Paid forTUMF - RESIDENTIAL: $1,837.44 $0.00 TOTALS:00 Printed: Wednesday,'lune 24, 2015 11:47:58 AM 4 of 5 SYS7EnAS FINAL"• I BLD ATTACHMENTS Printed: Wednesday, June 24, 2015 11:47:58 AM 5 of 5 SYSTEMS