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13-0988 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000988 Property Address: 52135 DESERT SPOON CT .APN: 772-410-997-109 -30270 Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 1900 T4ht aF 4 Q" X./ Applicant: Architect or Engineer: I ----------------- I LICENSED CONTRACTOR'S DECLARATION BUILDING & SAFETY DEPARTMENT BUILDING PERMIT I hereby affirm under penalty of perjury t at I am licensed unde p ovisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Bus' ss and Pro s io o , and my License is in full force and effect. License Class: A B // Li n No.: 690645 Da Contra or: 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.). 1 _ 1 1 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 Owner: RJT HOMES CODORNIZ P.O. BOX 6089 LA QUINTA, CA 92248 Contractor: RJT INVESTMENTS INC G1j 1425 E. UNIVERSITY DRIVE PHOENIX, AZ 85034 1 1 3 2013 (602)257-1656 AUGv Lic. No.: 690645 CITY OF LA Q(jINTA i VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/08/13 ----------------------------------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: 1 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 429034 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 su ct [o the workers' compensation laws of California, and agree that, if I ould becom ubj ct to the workers' compensation provisions of Section 3700 of the�Lasbo de, I shall o h ply with those provisions. Date'• v� Applica WARNING: FAILURE TO SECURE WORK S' 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 - e above in r ion is correct. I agree to comply with all city and county ordinances and state laws relating to i ding con ru and hereby authorize representatives of this'co my o enter upon the above-mentioned pr y for in a ion t poses. .v6 Iii I Date: I�Signature (Applicant or Agent1p�U :".l ,y Application Number . . . . . 13-00000988 Permit . . . WALL/FENCE PERMIT 2013 Additional desc . . Permit Fee . . 47.19 Plan Check Fee 00 Issue Date . . . . Valuation . . . . 1900 Expiration•Date 2/04/14 Qty Unit Charge Per Extension 1.00 47.1900 LS MISC WALL, FIRST 100 LF 47.19 ---------------------------------------------------------------------------- Special Notes and Comments 38LF OF 6' GARDEN WALL AT PATIO [ORCO SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO; PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2010 CALIFORNIA BUILDING CODES. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN. (SB1473) 1.00 PLAN CHECK,. WALLS 60.06 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 47.19 .00 .00 47.19 Plan Check Total .00 .00 .00 .00 Other Fee Total 61.06 .00 .00 61.06 Grand.Total 108.25 .00 .00 108.25 LQPERMIT Bin # City of La Quinta Building at Safety Division P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # � / °" ts% Project Address:SZ- �3S DCS '� Owner's Name: RJT Homes - Codorniz, LLC A. P. Number: G+ 1,09 Address: P.O. Box 6089 Legal Description: City, ST, Zip: La Quinta, CA 92248 Contractor: RJT Investments, Inc. Address: P.O. Box 6089 Telephone: 760-564-6555 Project Description: City, ST, Zip: L -a Quinta, CA 92248 /. ' iC - 3 l -/h t?o Y Telephone: 760-564 -6555 y State Lia#: 690645 City Lic.#:6089 Arch., Engr., Designer. Address: City, ST, Zip: --! Telephone: State Lic. #: Name of Contact Person: ! apt : ` {'1 � Construction Type: $ t� Occupancy: Project type (circle one) ew Add'n Alter Repair Demo Sq. Ft.: # Stories: #Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Rec'd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calm Reviewed, ready for corrections Plan Check Deposit Truss Celts. Called Contact Person Pian Check Balance Tide 24 Cake. Plans picked up Construction Flood plain plan Plana resubmitted Mechanical Grading plan 2°' Review, ready for correcliouVissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Review, ready for correctionstissue Developer Impact Fee Planulug Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees MLOW•� 0 0 �� •° '8 a il�