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12-0824 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: x'"12=`000008247 Property Address: 52150 DESERT SPOON CT APN: 772-410-997-113 -30270 - Application description: DWELLING - SINGLE 'FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 109513 Ap Tiht 4 4 Q" BUILDING & SAFETY DEPARTMENT BUILDING PERMIT VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 8/13/12 Owner: RJT HOMES - CODORNIZ P.O. BOX 810 DETACHED LA QUINTA, CA 92253 Architect or Engineer: 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 License is in full force and effect. LicgRsre 91assir A B y y� License No.: 690645 Date tractor: Gt/Yy 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: (_ 1 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.). (_ 1 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 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: N Ir LQPERMIT Contractor: RJT INVESTMENTS INC _ 1425 E. UNIVERSITY[IVE n PHOENIX, AZ 85034 iiU! (r ti (602)257-1656 Lic. No.: -690645 rLJ � [} 2012 LI O CITY pF !_A QUiN%4 - -----`---- -_— - - 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. Ll 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 424430 _ 1 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 1 should become subject to the workers' compensation provisions of Section yn( �3170�0 of the Labor Code, 1 shall forthwith comply with those provisions. �Datev15y /- pplicant: WAR ING: FAILURE TO SECURE WORKERS' COMPEN ATION 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 Quirita, 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 nnng construction, and hereby authorize representatives %this cc my t enter upon the above-mentioned property r inspec�ses. Date• .gr Wre (Applicant or Agent): Application Number . . 12-00000824 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 674.50 Plan Check Fee 438.43 Issue Date Valuation . . . . 109513 Expiration Date 2/09/13 Qty Unit Charge Per Extension BASE FEE 639.50 10.00 -------------------------------------7-------------------------------------- 3.5000 THOU. BLDG 100,001-500,000 35.00 Permit . . . MECHANICAL Additional desc . Permit Fee 88.50 Plan Check Fee 22.13 Issue Date . . . . Valuation . . . . 0 Expiration Date 2/09/13 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 1.00 16.5000 EA MECH B/C >3-15HP/>100K-500KBTU 16.50 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 ---------------------------------------------- 6.5000 EA ' MECH EXHAUST HOOD --------------------- 6.50 --------- Permit . . . ELEC-NEW RESIDENTIAL .Additional desc . Permit Fee . . . 83.16 Plan Check Fee 20.79 Issue Date . . . . Valuation 0 Expiration Date.. 2/09/13 Qty. Unit Charge- Per Extension BASE FEE 15.00 1692.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 59.22 447.00 ---------------------------------------------------------------------------- .0200 ELEC GARAGE OR NON-RESIDENTIAL 8.94 Permit . . . PLUMBING Additional desc . Permit Fee . . . . . . 146.25 Plan Check Fee 36.56 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/09/13 Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 LQPERMIT e Application Number . . . . . 12-00000824 Permit . . . . . . PLUMBING Qty Unit Charge Per Extension 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 5..00 .7500 EA PLB GAS PIPE >=5 3.75 1.00 15.0000 --------------------------------------------------------- EA PLB GAS METER ------------------- -----------------PermitGRADING 15.00 Permit. . . GRADINGPERMIT Additional desc . Permit Fee . . . . 15.0.0 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration.Date 2/09/13 Qty Unit Charge Per Extension BASE FEE 15.00. ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 113, PLAN SF3A, 1692 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2010 CODES. ---------------------------------------------------------------------------- •Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 5.00 DIF COMMUNITY CENTERS -RES 104.00 DIF CIVIC CENTER - RES 1089.00 ENERGY REVIEW FEE 43.84 DIF FIRE PROTECTION -RES 612.00 DIF LIBRARIES - RES 334.00 MULTI -SPECIES (MSHCP) FEE 521.00 DIF PARK MAINT FAC - RES 51.00 DIF PARKS/REC - RES 1773.00 STRONG MOTION (SMI) - RES 10.95 DIF STREET MAINT FAC -RES 1.00 DIF TRANSPORTATION - RES 3592.00 .Fee summary Charged Paid Credited --------------------------------------------------------- Due Permit Fee Total 1007.41 .00 .00 1007.41 Plan Check Total 517.91 .00 .00 517.91 Other Fee Total 8136.79 .00 .00 8136.79 Grand Total 9662.11 00 .00 9662.11 LQPERMIT