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13-0021 (BLCK)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: 13-00000021 Property Address: 52150 DESERT SPOON CT APN: 772-410-997-113 -30270 Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 825 4 VOICE (760) 777-7012 FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 1/04/13 Owner: RJT HOMES P.O. BOX LA QUINTA CODORNIZ 810 CA 92253 Z�/ � Contractor: Applicant: Architect or Engjneerr���� OF J RJT INVESTMENTS INC 1425 E. �qHC oFpw% PHOENIX, AZ 85034Y DRIVE (602)257-1656 Lic. No.: 690645 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Division 3 of the Business and Professionals Code, and my License is in full force and effect. License ass: A B LicenseNo.: 690645 ate: ontractor: 40!j!r OWNER -BUILDER DECLARATION I hereby aff m 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).: (_ 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 1, 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 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: rs LQPERMIT WORKER'S COMPENSATION DECLARATION 1 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. 1 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 AND 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, nd agree that, if I should become subject to the workers' compensation provisions of Section 3700 of he Labor Code, I h II rt ply with those provisions. Date:hCTAN 1 /Afiplicant: WARFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJ EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 the above information is correct. I agree to comply with all ;Da and c my rdmances and state laws relating to building construction, and hereby authorize representatives his co t o e ter upon the above-mentioned property fo i egAa urposes. J fY� Si ature (Applicant or Agentl: Application Number . . . . . 13-00000021 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 23.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 825 Expiration Date . . 7/03/13 Qty Unit Charge ,Per Extension BASE'FEE 15.00 4.00 2.0000 HND BLDG 501-2,000 8.00 ---------------------------------------------------------------------------- Special Notes and Comments 33 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2010 CODES. ----------------------------------------------------7----------------------- Other Fees . . . . . . . . . BLDG STDS ADMIN (SB1473) 1.00 Fee summary Charged Paid Credited Due ----------------- Permit Fee Total -------------------- 23.00 -------------------- .00 .00 23.00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1.00 .00 .00 1.00 Grand Total 24.00 .00 .00 24.00 LQPERMIT ern City Of La Quinta Building & Safety Dh4slon Pemtit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 i� Building Permit Application and Tracking Sheet Project Address: 50 56& r oDvl 6k/K- Owner's Name: RJT Homes - Codorni z , LLC A. P. Number: �,e �� l%' Address: P.O. Box 6089 Legal Description-. li ` --191 0 . Contractor: RJT Investments, Inc. Address: P.O. Box 6089 City, ST, Zip: La Quinta, CA 92248 Telephone: 760-564-6555 Project Description: City, ST, Zip: L•a Quinta, CA 92248 Dr -co &wbm W•d l Telephone: 7 6 0 - State Lla#: 690645 "CiLic.#; Plea Check submitted 6089} Item Amount Arch., Engr., Designer. Structural Catcs. Address: City, ST, Zip: Telephone: as Construction Type: Occupancy: State Lic. M. Project type (circle one): New Add'n Alter Repair Demo Name of Contact Person: Sq. Ft.: #Stories: # Units: Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE q Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plea Check submitted Item Amount Structural Catcs. Reviewed, ready for corrections Plan Check Deposit Trus Calts. Called Contact Person Plan Check Balance. Tide 24 Calci. Plans picked up Constriction Flood plata plan Plans resubmitted Mechanical Grading plan 2"! Review, ready for corrections/issue 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 corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit issue School Fees Total Permit Fees