13-0576 (BLCK)P.O. BOX 1504
7S,495 CALLE TAMPICO
i!A QUINTA, CALIFORNIA 92253
Application Number:13-00000576
Property Address: 52175 DESERT SPOON CT
APN: 772-410-997-105 -30270
Application description: WALL/FENCE
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 950
Applicant,
Tdv144,Q"
Architect or Engineer:
44—
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RJT HOMES - CODORNIZ
P.O. BOX 810
LA'QUINTA, CA 92253
t1RAI
ractor:
INVESTMENTS INC
5 E. UNIVERSITY DRIVE
ZOENIX, AZ 85034
2)257-1656
. No.: 690645
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 5/03/13
--------------------------------------------------------------------------------------------------
LICENSED CONTRACTOR'S DECLARATION
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
I hereby affirm under penalty of perjury one of the following declarations:
Section 7000) of Division 3 of the Bu r s onals Code, and my'License is in full force and effect.
_ I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: A B License No.: 690645
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is .
jts�ancl
(�^�*'` +� : >
issued.
Date: �3`lJ 3—Contractor: 'N .
_ 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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier LUMBERMEN' S UND Policy Number 424430
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to
_ I certify that, in the performance of the work which this permit is issued, I shall not employ any
construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the
person in any manner as to beco a s'� e t to the workers' compensation laws of California,
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State
and agree that, if I S d becom su ' ct o hew orkers' compensation provisions of Section
License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or
3700 of the Labor o e, I shall o with c ply with those provisions.
that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by
/
applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).:
.3 Applicant:
�Date:::rany
I, as owner of the property, or my employees with wages as their sole compensation, will do the work, andthe
structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The
G: FAILURE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon,
SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
and who does the work himself or herself through his or her own employees, provided that the
DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
improvements are not intended or offered for sale. If, however, the building or improvement is sold within
SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
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.).
APPLICANT ACKNOWLEDGEMENT
(_ 1 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec.
IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the
7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of
conditions and restrictions set forth on this application.
property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed
1. Each person upon whose behalf this application is made, each person at whose request and for
' pursuant to the Contractors' State License Law.).
whose benefit work is performed under or pursuant to any permit issued as a result of this application,
(_ 1 I am exempt under Sec. , B.&P.C. for this reason
the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City
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
of La Quints, 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 ces a 'on of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that t bove i or a correct. I agree to comply with all
city and county ordinances and state laws relating to b ild ng con ru , a d hereby authorize representatives
of_this county to enter upon the above-mentioned pr art for i pe on ur oses.
Date Signature IAS pplicant�gent):- ,
13
Application Number . . . . . 13-00000576
PermitWALL/FENCE PERMIT
` Additional desc .
Permit Fee 25.00 Plan Check Fee
.00-
Issue Date . . . . - Valuation . . .
. 950
Expiration Date 10/30/13
Qty Unit Charge Per
Extension
BASE FEE
15.00
5.00 2.0000 HND BLDG 501-2,000
10.00
----------------------------------------------------------------------------
Special Notes and Comments
38 LN FT X 6 FT HT ORCO STANDARDS BLOCK
WALL PER APPROVED PLANS.
----------------------------------------------------------------------------
Other Fees . . . . . . . . . BLDG STDS•ADMIN (SB1473)
1.00
Fee summary Charged Paid Credited
---------------------------------------------------------
Due
Permit Fee Total 25.00 .00 .00
25.00
Plan Check Total .00 .00 .00
.00
Other Fee Total 1.00 .00 .00
1.00
Grand Total 26.00 .00 ..00
26.00
LQPERMIT
Din #
City Of La Quinta
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Alg- Building Permit Application and Tracking Sheet
Permit #
1�
Project Address:_,92-'1'75
Veser
Owner's Name: RJT Homes - Codorn i z , LLC
A. P. Number:
Address: P.O. Box 6089
Legal Description: Ir 32-o70
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
38 LF kCo !>,S / h 6,aek, 14A
Telephone: 760-564-6555:
6"111 h
State Lia{#: 690645 C. #- 6089
Arch., Engr., Designer.
Address:
City, ST, Zip:
Telephone: Construction Type: Occupancy:
State Lia d#: Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: Dyyt > Sq. FL: i# Stories: !# Units:
Telephone 1# of Contact Person: '%
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
q
Submittal
Req'd
Recd
TRACKNG
PERMIT FEES
Plan Sets
Pian Check submitted
Item
Amount
Structural Cake.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calra
Called Contact Person
Plan Check Balance
Title 24 Coles.
Plans picked up
Coastruction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
Z°' Review, ready for correctionslissue
Electrical
Subeontector List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
H.O.A. Approval
Plans resubmitted
Grading
QI HOUSE:-
'"' Review, ready for correctioavlaue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit Issue
School Fees
Total Permit Fees
26.8
v 2 .45 ; )`---2618
h 3 Z 1 1 : I ,, 7 N-`0-5 77.4 -.11:... _.._..
35.18 TW
` t I i I 6. _ 0 TF o� ° N 3' ,_,
:�. � ..LOT • "AA_
I 126.63 - -
p�i j 27.3 ; 7.9 -
pro
N�fi06_
FG , F 26.72 . FS FS
f l I G IM FS N �` r7 34.96' ". ��E� .:;:. -
`' 35. I - 6.73' _.. 'f''26aS7
C A~i
{ x 26.50 TF,: I 27!`I 2 �,
F Hp A,�. Ji /•�� 25.6;
^v � '
- ► r °� & i".. . �, �3� N „IF
� o SF3SGR 5 2s.z �:. 24 .
O Tc. C ,.
" 27.0 690 - c�N
TG GF=
2.4 2 FF=27.80
26.90 , ,
5.85' 0Jr PAD=27.30 26. �6 j
C;I GF= TG 1
X7,0 26.9 � 27.30 751 3 `
AGI ' 27.6'1 TG'' FL " 27.1
zlil,
28.6 ; ,. 1% "� 26.76;My FG !` _{ : j27.FG
1
F 27.03= "t'.z1::= z: -K..: 11 '5 2.5Rim I °o
N'. - -
�6.%, 4.va!1:09'- o . ; ;! 26.
TC
u
, 27.0
a> PER 8 nk `° ,;.a 1 27.0 26.8 27.9 > c
s .G' ry ? .'" % +, $ z: ` r3 I HP HP Lq HP a `L' r'
FL
SF3R
FF=27.65
',; : 00 FF=27.50
3.51' I6' PAD=27.15 GF=27.00PAD=27.00
2 GFL;27.15
`
!
a•
; �Vi � { ' �` N?' e?.�8'. tie ,� 11 '• 1 � ,r.s w
'03 104..
��,6 26.61 FS 6 26.47 18.55' S' 26.35 t i
t G7' _ GF=26.60-. I.
6.37
r
-
r�
42.50
i I -L : -
26.79 = F
8:69 FS 2
{ �,
6.55 FS 2
26.31 FS
FL
26.47 ` `� '�
AM-`J�v6.5
N
._ ` ...
U 5ALOT
»
l10
26 TC
/ ^ S
25
FL