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11-1288 (SFD)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: T117- 0001288 3 Property Address: 52185 DESERT SPOON CT APN: 777-450-052- - - Application description: 'DWELLING - SINGLE FAMILY Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 109513 4 VOICE (760) 777-7012 4- FAX (760) 777-7011 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 11/29/11 Owner: RJT HOMES - CODORNIZ P.O. BOX 810 ' DETACHED LA QUINTA, CA 92253 Contractor: U Applicant: Architect or Engineer: RJT INVESTMENTS INC NOV��9 1425 E. UNIVERSITY D N!f O 11 ' 01PL PHOENIX, AZ 85034 (602)257-1656 CITY OF LA QUINTA I Lic. No.: 690645 FWANC1EPT -------------------------------------------------------------------------------------------------- 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 Codg—aAt!py License is in full force and effect. License Class: A B leen—s Ntf 690645 ate:, /� ntractor: 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).: 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.). (_ ) 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: LQPERMIT 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. 10� 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 419203 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 subject to the kers' compensation laws of California, and agree that, if I should become subject t�h ours' compensation provisions of Section 3700 of the Labor Code, 1 shall forth ' t�< mply with those provisions. ate: / - 30 / A ant: WARNING: FAILURlicSECU WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTHOUSAND DOLLARS (5100,000)• 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 Ouinta, 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 construction, authorize representatives of this;��re enterthe above-mentioned property for ins purposes. Date: (Applicant or Agentl: Application Number . . . . . 11-00001288 Permit . . . BUILDING PERMIT Additional desc . Permit Fee . . . . 674.50 Plan Check Fee 438.43 Issue Date . . Valuation . . . . 109513 Expiration Date 5/27/12 Qty Unit Charge Per Extension BASE FEE 639.50 10.00 ---------------------------------------------------------------------------- 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 5/27/12 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 5/27/12 Qty Unit Charge Per Extension BASE FEE 15..00 1692.00 .0350 ELEC NEW.RES - 1 OR 2 FAMILY 59.22 4.47.00 ---------------------------------------------------------------------------- .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 5/27/12. Qty Unit Charge Per Extension BASE FEE 15.00 13.00 6.0000 EA PLB FIXTURE 78.00 LQPERMIT Application Number . . . . . 11-00001288 Permit . . . . . PLUMBING .Qty Unit Charge Per BASE FEE 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 15.00 Permit GRADING PERMIT 521.00 Additional desc . DIF PARK MAINT FAC - RES 22.00 Permit Fee . . 15.00 Plan Check Fee .00 Issue Date . . . . DIF STREET MAINT FAC -RES 67.00 Valuation . . . . 0 Expiration Date . . 5/27/12 Qty Unit Charge Per Extension BASE FEE 15.00 ---------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 104, PLAN SF3AR; 1692 SF. PERMIT DOES NOT INCLUDE POOL, SPA, BLOCK WALLS OR DRIVEWAY APPROACH. 2010 CODES. ------------------------------------------7--------------------------------- Other Fees . . . . . . BLDG STDS ADMIN (SB1473) 5:00 DIF COMMUNITY CENTERS -RES 74.00 DIF CIVIC CENTER - RES 995.00 ENERGY REVIEW FEE 43.84 DIF FIRE PROTECTION -RES 140.00 DIF LIBRARIES - RES 355.00 MULTI -SPECIES (MSHCP) FEE 521.00 DIF PARK MAINT FAC - RES 22.00 DIF PARKS/REC - RES 892.00 STRONG MOTION (SMI) - RES 10.95 DIF STREET MAINT FAC -RES 67.00 DIF TRANSPORTATION - RES 1930.00 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 5055.79 .00 .00 5055.79 Grand Total* 6581.11 .00 .00 6581.11. LQPERMIT