12-0359 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 12-00000359
Property Address: 52185 DESERT
APN: 777 -450 -052 -
Application description: WALL/FENCE .
Property Zoning: MEDIUM HIGH
Application valuation: 650
Applicant:
T-,dtt 4 4 Q"
SPOON CT
DENSITY RES
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
RJT HOMES - CODORNIZ
P.O. BOX 810
LA QUINTA, CA 92253
Contractor:
RJT INVESTMENTS IN
1425 E. UNIVERSITY
PHOENIX,. AZ 85034
(602)257-1656
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 4/03/12
rN
Lic. No. 690645 �•��� �:„” �o,` 'r
pip D
-
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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 700 1 of Division 3 of the Business and Professionals 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
Licens C a s: A B -License No.: 690645 for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
�'dte: /actor: _�_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
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 419203
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 for 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 so as to become subject 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 should become subject to the workers' 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 Codej I,� I forthwith comply with those provisions.
that
he she o exempt therefrom and the basis for the l penal exemption. ofnoAny violation of Section 7031.5 by
an applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars IS5001.: fD
e:
(_ 1 1, 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 RN( FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
Contractors' State License Law does not apply to an owner of property who builds or improves thereon, BJECT 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 LLARS ($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 TION 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.).
(_ 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:
LQPERMIT
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
city aW
nd state laws relating to building construction, and hereby authorize representatives
of�thiPe above-mentioned property for inspe �ufjrp�oses.
date:re (Applicant or Agent):/f�I✓'✓L'
Application Number . . . . . 12-00000359
Permit . .
. WALL/FENCE
PERMIT
Additional desc .
Permit Fee . . .
. 19.00
Plan Check Fee
•.00
Issue Date . . .
.
Valuation . . .
. 650
Expiration Date
9/30/12
Qty Unit Charge Per
Extension
BASE
FEE
15.00
2.00 2.0000 FIND BLDG
501-2,000
4.00
----------------------------
Special Notes and
----------------
Comments
--------------------------------
26 L.F. 6' GARDEN
WALL, ORCO SYSTEM.
2010 CODES.
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Other Fees
. . . BLDG
STDS ADMIN (SB1473)
1.00
Fee summary
-
Charged
-
Paid Credited
--- - - - - ------ - - - - ----
Due
-- - - - - - -
-- - - - - - - - - - - - ---
Permit Fee Total
---- - - - - --
19.00
.00 .00
19.00
Plan Check Total
00
.00 00
.00
Other Fee Total
1.00
.00 .00
1.00
Grand Total
20.00
.00 .00
20.00
LQPERMIT
Total Square Footage: 6,138
Total
Approvals:
President VP Operations VP Purchasing
1111012011
Page 1
# of
ORIGINAL DATE:
Pin/Elev
SgFt
Pins
REVISED DATE:
SF1A
1,250
1
CODORNIZ - PHASE 04
SF2B
1,504
CONSTRUCTION SEQUENCE SHEET
1,504
SM
1,692
Phase: COD04
Sequence
Lot Tract
Plan
0 or
Bldg Elev Desc Gar Address Scheme
1,692
01
103 32070
SF3
N/A B. 52-195 Desert Spoon Court2 F L, r 3
02
104 32070
SF3
N/A A Rev 52-1135 Desert Spoon Court Z6 L• F_ - - - . 1
03
115 32070
SF2
N/A B Rev 52-170 Desert Spoon Court `Qi L•F 5
04
116 32070
SF1
N/A A Rev 52-180 Desert Spoon Court b ( LS 1
Total Number of Lots:
4
Plan/Elevation Totals
Total Square Footage: 6,138
Total
Approvals:
President VP Operations VP Purchasing
1111012011
Page 1
# of
Total
Pin/Elev
SgFt
Pins
SgFt
SF1A
1,250
1
1,250
SF2B
1,504
1
1,504
SM
1,692
I
1,692
SF3B
1,692
1
1,692
Total Square Footage: 6,138
Total
Approvals:
President VP Operations VP Purchasing
1111012011
Page 1
Bin #
City Of La QUinta .
Budding 8r Safety DhVon
P.O. Box 1504, 78-495 Calle Tampko
La Qulnta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # 3GJ (�
1
Project Address: a -
'� Owner's Name: RJT Homes - • Codorn i z ,
LLC
A. P. Number.
Address: P.O. Box 6089
Legal Description: City, ST, Zip: La Qu int a , CA 92248
Contractor. RJT Investments, Inc. Telephone: 76'0-564-6555
Address: P.O. Box 6089
Project Description: �,iJ
�j
City, ST, Zip: L•a Qu int a , CA
Telephone: 7 6 0- 5 6 4-46'5.6'
j92248
State Lir. #: 6906 4 5
Arch., Engr., Designer:
CityLic. #: 6 0 8 9
Address:
City, ST, Zip:
Telephone: .
State Lia #:
Name of Contact Person:
Construction Type: Occupancy:
Project type (circle one): New Add'a Alter Repair
jl�, Sq. FL: # Stories: # Units:
Demo
Telephone # of Contact Person: �
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACMG
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Stractaral Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cates.
Plans picked up
Construction
Flood plain plan
Plana resubmitted
Mechanical
Grading pian
2°4, Review, ready for correctionuluue
Electrical
80contactor List
galled Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
'"° Review, ready for eorrectiousAssne
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit tune
School Fees
Total Permit Fees