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12-0360 (BLCK)P.O. BOX 1504 78,495 CALLE TAMPICO LA OUINTA, CALIFORNIA 92253 Tit�/ 4 e(P Qum& BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: 12-00000360 Property Address: 52195 DESERT SPOON CT APN: 777-450-051- - Application description: WALL/FENCE Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 700 Applicant: if ft Architect or Engineer: 1-/ A 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. LicenseClJss.J A B �r License No.: 690645 ate: ntractor: / 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 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 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 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 4/03/12 Owner: RJT HOMES - CODORNIZ - P.O. BOX 810S (� i LA QUINTA, CA 92253 1. j11 l p r (R 2012fl Contractor: f RJT INVESTMENTS INC GfTY (a ^_ :+ i"I7�► 1425 E. UNIVERSITY D'2IVE"�' PHOENIX, AZ 85034 V (602)25771656 Lic. No.: 690645 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. KI 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 workers' compensation laws of California, and agree that, if I should become subject to the workers' compensation provisions of Section 3377000 of the Labor Code, I shall forthwith 76�� e provisions. mate: �v plicant: WAR NG FAILURE TO SECURE WORKERS' COMPENSATION 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 Quinta, its officers, agents and employees for any as 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 co ty dinances and state laws relating to building construction, and hereby authorize representatives o is co t t enter upo the above-mentioned property Mf' oses ft Date: ignature (Applicant or Agent): r Application Number . . . . . 12-00000360 Permit WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 19.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 700 Expiration Date 9/30/12 Qty Unit Charge Per Extension BASE FEE 15.00 2.-00 2.0000 HND BLDG 501-2,000 4.00. ---------------------------------------------------------------------------- Special Notes and Comments 28 L.F. 6' GARDEN WALL, ORCO SYSTEM. 2010 CODES.. ---------------------------------------------------------------------------- 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 CODORNIZ - PHASE 04 CONS TR UCTION SEQUENCE SHEET Phase: COD04 ORIGINAL DATE: REVISED DATE: Sequence Lot Tract Plan Bldg Elev Desc Gar Address Scheme 01 103 32070 SF3 N/A B 052 -1195 -Desert -Sp noo Court:2_9'L-r- �3"'--' 02 104 32070 SF3 N/A A Rev 52-185 Desert Spoon Court Z6 L• r 1 03 115 32070 SF2 N/A B Rev 52-170 Desert Spoon Court �� •F 5 04 116 32070 SF1 N/A A Rev 52-180 Desert Spoon Court b j L.F 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 SF3A 1,692 1 1,692 SF3B 1,692 1 1,692 Total Square Footage: 6,138 Total Approvals: President VP Operations VP Purchasing 1111012011 Page 1 1 Bin # City of La Quints Building 8i Safety Division P.O. Box 1504,78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # % ��" Project Address: oe,5e4j '-Owner's Name: RJT Homes - Codorni z , LLC A. P. Number: Address: P.O. Box 6089 Legal Description: City, ST, Zip: La Qu i n t a, CA 92248 Contractor: RJT Investments, Inc. Telephone: 760-564-6555 Address: P.O. Box 6089 Project Description: ; i VJA45 City, ST, Zip: L•a Qu i nt a, CA 92248 Telephone: 7 6 0- 5 6 4 -: State Lia #: 6 9 0 6 4 5 d City Lic. #; 6 0 8 9 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person -Sq. Construction Type: Occupancy: Project type (circle.one): New Add'n Alter Repair Ft.: # Stories: # Units: Demo Telephone # of Contact Person: Estimated Value of Project: APPLICANT: DO NOT WRITE BELOW THIS UNE # Submittal Req'd Recd TRACMG PERMIT FEES Pian Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Cheek Deposit Truss Calces Called Contact Person Plan Check Balance Tide 24 Calcs. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 2°' Review, ready for correctionslissue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up SALL H.O.A. Approval Plans resubmitted Grading IN HOUSE:- 3w Review, ready for correctiond1mue Developer Impact Fee Planning Approval Called Contact Person A.I.P P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees