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13-0791 (SFD)P.O. BOX 1504 �N 78-495 CALLE TAMPICO S�'p LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number:' 13-00000791 Property Address: 52045 GRAYTHORN WY APN: 772-410-997-2 -32070 - Application description: DWELLING - SINGLE FAMILY DETACHED Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 114693 Applicant: Architect or Engineer: ------------------ 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. License CI s: A B License No.: 690645 i Date: � � � Contractor: '� 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 Codel 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 1$500).: 1 _ 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 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 Owner: RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX, AZ 85034 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 7/05/13 Contractor: D RJT INVESTMENTS INC 1425 E. UNIVERSITY DRI JUL 05 2013 PHOENIX, AZ 85034 (602) 257-1656 CIwtl,LAQUINTA LIC. No.: 690645 CILIA UHC M-- ----------------------------------------------— 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 T or b Section 3700 of the Labor Code, for the performance of the work for which this permit is s ed. ve 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 429034 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 1 should become subject to the workers' compensation provisions of Section MG.ILU.oE of the Labor Code, I shall fo with comply with those provisions. Date:Applicant:WARTO 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 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, and hereby authorize representatives of this co ty t enter upon the above-mentioned property for i action purposes. Date Signature (Applicant or Agent): Application Number . . . . . 13-00000791 ------ Structure Information 1,731SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 3.00 FIRE SPRINKLERS 13D GARAGE SQ FTG 598.00 r NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 989.00 -------------------------------7-----------------7-------------------------- 2ND FLOOR SQUARE FOOTAGE 742.00 Permit . . . BUILDING 2013 Additional desc . Permit Fee . . . . 504.76 Plan Check Fee 00 Issue Date Valuation . . . . 114693 Expiration Date 1/01/14 Qty Unit Charge Per Extension BASE FEE 431.86 90.00 .8100 ---------------------------------------------------------------------------- THOU BLDG $25,001-$200,000 72.90 Permit . . . ELECTRICAL 2013 Additional desc . Permit Fee 191.15 Plan Check Fee .00, Issue Date Valuation 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension 1:00 23.8300 EA ELEC SERVICES 23.83 1.00 143.0000 L`S ELEC NEW RES, FIRST 1 KSF 143..00 2.00 12.1600 ---------------------------------------- EA ELEC NEW RES, ADD'L 1 KSF ------------------------------------- 24.32 Permit MECHANICAL 2013 Additional desc . Permit Fee . . . . 143.02 Plan Check Fee .00 Issue Date Valuation 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension 1.00 35.7500.EA MECH FURNACE 35.75 1.00 35.7500 EA MECH CONDENSER/COMP 35.75 5.00 11.9200 EA MECH VENT FAN 59.60 1.00 11.9200 ---------------------------------------------------------------------------- EA MECH EXHAUST HOOD 11.92 Permit . . . . . . PLUMBING 2013 LQPERMIT Application Number . . . . . 13-00000791 Permit . . . PLUMBING 2013 Additional desc . Permit Fee . . . . 226.47 Plan Check Fee .00 Issue Date . . . . Valuation 0 Expiration Date 1/01/14 Qty Unit Charge Per Extension 13.00 11.9200 EA PLBG FIXTURE/TRAP 154.96 1.00 11.9200 EA PLBG BUILDING SEWER 11.92 1.00 11.9200 EA PLBG WATER HEATER/VENT 11.92 1.00 11.9200 EA PLBG WATER INST/ALT/REP 11.92 1.00 35.7500 LS PLBG GAS SYS, 5+ OUTLETS 35.75 ---------------------------------------------------------------------------- Special Notes and Comments 1,731SF DWELLING - PLAN SF3BSG, LOT 2 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS OR WATER FEATURES. 2010 CALIFORNIA - BUILDING CODES. '^ - June 25, 2013 4:07:49 PM AORTEGA ---------------------------------------------- Other Fees . . . . . ------------------------------ . . . . BLDG STDS ADMIN (SB1473) _ 5.00 DIF COMMUNITY -CENTERS -RES 129.00 DIF CIVIC CENTER ° RES 942.00 DIF FIRE PROTECTION -RES 433.00 DIF LIBRARIES - RES 344.00 MULTI -SPECIES (MSHCP) FEE 531.00 PLAN CHECK, ELECTRICAL 69.13 DIF PARK MAINT FAC - RES 40.00 PLAN CHECK, MECHANICAL 76.28 PLAN CHECK, SFD GRADING 143.00 PLAN CHECK, PLUMBING 209.78 DIF PARKS/REC'- RES 2048.00 BLDG PC 25001-200K 990.15 STRONG MOTION (SMI) - RES 11.47 TUMF: RESIDENTIAL 1837.44 DIF STREET MAINT FAC -RES 116.00 DIF TRANSPORTATION - RES 2842.00 Fee summary Charged Paid Credited ---------------------------------------- Due ----------------- Permit Fee Total 1065.40 .00 .00 1065.40 Plan Check Total .00 .00 .00 00 Other Fee'Total 10767.25 .00 .00 10767.25 Grand Total 11832.65 .00 .00 11832.65 LQPERMIT