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13-0790 (SFD)P.O. BOX 1504( NEQ VOICE (760) 777-7012 78-495 CALLE TAMPICO4 1 ` g�,4� FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT Date: 7/05/13 Application Number: 13-00000790 Owner: Property Address: 52065 GRAYT.HORN WY RJT HOMES CODORNIZ APN: 772-410-997-1 -32070 - 1425 E UNIVERSITY DR Application description: DWELLING - SINGLE FAMILY DETACHED PHOENIX, AZ 85034 Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 109513 Contractor: Applicant: Architect or Engineer: RJT INVESTMENTS INC JUL-052 013 1425 E. UNIVERSITY DR E / PHOENIX, AZ 85034 CITYQF �v (602) 257-1656 FINAN EDE NTA Lic. No.: 690645 L LICENSED CO TR OR'S DECLARATION I hereby affirm under penalty of perjury thyft Iam lice e u r rovisions of Chapter 9 (commencing with s Section,7000) of Division 3 of the Busin and Pro ssi al C de, and my License is in full force and effect. Licens6Class: A B e se No.: 690645 /Data: 75" ZOlcontractor: . 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 ISec. 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 70001 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 hot more than five hundred dollars ($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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the projedt (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—) I am exempt under Sec. , BAP.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.I. 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. I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of a work for which this permit is issued. My workers' compensation . insurance carri'ran, r an policy n ber are: Carrier LUMBERMEN'S UND oli Number 429034 I certify that, in the p ormanc o�;e ork for which this permit is issued, I shall not employ any person in any me r so as subject to the workers' compensation laws of California, - and agree that, i ` ,Q uld be ou ject to the workers' compensation provisions of Section 3700 of the L o1 I I s ith comply with those provisions. WARNING: FAILURE'TO SECURE WO ERS' 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 issuan4ofh permit, or cessatio f work for 180 days will subject permit to cancellation. certify that I have read this application and stateabove infor ion is o rect. I agree to comply withall city and county ordinances and state laws relatingng constr do eby authorize representatives of this county -to enter upon the above-mentionedfor ins ctio purpo e .Date:/Signature (Applicant or Agen Application Number . . . . . 13-00000790 ------ Structure Information 1,692SF DWELLING/VB/RES-3/CLASS A-FR/13D----- Other struct info . . . . . CODE EDITION 2010 # BEDROOMS 3.00 FIRE SPRINKLERS 13D GARAGE SQ FTG, 447.00 PATIO SQ FTG 25.00 NUMBER OF UNITS 1.00 IST FLOOR SQUARE FOOTAGE 950.00 --------'-------------------------------------------------------------------- 2ND FLOOR SQUARE FOOTAGE• 742.00 Permit . . . BUILDING 2013 Additional desc . Permit Fee . . . . 500.71 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 109513 Expiration Date . . 1/01/14 Qty Unit Charge Per Extension BASE FEE 431.86 . 85.00 ---------------------------------- .8100 THOU BLDG $25,001-$200,000 ------------------------------------------ 68.85 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 LS 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 4 LQPERMIT Application Number . . . . . 13-00000790 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 1,692SF DWELLING - PLAN SF3AR, LOT 1 [VB/RES-3/CLASS A-FR/13D/ENGINEERED] THIS PERMIT DOES NOT INCLUDE BLOCK WALLS I OR WATER FEATURES. 2010 CALIFORNIA BUILDING CODES. i June 25, 2013 3:56:51 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 976.85 STRONG MOTION (SMI) - RES 10.95 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 1061.35 .00 .00 1061.35 Plan Check Total .00 .00 .00 .00 Other Fee Total 10753.43 .00 .00 10753.43 Grand Total 11814.78 .00 .00 11814.78 4 LQPERMIT