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04-7390 (SFD)No �wQ�rw BUILDING & SAFETY DEPARTMENT . P.O. Box 1504.:: - (760),.777-7012 78-495 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION :REQUESTS (7.60) 777-71.53 BUILDING PERMIT Application Number . . . . .04=000.073-9-0—� Date 11/24'/04 Property Address . . . 50070 VIA DE–MODA APN: 772-380-002- - Application description' DWELLING -.SINGLE FAN:ILY DETACHED Property Zoning LOW DENSITY RESIDENTIAL . Application valuation 295702 Owner Contractor R J T HOMES RJT HOMES LLC 1425 E UNIVERSITY DR 1425 E. UNIVEFSITY'DRIVE PHOENIX AZ 85034 PHOENIX AZ 85.034 p OWCC` STATE FUND WC1583906 10-/01/05 69065 06/30/06 ------------------------ \� �c�,i.00CC;-A-B-------------------7- -Structure, Infor-maLtion Construction -Type . . . , I-. . �. �TYPE'V '� NONfR`ATED Occupancy Type BW;EELG�/jL,ODGING/CONG <=10 Flood Zone . . . . . . N-112.0DE NON'�90 FLOOD ZONE Other.struct info. EDITION 2001 CBC FIRE SPRINKLERS: NO GARAGE.SQ FTG 763.00 PATIO SQ. FTG . 1248.,0-0 NUMBER OF UNITS 1...00 1ST FLOOR SQUARE FOOTAGE 4618.00 Permit .. BUILDING�PERMIT Additional desc Permit Fee . . . 1325.50 Plan Check Fee 861.58 Issue Date Valuation . . 295702 Qty Unit Charge Per Extension BASE FEE 639.50. 196.00 3.5000 THOU BLDG 100,001-500,000 .686.00 Permit . . . MECHANICAL Additional desc Permit Fee. 132.50 Plan Check Fee 33.13 Issue Date Valuation . . 0 Qty Unit Charge Per Extension BASE.FEE 15.00 4.00 9.0000 -EA MECH FURNACE <=100K 36.00 4.00 9.0000 EA MECH B/C <=3HP/100K BTU 36.00 6.00 6.5000 EA MECH VENT FAN 39.00' .� 1.00 6.5000 EA MECH EXHAUST HOOD 6.50 P.O. BOx 1504•• �� VOICE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 4 4INSPECTIONS (76.0)777-7153 ''II BUILDING & SAFETY DEPARTMENT Application Number: 04- 7 3go Date: Applicant: Applicant's Mailing Address: Architect architect or Engineer: or Engineer's Address: 66VWA)_01 Lic. No.: V 360g, V0g BUILDING PERMIT DECLARATIONS S. LICENSED CONTRACTOR'S DECLARATION 1 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 . in full force and effect. Q �icense Class V7 - _. ttense No. l 6 45 /Date) -_C�—10_5 ntractor__ OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' 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 Contractors' 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).): U 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 or 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.). U 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.). U I am exempt under Sec. , BA P.C. for this reason Date WORKERS' 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. Al have and will maintainworkers' compensation insurance, as required by Section 3760 of the Labor Code, for the performance of the work for which this permit is issyed. Myyy�orkers'/�ompensation in�pI+rance carrier an oa ycnumb rare: <rier 442 I"10.�1�N AicyNumber ' !� _ f cert 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 3700 of the Labor Code, I shall forthwith comply with those provisions. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION't;OVERAGE 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. 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 Lenders Address A 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 county to enter upon the above-mentioned property for inspection purposes. Ipp� r /(sate / ��1�� Si�ure (Applicant or Agent): Page 2 Application Number . . . 04-00007390 'Date. 11/24/04 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee . . . . 191.89 Plan Check Fee 47.97 Issue Date . . . Valuation 0 Qty Unit Charge. Per Extension BASE FEE 15.00 4618.00` .0350 ELEC NEW RES - 1 OR 2 FAMILY 161.63 763.00 -� .02'00 ELEC GARAGE OR NON-RESIDENTIAL 15.26 Permit . . . . PLUMBING Additional desc Permit Fee 267.00 Plan.Check Fee 66.75 Issue Date . . . Valuation _ 0 Qty Unit Charge Per - Extension BASE FEE 15.00 27.00 6.0000 EA 'PLB FIXTURE 162..00 1.'00 15..0000 EA PLB BUILDING SEWER 15.00 4.00` 6.0000 EA PLB ROOF DRAIN 24.00 2.00 7:5000 EA PLB WATER HEATER/VENT .15.00 1.00 3.0000 EA" PLB WATER INST/ALT/REP 3.00 1.00 9.0000 EA PLB LAWN SPRINKLER SYSTEM 9.00 12.00 .7500 EA PLB GAS PIPE >=5: 9.00. 1.00 15.0000 EA PLB GAS METER 15.00 Permit . . . ... . GRADING PERMIT Additional desc Permit Fee 15.00 Plan Check Fee .00 Issue Date Valuation 0 Qty Unit Charge Per Extension „ BASE FEE 15.00 ----------------------------------------------------------------------------- Special Notes and Comments SFD - LOT 2, SF3AC3, 4618 SF. PERMIT DOES NOT INCLUDE , BLOCK "WALLS, POOL, SPA OR DRIVEWAY APPROACH Other Fees. . . ART IN PUBLIC PLACES -RES 239.25 DIF COMMUNITY CENTERS -RES. 97.00 - DIF CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 86.16 DIF FIRE PROTECTION-F_ES 97.00•" GRADING PLAN' CHECK FEE.. . 00 Page 3 "Application Number . . . . . 04-00007390 Date 11/24/04 Other Fees . . . . . . . DIF LIBRARIES -- RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF PARKS/REC ,-.RES 502.00 STRONG MOTION (SMI) - RES 29.57 DIF STREET MAINT FAC -'RES 15.00 , DIF TRANSPORTATION - :RES -1098.00` . Fee. summary .Charged Paid Credited Due Permit Fee Total 1931.89 .00" .00 1931.89.... - Plan Check Total 1009..43 ..00 .00 1009.43 Other Fee Total 2759.98 .00 :00 2759.98 Grand Total 5701.30 .00 ".00 5701.30