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04-6470 (SATT)BUILDING & SAFETY DEPARTMENT Box 1.504 (760) 777-7012 � %OFTt78-493N ALLE TAMPICO FAX (760) 777-7011 U/f(-----� "I'A QUIIINTA,' CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 2Q04 BUILDING PER MIT , App-l-rcation Number 04-0.0-00-647.0_ Date 10/01/04 Property Address ', (79975 VIA—MARAVTLLA - APN: 772 -400 -042 - Application description DWELLING - SINGLE FAMILY ATTACHED Property -Zoning . LOW DENSITY RESIDENTIAL Application valuation 187754 Owner Contractor. --------------------- 7 — — — —.— — — —.— — ,VS. ,n.• R J T HOMES RJT HOMES LLC 1425 E UNIVERSITY DR 1425 E. UNIVERSITY DRIVE PHOENIX AZ 8503 PHOENIX AZ 85034 WCC: STATE FUND WC: 1583906. 10/01/05 CSLB: 690645 06/.30/06 CCC:*. A -B ---------------- - ----------- Structure. Information ---------=- ------------ Construction Type TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=1.0 Flood Zone NON -AO FLOOD ZONE Other struct info -CODE EDITION 2001 CBC FLOOD ZONE NO. GARAGE SQ FTG 457.00 PATIO SQ FTG 997.00 TOT EL;G;IBLE N0, y '> NUMBER' OF. UNITS �:s^, :.:'E 1,0,0 "FIRST FLOOR SQ FTG 2894.00 7 7 Permit BUILDING PERMIT Additional desc Permit Fee -947.50 Plan Check -Fee 615.88 Issue Date Valuation 187754 Qty Unit Charge Per Extension BASE FEE 639.50 88.00 3.5000 THOU BLDG 100,001-500,000 308.00 Permit MECHANICAL Additional desc Permit.Fee 72.00 Plan Check.Fee 18.00 `Issue Date Valuation. 0 Qty Uni.t.Charge Per Extension A (: 4 14, P.O. BOX 1504 ;&t�t VOCE (760) 777-7012 78-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 0Z/' (0270Date: 0.�•/• O y Applicant: ---Architect or Engineer: Applicant's Mailing Address: ---Architect or Engineer's Address: V Ic. NO.: 3667 a BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirn 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 C e, and my Lice se is i full force'and effect. p C icense Classicense No. 7 O J 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. , B.8 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. 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 L�issyWd. M)�4vorker ' compensation ins carrier al pQI.cypumbgl are:1 Carrier '� TVA pa EUa icy Number S Jr 'A yo Q _ I certify that, in the perf rmance 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. Appy07 LL WARNING: 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. CONSTRUCTION LENDING AGENCY 1 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 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 d'state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building const -/ ron, and hereby authorize resentatives of this county to enter upon the above-mentioned property for inspection purposes. Date / ®— W -C / Signature (Applicant or Agent): Page 2 Application Number 04-00006470 Date 10/01/04 Qty Unit Charge Per. Extension BASE FEE 15.00 1.00 9.0000 EA NECH FURNACE <=100K 9.00 1.00 9.0000 EA MECH B/C <=3HP/100K BTU 9.00 5.00 6.5000 EA MECH VENT FAN 32.50 1.00 6.5000 EA NiECH EXHAUST HOOD 6.50 Permit ELEC-NEW RESIDENTIAL Additional desc Permit Fee .125.43 Plan Check Fee 31..36 Issue Date . . . Valuation 0 Qty Unit. Charge Per Extension EASE FEE 15.00 2894.00 .0350 ELEC NEW RES - 1 -OR 2 FAMILY. 101.29 457.00 ----------------------------------- .0200" ELEC GARAGE OR NON-RESIDENTIAL 9.14 Permit . . . .PLUMBING Additional desc Permit.Fee . . 213.00 Plan Check Fee 53.25 Issue Date Valuation 0 Qty Unit Charge Per Extension . BASE FEE. - 15.00 23.00 6.0000 EA PLB FIXTURE 138.00 1.00 15.'0000 EA PLB BUILDING SEWER 15.00 .1.00 6.0000 EA PLB ROOF DRAIN 6.00 1.00 7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 -3.0000 EA- PLB WATER INST/ALT/REP 3.00 1.00 9.0000'EA P:�B LAWN SPRINKLER SYSTEM 9.'00 6.00 ,.7500 EA PSB GAS PIPE >=5 4.50 1:00 15.0000. EA PSB GAS METER 15.00 Permit . . . . . GRADING ?ERMIT Additional•desc Permit Fee 15.70 Plan Check Fee .00 -Issue Date Valuation 0. Qty Unit Charge Per Extension BASE FEE 15.00 Special Notes and Comments SFA - LOT 2, PLAN P1A. PERMI'= DOES ti Page 3 Application Number 04-00006470 Date 10/01/04 ' Special Notes and Comments NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH Other Fees - . . --- ART ----------------------- IN PUBLIC PLACES -RES -------------- .00 DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC CENTER - RES 229.00 ENERGY REVIEW FEE 61.59 DIF'FIRE PROTECTION -RES 78.00 GRADING PLAN CHECK FEE .00 DIF LIBRARIES.- RES 158.00 DIF PARK MAINT FAC - RES., 3.00 DIF PARKS/REC - RES 352.00 STRONG MOTION (SMI) - RES 18.77 DIF -STREET MAINT FAC -RES' 15.00 DIF TRANSPORTATION - RES 1098,.00 Fee summary Charged Paid -Credited Due Permit Fee Total 1372:93 .00 .00 1372.93 Plan Check Total 718.49 .00 .00 718:49 Other Fee Total 2081.36 eoo .00 2081.36 Grand Total 4172.78 .00- .00 4172.78