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04-7462 (SFD)11 r "T4 BUILDING & SAFETY DEPARTMENT cw� P.O. Box 1504 760).777--7012 OFTF�9 78-495 CALLE TAMPICO FAX.(760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT Application Number 04-000.01746=2 Date "•11/24/04 Property Address 50315 VIA SERENIDAD APN: 772-39.0-020- - - Application description DWELLING-- SINGLE FAMILY DETACHED Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation . . 255181 Owner Contractor ---------------------=-- _ -----' R J T HOMES T HOMES LLC 1425 E UNI VERS I:TY DR �1�4�2 5 E I VE UN RSITY DRIVE PHOENIX AZ 8503'4 00� PHOENIX. AZ. 85034 o f L N(WCC-' STATE FUND - �,4�Q�• W'C: 158'3906 10/01/05 CSLB: 690645 06/30/06 CCC : . A B ----- ----------- Strvuc"ture Information ------------------------- Construction Type . . . TYPE V - NON RATED Occupancy Type DWELLG/LODGING/LONG <=10 Flood Zone NON -AO -FLOOD ZONE Other struct info CODE EDITION 2001 CBC FIRE SPRINKLERS NO -GARAGE SQ FTG 729.00 PATIO SQ FTG _ 806.,00 NUMBER OF, UNITS° 1.00.. .1ST.FLOOR SQUARE FOOTAGE 4024.,00 Permit BUILDING PERMIT Additional desc 'Permit Fee 1185.50.Plan Check Fee 192.65 Issue Date Valuation" 255181 Qty Unit Charge Per Extension BASE FEE" 639.50 156.00. 31:5000 THOU BLDG. 100,001-500,000 546.00 ----=----------------------------------------------------=---------------- Permit MECHANICAL Additional desc Permit Fee 114.50 Plan Check Fee 7.16 Issue Date Valuation 0 Qty Unit Charge Per. Extension BASE FEE 15.00 3..00 9.0000 EA MECH. FURNACE <=100K 27.00 3 . 00 9.0 ' &0 0 EA MECH .B/C,- <=3HP/100K BTU 2:,7 00 6.00 6.5000 EA, MECH VENT._FAN 39.•00 1.00 6.5000 EA MECH`EXHAUST HOOD 6.5e- P.O. Box 1504Tit�t4.44" VOICE (760) 777-7012 78-495 CALLS TAMPICoFAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 04-'�L.�(oo� Date: �� '06- Applicant:1--)Q&Chitect or Engineer: Applicant's Mailing Address: til�itect or En in�j's Address: I W 6,QVA J w a,Na=Lp �c� LSI Pik BUILDING PERMIT DECLARATIONS 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 ' full force and effect.� .-L"cense Class ense No. 1___10ate -2-1-OS oniractor t c) 1 -4c-:,m -.a5; te, OWNER -BUILDER DECLARATION 1 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 permii 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 1, 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 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.). U I am exempt under Sec. , BA P.C. for this reason Date Owner 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 / sed. ��AAy work rs' corn ensation insyf ce carrier a cy number are: Carrier �2 a 1tr�_,ptfiicv Number _ 0.77 lD� I certify that, in the performance of the work for which this peMt 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. /Bate decant WARNING: FAILURE TO SECURE WORKERS' COMPEN ION 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 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.). Lenders Name Lenders 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 Quints, 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. yaie — r Signature (Applicant or Agent): �/ Page 2 Application Number. 04-_0000.7462 Date 11/24/04 Permit, . ... . ELEC-NEW RESIDENTIAL. Additional-desc Permit -Fee 170.42 Plan Check Fee 10..65 Issue.Date 'Valuation 0 Qty Unit Charge Per -Extension BASE ' FEE 15.00 4024.00 .0350 ELE.0 NEW RES - 1 OR 2 FAMILY. 140:84 729.0.0 .0200- ELEC,GARAGE,OR NON=RESIDENTIAL 14.58 Permit. PLUMBING Additional desc ..Permit.*:Fee 270:25. Plan Check Fee '16.92 Issue Date' Valuation 0 Qty Unit.Charge Per Extension BASE 'FEE 1.5.0 0 28.00 6..0000 EA, PLB FIXTURE 168.00 1..0-0 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' 9.00" .7500'EA PLB'GAS PIPE.>=5 - 6.75 1.00 .1.5.0000 EA PLB GAS METER', .15. 0'0 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 59. PLAN SF1BC1, 402.4 SF. .4024. SF. PERMIT DOES_ NOT INCLUDE BLOCK WALLS, POOL, SPA OR DRIVEWAY APPROACH,,. 75% REDUCTION -TO PLAN CHECK FEE DUE TO =. MULTIPLE ISSUANCE OF`SAME,PLAN TYPE „Other Fees. ART IN -PUBLIC PLACES -ARES 1"37.95 " DIF COMMUNITY CENTERS -RES 97.00 DIF CIVIC CENTER - RES"" 366.00 ENERGY REVIEW FEE 19.27 .a Page 3.. Application Number . . . . 04-00007462 Date, 11/24/04 Other Fees . . . .. DIF FIRE PROTECTION -RES 97.00 GRADING PLAN CHECK FEE .00. DIF LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 5.00 DIF'PARKS/REC = RES 502.00 STRONG -MOTION, (SMI) - RES 25.51. DIF STREET MAINT FAC -RES'' .15.00 DIF TRANSPORTATION - RES 1098.00 Fee summary Charged Paid Credited Due Permit Fee Total 1756.17' .00 .00 1756.17 Plan Check Total 227.38, 00 0'0 227.38 Other. Fee Total 2587.73 .00 00 2587.73 Grand Total 4571.28, .00 .00 4571.28 .. -r' - fro,% - J - .. •`Y .. i .,, - rF �; y �- Crrlefca a OrcupanC. t. .:of t� ♦� Bu�ld�ng&Safety Departments -t ' OF y n } � � .� � LT 'v '�h \., Yom_ .l .�1 - •le i '.. ..1 T rH+�'�-i ,.. � �" �C � `, ti •'This' Certificate is issued pursuant, to the requirements:of Section'109,~of..the California Building' r Code, -certifying; -that, --at, the. time of "issuance, 'rthis :structures was ins compliance with thee' provisions -of, the Building Codearil `_the various ordi_riances �of theCity 'regulating` building _�. construction use., ,:and/or / H\ - Y �: i!.- _ } , N •� } f � ] � � ' a � i .. it � = r �• '� BUILDING: -ADDRESS- 79-825=NIA SIN.CUIDADO '•\ .:M2. ! ,. � � � _ ' �, ., ,Y� -_�".� •i � ' f '� ka. Iia � f. 3 ♦.� �' � 1 n -Use classification SFD Building"Per'm" it No: 04=7462 - Occupancy., Type,of_Construction: V -N,- Land Use Zone: R -L �= Owner of Building RJT HOMES LLC"' - 4 Address 'POBOX 810 *LA rCity, STI-QUINTACA 92253 T;�- - a>� By G�SHOWALTER`{ ` Date: 02/15/06,.-, coj� a - -, Building Official + 4 �-,• •� .l, ., � =i7,. � i� ;� C1 �y, ��1 � . 1. J r.�,2, ,. C rTk � } yi F y ? :r �' - • POST IN A CONSPICUOUS PLACE -r' i