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04-7395 (SFD)4 tl��ti6v. . BUILDING & SAFETY DEPARTMENT P.O. Box 1504 (760).777-7012 OFTi78-495 CALLE TAMPICo 'FAX (760) 777-701-1 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760),777-7153 BUILDING PERMIT Application Number. X04 OOD-073-95 Date. 11/24/04 Property Address . . . 79785 VIA SIN CUIDADO APN: 772 -390 -019 - Application description,. DWELLING -:SINGLE FAMILY DETACHED Property Zoning . . LOW DENSITY RESIDENTIAL Application valuation 295702 Owner Contractor R J T HOMES RJT.HOMES LLC 1425 E UNIVERSITY DR O 1425 E. UNIVERSITY DRIVE PHOENIX All 85034 PHOENIX 'AZ 85034, WCC: STATE FUND ` \P�1 �Vli��P• W>> 1583906 10/01/05. CSLB: 690645 06/30/06 CCC A -B -------------------------- st.ructure.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 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 215.40 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 ----- -----------------.----F,-,.---------------- Permit MECHANICAL Additional desc Permit Fee . . 132.50. Plan Check Fee 8.28 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 CALLE TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: n� - 1 3q 5 Date: Applicant: chitect or Engineer: Applicant's Mailing Address:LALI hitect or Engine•-e�r' Address: ic. No.: 012 - 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 Codecens, ande Class Li is is in full force and effect. /. 1064-5 0 6 4- 1 � �nse No. (% 0 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 he 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 he 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 he 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.& 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 he Labor Code, for the performance of he work for which this permit is iued./��y wormers' con)pensats�ion ii ce carrier an lily riu be are: r M �( er C � 1� __3 -s C4 iPtSl"cy Number T� 2 /� V 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 I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. APp nt l 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 I hereby affirm under penalty of perjury that there is a construction lending agency orJthe performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name Lender's Address IMPORTANT Application is hereby made to the Director of Building and Safety fC for ACKNOWLEDGEMENT p Nrmit ubjecGEo he 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 Ouinta, 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 pemtit,.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, ,aand / hereby authorize representatives of this county to enter upon t e above-mentioned property for inspection purposes. S' ature (Applicant or Agent): Page 2 Application Number... .04-00007395 Date" 11/24/04 Permit• . . . . . . ELEC-NEW RESIDENTIAL Additional'desc Permit Fee 191.89. ;Plan'Check Fee 11.99 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 .0200 ELEC GARAGE OR NON-RESIDENTIAL 15.26 Permit PLUMBING Additional desc Permit Fee 267.00 Plan Check Fee Is.sue Date . . .. Valuation, 0 Qty Unit Charge Per Extension BASE FEE 15.00 27.00 6.0000 EA PLB FIXTURE, 1'62.00: 1.00 15.0000 EA PLB BUILDING SEWER 15.00 4.00 6.00.00 EA PLB ROOF DRAIN 24.00 2.00 7.5000;EA 'PLB WATER HEATER/VENT 15.00 1.0.0 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 r --------- - SFD - LOT 58, SF3AC3, 4618 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 -RES 239.25 DIF COMMUNITY CENTERS -RES 97.00 DIF*CIVIC CENTER - RES 366.00 ENERGY REVIEW FEE 21.54' Page 3 "Application Number-. 04--00007395 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 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. 252.36 00 :00 252.36 Other Fee Total 2695.36 .00 .00 2695.36 Grand Total 4879.61 .00— .00. 4879.61