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04-7386 (SFD)P.O. BOX 1504 78-495 CALLS. TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY,DEPARTMEN•T (760).777-7012 FAX (760) 777-7011 INSPECTION REQUESTS (760) 77.7-7153 Application Number 04-O_Q0.0738.6 Date 11/24/04 Property Address 79810 VIA SIN CUIDADO APN: 772-390-007- - - Application description DWELLING -.SINGLE FAMILY ATTACHED Property Zoning LOW'DENSITY RESIDENTIAL Application valuation . . . 209259 Owner Contractor R J T HOMES RJT HOMES LLC -1425 E UNIVERSITY DR 1425 E.. UNIVERSITY DRIVE PHOENIX. °'AZ 85034. PHOENIX AZ -85034 WCC: STATE FUND WC: 1583906 10/01/05 CSLB: 690645 06/30/06 CCC: A -B ---- Structure Information SATT� ----- Construction Type TYPE�U - NON RATED Occupancy Type ,D,WELLG/LODGING/LONG <=10 Flood Zone . . . (� ... �� NONE -AO FLOOD ZONE Other struct info 1�� . CO-pEEDI`TION. , 2001 CBC SQ FTG 568-.00 o��GARAGE IO SQ FTG 773 00 TOT ELIGIBLE NO NUMBER OF UNITS 1.00 1ST, -.,FLOOR -SQUARE FOOTAGE 3284.00 Permit BUILDING PERMIT Additional desc Permit Fee 1024.50 Plan -.Check Fee `.,. 665.93 Issue Date Valuation 209259 Qty Unit Charge Per Extension BASE FEE 639:50 110.00 •3.50,00 THOU BLDG 100,001-500,000' 385.00 -------------------------- Permit . . . . . MECHANICAL Additional desc Permit,Fee 6.5.50 _ Plan. Check Fee 18'..25 Issue'Date Valuation 0 Qty Unit,Charge Per Extension BASE. FEE .15.00 1.00- 9. 0.000 EA MECH FURNACE <=100K 9.00 1..00 9.0000 EA MECH B/C_<=3HP/100K BTU 9.00 00 1.6.5000 EA MECH 9/C 53'-15HP%>100K-500.KBTU 0`0. x4.00 6:5000 EA MECH`VENT FAN .26.00 P.O. BOX 1504 • VOICE (760) 777-7012 7$-495 CALLS TAMPICO FAX (760) 777-7011 LA QUINTA, CALIFORNIA 92253 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 7,38& Date: Applicant: ---Architect or Engineer: Applicant's Mailing Address: Arch' ect or Engineers dress: L_Wc. No.. c) 3 b �� 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 i full force and effect. / O� cense Class_ erase No. b 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 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 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 C issu d. My "rkers ompensation ir!y� Ce carrier and olicy umbo are: er ✓ �, F'.i .�_ iy6fcy Number 1 5 'W _ 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. 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 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 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 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 ent r upo the above-mentioned property for inspection purposes. Signature (Applicant or Agent): i Page 2 Application Number . . . .' 04-00007386. Date 11/24/04 Qty Unit Charge Per Extension 1.00 6.5000 EA MECH•EXHAUST HOOD 6.50 Permit . . . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 141:30 Plan Check'Fee . 3.77 Issue Date Valuation 0 Qty- Unit Charge Per Extension. BASE FEE .15.00 3284.00 .0350 ELEC NEW RES - 1 OR 2 FAMILY 114.94 . 568.00 .020.0 ELEC GARAGE OR NON-RESIDENTIAL 11.36 Permit PLUMBING Additional desc • Permit Fee 183.00 Plan Check Fee 45.-75 Issue Date . . Valuation 0 Qty Unit Charge Per _ Extension BASE FEE 15-.00 1.9.00 6.0000'EA PLB FIXTURE 114.00 1.00 15.0000 EA PLB BUILDING SEWER 15.0'0 1.00 .7.5000 EA PLB WATER HEATER/VENT 7.50 1.00 3.0000 EA IPLB WATER INST/ALT/REP 3,00" 1.00 9.0000 EA, PLB LAWN SPRINKLER SYSTEM 9.00 6.00 .7500 EA PLB GAS PIPE .>'=5 4.50 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 a Special Notes and Comments ; SFA. LOT.84. PLAN P3A.-PERMIT DOES NOT. 'INCLUDE BLOCK WALL, POOL,, SPA OR DRIVEWAY APPROACH. Other Fees .. . . . . ART IN PUBLIC PLACES -RES 23.14. DIF COMMUNITY CENTERS -RES 68.00 DIF CIVIC'CENTER - RES. 229.00 ENERGY"REVIEW FEE 66.59 r, Page 3 Application Number 04-00007386` Date 11/24/04 Other Fees . . 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 20.192 . DIF'STREET MAINT FAC -RES 15.00.. DIFTRANSPORTATION.-RES 1098.00 Fee summary ---- - - - - - Charged Paid Credited Due - - - - - - - - - Permit Fee Total ---- - - - - -- 1429.30 -'---- - - - - -•---- - - - - ---- .00-- .00, -- -- -_- 1429..30,. Plan Check Total• 733.70 .00`- .00 733.70 Other Fee -Total 21.11.65' .00 .00 2111.65 Grand Total 4274.65 .00- .00 4274.65