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04-7396 (SFD)Pi P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING PERMIT BUILDING & SAFETY.DEPARTMENT (760).777-7012 FAX (760) 777-701.1 INSPECTION REQUESTS (760) 777-7153 Application Number0_4 0-b-6-6-7-3-9-6 Date . ' 11 / 2 4 / 0 4 Property Address 50260 VIA SIN PRISA APN: 772-390-018- Application description . . . DWELLING - SINGLE FAMILY DETACHED Property Zoning . . . . . . . LOW DENSITY RESIDENTIAL Application valuation 255128* Owner Contractor ------------------------ R J T HOMES -------------- RJT HOMES LLC 1425 E UNIVERSITY DR 1,425 E. UNIVERSITY DRIVE PHOENIX AZ 85034 ,P' IDENIX AZ' 85034 / D\ WC'C�: STATE FUND O WC 1583906 10/01/05 �,S'LB: 690645 06/30/06 ------ Structure Information SFD .(,,, Construction Type T , "..^_ -,NON RATED Occupancy Type . . `WELLG/LODGING/CONG <=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 802,.-00 NUMBER OF,UNITS 1.00 1ST FLOOR -SQUARE FOOTAGE 4024.00 .Permit . . . . BUILDING PERMIT Additional desc - Permit Fee 1185.50 Plan Check Fee 770.58 Issue Date . . . . Valuation 255128 Qty Unit Charge Per Extension BASE FEE 639:50 156.00 3.5000 THOU BLDG 100,0017500,000 546.00 Permit . . . . MECHANICAL Additional desc Permit Fee . . . . 114.50 Plan Check Fee'. 34.25 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 9.0000 EA MECH B/C,<=3HP/100K BTU 27.00 .00 16.5000 EA '--MECH B/'C >3-15HP/>100K-500KBTU .00 6.00 6.5000 EA MECH VENT FAN 39.00 P.O. Box 1504 • ��jI�G� DIY VOICE (760) 777-7012 78-495 CALLS CALIFORNIAO FAX (760) 777-7011 LA QUINTA, LIFOR9225344 INSPECTIONS (760) 777-7153 BUILDING & SAFETY DEPARTMENT Application Number: 739,& Date: Applicant: Chitect or Engineer: Applicant's Mailing Address: or Engineer's Address: No.: ,? f O� tSUILUINU 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 ss License an full force and effect. �_ / 2 O 6 4S �ense Classicense No. (() M 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.). (, 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. 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 Lssu d M Aorkers' compensation y�ance Carrie and q�I' n mb rare: aMer S, -Policy Number Zf �®� 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. ,o0"-DateJ — plicant WARNING: FAILURE TO SECURE WORKERS' COMPENS 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 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, indemnity 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. ✓a�'�' Signature (Applicant or Agent): i Page 2 Application Number . . . . . 04-00007396 Date . 11/24/04 Qty Unit Charge Per Extension 6.5000 EA MECH EXHAUST HOOD 6.50 Permit . . . . ELEC-NEW RESIDENTIAL Additional desc Permit Fee 170.42 Plan Check Fee 42.61 Issue Date Valuation . . . . 0 Qty Unit Charge Per Extension BASE FEE 15.00 4024.00 .0350 ELEC.NEW RES - 1 OR 2 FAMILY 140.84 729.00 .0200 ELEC GARAGE OR NON-RESIDENTIAL 14.58 Permit . . . . . . PLUMBING Additional desc Permit Fee . . . . 246.75 Plan Check Fee-. 61.69 Issue Date Valuation 0 Qty Unit Charge Per Extension BASE FEE 15.00 28'.00 6.0000 EA PLB FIXTURE 168.00 1.00 15.0000 EA PLB BUILDING SEWER 15.00 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 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 57 PLAN SF1AC1, 4024 SF. PERMIT DOES NOT INCLUDE BLOCK WALL, POOL, SPA OR DRIVEWAY APPROACH. ---------------------------------------------------------------------------- Other Fees . . . . . . ART IN PUBLIC PLACES -RES 137.82 DIF COMMUNITY CENTERS'`RES .97.00 DIF CIVIC -CENTER - RES 366.00 ENERGY REVIEW FEE 77.06 Page 3,. Application Number . . . . . .04-00007396 Date 11/24/04., Other Fees . . . . DIF FIRE PROTECTION -RES' 97.00 GRADING PLAN CHECK FEE OA DIF .LIBRARIES - RES 225.00 DIF PARK MAINT FAC - RES 15.00 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 Permit-Fee Total ---------- 1732.17 ---------- ------ ---------- ---------- .00 .00 1732'.17 Plan Check Total 909,.13 .00, 00 909.13 Other,Fee Total 2645.39 .00 00.• •2645:39 Grand Total, 5286.69 00 .00 5286.69 r r �aI �, I' certificate ._,-Occunan. Al WR 4r RA VA ,oFBuilding: & Safet thAp6nt e This`:Certificate4s issued pursuant tothe'requirements of Section 109 of the California.Buildin , g Codecertifying that, at'_the, time of ,issuance, 'this -structure'. was--in compliance.'with '.they �� provisions ,of -the' Building Code•, and' the'; various 'ordinances of the.' City =regulating "tiuildi., construction and/or�use... r g • t r - 1 , }�,• ^ !,}J f �.z ,i` ',.e�. '�,'-t-s ,r•1117-, Y ,.. 45 VIA SIN:�CU1DADOBUILDIN D RESS797yr '� � �• ^ � F , ' 3 - Use classification: `SFD •'' `- �.L � � `Building-Permit No. 04-7396, ` L } .Occupancy,.Group:,'R3 {Type°of Construction: V-N `� t 1: �' -Land Use Zone ; R L } .•� �` r v4 - r ,,� v 1�f yr '� �-' .� .f 'Owner of, Building: RJT HOMES LLC : r4� `.•� ; R Address. -,PO'B X "1 • ' r }, . � . �. z:, ;. _ . ,1 , 'City-,ST ZIP 1A�QUINTA CA 92253" - ,J�, ,; �. �J ` gy: SG SH;OWALTER" . t r a ry •;` 1, `` >} , ' . Date:'-102/15/06 f - d-f, r by �,. •..... �� �.� r+. - � 1 _ J - + r � a � l•: � • 4 .. - y - , r / ! Jr" i _ ..,� - 1. •� (j, ` __ .- �;�,;Y .- r .� �. +� - ,•^ter r, .. .~ 7, ✓` �., :.� '_ �� aF ,�� -" POSTAN A CONSPICUOUS PLACE' a _ _.� ..__. __ _s.-.. a.._. �„_-.�.��,�, ter•- ..�, _ � _ _ __ _ - _ -� ,