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BWFE2016-000337 i 78-495 CALLE TAMPICO D 4 Qum& VOICE (760) 777-7125 FAX (760) 777-7011 LA QLIINTA, CALIFORNIA 92253 COMMUNITY DEVELOPMENT DEPARTMENT INSPECTIONS (760) 777-7153 BUILDING PERMIT 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 Professions Code, and my License is in full force and effect. License Class: B, A License No.: 690645 Date:Contracto : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_) 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 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.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: 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.). Lender's Name: Lender's Addre: (602)257-1656 Llc. No.: 690645 WORKER'S 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' co tion, as provided for by Section 3700 of the Labor Code, for the performance o the rk f which this permit is issued. have and will maintain workers' compensation insurance, as required by Se on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ 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. �J Date: ` ✓/ �%�aAppIicant\� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 city to enter upon the above-mentioned property for inspection purposes. Date:, Signature (Applicant or Agentp&_&'�' Date: 1/6/2016 Application Number: BWFE2016-0003 Owner: �3 Property Address: 52454 HAWTHORN CT R1T HOMES CODORNIZ o APN: 777460025 1425 E UNIVERSITY DR Application Description: CODORNIZ / BLOCK WALL AT PATIO AND A/C PHOENIX, AZ 0 `' D Property Zoning: o Application Valuation: $1,750.00 0' rel p Applicant: Contractor: o a R 1 T INVESTMENTS INC R J T INVESTMENTS INC 9 C" 1130 E MISSOURI AVE STE 890 1130 E MISSOURI AVE STE 890 PHOENIX, AZ 85034 PHOENIX, AZ 85034 �i 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 Professions Code, and my License is in full force and effect. License Class: B, A License No.: 690645 Date:Contracto : OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's 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 Contractor's 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).: (_) 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 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.). (_) I am exempt under Sec. . B.&P.C. for this reason Date: Owner: 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.). Lender's Name: Lender's Addre: (602)257-1656 Llc. No.: 690645 WORKER'S 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' co tion, as provided for by Section 3700 of the Labor Code, for the performance o the rk f which this permit is issued. have and will maintain workers' compensation insurance, as required by Se on 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: _ Policy Number: _ 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. �J Date: ` ✓/ �%�aAppIicant\� WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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. APPLICANT ACKNOWLEDGEMENT IMPORTANT: Application is hereby made to the Building Official 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 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 city to enter upon the above-mentioned property for inspection purposes. Date:, Signature (Applicant or Agentp&_&'�' PAID PAID DATE FINANCIAL INFORMATION DESCRIPTION ACCOUNT CITY AMOUNT BSAS SB1473 FEE 101-0000-20306 0 $1.00 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00 $0.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WALL/FENCE - FIRST 100 LF 101-0000-42404 0 $47.86 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY r DESCRIPTION ACCOUNT CITY AMOUNT PAID - PAID DATE WALL/FENCE - FIRST 100 LF PC 101-0000-42600 0 $60.91 $0.00 PAID BY METHOD RECEIPT # CHECK # CLTD BY ' Total Paid for FENCE OR FREESTANDING WALL: • $108.77 •• $0.00 •• Description: CODORNIZ / BLOCK WALL AT PATIO AND A/C Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 1/6/2016 SKH APPROVED Approved: Parcel No: 777460025 Site Address: 52454 HAWTHORN CT LA QUINTA,CA 92253 Subdivision: TR 32070 Block: Lot: 71 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,750.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 NAME TYPE Details: 35LF OF 6' GARDEN WALL AT PATIOS AND A/C [PROTO 11 SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. 2013 CALIFORNIA BUILDING CODES. CHRONOLOGY CONDITIONS CONTACTS NAME TYPE NAME ADDRESSI CITY STATE ZIP PHONE FAX EMAIL APPLICANT R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 PHOENIX AZ 85034 CONTRACTOR R J T INVESTMENTS INC 1130 E MISSOURI AVE STE 890 PHOENIX AZ 85034 OWNER RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX AZ 0 Printed: Wednesday, January 06, 2016 10:13:40 AM '1 of 2 CR IWIW SYSTEMS Printed: Wednesday, January 06, 2016 10:13:40 AM 2 of 2 RW YS TEM S CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 1 101-0000-20306 0 $1.00 $0.00 Total Paid for BUILDING STANDARDS ADMINISTRATION $1.00 $0.00 BSA: WALL/FENCE - FIRST 101-0000-42404 0 $47.86 $0.00 100 LF WALL/FENCE - FIRST 101-0000-42600 0 $60.91 $0.00 100 LF PC Total Paid for FENCE OR FREESTANDING WALL: $108.77 $0.00 TOTALS:0• •0 Printed: Wednesday, January 06, 2016 10:13:40 AM 2 of 2 RW YS TEM S Bin # / City Of La QUinta Building 8r Safety Dh*lon Box 1504, 78-495 Calle Tampico F� La Quanta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit #P.O. Project Address:• Owner's Name: RJT Homes - Codorni z , LLC A. P. Number: Address: P.O. Box 6 0 8 9 �-o l6 0 Legal Description: Contractor: RJT Investments, Inc. City, ST, Zip: La Qu i nt a , CA 92248 Telephone: 7 6 0- 5 6 4- 6 5 5 5. 4 Address: P.O. Box 6089 Project Description; City,ST,Zip: L•a Quinta, CA 92248 ° �q IL ®;Prdlt> s Telephone: 760-564 -65550 01' State Lia#: 690645 Arch., Engr., Designer. CityLic.#, 6089 Address: City, ST, Zip: Telephone: State Llc. #: Name of Contact Person: JIM. jv� p l? T j A) ConstructionType: R�/XAT)Ab1;cupaney: Project type (circle one) New Add'n Alter Repair Sq. Ft.: �� I#Stories: # Units: Demo Telephone # of Contact Person: '76 o 291 - i�436 Estimated Value of Project: , D APPLICANT: DO NOT WRITE BELOW THIS UNE q Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Pisa Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Trass Cales. Called Contact Person Plan Check Balance Tide 24 Coles. Plans picked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan 21! Review, ready for correcdonvusue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '"' Revlew, ready for correctionvissue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Total Permit Fees Z + 1. ' FIC G p, 3 J ; .3 '"•3 � 26 / 0 1 0 • -- bo � ,• ;; �, , ,, f 26149 FF-2� •6 0 �, 6 � � -� -, - Fst .. p 0()c) . (�/►,� 53 NP 10% `� 1' ��. 1� N 11 ' �,, rn lt'2' X6.58 (51 ri' j•. ! 27.14 ��s o ff: Q7.23 -� ., N,- 26 f' % :�jf'„� 6� . 27 35 1" . 5% 5 F1' low 70 P 1 TWO FS 0 2; 9 27 Og 27 �, Z 7•" 2 IM " .33 o FS `t6 68 ' 5 . o 269 S 1 a' 11 .�!Ei4�ry GG �_X N 11 F j .. O �w't! �'t�v CP � FS /2� 2q - 60 0 ; J N \V , -. \ 6•�8 cr 44, 26�78t ib o� N % N Fs tip N , N T � Q � �� ,tom N � O O p 4 26-.8 o FS FS1N, 2�j3' 26. 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