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BRES2016-001978-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application Description Property Zoning: Application Valuation: Applicant: RJT HOMES CODORNIZ 1425 E UNIVERSITY DR PHOENIX, AZ 0 Tity,, 4 4aumrcu 1111111111111 IIII IIII VOICE (760) 777-7125 COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 2/9/2016 BRES2016-0019 b Owner: 52455 HAWTHORN CT RJT HOMES CODORNIZ 777460032 1425 E UNIVERSITY DR CODORNIZ NEW SFD 1,660 SF LOT 78 PLAN 44A2 PHOENIX, AZ 0 $110,139.10] Contractor: :.'ollfFgp�iP SW CONTRACTORS INC DBA SW CONSTRUCTION �F,yT 1130 E MISSOURI AVENUE STE 890 PHOENIX, AZ 85014 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 License No.: 1007591 Date: 2, 11—/ le Contractor: /�J 19F5 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 (760)486-0306 Llc. No.: 1007591 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' 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 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. Date: 4;� j 1,of Appl 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. 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 Agent . G' DESCRIPTION FINANCIAL •• • ACCOUNT . . . .QTY. AMOUNT PAID PAID DATE " `°BSAS S81473 -FEE 101-0000-20306 0 $5.00 $5.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 269.43 MFA Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00 $5.00 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE DIF - CIVIC CENTER 252-0000-43200 0 $942.00 $942.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - COMMUNITY CENTERS 254-0000-43200 0 $129.00 $129.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARK MAINTENANCE 256-0000-43200 0 $40.00 $40.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 • 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE DIF - STREET MAINTENANCE 255-0000-43200 0 $116.00 $116.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17- 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA' Total Paid for ELECTRICAL: $24.17 $24.17 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE RESIDENTIAL, EA ADDITION 1,000SF .101-0000-42403' 0. $24.66 $24.66 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RESIDENTIAL, FIRST 1,000SF 101-0000-42403 0 $145.03 $145.03 2/9/16 PAID BY METHOD RECEIPT # CHECK #, CUD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for ELECTRICAL - NEW CONSTRUCTION: $169.69 $169.69 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE, RESIDENTIAL PRECISE GRADING - TRACT HOME 101-0000-42408. 0 $133.43 $133.43 2/9/16 PAID BY METHOD . RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for GRADING: $133.43 $133.43 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE CONDENSER/COMPRESSOR 101-0000-42402 0 $36.26 $36.26 ' 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FURNACE 101-0000-42402 0 $36.26 $36.26 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE VENT FAN 101-0000-42402 0 $48.36 $48.36 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for MECHANICAL: $132.97 $132.97 DESCRIPTION ACCOUNT. QTY AMOUNT PAID PAID DATE MULTI STRUCTURE PLAN CHECK - EACH 101-0000-42600 0 $48.34 $48.34 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $48.34 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE MULTI -SPECIES RESIDENTIAL 0-8 UNITS - 2015 UPDATE 101-0000-20310 0 $1,301.00 $1,301.00 2/9/16 PAID. BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE NEW CONSTRUCTION PERMIT 101-0000-42400 0 $508.51 $508.51 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for NEW CONSTRUCTION PERMIT: $508.51 $508.51 DESCRIPTION ACCOUNT QTY. AMOUNT PAID PAID DATE BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT. PAID PAID DATE BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE FIXTURE/TRAP 101-0000-42401 0 $120.90 $120.90 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT 'PAID PAID DATE GAS SYSTEM, 1-4 OUTLETS 101-0000-42401 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE WATER HEATER/VENT 101-0000-02401 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA DESCRIPTION ACCOUNT QTY P ' AMOUNT PAID PAID DATE WATER SYSTEM INST/ALT/REP 101-0000-42401 0 $12.09 $12.09 2/9/16 PAID BY METHOD RECEIPT # •CHECK # CLTD BY RJT HOMES CODORNIZ CHECK R12726 26943 MFA Total Paid for PLUMBING FEES: $181.35 $181.35 DESCRIPTION ACCOUNT : QTY: AMOUNT PAID PAID DATE SMI - RESIDENTIAL 101-0000-20308 0 $14.32 $14.32 2/9/16 PAID BY METHOD RECEIPT # CHECK #, CLTD BY RJT HOMES.CODORNIZ CHECK R12726 26943 MFA Total Paid for STRONG MOTION INSTRUMENTATION SMI: $14.32 $14.32 DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE SINGLE FAMILY DETACHED 224-0000-20320 0 $1,837.44 $1,837.44 2/9/16 PAID 13Y METHOD k ',,. v RECEIPT ... `' :CHECK # CLTD B Y 4 RJT HOMES CODORNIZ CHECK R12726 26943 MFA - Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 Description: CODORNIZ NEW SFD 1,660 SF LOT 78 PLAN 44A2 Type: BUILDING, RESIDENTIAL Subtype: DWELLING - SINGLE Status: ISSUED Applied: 1/29/2016 MFA FAMILY DETACHED Approved: 2/9/2016 MFA Parcel No: 777460032 Site Address: 52455 HAWTHORN CT LA QUINTA,CA 92253 Subdivision: TR 32070 Block: Lot: 78 Issued: 2/9/2016 MFA Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $110,139.10 Occupancy Type: Construction Type: Expired: 8/7/2016 MFA No. Buildings: 0 No. Stories: 0 No. Unites: 0 Details: ADDITIONAL SITES Applied to Approved - M Approved to Issued FINANCIAL INFORMATION Printed: Tuesday, February 09, 2016 12:49:21 PM 1 of 4 ? SYSTEMS Permit Details PERMIT NUMBER City of La Quinta BRES•20�16-0019 Printed: Tuesday, February 09, 2016 12:49:21 PM 2 of 4 • OI..S: L.l LJ SYS7EM5 tL DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 101-0000-20306 0 $5.00 $5.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ Total Paid for BUILDING STANDARDS ADMINISTRATION $5.00 $5.00 BSA: DIF - CIVIC CENTER 252-0600-43200 0 $942.00 $942.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ DIF - COMMUNITY 254-0000-43200 0 $129.00 $129.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CENTERS CODORNIZ DIF - FIRE PROTECTION 257-0000-43200 0 $433.00 $433.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ DIF - LIBRARIES 253-0000-43200 0 $344.00 $344.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ DIF - PARK 256-0000-43200 0 $40.00 $40.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA MAINTENANCE CODORNIZ DIF - PARKS/REC 251-0000-43200 0 $2,048.00 $2,048.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ DIF - STREET 255-0000-43200 0 $116.00 $116.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA' MAINTENANCE CODORNIZ DIF - TRANSPORTATION 250-0000-43200 0 $2,842.00 $2,842.00 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00 $6,894.00 TEMP POWER SERVICE 101-0000-42403 0 $24.17 $24.17 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ Total Paid for ELECTRICAL: $24.17 $24.17 RESIDENTIAL, EA 101-0000-42403 0 $24.66 T$24.66 2/9/16 R12726 26943 CHECK RJT HOMES MFA ADDITION 1,0005E CODORNIZ Printed: Tuesday, February 09, 2016 12:49:21 PM 2 of 4 • OI..S: L.l LJ SYS7EM5 Printed: Tuesday, February 09, 2016 12:49:21 PM 3 of 4 C SYSTEMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY' BY RESIDENTIAL, FIRST 101-0000-42403 0 $145.03 $145.03 2/9/16 R12726 26943 CHECK RJT HOMES MFA 1,000SF CODORNIZ Total Paid for ELECTRICAL - NEW CONSTRUCTION: $169.69 $169.69 RESIDENTIAL PRECISE RJT HOMES GRADING - TRACT 101-0000-42408 0 $133.43 $133.43 2/9/16 R12726 26943 CHECK ,.MFA CODORNIZ HOME Total Paid for GRADING: $133.43 $133.43 CONDENSER/COMPRES 101-0000-42402 0 $36.26 $36.26 2/9/16 R12726 26943 CHECK RJT HOMES MFA SOR CODORNIZ EXHAUST HOOD 101-0000-42402 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ FURNACE 101-0000-42402 0 $36.26 $36.26 2/9/16 R12726 26943 CHECK RJT HOMES MFA . CODORNIZ VENT FAN 101-0000-424020 $48.36 $48.36 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ Total Paid for MECHANICAL: $132.97 $132.97 MULTI STRUCTURE 101-0000-426000 $48.34 $48.34 2/9/16 R12726 26943 CHECK RJT HOMES MFA PLAN CHECK - EACH CODORNIZ Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $48.34 $48.34 MULTI -SPECIES RJT HOMES RESIDENTIAL 0-8 UNITS 101-0000-20310 0 $1,301.00 $1,301.00 2/9/16 R12726 26943 CHECK MFA CODORNIZ - 2015 UPDATE Total Paid for MULTI -SPECIES RESIDENTIAL: $1,301.00 $1,301.00 NEW CONSTRUCTION 101-0000-42400 0 $508.51 $508.51 2/9/16 R12726 26943 CHECK RJT HOMES MFA PERMIT. CODORNIZ Total Paid for NEW CONSTRUCTION PERMIT: $508.51 $508.51 BACKFLOW DEVICE 101-0000-42401 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK ROT HOMES MFA CODORNIZ Printed: Tuesday, February 09, 2016 12:49:21 PM 3 of 4 C SYSTEMS INSPECTIONS Printed: Tuesday, February 09, 2016 12:49:21 PM 4 of 4 0SY57EMS CLTD DESCRIPTION ACCOUNT QTY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BUILDING SEWER 101-0000-42401 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ FIXTURE/TRAP 101-0000-42401 0 $120.90 $120.90 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ GAS SYSTEM, 1-4 101-0000-42401. 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK RJT HOMES MFA OUTLETS CODORNIZ WATER HEATER/VENT 101-0000-42401 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK RJT HOMES ;MFA CODORNIZ WATER SYSTEM 101-0000-42401 0 $12.09 $12.09 2/9/16 R12726 26943 CHECK RJT HOMES MFA INST/ALT/REP CODORNIZ Total Paid for PLUMBING FEES: $181.35 $181.35 SMI -RESIDENTIALT 101-0000-20308 0 $14.32 $14.32 2/9/16 R12726 26943 CHECK RJT HOMES MFA CODORNIZ Total Paid for STRONG MOTION INSTRUMENTATION SMI: $14.32 $14.32 SINGLE FAMILY 224-0000-20320 0 $1,837.44 $1,837.44 2/9/16 R12726 26943 CHECK RJT HOMES MFA DETACHED CODORNIZ Total Paid for TUMF - RESIDENTIAL: $1,837.44 $1,837.44 TOTALS: INSPECTIONS Printed: Tuesday, February 09, 2016 12:49:21 PM 4 of 4 0SY57EMS