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BWFE2016-000778-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 4 lwQ"Krw COMMUNITY DEVELOPMENT DEPARTMENT BUILDING PERMIT I IIIIII VIII I'll IIII 40 VOICE (760) 777-7125 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Application Number: BWFE2016-0007 Owner: Property Address: 52478 HAWTHORN CT RJT HOMES CODORNIZ APN: 777460026 1425 E UNIVERSITY DR Application Description: CODORNIZ / RJT / 33LF OF 6' BLOCK WALL PHOENIX, AZ 0 Property Zoning: Application Valuation: $1,650.00 Applicant: Contractor: R J T INVESTMENTS INC R J T INVESTMENTS IN( 1130 E MISSOURI AVE STE 890 1130 E MISSOURI AVE PHOENIX, AZ 85034 PHOENIX, AZ 85034 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70001 of Division 3 of the Business and Professions Code, and my License is in full force and effect. License Class: License No.: 690645 Date: Z Z�/ Contractor: 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).: (_) 1, 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.). (1 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 Lender's (602)257-1656 Llc. No.: 690645 Date: 1/13/2016 J;�hr 2,? 2016 C!TYGF(R QU!i'dTA OEVELOA4;E7P�ENT WORKER'S COMPENSATION DECLARATION 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' comtion, as provided for by Section 3700 of the labor Code, for the performance Df e w rk for which this permit is issued. and will maintain workers' compensation insurance, as required by Sec ' n 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: / L�c/ Applicant:)ZZ,4��Xe-ZA 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-mentionedproperty for inspection purposgs. Date: �2! Signature (Applicant or Agen \ PAID PAID DATE FINANCIAL • DESCRIPTION ACCOUNT 1 QTY 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 DESCRIPTION ACCOUNT QTY 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: TOTALS:i9 $108.77 $0.00 00 Description: CODORNIZ / RJT / 33LF OF 6' BLOCK WALL Type: WALL/FENCE Subtype: CITY STANDARD/PRE- Status: UNDER REVIEW Applied: 1/13/2016 SKH APPROVED Approved: Parcel No: 777460026 Site Address: 52478 HAWTHORN Cr LA QUINTA,CA 92253 Subdivision: TR 32070 Block: Lot: 72 Issued: Lot Sq Ft: 0 Building Sq Ft: 0 Zoning: Finaled: Valuation: $1,650.00 Occupancy Type: Construction Type: Expired: No. Buildings: 0 No. Stories: 0 No. Unites: 0 ADDRESSI Details: 33LF OF 6' GARDEN WALL AT,PATIO AND A/C [PROTO 11 SPECIFICATIONS] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR TEXTURED COATING WHERE VISIBLE . ADDITIONAL SITES 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 I PHOENIX I AZ 1 0 FINANCIAL INFORMATION Printed: Wednesday, January 13, 2016 10:39:50 AM 1 of 2 P�SYSTEMS INSPECTIONS Printed: Wednesday, January 13, 2016 10:39:50 AM 2 of 2 NAAF CR Uff SYSTEMS CLTD DESCRIPTION ACCOUNT CITY AMOUNT PAID PAID DATE RECEIPT # CHECK # METHOD PAID BY BY BSAS SB1473 FEE 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• • 00 INSPECTIONS Printed: Wednesday, January 13, 2016 10:39:50 AM 2 of 2 NAAF CR Uff SYSTEMS €� ;'� - -•nom-- .40 WALE �•> _ r Gam. \,_ _'>>� �'� � iv A. TM L`., ��//�J .•'? ..�� •O. t .,fit �� ., p4 A� CITY�QF LA QUINT W BUILC NO & SAFETY ® ti C) FO .CONSTRUCTION DATE °' \ � •` �"� v � •, o, � Ogg+ f� - .� .� ; . � . VKZ ��'. ;•:. "� �'� :, \ -. `° � A• `:��:�.. . / . Citi :�'� � - - �� t` , � Bin # J / City Of La Quints Building 8r Safety Division P.O. Box 1504, 78-495 Calle Tampico La Qulnta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Permit # Project Address: f2 z/7,? A14 -c A A) C0T Owner's Name: RJT Homes - Codorniz, LLC A. P. Number: Address: P.O. Box 6089 'P'0 /6 ?— A-orz v Legal Description: Contractor: RJT Investments, Inc. City, ST, Zip: La Qu int a, CA 92248 Telephone: 760-564-6555 off s Address: P.O. Box 6089 Project Description: City,ST,Zip: Le Quinta, CA 92248 q Bj�Wq►IL ®Ptd s Telephone: 760-564 -6555 -: State Lia#: 690645 City Lic.#, 6089 Arch., Engr., Designer. Address: City, ST, Zip: Telephone: State Lic. #: Name of Contact Person: '� ( A T / V. Construction Type: -e! /IXATAbfcupancy: Project type (circle one)' ew Add'n Alter Repair Ft.: # Stories: # Units: Demo Telephone # of Contact Person: '760 Estimated Value of Project: 0-0 APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd Recd TRACMG PERMIT FEES Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Cabs. Called Contact Person Plan Check Balance Title U Calcs. Pians•pieked up Construction Flood plain plan Plans resubmitted Mechanical Grading plan Z°! Review, ready for correctlooMmue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.I. H.O.A. Approval Plans resubmitted Grading IN ROUSE:- '"' Review, ready for correetionsflssue Developer Impact Fee Planning Approval Called Contact Person A.I.P.P. Pub. Wks. Appr Date of permit Issue School Fees Jw �M P%A