BRES2017-034878-495 CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Permit Type/Subtype: BUILDING RESIDENTIAL/DWELLING - SINGLE FAMILY DETACHED
Application Number: BRES2017-0348
Property Address: 52390 HAWTHORN CT
APN: 777460015
Application Description: CODORNIZ / NEW SFD / LOT 61 11 Lr-ti1
Property Zoning:
Application Valuation: $109,512.40 II DEC ni7
Applicant:
SW CONTRACTORS INC DBA SW CONSTRUCTION
1130 E MISSOURI AVENUE STE 890
PHOENIX, AZ 85014
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/18/2017
Owner:
RJT HOMES CODORNIZ
1425 E UNIVERSITY DR
PHOENIX, AZ 0
CITY OF LAQONM, Contractor:
C01:4h4UIQ;TYDEVELOPMEN7 DEPARTA"ENT
_ w SW CONTRACTORSINC DBA SW CONSTRUCTION
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: CZ �Q r� % 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 Address:
(602)257-1656
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 o' the Labor Code, for the performance
of the work for which this permit is issued.
I have and will maintain workers' com Sensation 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 orrier and policy number are:
Carrier: MIDWEST EMPLOYERS CASUALTY COMPANY Policy Number: '
B N U W C013700
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 :o 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. r
Date: o4 Z0 —,1 7 Applicant:
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 INISECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNOWL11DGEMENT
IMPORTANT: Application is hereby made to the B wilding Official for a permit subject to
the conditions and restrictions set forth on this apolication.
1. Each person upon whose behalf this applicati in is made, each person at whose
request and for whose benefit work is performed ender or pursuant to any permit
issued as a result ofthis application , the owner, a id the applicant, each agree's 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 applicaticn 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 =hat 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. A
Date: Signature (Applicant or Agen
0
Date: 12/18/2017
Application Number: BRES2017-0348
Owner:
Property Address: 52390 HAWTHORN CT
RJT HOMES CODOPNIZ
APN: 777460015
1425 E UNIVERSITl DR
Application Description: CODORNIZ / NEW SFD / LOT 61
PHOENIX, AZ 0
Property Zoning:
Application Valuation: $109,512.40
Applicant:
Contractor:
SW CONTRACTORS INC DBA SW CONSTRUCTION
SW CONTRACTORS:INC DBA SW CONSTRUCTION
.1130 E MISSOURI AVENUE STE 890
1130 E MISSOURI AVENUE STE 890
' PHOENIX, AZ 85014
PHOENIX, AZ 85014
(602)257-1656
------------------------------------------------------------------------------------
Llc. No.: 1007591
Detail: 1,692 SF DWELLING - PLAN.SF3, LOT 61 [VB/RES-3/CLASS-A/13D) THIS PERMIT DOES NOT INCLUDE DRIVEWAY APPPOACH, POOL, SPA, BLOCK WALLS,
BBQ OR WATER FEATURE. 2016 CALIFORNIA BUILDING CODES
0
• �4
FIIUANCIAI ItUFnRMATInKI
DESCRIPTION
ACCOUNT QTY AMOUNT
BSAS SB1473 FEE
101-0000-20306 0 $5.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $5.00
DESCRIPTION .
ACCOUNT
QTY
AMOUNT
DIF - CIVIC CENTER
252-0000-43200
0
$942.00
DESCRIPTION
ACCOUNT •
QTY
AMOUNT
DIF - COMMUNITY CENTERS
254-0000-43200
.0
$129.00
DESCRIPTION
ACCOUNT.
CITY
AMOUNT
DIF - FIRE PROTECTION
257-0000-43200
0
$433.00
DESCRIPTION
ACCOUNT
Q;TY
AMOUNT
DIF - LIBRARIES
253-0000-43200
0
$344.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
DIF - PARK MAINTENANCE
256-0000-43200
0
$40.00
DESCRIPTION
ACCOUNT
CTY
AMOUNT
DIF - PARKS/REC
251-0000-43200
J
$2,048.00
DESCRIPTION
ACCOUNT
CTY
AMOUNT
DIF - STREET MAINTENANCE
255-0000-43200
7
$116.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
DIF - TRANSPORTATION
250-0000-43200
)
$2,842.00
Total Paid for DIF - SINGLE FAMILY DWELLING: $6,894.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
SERVICES
101-0000-42403
1)
$26.01
DESCRIPTION
ACCOUNT
Q)TY
AMOUNT
TEMP POWER SERVICE
101-0000-42403
0
$26.01
Total Paid for ELECTRICAL: $52.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, EA ADDITION 1,000SF
101-0000-42403
D
$26.52
DESCRIPTION
ACCOUNT
QTY
AMOUNT
RESIDENTIAL, FIRST 1,000SF
101-0000-42403
0
$156.04
Total Paid for ELECTRICAL - NEW CONSTRUCTION: $182.56
DESCRIPTION
ACCOUNT
Q—Y
AMOUNT
RESIDENTIAL PRECISE GRADING -TRACT HOME
101-0000-42408
C
$143.56
Total Paid for GRADING: $143.56
DESCRIPTION
ACCOUNT
QTY
AMOUNT
CONDENSER/COMPRESSOR
10170000-42402
C
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
EXHAUST HOOD
101-0000-42402
C
$13.00
DESCRIPTION
ACCOUNT
QT(
AMOUNT
FURNACE
101-0000-42402
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
VENT'FAN
101-0000-42402
0
$65.00
Total Paid for MECHANICAL: $156.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT .
MULTI STRUCTURE PLAN CHECK - EACH
101-0000-42600
0
$52.01
Total Paid for MULTI STRUCTURE PLAN CHECK - EACH: $52.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
MULTI -SPECIES RESIDENTIAL 8.1-14 UNITS - 2017 UPDATE
101-0000-20310
0
$518.00
Total Paid for MULTI -SPECIES RESIDENTIAL: $518.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
NEW CONSTRUCTION PERMIT
101-0000-42400.
0
$532.14
Total Paid for NEW CONSTRUCTION PERMIT: $532.14
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BACKFLOW DEVICE
101-0000-42401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BUILDING SEWER
101-0000-42401
0
$26.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT.
FIXTURE/TRAP
101-0000-42401
0
$182.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
GAS SYSTEM, 5+ OUTLETS
101-0000-42401
0
$39.01
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER HEATER/VENT
101-000042401
0
$13.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WATER.SYSTEM INST/ALT/REP
101-0000-42401
0
$13.00
Total Paid for PLUMBING FEES: $286.02
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SMI -RESIDENTIAL
101-0000-20308
0
$14.24
Total Paid for STRONG MOTION INSTRUMENTATION SMI: $14.24
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
SINGLE FAMILY DETACHED
224-0000-20320
0
$1,837.44
Total Paid for TUMF - RESIDENTIAL: $1,837.44