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BRES2017-034878-495 CALLE TAMPICO T4t�p 4 4 Qumro 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