BWFE2017-003578-495 CALLE TAMPICO'
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number: BWFE2017-0035
Property Address: 52406 HAWTHORN CT
APN: 777460020
Application Description: CODORNIZ LLC / RJT HOMES/ PROTO II BLOCK WALL
Property Zoning:
Application Valuation: $1,250.00
j Applicant:
SW CONTRACTORS INC 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: �/I3-I rk� fd/i% Contracto.Y
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.).
(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 Na
Lender's Add
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/8/2017
Owner:
RJT HOMES COOORNIZ
1425 E UNIVERITY DR
PHOENIX, AZ 8.3034
Contractor:
SW CONTRACTORS INC DBA SW CONSTRUCTION
1130 E MISSOLRI AVENUE STE 890
PHOENIX, AZ 85014
(602)257-1656
Llc. No.: 1007531
WORKER'S COMPENS4TION DECLARATION
I hereby affirm under penalty of perjury one if 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.
_ 1 have and will maintain workers' aompensation 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:
arr EXEMPT Policy Number: _
certify that in the performance of the work for which this permit is issued, I
sh I not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree fiat, 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: Applican .
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 ($100,800). 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.:he Building Official for a permit subject to
the conditions and restrictions set forth on t&is 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, an I the applicant, each agrees to, and shall
defend, indemnify and hold harmless the Cites of La Quinta, its officers, agents, and
employees for any act or omission related tothe work being performed under or
following issuance of this permit.
2. Any permit issued as a result of this app ocation becomes null and void if work is not
commenced within 180 days from date of isc-uance 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 orcinances 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 (Applicarc or Age
Date: 3/8/2017
Application Number: BWFE2017-0035 Owner:
Property Address: 52406 HAWTHORN CT RJT HOMES CODORNIZ
APN: 777460020 1425 E UNIVERSITY DR
Application Description: CODORNIZ LLC / RJT HOMES / PROTO II BLOCK WALL PHOENIX, AZ E5034
Property Zoning:
Application Valuation: $1,250.00
Applicant: Contractor:
SW CONTRACTORS INC DBA $W CONSTRUCTION SW CONTRACTORS INC DBA SW CONSTRUCTION
1130 E MISSOURI AVENUE STE 890 1130 E MISSOURI AVENUE STE 890
PHOENIX, AZ 85014 PHOENIX, AZ E5014
(602)257-1656
Llc. No.: 1007E91
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Detail: 25LF OF 6' GARDEN WALL NORTH EAST SIDE YARD [PROTO II] PRECISION CONCRETE BLOCK SHALL BE COVERED WITH STUCCO, PAINT, OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. PER 2016 CALIFORNIA BUILDING CODES.
DESCRIPTION
FINANCIAL INFORMATION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0
$50.67
DESCRIPTION
ACCOUNT
QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 `
0
$63.33
Total Paid for BLOCK WALL:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00°
Total Paid for BUILDING STANDARDS ADMINISTRATI! N BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00