BWFE2017-003778-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
T4ht 4 44914-_'
DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Application Number:
BWFE2017-0037
Property Address:
52438 HAWTHRON CT
APN:
777460022
Application Description:
CODORNIZ LLC / RJT HOMES / BLOCK WALL
Property Zoning:
Application Valuation:
$2,500.00
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: 90nt_ rV a_ 'c� tutor
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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.).
(_) 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
VOICE (760) 777-7125
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 3/8/2017
Owner:
RJT HOMES CO)ORNIZ
1425 E UNIVERSITY DR
PHOENIX, AZ 0 .
Contractor:
SW CONTRACTDRS INC DBA SW CONSTRUCTION
1130 E MISSOLRI AVENUE. STE 890
PHOENIX, AZ 85014
(602)257-1656
Llc. No.: 10075@1
.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 3770 of the Labor Code, for the performance
of the work for which this permit is issued.
_ I have and will maintain workers' -ompensation insurance; as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is
iss Nly workers' compensation insurance carrier and policy number are:
C rrier: XEMPT Policy Number: _
r I certify that in the performance cf the work for which this permit is issued, l
sh of employ any person in any manner qo as to become subject to the workers'
ompensation laws of California, and agree -hat, if I should become subject to the
workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith.
comply with those provisions. ,
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 tc 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 perfcrmed 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 Ci -y of La Quinta, its officers, agents, and
employees for any act or omission related t i 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 i-suance 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 oedinances and state laws relating to building
construction, and hereby authorize represeitatives of this city to enter upon the above-
mentioned proper y for inspection purposes.
Date. X17
Awl-
Signature(ATpliFantoPAged 4
Date: 3/8/2017
Application Number: BWFE2017-0037 Owner:
Property Address: 52438 HAWTHRON CT RJT HOMES CODORNIZ
APN: 777460022 1425 E UNIVERSITY DR
Application Description: CODORNIZ LLC / RJT HOMES / BLOCK WALL PHOENIX, AZ 0
J
Property Zoning:
Application Valuation: $2,500.00
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: 50LF OF 6' GARDEN WALL SOUTH EAST AND SOUTH WEST SIDE YARDS [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.
6
DESCRIPTION
FINANCIAL INFORMATION,
ACCOUNT I QTY
AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404 I 0
$50.67
DESCRIPTION
ACCOUNT QTY
AMOUNT
WALL/FENCE - FIRST 100 LF PC
101-0000-42600 0
$63.33
Total Paid for BLOCS: WALL:
$114.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA:
$1.00
DESCRIPTION
ACCOUNT
QTY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
Total Paid for TECHNOLOGY ENHANCEMENT FEE: $5.00