SFD (0006-261)79315 Mandarina
0006-261
LICENSED CONTRACTOR DECLARATION
, I heeebyaffirm under penalty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Vrofessio na
-_is Code, and my License is in full force and effect: — •"! - - -
License # Lic. Class Exp. Date
t fi9Uc 9.1 B HIC A OtSi51E1i2i.
`Date 6' ' Signature of Contractor "
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) . 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 &, Professionals Code). '
( ) I; as owner of the property, am exclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). I . •
() I am exempt under Section B&P.C. for this reason
Date r ! ' - 'Signature of Owner
WORKER'S COMPENSATION DECLARATION
I hereby affirm, under penalty of perjury one of the following declarations:
O 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.
S c( )' I have and will maintain workers' compensation insurance, as required by
tion 3700 of the Labor Code, for the performance of the work for which this
permit is issued. My workers' compensation insurance carrier & policy no., are:
Carrier Policy NO.
. • , INS, COMPANY OF T - Wi'E17oo41000 •
x
(This section need not be completed if the permit valuation is for $100.00 or less).
O 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,provlslons.
- n
Date. rj._Y f Applicant -' s ., t -,`z f
Warning: -Failure to secure Workers' Compensa on coverage is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000; in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each.person at
whose request and for whose benefit work is performed under or, pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of such
permit, or cessation of work for,180 days will subject permit to cancellation.
,I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for. inspection purposes.
Signature . (Owner/Agent) Dateh • -r'%
it 1.
BUILDING PERMIT PERMIT#
D_ ATE EVALUATION LOT •• '
.t a1 _., T *_ ..,.
TRACT
—___.
`f ' 3,748M_--,
284474,
.•-) i .}
JOB SITE -
APN
ADDRESS 79-315 J►1 ANDA:i?MA
772-W"W
OWNER - --
CONTRACTOR/DESIGNER/ENGINEER
( -
RynkvEsnams,INC., i
R,J'I' 1TJ1/1;0'.[.1EIMV, INC.
41425 E, XIME.'(t 1'' TY DR:i'',E
142$ F+,1TIR1Nl 'R ; . , Z7R R-
PHOBITIX PZ 85034
PHOENIX
.AZ
85034
}}
:f.
(602)257.1656
CD1.4
49903
USE OF PERMIT
MNCrLL 1:AhMY D1N"l E.L-L1XG
yND- LOT IS PLAN 3" PERMIT DOES NOT JNCLIJO;' BLOCK ofd
POOL 73 % PLAN CI•IECK FEE REDUC,"`i10N FOR ISSUANCE OF SAME
PLAN TYPF.
CUSTOM CONSTRUCTI014 MUD Sir .
PORCWPA110 130.00 3F
CARAWC:ARPOVI (SP) 11,328,00
4
s c D COS.r, OF CONSTRE U': 700
y.
6133,748—SO
PERW ' YET SUhD§ARY
CO?7IaT"RilCTI0131 101.OtlOe41 Syg13C1 S1,108<90
PLAN CHECK FEE 101-000-439-318 $226.50
MI;C%1A14IC:AL E'EE 101 w000421 -000 X105.00
" "
• } ` w . _
EI.W TRJCAJ,, FEE 101-000 420-0100 $168.22
,
.'
PLUMBING 799 101.000.419-000 f3a.56.
-•
STR02 OMOTION FEE- RESID 101-000-2.41-000 $23.37
O,"DTNO FE}, 101-0001423-000 $20,00
DEVZLOPER IMPACT FEEX1,907:00
,ART 1N PUBLIC PLACES - RESIi 701.000.255.000 - $M,37
MM-TOTAI, CE3.1E1'VIRIi=i,"91.1,1.F AND PLM 01MC1`
$3,823.46
IMS PRE-1.3AI1D !-. 0
$0,00
TY AL P10W"F—TK S DUE 110W +
$3,823.46
RECEIPT
DATE
'
BY
DATE FINALED
INSPECTOR
g
a
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs GTj
Underground Ducts
Forms & Footings _ a plo?
Slab Grade C(/
Ducts
Return Air
Steel
Combustion Air
Roof Deck
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines \.
Party Wall Firewall
Exterior Lath/
Drywall - Int. Lath /7- • 00 �(
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
steel
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Plbg. Test
Final
Gas Piping
PLUMBING APPROVALS
Gas Test
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection U S
Encapsulation
Gas Piping
Gas Test
Appliances
Final
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
Low Voltage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
FROM
r .1.
FAX NO. 7605642238 Jul. 09 2001 11:07AM ,P1
14
o ,
OF LA QUINTA
BUILDING & SAFETY DEPARTMENT
777-7'012
JUN 2 7 200?NSPECTION REQUEST LINE
T 777-7153
ner RJT INVESTMENTS, INC
Ow
Convik of RJT INVESTMENTS, INC
Permit Number 0006-261
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 79-315 MANDARINA
SED- LOT 18 PLAN 3RB PERMIT DOES NOT
INCLUDE BLOCK WALLS OR POOL.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL 2, e(J
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
Dv NOT POUR CONCRETE UNTIL ALL ABOVE HAS SEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT 0 4' 0 8'
FRAMING G
INSULATION ' b
PRE -ROOF
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNE
DRYWALL INTERIOR (j Ob
EXTERIOR LATH
POOL PRE PLASTER
L FENCE & GATE
AEWt SEPTIC TANK
ELECTRICAL
PLUMBING _
`,L GAS TEST
1 JTING - A/C
HOUSE"NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
XCertificate.of Occupancy
City of La Quinta
Building and Safety Department
This Certificate issued pursuant'to the requirements of Section 109 of the Uniform Building Code,
certifying that, at the time of issuance, this structure was in compliance with the various ordinances
of the City regulating building construction or use. For the following:
BUILDING ADDRESS: 79-315 MANDARINA
Use Classification: SFD Bldg. Permit No.: 0006-261
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL .
Owner of Building: RJT INVESTMENT INC
Te -►K
Building Official
Address: 1425 E UNIVERSITY DR
City: PHOENIX AZ 85034
By: KIRK KIRKLAND
Date: 7-13-01
POST IN A CONSPICUOUS PLACE