SFD (0006-257)79355 Mandarina
0006-257
LICENSED CONTRACTOR 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
Professionals Code, and my License is in full force and effect.
License # Lic. Class Exp. Date
F
59{36 s D I: C A. 116/30/2(
DateO' %"i'= {_ { Signature of Contractor
h1
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 t6 property, am exclusively contracting with licensed
contractors to constructOthe project (Sec. 7044, Business & Professionals
Code).
() I am exempt under Section B&P.C. for this reason
Date signature of Owner
F
WORKER'S COMPENSATION DECLARATION '
I hereby affirm under, penalty of, perjury one of the following declarations:
() I have and will maintaln,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.
,(J)' I have and will maintain workers' compensation 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 & policy no. are:
Carrier 1149, COMP I'Y OF T Policy No. WD917A041900
(This section need not be completed if the permit valuation is for $100.00 or less).,
( ) 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', .1/shall forthwith comply with those provisions.
Date: 2-11.--&" .Applicant -„-T.,
Warning: Failure to secure Workers' Compensation 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 a 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) l - 7 • +` Date
v
A 11Z:
BUILDING PERMIT PERMIT# t+
DATE VALUATION LOT '115; TRACT ` '
A!
14
JOB SITE
ADDRESS q9
APN ( j!
' l
=i i A
772_0W 00d
OWNER
CONTRACTOR/DESIGNER/EN INEER
R T WMr%vffiM,,11. C.
iY`a mWim -f-d, rNe.
1425t, 'C.INTVEAWY D `.M
1425 E.'Cf1 lVL?FM*Y DME
PHOMM AZ 85034
PWORiiTfK AZ 85034
4
(602)257.1656 C.B F 4990
USE OF PERMIT
°. L. NGIT!, FAWLY DWJIZ I,31hi G
S'V'D- LOT 14 PLAN 2A PERMIT DOMNOT INCLUDE BLOCK WALL -5 OR
POOL 73 % PLAN t HFCK ME RRDUCTION FOR. ISSUANCE OF SAME
PLAN TYPE
CUSTOM CONSTRUCTION zrn.00 9i,?;
PORCHIPATIO 2x33.00 sY
GARAGEICARPORT (3F) t 1,407, 20
'.itt+ ` 1 COST ® 2 7C'"a'):()N
.,t. 8I
p ,{ 7 y.,v ; y s`” l3' LC E7b'vw2
. IKRW I E 490KMARA
.k1;5.+5AO
q
CONSTRUCTION TTE 101.000-418.000- $1,042,00
PLAN CH9CX FEE 101-000-439-318 $214.47
MECHANICAL M 101.000-4-214400 6111.60
9LECTIUCALFEE 101-000420-000 $139.:34
PLUMBINO EPEE 1014000-419.000 '1:530.50
-4 t, A_J
STRO140MOTION IPFI,4RESID 101-000-241-000 $71.49
CRADINO FFF, 101,,000-429-000 $20,00
DEVELOPER IMPACT 7,Z $1,1407.00
ART IN .PUBLICS PLA.CIME - RPMr. 701.000.253'000 13714
SUE -101AL. CONSTR!.TC.M014 A&11'! PLAWT
$3,693,44
7 5 Pr PArn S
$0.00
"£O i'AIJ FMI ., FM ME NOW
$3;693; A4
RECEIPT
DATE
BY
DATE FINALED '
INSPECTOR
INSPECTION RECORD
OPERATION
DATE
INSPECTOR
OPERATION
DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
Roof Deck !oU
Exhaust Fans
O.K. to Wrap
F.A.U.
Framing j cc/
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
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
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 z
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
Gas Test
Appliances
Final
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
Util'rty_Jotice (Perm)
COMMENTS:
FROM RJT_HOMES
.
FAX NO. 7605646505 Jun;
21 2001 11:58AM P2
O.K. TO WRAP
-er`lT OF LA.OUINTA
g J DING & SAI`ETY.DEPARTMENT
C"
7 LUUU 777-7012
-
INSPECTION REQUEST LINE
I1 •
i k__ E Pr 777'-7153
PRE -ROOF
RJT INVESTMENTS, INC
Owner
DRYWALL INTERIOR
RJT INVESTMENTS, INC
(
Contractor
l
0006-257
POOL PRE PLASTER
Permit Number
er
POST ON JOB IN CONSPICUOUS PI -ACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
79-355 MANDARINA
EWER SEPTIC TANK
J08 ADDRESS
-. ! i ! `f
SFD- LOT I4 PLAN 2A PERMIT DOES NOT
INCLUDE BLOCK WALLS OR POOL.
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL -
MAIN GROUND SYSTEM
GROUND PLUMBING
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
Ibu-NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST
HEATING & VENT- A/C
FIREPLACE
BOND BEAM
O.K. TO WRAP
GROUT ❑ 4' 0 8'
FRAMING
INSULATION
I1 •
• / CSG l
PRE -ROOF
"'DOVER NO -WORK UNTIL ABOVE HAS VEN SIGNED "
DRYWALL INTERIOR
(
EXTERIOR LATH
l
-wz
POOL PRE PLASTER
L FENCE & GATE
EWER SEPTIC TANK
; _
-. ! i ! `f
FINALS
ELECTRICAL
PLUMBING
1L GAS TEST
.,Tl NG - A/C
HOUSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVAL$ PO NOT INCLUDE RIGHT TO
TURN ON UTILITIES 08 OCCUPY BUILDING
Certificate Of0c,cupancy
City of La Quinta
\-/ I.-KOM TW w4
Building and.Safety Department
r
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- comp/lance with .the various ordinances
of the City regulating bud/ding construction or use. For the following:
c
BUILDING ADDRESS: 79-355 MANDARINA
Use Classification:_ SFD Bldg.. Permit No.: 0006-257
Occupancy Group: R1 Type -of Construction:. VN ' Land Use Zone: RL
Owner of Building: RJT INVESTMENTS INC Address: 1425 E UNIVERSITY DR '
City: PHOENIX AZ 85034
By: KIRK KIRKLAND
F
Date: 6-21-01
Building Official
POST IN A -CONSPICUOUS PLACE