RPL (0008-433)79445 Mandarina
0008-433
LICENSED CONTRACTOR DECLARATION
1 hereht,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
^#Qhs^ C {9Lic y.pClass Exp. Date/t1 /y
9tlb4S 13 TVC A !01/2(
w
Date Signature of Contractor -
OWNER -BUILDER DECLA ATION
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 am exempt under Section , B&P.C. for this reason
Date Sianature of Owner
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 of the Labor Code, for the
performance of the work for which this permit is issued.
L,)A-1" fiave 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 INS, COMPANY OF T Policy No. WD9170041900
(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 Se Pion 3700 of the Labor
Code, I sallforthyvith comply with those provisions.
Date: -d Applicant
WarninFailure to secure Workers' Compensation cov r e 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 inspectio purpo es. %
Signature (Owner/Agent) y I. Date -fT
UILDING PERMIT PERMIT#
DATEf! ¢`'4VAL'iIATION LOT d t1+f -433 TRACT
410,000.vX)
JOB SITEl f
ADDRESS &445-ATMA1 i 1'11
APN
OWNER
CONTRACTOR / DESIGNER / EN (NEER
,R THOMESLTC
IWT1NV.IF,SiuFNTS, Lim
110 BOA', 810
1425 E. UNJV.l+'42S7."i'3C:CJRIVE
LA, T1N'TA CA 92253
IMOEM ,tom 85034
(602)257-1656 CB141 4990
USE OF PERMIT
POOL ANDIOR SPA
POOL &-SPA OJLY•ALhI.'MSi,SARRIERS SFLW BV 124 PLACE.AT PRE
PL"TER, WSPECTION, 001, PIQUIPMENT D4CLA'1SURR IS NOT MCLUDEU
IN THIS PERMIT
POOL ANDIOP 9PA 10,000.00 LO
99]i Al JW €;`OST a -V CO NSTROC170H
10,000.{!()
PkVb f'f FEE SUMIKARY
PW4 CHECK FEE 101.000*439.318 $76.05
CONSTRUCTION ITE 101=000-418-100 $11'7.00
MECHANICAL FEE .- POOL, 101x000-421-000 $24.00
ELECTRICM, VVE -• POOL. 101-000-420-0010 $45.00
PLtilitMBINO FE -- POOL 101.WO-419-000 527.00
`
MTB -TOTAL C'aMY1TLUC' ION AI&L PAR a11 CK
'$12.89.05
Ims PRE -PAID Y=,S
$0.00
TO'fA '1 .0 V S DUE NOW
$Mks
RECEIPT
DATE
BY
DATF^EIVALM
INSPECTOR
I
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
Exhaust Fans
OX 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
Final
Final
BLOCKWALL APPROVALS
POOLS - SPAS
Steel - . -cord
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
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
Utility Notice (Perm)
COMMENTS:
FROM : RJT_HOMES
6.56'
5.0
F
0
FAX NO. 7605646505
Aug. 30 2000 03:38PM Pll
SEE MODEL
INDEX ON
SH* 1 FOR
COURTYARD'
DRAINAGE
79 ` ys3R
qvI
F-40.1
j
PAD=39*6
.. " 42.77
TW
' • . '••• , • = 38. 10 TF
GpN`' C
05/01/2002 08:44 7605646505 RJT HOMES PAGE 04
g - CW OF LA OUINTA
orn� BUILDING & SAFETY DEPARTMENT
777-7012
Ownfi_
Contractor
NSPECTION REQUEST LINE
-t' r _ 777-7153
RJT HOMES LLC
RJT INVESTMENTS INC
Permit Number 0008-433
POST ON JOB IN CONSPICUOUS PLACE
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
79445 MANDARINA
JOB ADDRESS
POOL & SPA ONLY-ALARMSBA,RRIL' RS SHALL BE IN
PLACE AT PRE PLASTER INSPECTION. POOL
EQUIPMENT ENCLOSURE IS NOT INCLUDED IN THIS
PERMIT
TYPE OF INSPECTION DATE INSP.
FOUNDATION & SETBACK
MAIN GROUND SYSTEM
GROUND PLUMBING
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
6_ NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING CJ -2 L.' ' W
ROUGH GAS & GAS TEST
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K. TO WRAP
GROUT 0 4 ❑ 8'
PRE -ROOF
COVER NO WORK UNTIL d&hlAffdEEN SIGNED
DRYWALL INTERIOR
EXTERIOR LATH
POOL PRE PLASTER / ✓"
POOL FENCE & GATE
SEWER SEPTIC TANK
FINALS
ELECTRICAL
PLUMBING
FINAL GAS TEST
. TING - A/C
HufJSE NUMBEI
DMPLETED 7' -
POWER PMC Ist LACED A-
AI.L I.UIVIiKt It: t'LA l VVu
MINIMUM OF 2" BELOW WEEP SCREEDS.