0101-022 (SFD)FRO;a .
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FAX NO. 76056422381 Jan. 11 2002 02:15PM P1
r%CITY OF LA QUINTA
��. DIN & SAFETY DEP
OF'l ARTMENT
�, 777-7012
JAN 0 9 20q
SP TION REQUEST LINE
y t LA . T]'7.7153
Owner RJT HOMES LLC
Contractor RJT INVESTMENTS INC
Permit Number 0101-022
POST ON J013 IN CONSPICUOUS PLACE
INSPECTOR -MUST SIGN ALL APPLICABLE SPACES
J013 ADDRESS 79-495 TORONJA
SFD-PLAN:3"'LOT:53-PERMIT DOES NOT INCLUDE
SLOCKWALLS/POOL/DRrVEWAY APPROACH.
TYPE OF INSPECTION. DATE INSP.
FOUNDATION & SETBACK
FOOTING STEEL
MAIN GROUND SYSTEM
GROUND PLUMBING _ O
PRE-GUNITE
DO NOT POUR CONCRETE UNTILAJL AEkOVE WAS BEEN SJQNED
CONCRETE SLAB
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
i OOT POUR'CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
ROUGH ELECTRIC
ROUGH PLUMBING
ROUGH GAS & GAS TEST ��.
HEATING & VENT -A/C
FIREPLACE
ROOF
BOND BEAM
O.K: TO WRAP _ G%
' GROUT ❑ 4' 08,
FRAMING
INSULATION . •c
PRE -ROOF`
COVER NO WORK UNTIL ABOVE HAS BEEN SIGN D
DRYWALL INTERIOR, 2u]_ D
EXTERIOR LATH ' 0
PO(kL PRE- PLASTER
P)DONFENCE&GATE
SEPTIC TANK -
FINALS
ELECTRICAL _ 11 o
PLUMBING
FINAL GAS TEST
� ", '1TI NG - A/C
_.; .JSE NUMBERS
JOB COMPLETED
TEMP POWER
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
LICENSED CONTRACTOR DECLARATIONt • t
1 hereby affirm under penalty, of•perjjry that l 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
Date 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 am exempt under Section B&P.C. for this reason
Date Signature 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.
( ) 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 Policy No.
..(This section need not be completed if the permit valuation is for $100.00 or less).
()
1 -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 provisions.
Date: i Applicant A
Warning: Failure to secure Workers"Compensation covAge is unlawful and
shall subject an employer to criminal penalties and civil fines up to $100,000, i4,,.
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 harn,less'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) _P 640 � �.•� -Date �-•_tea a
BUILDING PERMIT PERMIT#
DATE VALUATION LOT' �I ;Q�ilp' TRACT
JOB SITE _ '
ADDRESS
APN
:+MRONJ
70-460-009
OWNER
CONTRACTOR / DESIGNER / EN (NEER
PO "Dox 810
1425 R "UNIV1,,M17krY DRi:' S
CA, 9223.4
P)t•LOFI iW. AZ 85034 '
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USE OF PERMIT
S.I O-i?I ds3't3 LOT,53<I?,;fRMIT DOE,'! NOT 6fiti~Y.t DO, ^
rt3VX!XNY'MA.a'Y00LfDb31V1:WAY .A.WPROA.CK r -Mo PY.;,t`<N CHECK FEE
Cus,rom CONSTRUCTION %033.00 S,e
F'ORI'°ifi PA'S O1 e3s].00 S,1
RAC#T.i1t'MIAPORT
'k'(Imr R. V, .7:•
P1.4.W CH':3..-vila i 0 -(?i3(1- ; - S 2 ti $M30
lad-H.Au$qn PEP 9103.0
1�3,,Y>•�";7'2r2iCr�i, i�u.@`; Fi37-S�t�11-�1.�83•-i3t?a`3 �t�:.A�
.
Pli,itNISYNTO FEE 101.000.419.000
S'?'TROO', O .t�tUOTION 1011-000-241.000
C5RA,I:1.kCf FE8. 101-(9)0-423.000
ART TH PUBLIC :PL:&CES - REM 701-000-255.000
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:�� `� •• 3 + 1'x5'. :�
LtYA�`.
2•� - - •'�` a pan 5
tf SC1 -' L601T_.11t11XXr.1JCfJ4 AND M,AN i.`tCK,
$3,323.46
x.J'Xw t,-:PAAED:EM
i$I100
. w.�pN .0 9' 201 �• ; _ � ' ���:���.>��� ���
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RECEIPT,-
DATE 1 `
lay
DATE FINALED
INSPECTOR
IF
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
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
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_ Q� _
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral _ _ _
Sewer Connection j g -A, —�
Pool Cover
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
URty Notice (Perm)
COMMENTS: