0010-251 (SFD)LICENSED CONTRACTOR DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of
Giapter 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
�S�€�C•4� FZ :T:V�C .�,M�� �� �;`j S;i'l01 A��'
}Pate� .-' ' Signature of Contractor '/e*
OWNER -BUILDER DECLARATION, 1
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, amlexclusively contracting with licensed
contractors to construct the project (Sec. 7044, Business & Professionals
Code). '
() I am exempt_ under Section B&RC. 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.
STATE IMID
(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, I shall forthwith comply with thoseprovisions.
Date/' : v -r Applicant r' -a -19 f)
!. W ra ning: Failure to secure Workerrs Compensation coverage is unlawful and
shall subject an employer to criminal penalties and civiffines up to $100,000, in
addition to the cost of compensation, damages as provided for in Section 3706
of the Labor Code, interest and -attorney's fees.
IMPORTANT Application is hereby made to the Director of Building and Safety
for' a permit subject to the conditions and restrictions set forth on his
application.
1. Each person upon whose behalf this application is made & each person at
whose request and for whose benefit work is performed under or pursuant to
any permit issued as a result of this applicaton agrees to, & shall, indemnify
& hold harmless the City of La Quinta, its officers, agents and employees.
2. Any permit issued as a result of this application becomes null and void if
work is not commenced within 180 days from date of issuance of sucli
permit, or cessation of work for.180 days will subject permit to cancellation.
I certify that I have read this application and state that the above information is
correct. I agree to comply with all City, and State laws relating to the building
construction, and hereby authorize representatives of this City to enter upon
the above-mentioned property for inspection purposes.
Signature (Owner/Agent) - � • � ,.• - Date � �-�-��-•� ;--s,�}
,r
BUILDING PERMIT PERMIT"
DATE VALUATION LOT 0010-251. TRACT
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JOB SITE k..
APN
ADDRESS i-
OWNER
CONTRACTOR/DESIGNER/ENGINEER,
IJ'•T" SkMU°.FLIAMIZ„ INN
RST IN MIMENIM, UIC.
AZ 85054
P.,HC ZWfX AZ 85034
(602)257.1656 :''UR - -4990 .
USE OF PERMIT
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Wy 1 LOTPI
11VAIMPOt?MI'A O4$. APPROACH i1i3,NF' AY.
CWTO,M Ct?NSTRUCT1014 2,749m &F
>i<0; CH)P.A.T10 134.40 sF
OAR,o- M or
ESITKXrED VOS'r OF CONYM•iJC00.117
1". 764.90
CONWRI.J%" IaN FRI& 101-000-419-000 MIN
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PLA.1a CHECK F99 101-000.439-318 SM.91
ECC :NICA., FU 101-000-421-000 S93.±tb
A.d,i,Cw l t2.IC; i. FEE 101-000-420-000
PLUMPING 101.000.419-000
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'DEVELOPER itttPACT Fn
SUB -IM At COMM .W- JON AND PLAN CM=
$4,096.99
,.ESS PIM, PAM IFERi S
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TOT -fu PER WHY PTZB DOE ROW
$410`d1? -99
RECEIPT
DATE
BY
DATE FINALED
INSPECTOR
9
I /• , e -I i -y -
. 'f' ^
.
OPERATION
DATE
INSPECTOR
OPERATION
DATE 7
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS -
Set Backs _ GQ
Underground Ducts
�
Forms & Footings `J l�/_G�
Slab Grade / ���
Steel t
Ducts
Return Air
Combustion Air
Roof Deck C% j
Exhaust Fans
_
O.K. to Wrap _ _
Framing (7 (
F.A.U.
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans & Controls
Party Wall Insulation
Condensate Lines
Party Wali Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
Steel
POOLS - SPAS
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:
-CITY aF LA QUINTA .
e`BUILDING &.SAFETY DEPARTMENT
1 of 777.7012
INSPECTION REQUEMJ'ID
777-7153
01T 3 () 2000
Owner RJT HOMES LLC
Contractor RJT INVESTME
LA
.Permit Number 001.0-251
POST ON JOB IN CONSPICUOUS PLACE •.............
.:.
INSPECTOR MUST SIGN ALL APPLICABLE SPACES
JOB ADDRESS 50-315 SPYGLASS HILL
SFD - LOT 20 PLAN 2B - PERMIT DOES NOT
INCLUDE BLOCK WALL/POOL/ORAPPROACH DETyLUAY
f
i
f
TYPE OF INSPECTION DATE IN3P
FOUNDATION & SETBACK EZ i
FOOTING STEEL
MAIN GROUND SYSTEM _
%2nvurw rwmonw Z- —J -
PRE-GUNITE
DO NOT POUR CONCRETE UNTIL ALL ABOVE HAS BEEN SIGNED
CONCRETE SLAB CO
JOISTS & GIRDERS
ELECTRICAL GROUND WORK
V
'L,.AOT 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 O
GROUT ❑ 4' ❑ 8'
FRAMING / {
INSULATION 2^ • b 1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
DRYWALL INTERIOR CJ"
EXTERIOR LATH,
POOL PRE PLASTER
POOL FENCE & GATE
SEVYER SEPTIC TANK
-� FINALS
ABOVE APPROVALS DO NOT INCLUDE RIGHT TO
TURN ON UTILITIES OR OCCUPY BUILDING
Ed WUP2 :60 TOOE SO -unt SOS9P9SO92-: 'ON Xdd
4
SSWOH-ifN : WONA
f
Certificate of Occupancy
City of La. Quinta-
0
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
ollowing:BUILDING ADDRESS: 50-315 SPYGLASS HILL
Use Classification': SFD Bldg. Permit No.: 0010-251
Occupancy Group: R3 Type of Construction: VN Land Use Zone: RL
Owner of Building: RJT INVESTMENTS INC Address: 1425 E UNIVERSITY DR r
City: PHOENIX AZ 85034
By: KIRK KIRKLAND
Date: 6-5-01
Building Official
POST IN A CONSPICUOUS PLACE