0006-018 (RPL)LICENSED CONTRACTOR DECLARATION V
'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
69064'5 B I -RC A 06/1012(
Date Signature of COntfaCtQr
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractor's
License Law for the following reason:
( ) 1, 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).
( ) 1, 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
pperfo mance of the work for which this permit is issued.
(%O 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:
Carver rta, _OOMPANY OFT Policy No. WDE17004190D
(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 emplo0any`person in any mann_er_so as to become subject to the
workers' compensation laws of California and agree That ial should become
subject to the workers' compensation provisio sti of Se ti n 3700 of the Labor
Code, I shal forth iith complyowith tho e'proyision's. a.
Date: ` �' C Di Applicant'
V
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,,auihorize reve`sehtatives�of this City to enter upon
the above-mentioned property for inspe tlo purposes.
11
Signature (Owner/Agent) y -� Date
BUILDING, 4.
PERMIT PERMIT#
DATE VALUATION LOT TRACT
�7%it1,47d2si i3t1 10
JOB SITE
APN
ADDRESS _ y G, Nig
..241JER
CONTRACTOR/DESIGNER/EN (NEER
R 7T 11dV1~:� TMMMjWC.
RJT aNVFMi+r4l M, WC.
1425 J. XIt,SI`1'Y DRIVE4
14251 . LN1VIMM DRIVE
MORM AZ 83034
1'1.3CiM Y,, ,As, 85034
(602)V -1656
Cl
�>4 4990
USE OF PERMIT
1>00L. AM/CfR SPA
TOOL & SPA ONLY- ALA.RMSWARRIiERS SHALL 1#E IN PLACF A t
PR&PLASTER INSPECTION, BLOCK WALL FOR EQUIPMENT ENCLOSURE
IS NOT RdCLUl3t! D W THIS PERMIT
VALUATION ttF,0p0,00 L5
A�'�'.��iVIA'.1M COW t OF C0XSn*WCn;0X
I%DW.00
P1±RACT FEE SUbIMARY
PIAN CHECK FEE 101.000-439.318 576.05
CONSTRUC'fFON FEE 101 -000 -418 -WO
MEC'H./S..NICs' L FUR •- POOL 101.000-121.000 524,00
,Ei.3!Z:7RICAL FEE POOL 101-0,00-420-000 $65.00
K ;�
,•-
PLUM-WHOME E POOL 101.000.419.000 5.2'3,00
11,h�
tr6..
;diJI3-IMAI , L°.G?td'0`1.R.'L4Cwi'10X AND PLM CM -M
$289.05
1M-3 PRE, -PAW PEYS
$0.00
TOTAL PZ MT1 M5 DUP IOW
M%05
RECEIPT
DATE
Byit,/; '^•
iId '
DATE f NALED
S
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
Exhaust Fans
OX to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
Fans 6 Controls
Party Wall Insulation
Condensate Lines
Party Wall Firewall
Exterior Lath
Drywall - Int. Lath
Final
Final
BLOCKWALL APPROVALS
steel
POOLS - SPAS
41
Set Backs
Electric Bond
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
L
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 Voftage Wiring
Fixtures
Main Service
Sub Panels
Exterior Receptacles
G.F.I.
Smoke Detectors
Temp. Use of Power
Final
Utility Notice (Perm)
COMMENTS:
12/11/2003 "12:55 7605646505"RJT HOMES PACE 01
RJT Homes, LLC
December 11, 2003
Mr. Costly
50-485 Spyglass Hill
La Qtdnta, CA. 92253
FAX 4 760-777-7003
RE: POOL
%ff
WOtadES
AS your inspection has indicated there
not
ered under wwan y 3 years, after thus no problem with the pool.. All the s in
question are grout issues what
construction of the pool.
Grout is a maintenance item, not a warranty item, and if those items were on the first
Leak detection, the reason they Were not repaired is they are maintenance items , the
same would go for your auto fill in the infinity, that was under water and releasing water
into the lake. It is also yours to maintain.
Therefore RJT Homes will not reimburse
y�ouor the pool service should bon e able to help you
t and will not
repair the maintenance items on y P
in these areas.
Thank you,
James Skeen
RJT Home, LLC
79-700 Ave. 50, La Quints, CA 92253 (760) 564-6555 FAX (760) 564-6555