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05-4816 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number:' 05-00004816 Property Address: 50-030 VIA DE MODA APN: 772-380-003- - - Application description: POOL - RESIDENTIAL Property Zoning: LOW DENSITY RESIDENTIAL Application valuation: 15000 Applicant: Architect or Engineer • . �7� ITN BUILDING & SAFETY DEPARTMENT' r. BUILDING PERMIT LICENSED.CONTRACTOR'S 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 Class: License No.: /--'-Data/Contracto `v l l01_106_LV_ - OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exam ption..Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).: 1—) 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 and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does the work himself or herself through his or her own employees, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the owner -builder will have the burden of proving'that he or she did not build or improve for the purpose of sale.). (_) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). ( 1 I am exempt under Sec. , B.&P.C, for this reason Date: Owner: CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097,, Civ. C.). . ,tom Lender's Name: Lender's Address: ' Owner: I - R J T HOMES 1425 E UNIVERSITY DR PHOENIX, AZ 85034 Contractor: RJT HOMES LLC WCC: STATE FUND WC: 0014793-2005 CSLB: 690645 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7.153 Date: 10/27/05 10/01/06 06/30/06 ------------------ 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. Y I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor 7'- Code, for the performance of the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier A -B Policy Number - - - - - - - - - - - - - - - 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 ccomply, with tth�os/flIprovisions. Da✓e: -3t• APPlicarif � i��i. • — WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($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. APPLICANT ACKNOWLEDGEMENT IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the . conditions and restrictions set forth on this 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 application, the owner, and the applicant, each agrees to, and shall defend, indemnify and hold harmless the City of La Quinta, its "officers, agents and employees for any act or omission related to the work being performed under or following issuance of this permit. ' 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 1 have read this application and'state that the above information is correct. I agree to comply with all ' cityes county ordinances and state laws relating to ilding construction, and hereby authorize representatives is county to enter upon the above-mentioned p pert for i spa n purposes. e� ( Date,/� Signature (Applicant or ge LQPERM T Application Number . . 05-00004816 Permit BLDG POOL PERMIT - Additional desc . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation 15.000 . Expiration Date 4/25/06 Qty Unit Charge Per Extension. BASE FEE 45;00 13.00 9.0000 THOU BLDG 21001-25,000 117.00 Permit MECH-POOL. Additional desc . 4� Permit Fee 26.00 Plan Check Fee 6.50 Issue Date .. Valuation 0 Expiration Date 4/25/06 Qty. Unit -Charge -Per Extension BASE FEE 15.00 1.00 11.0000 EA MECH. FURNACE >100K. 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee 45.00 Plan Check Fee 11.2.5 Issue Date . . . . Valuation .. . . . 0 - Expiration Date 4/25/06 Qty Unit Charge. Per - -Extension BASE FEE 15.00 r• 1:00 30.0000 EA ELEC•PRIVATE SWIMMING POOL 30.00 Permit .. PLUMBING -Additional desc . Permit Fee . . . 39.00 Plan Check Fee 9.75 Issue Date . . . . Valuation 0 Expiration Date. 4/25/06• Qty Unit Charge Per Extension BASE FEE 15.00 3.00 6.0000 EA PLB FIXTURE 18.00 " 1.00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EAPLB GAS PIPE 1-4 OUTLETS 3.00 - ----------------- Special Notes and Comments " POOL & 2 SPAS. ALARMS/BARRIERS SHALL BE ' r LQPERMIT • Application Number 05-00004816 -------------------------------- ------ ------- Special Notes and Comments I ------------------------------ ------- IN-PLACE-PRIOR TO PRE=PLASTER INSPECTION. -EQUIPMENT ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited -------------------- Due Permit Fee Total 272:.00 :00 .00 272:00 Plan Check Total 132..80 .00 �.00 132.80 Grand Total 404.80 .00 .00. 4.04.80 LQPERMIT ` .. .. M�1.i�; '!?R'?,T!:Lry[a.'. ..p:.rsr—.,Y;.• wr.+.f?.:,•.. -.:�-v Bin A . . City of Lauin Q to PerMil p BOding u Safety Division' . j� P,Q , Box 1504, 78.495�C.alle Tamocip �S BU La ulnta, CA 92253 • (619) 777.70 12 ilding Permit Application and Tracking Sheec :Number. 17 itO8 A Owncr's Nerne; RJT Hoines, LL•C ©3 Address: P0'13ox 810 < .caa D<scr,psron: :v�sractorCiIy,ST, Zip: La Quin(a, CA E225) RJT Ihreslments, Inc. �:oress E. University Or, Telephone: (760) 564.6555 I'425 i'•'�- "' iT• Zip Phoenix, AZ 85034Pro)ecl Dcscripsion: j` c paunc 5 A (602)157.1650 S S )ia:t a 690615 City Llc. M: 4990 Ent'.. Ocsigncr: �T. Zip "c:c;nunt • )a,c ,,c, a. Constructlon•Type: 0,4j1` t Occupancy:. ^.c ui Coniacs Pcrsop: ProJecl type (circle : one Chad Meyer ) New '.dd'n Ahcr Rtpi,:. ofconiecl Person:(760) S9• FI.' b stories: un;i> Eslfrttslcd Yaluc or project: APRT �® i ivDin,tul `t�i'Aq QS.n fel:ltitra ! • RcQ'd•• Rcc'd •. AFJiF• - • Yhn ins' 'I � •. . sit VVI ursl C'elc . PIaP;( iS�QOV•Q11►11)fj� Y:' .o PERM 1-T FEES s � 2� ;ll•tm cor"S � ' Trvss Cylts. r =lige ;I,;.t:. 112nThcck )cposii r...,._ a.., j f ; Tour JI Cnnl OeedIA T, , ��1 •S• IDP' ---- f I Scnool Fccs t t i $uD00019tI0f l.isl . C'oDir�tlor Inro, � •fi`i �r :, • •� � r., . • rM IA I 1s' atosintss slorws'comp. I i Pirn ,� � �� � , pr• i r'lliL' .t ''' i' ,��I�.�i: i PProrel APPr• APProral F,rc filer. ,(PPr• --_� H. Otpi. Approral I. r' �� r's, Vis.. •b, ''I Ag. APProrsl { 4