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05-4181 (RPL)P.O. BOX 1504 787495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: 7=W �1� . 50105 DE MODA 772-380-006- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL_ 15000 • ���IVIN BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: GG F Owner: R J T HOMES >s� VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760)•777-7153 �f 1425 E UNIVERSITY DR. PHOENIX, AZ 85034 Contractor: RJT HOMES LLC WCC: STATE FUND WC: 1583906 10/01/05 nCSLB:- 690645 06/30/06 LQPERMTT SEP 2 6 2005 u - LICENSED CONTRACTOR'S DECLARATION CIN OF LA QUIN l WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (co mencing wit DEPT. I hereby a firm under penalty of perjury one of the followingdeclarations: Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full otce-and•e€f�9tIdAR�IC� _ 1 have and will maintain a certificate of conse to self -insure for workers' compensation, as provided License Class: License No.: for by Section 3700 of the Labor Code, for the performance of the work for which this permit is a•. Dat�Contrari6r: .� , I��L C issued. 1 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 • OWNER -BUILDER DECLARATION insurance carrier and policy number are: I hereby affirm under penalty of .perjury that I am exempt from the Contractor's State License Law for the Carrier A -B Policy Number - - - - - - - - - - - - - - - following reason (Sec. 7031.5, Business and Professions Code: Any city or county that. requires a permit to I certify that, in the performance of the work for which this permit is issued, I shall not employ any construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the person in any manner so as to become subject to the workers' compensation laws of California, - - permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State - and agree that, if I should become subject to the workers' compensation provisions of Section - 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 exemption. Any violation of Section 7031.5 by 3700 of the Labor Code, I shall forthwith comply with those provisions. any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500): Dat , Applicant:' (_ 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 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL • Contractors' State License Law does not apply to an -owner of property who builds or improves thereon, -_ SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND- ' and who does the work himself or herself through his or her own employees, provided that the DOLLARS ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN •• ' improvements are not intended or offered for sale. If, however, the building or improvement is sold within SECTION 3706 OF THE LABOR CODE, INTEREST„AND ATTORNEY'S FEES. - 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.). APPLICANT ACKNOWLEDGEMENT 1 _) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. • - IMPORTANT Application is hereby made to the Director of Building and Safety for a permit subject to the r ' 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions setforthon this application. property who builds or improves thereon, and who contracts for the projects with a contractor(s) licensed 1. Each person upon whose behalf this application ismade, each person at whose request and for - -'-` _ • = pursuant to the Contractors' State License -Law.): vhose-benefit-work -is- performed -under or pursuant to any permit issued as a resultzof this application, = -- -- ---- - (_) I am exempt under Sec. , B.&P.C. for this reason 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. Date: - Owner: 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 CONSTRUCTION LENDING AGENCY permit to cancellation. - I hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the I certify that I have read this application and state that the above information is correct. I agree to comply with all work for which this permit is issued (Sec. 3097, Civ. C.). - -city and county ordinances and state laws relating to building/construction, and hereby authorize representatives _ - - of this county to enter upon the above-mentioned. propert • r ins c • n purposes.” _ Lender's Name: /!rt; - Signature Agentl:/ • _ _ _ _ - Lender's Address: Dace: (Applicant,or • - .. , LQPERMTT Application Number 05-00004181. Permit BLDG POOL PERMIT Additional'desc . Permit Fee 162,.00 Plan Check Fee 105.30. Issue Valuation 15000 -Date Expiration Date 3%18/06 _. Qty Unit Charge Per Extension . BASE FEE 45.00 13.00 9.0000 THOU BLDG 2;•001-25,000 117.00 Permit . . .• MECH POOL Additional desc . Permit Fee 26.00 Plan Check Fee 6.50 Issue Date Valuation. 0 Expiration'Date 3/18/06' Qty Unit, Charge Per Extension BASE FEE 15.00 1.00 11.0000 EX. MECH FURNACE >100K -- 11.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation' 0 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 - 1.00 30.0000 EA ELEC PRIVATE SWIMMING •POOL 30.00 Permit. PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee Issue Date . . . Valuation 0 Expiration Date 3/18/06 Qty Unit Charge Per Extension BASE FEE 15.00 "2.00 6.0000 EA PLB FIXTURE 12.00 1.00 3.0000 EA PLS WATER 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00-' Special Notes and Comments - POOL & SPA ONLY. ALARMS/BARRIERS SHALL LQPERMIT - Bin N City of ta Quin-,a Ptrmit Bulldin B u Safety Dlvlslon S P.O, 8ox 1504, 78.495-Calle Tart IcQ 0- La Qulnta ✓ICA 92253 • (619) 777.1012 Building .Permlt. Appllcatlon 10,ec1 Roarea:: and T-acking Sheec � :\umbtr: 4-(1Owncr's'Namc: RJT Hoines, LLC ~ �!� .csa Dcscrlpilon: Address: PO'Pox 810 1 :v�uacwr RJT Investments, Inc. Cily,ST, Zip: La Quinia, CA ''Jress 1415 E. r. Unirermy D y Dr. Telephone: (760) 564.6555 iW ST. Z, P Photnlx, AZ 850J4 N01ccl Description: ' cITP-lune (602) 257.1650 690645 City Llc, q; 4990 Eng(.. Designer: ST. Zip -- c:c,nune r S:J;c Construcllon Typc: V� 1i`e_ Occupancy:. of Contact Pcrsop: Chad Me Cr Projocl type (circle one)! New Add'n Altcr Re a:: y P Sq. FI.: OrContacs Person: (760)564,6S55 M Stories: a Ulm$ 8sllmale0 Value of of ccs: �--�© ms R( fPr i ulal Rtq'd•• Recd plul S(114 j ' wvtlurai Fli :, ' ` PERMIT FEES F��,',hit�p,�llhjp)!)•fjl,;q: '.' ' Calts• I Trvst C 11cs. cofrSHlg9,�; :. a.;.j: <Rlan Chrk Dcpostl •n•.:. � j I T uc Ij Crl.cs.{I L, i�3 _ at..: F,; ► ' : ' ' I i I 36001 Fccs uot•rctor Up Y "I ti , , •• :, 1F&lb'Plrltal I ('votrsclor Into. I I I' Businesss Lic. I storscrr' Comp. i Plino,og.ipproral i i Pio. fts, APpr. (iJ0Ucl*art i I I H.O..�. APProral I Fart hitr, dppr. H, 01N. Appror,tl A9. APD►oyal ; ti'C'ri5 y � -�} r' i. t i ... , ; _.•a,..:..s�� L•..ir:�-.:'"— _ -- _---•--(r �^• ��'tt • '''. � ;nom 0 � ct ""'� p �'�.'�,y..Ac•C. ._ cl4-C- �4 f,•r• i V , Li . J r �/�'�J ppp^� ' LA CSU I NTA V ,t� C 'b & tAFETY ' DEPT.: AROVED _ f. ' INSTRUCTION:" t' t ty • � +, BY tea; ,t ��. •'� 4 .fe�rJt� � + . r r•+•Cr 7\ t. -r y.�•, •. �. , • l%' . sr `, a 11�r:M•..77�� � 34.,+' }.`� ^^'Poy4t»iS,} +i•'P,�� p,tl��+i r.:'34 f . 'r tM� Sy�r�,t^ti'r y}>�y`'./�� r,,'+s t. �,.} t .,k1 kt .� • y� q 77 t� are✓{'..s@��• f ✓ •�(? 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