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05-4137 (RPL)P.O. BOX 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: Property Address: APN: Application description: Property Zoning: Application valuation: Applicant: C05_�0000413 79995 VIA MARAVILLA 772-400-041- - - POOL - RESIDENTIAL LOW DENSITY RESIDENTIAL 150.00 Tu�/.4 " BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Architect or Engineer: SEP 2 6 2005 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.: r/Date: %:o`517- Contras . /L Ri±i-�•-��L-C _ _ _ .. 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 exemption. 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 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 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.). (_ 1 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.). I—) 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.). Lender's Name: _ Lender's Address: LQPERMIT Owner: R J T HOMES, 1425 E UNIVERSITY DR PHOENIX, AZ 85034 Contractor: RJT HOMES LLC STATE FUND Ell: 1583906 690645 VOICE (760) 777-7012 FAX (760) 777-7011 r� INSPECTIONS (760) 777-7153 10/01/05 06/30/06 Date: 9/15/05. D�,QUJNTA ------ ------ ----------------------- WORKER'S COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: _ 1 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 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 /comply with those provisions. atBr e: ApplicaR 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 15100,0001. 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 I have read this application and state that the above information is correct. I agree to comply with all city and county ordinances and state laws relating to building onstruction, and hereby authorize representatives of thi ou�ntty/t�o enter upon the above-mentioned p/rop%fiy f 'nspe tion urposes. te: i1a� Signature (Applicant or AgetlF): Application Number . . . . . 05-00004137 Permit .. . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 Issue Date . . . . Valuation .15000 Expiration Date 3/14/0.6 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 3/14/06 Qty Unit Charge Per Extension BASE FEE,, 15.00 140 11.0000 EA 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 3/14/06 Qty Unit Charge Per' Extension BASE FEE 15.00 1-.00 30.0000 EA-. - ELEC-PRIVATE SWIMMING POOL 3.0.00., Permit PLUMBING Additional desc . Permit Fee . . 33.00 P1an'Check Fee 8.25 Issue Date . . . Valuation . . . . 0 Expiration Date 3/14/06: Qty Unit Charge Per Extension BASE FEE 15..00 2.00 6.0000 EA. PLB FIXTURE 12.0.0 1..00 3.0000 EA PLB WATER INST/ALT/REP 3.00 1.00 3.0000 EA PLB GAS PIPE 1-4 OUTLETS 3.00 Special.Notes and Comments POOL & SPA ONLY. ALARMS/BARRIER SHALL LQPERMIT Application Number . . . . . 05-00004137 ---------------------------------------------------------------------------- Special Notes and Comments BE IN PLACE PRIOR TO PRE -PLASTER. INSPECTION. EQUIPMENT -ENCLOSURE NOT INCLUDED IN PERMIT. Fee summary Charged Paid Credited Due Permit Fee Total 266.00 .00 -.00 266.00 Plan Check Total 131.30 .00 .00 131.30 Grand Total 397.30 .00 .00 397.30 LQYERMIT L • .. .. i.,.y a=+•vY.�... .'�Yi..'�.•,�,� ....;AR..Y':*!P.�: ..�'-.��W.�Y:•..1.. Bin A •City of LaQ uinta Permit a Bullding u Safety Division - P.0, Box 1504, 78.495"Calle Tampico 05— Y13 La QulntaI CA 92253 • (619) 777.7012 %ro,ccl Aoores:: BuIlding.Perm It. Application and TrackIn ?9_ g She e� v :�vmbcr: Owner's Name: RJT Homes, LLC Rox 810 -cs=r Ocscnplron: Address: PO -- Ci(y,ST, Zip: La Quinta, CA 9225) .v:1IracWr RJT Investments, Inc. ;:orrss Telephone: (760) 564.6555 1425 E. University Dr. ProjeeI Description: Z'p Phoenix, AZ 8511 ricDnun< (602) 257.1650 690645 City Lic, b: 4990 ;nn. Eri Designer: ST. Zip ctc;nunr S:,:c L,c. a Constructloh Type: Occupancy:. "-sr ui Contact Pcrsop:Project 1YPe (circle one): New Chad Meyer Add'n Alter 1i rr.. Sq. Ft.: ;none c of Contagia Person: k Stories: (760) 564.6555 s Ulms 6111maled Yalue of Ptojeet: AP rte. • I S4onaual Rc d.. Reed t Yl�n SrU As.. ' Flip;l;,liPERMIT FEES SIrVCIVraIC'alCS. ii�P.Ilu.hfillJS Y: • ^ . ' ,tl•l:m RtCliwt+rresdy+for Trvsr Coll). CSillpg,)11 _,�.� sPlan:Chctk Dcposit ' I I j 'Fltlt 1�144, ;'j �il� C�tk:Da(anct I ! Cnnl Otto � °' ( •at.j;! r`• � .r J1 sjlflv __wl • Scnool Fees , ! , � • ,�- , 1 l S�ocvorxclor Llsl ly I! 4.f�1'1pii�(�.. �, :'•r �:: . C'votr�clor Into. dIN98v$ints.11 Lie, ?,�4L I Prsno,o¢.{peroral L, ;' ' ?r• i, ;{' , ,, � .. • � � qk/tuuelure Pvo. 141:s. Appr• H.O..+: Approval Fat filar, Appr. II H. Otpl. Approvali:,.r� Ag. APproyal .. 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