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05-2881 (RPL)P.O. BOX 1504 4 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application Number: Property Address: APN: Application description Property Zoning: Application valuation: Applicant: 05-00002887 50220 VIA PUENTE 772-370-001- - POOL - RESIDENTIAL LOW DENSITY RESIDE: 15000 l,0d_1l�cTo< a a Q JUL 2 4 2Q05 or LRq' err 1—lTA i LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 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: qLicense No.: ✓ate on ��y'-S Ctt� or. W., 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 Cade) 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 _ 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 _ 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: RJT HOMES PALMILLA 1425 E UNIVERSITY AVE PHOENIX, AZ 85034 Contractor: RJT HOMES LLC WCC: STATE FUND WC: 1583906 CSLB: 690645 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 10/01/05 06/30/06 Date: 7/11/05 ----------------------------------------------- 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 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 Labo -ode, I shall forthwith comply with those provisions. D- ate: � '- Appli ant: �1 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 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 wilding construction, and hereby authorize representatives of this ounty toaentt r upon the above-mentioned rope rty or insp coon urposes. te: �/ Signature (Applicant or Agentl: .rte Application Number 05-00002881 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 162.00 Plan Check Fee 105.30 •Issue Date Valuation . . . . 15000 Expiration Date . . 1/07/06 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 . . 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 11.0000 ---------------------I------------------------------------------------------- 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 1/07/06 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 8.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/07/06 Qty Unit Charge Per Extension BASE FEE 15.00 2.00 6.0000 EA PLB FIXTURE 12.00 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. GAS, ELECTRIC & WATER LQPERMIT Application Number . . . . . 05-00002881 - -=------------------------------------------------------------------------- Special Notes and Comments FOR FUTURE BBQ. ALARMS/BARRIERS SHALL 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 LQPERAIIT 'r Oda ' A r c �56•� w Q r� h,I��x�a ��i � � • �. X30 ':.��:.. - PAD' ^�� f, 4AD 363 —N 'y 'n ' ^ `•L^, L y 35, 7$ co ,cls 35.3 E FL 34.75N Cfin� s. . t ky'.r ``+ti'$t�''! p,;1� . i'\1 .f'yV1� t �C i �� •'b'-r♦ f �tfj•p ��yt1�ty 4e) +^t it _ t;i r, t� r.• ty. t �' tyyr +{�b 1 �+�G�s3'•_M i!;.��r�«f,-;j� 4�ti E� t i�`. �•\ �• � �A � ty'>,,: EMIIING, rT. ••y rte '� 1 t i - ..........101 q K CPR , f ,��..�� .• .i�;; � t.,�{�,,�.� .;_ sumo - INT --_.._. �. •� >- �� CI � OF LA QL1 q -- ING & SAFETY DEPT. t ,, t,:� r�r r� j<5 ;t��. � ��: ,y APPROVED X23 � •---. . ` v ' ,° • ° > �' y «'' °'f�� FOR CONSTRUCTION y DAT 1 S o5 gy rAI i`..Y •T- t ,•t y •, `may •� ' . . • tr: � i f, xN 3r- t� rs 65 ''s`' • c �+ �•wi +:'�;�,� t:�d R,:d r ��.��Ljtir;•'`ri" vi'�;+} ' ' ,f "��' x5 `�`;,�a,•r; , int,,, ,. PREPARED UNDER THE DIRECTION r OF ESS /0'�9 ' s i.x' l rl j .� 1 f7•`r } rkr .sC,. t . ~. • rY r '� �\ C, s "'� i .ri•tC+-:'r1+C',N � rw�t%:i'"'''.�'!!* t. ..f.. 7 .. �s .. ..,: v% ~� �� No. 20596rn Exp �' z -30-05 '^ rst sw/l r.:.J.. 1�. 1 dtr 14.'j«:C+��!`'•rt(�'«%•'•"rj(�)•tw l•4f�-� •.i r. ".9,• �'V�L�P ATE: ti tri iRREVISIONS Ar- — L' APPR, DATE DRAWN$Y';;"a CtiECICED",BY:.... S A Ey, C. MO SE EXP. DATE R.C.E. 20596 • Y�..t, i� '. �1'S rt f�ni�� ! ��te•.Tie'Ct t^�iI j •� M1.i ,:. _ Bin p City of ha Quinta -. Permit # Building 8z Safety Dlvlslon ��'-2Sg P.O. Box 1504, 78.495-Calle Tampico La Qulntar CA 92253. (619) 777.7012 Building Permit Applicatlon and Tracking Sheec aEJ v rA P. Owner's'. Numbtr. T7 - 3 % Name: RJT Homes, LLC .• Dcscr+pllon: — �ES� Address:PO Box 810 ..nlraclor RJT Investments, Inc, CiIy,ST, Zip: La Quinta, CA 92253 -- ''oress 1425 E. University Dr. Telephone: (760) 564.6555 •3T• Zip Phoenix, AZ. 85034— Project .Description: A cicpnunc (602) 257.1650 690645 ..... � � n City Lic, b: 4990 �(5 Engr., Designer: S -- .. ST. Zip -- 'c:c;none S: -`c :.c. a Construction Type: CSN T Occupancy:. c , Q"Contact Pirso ProJeet type (circle one); New Add'n Alter Rc a:r D Chad Meyer p• r• •,n�nc.$q, Ft" N Stories: ofConlact Person: (760) 564.6555 a Was r . Estlrrlaled Value of project: Submillal� APR(lCC1,T•PQI:- Rcq'd- Recd Nt i I �+ruclural PERMI-T FEES PIap;CfiCS1c,�y.biN2l.' � / . .F�;`?i •' % •i( ii✓� CaICs. i ;(I{!nl ' Rtricvfa�;�rrt>IdX�(or � .a:�:•::::• ` 1 Truii Cvlcs. torfSt{IQvf; ; . .: .:• 11an:1211eck Deposil f i T,ilc 14 CaIc4, Q•�I �� TYf�t/,I�•:Trqy�.i+r,..• . •• = , RR>aa��; I (1 ;dF I IG c.... :4 s nlry.t�lLCIk:U i(ynci ��— —'1 Cronl Deed i I Scn)ol Fees I 1!�.fi?�.. I.;;,�'y. Sobcualscl Lisl lfEJCSlrftal I Cv01r4clor Info. 3�• tljElf, I C,y �.. P11110 101 .Approval ! f0({oslruclurt Pvo. %V-Q-Appr. I H.O..�..Approval 1 Fir( Mar. Appr. — --� H. Depl. Approval I AB• APProYal