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04-4845 (RPL)Cie BUILDING & SAFETY DEPARTMENT P.O. BOX 1504 E >. (760).7.77-7012 78-495 CALLS TAMPICO FAX (760).777-7:011 LA QUINTA, CALIFORNIA 92253 INSPECTION REQUESTS (760) 777-7153 BUILDING PERMIT . Application Number 04-00004845= Date , 6/09/04 Property Address 50.195 VIA SIMPATICO APN: .772-400-016- - - Application description POOL — RESIDENTIAL, Property Zoning LOW DENSITY.RESIDENTIAL Application valuation.: •15000 Owner Contractor .R J T HOMES RJT HOMES LLC: .1425 E UNIVERSITY DR 1425 E..UNIVERSI'TY DRIVE PHOENIX Z 85034 PHOENIX AZ 85034 ld3O 3�` Ob . WI\f1f1J ''t -40 Rdl CC: STATE FUND C: 1583'9'06 10/01/04 Nn l' CSLB: 690645 06/30/04 - CCC: A -B - -=-- - - - - - -.- - - - - - --- - -- Permit - - -- --=-- - ---------=----------------------- 0O PERM Additional desc Permit Fee .' 162.00 Plan Check Fee 105.30 Issue Date . . . Valuation 15000 Qty Unit Charge -Per Extension BASE FEE 45.00 13.00 9.0000 THOU :BLDG 2,001-25,,000 11.7.00 Permit -MECH POOL Additional desc Permit Fee . . . . 24.00 Plan Check Fee`: -6.00 Issue Date Valuation •0 Qty Unit Charge Per Extension BASE.FEE -.15:00 1.00 9.0000 EA MECH FURNACE <=100K 9.00 Permit .. . . . . . ELEC POOL PERMIT -RES Additional desc .. -. Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date Valuation . . . 0 .;Qty Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 EA.. ELEC PRIVATE SWIMMING"POOL 30.00 . _ P.O. Box 1504 78-495 CALLE TAMPICOT-100af II LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT • Application Number: 041- 49415 Applicant: Architect or Engineer: mppucanrs Mailing Address: .-N VOICE (760) 777-7,01.- FAX 7;_701_FAX (760) 777-701 ; INSPECTIONS (760) 777.715: Date: G 'tl,9 Architect or Engineer's Address: Lic. No.. BUILDING PERMIT DECLARATIONS LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professionals Code 'and my, Lic nse is 'n full force and effect. / License Class -f- (� License No.— (Q ib5ate�-_= O I tractor �AQ iv ie S Le— C I hereby affirm under penaltyof OWNER43UILDER DECLARATION perjury that I am exempt from the Contractors' 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 thepermit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' 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).): U 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. 7041, 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 or through his or her own employees, provided that the improvements are not intended or offered for sale. If• thnwevheer. the building or improvement rs 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 a sob.). (, 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 contractors) licensed pursuant to the Contractors' State License Law.). U I am exempt under Sec. . B.6 P.C. for this reason Date Owner I herebyaffirm under WORKERS' COMPENSATION DECLARATION 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 y�sued. M workers' compensation in nce carrier and policy num r are: ,/`Carier ��•��� olicy Number _ c ,¢; �g© (p _ I ce1-11ty that, in the performance of the work for which this permit is issued. I shall not employ ansubjW toVia workers, compensation laws of California, and agree that, if I should become subject to the workers' compensation Provisions ro Saection3700 of the Labor Code. I shell forthwith Comply with those provisions. iBate� 10•6 !Y�Applicant WARNING: FAILURE TO SECURE W K RS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH USAND 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. I hereby affirm under penalty of perjury that there is a construction lending agency yfoor the LENDING Of the work for which this g Performance Lenders Name permit is issued (Sec. 3097, Civ. C.). Lender's Address IMPORTANT APPLICANT ACKNOWLEDGEMENT 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, eachuestsunt issued as a result of this application, the owner. and the applicant each agrees to, and shall, defend, for indemn ty and hold hare benefit work is mless under City of La Purto suant any t 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 penrA or cessation of work for 180 days will subject permit to cancellation. I certify that I have read this applicatiori and state that the above information is correct I agree to comply with all city and county ordinances and state laws relating to building construction, and hereby authorize representatives of this county to enter upon the above-mentioned property for inspection purposes. ate -F — fSignature (Applicant or Agent): Page 2 Application Number 04-00004845 Date 6/09/04- /09/04----------------------------------------------------------- --- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -Permit -Permit PLUMBING - - - - - - - - 7 --- - - - - - - - - Additional desc +, Permit Fee 33.00 Plan Check Fee' .8. 25 Issue Date Valuation : : 0 Qty Unit Charge Per Extension- BASE :FEE l 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 BBQ(UL#ET3020914) ALARMS/BARRIERS SHALL_.. -BE SN PLACE AT PRE -PLASTER INSPECT ION. EQUIPMENT ENCLOSURE NOT INC LUDED Fee summary Charged Paid Credited Due' ' ----------=--=------------------ ----- --------=- Permit Fee Total 264.00 ,00 00, --- ------ 264.00 Plan Check Total 130.80 .00 .00 130.80 Grand Total `' 394.80 .00 :00 394.80 r 1 �c\W 4` F-.3660\ o. 42 - H PAD 49 3.6.1 \ 2a . I !� 9 e -- a. UL FF = 37;60. t i Lu _ I 41.o ny \ PAD =..37.1. 2��D . �' < m g lS 1 ! � 4 70 Dr 6 60) TW 50=k95. VIA 1I1 ATI 0 \ / FF 3.6.60 w 15. BasT:;::24, ;SSU:. - - / kid, , 3� a {: i S. M � : J � ...... ,�' C o �r=moo ---- ---. - -- �pQ �LLJ O , ,. oW � � _ z ¢ F- -- -- , Oov W XX V C7 LLJ Ln W O PRIVATE ENGINEERING. NOTECD = z W o z OWNER OR CONSTRUCTION CONTRACTOR AGREES THAT IN ACCORDANCE WJTH GENERALLYcn — W )COATED WITH ACCEPTED CONSTRUCTION PRACTICES, `CONSTRUCTION CONTRACTOR WILL-;BE j m w "P�TiNG REQUIRED TO ASSUME :SOLE AND COMPLETE RESPONSIBILCTY FOR JOQ ffE DC ¢ W a- II{ETO, AGREES CONDITIONS DURING .THE COURSE OR CONSTRUCTION OF THE PROJE�� ¢ a Z DAMAGES INCLUDING SAFETY OF ALL PERSONS AND PROPERTY; THAT THIS RE-O.Q. �EMENT aTJRES NOT SHALL BE MADE TO APPLY •CONTINUOUSLY AND NpT •E{E UMf�ED T(3 AAL --