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06-0090 (RPL)P.O. BOX 1504 y 44a ^� 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253. BUILDING & SAFETY DEPARTMENT BUILDING PERMIT Application.Number: F06-00000090 ,j Owner: Property Address: 79800 VIA SIN CUIDADO R J THOMES APN: 772-390-006- - 1425 E UNIVERSITY DR Application description: , POOL -.RESIDENTIAL PHOENIX, AZ 85034 Property. Zoning: LOW DENSITY RESIDENTIAL. Application valuation: 15000 Contractor: Applicant: Architect or Engineer: RJT INVESTMENTS INC 1425 E. UNIVERSITY DRIVE / PHOENIX, AZ 85034 (602) 257-1656 (Sol «< Lic. No.: 6'90645 VOICE (760) 777-7012 FAX (760) 777-7011 " INSPECTIONS (760) 777-7153 Date: 1/10/06 - - LICENSED CONTRACTOR'S DECLARATION WORKER'S COMPENSATION DECLARATION " I hereby.affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with I hereby'affirm under penalty of perjury one of the following declarations: ' Section 7000) of. Division 3 of the Business and Professionals Code, and my License is in full force and effect. I have and will maintain a certificate of consent to self -insure for workers' compensation, as provided License Class: A-13 LicenseNo.: 690645 - _ for by Section 3700 of the Labor Code, for the performance of the work for which this permit is /[,, " ,, �e:�67 Contractor:/ �� l lav'-��+v�Ly�C issued. Il I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor. - , -r� 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: - hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the Carrier STATE FIIND Policy Number 0460014793 following reason (Sec. 7031.5,. Business and Professions Code: Any city or county that requires a permit to - _ 1 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 3700 of the Labor Code, I shall forthwith comply with those provisions. 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).: G w�. T S �e ee' Applica}yr (hJ Yi (_ 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 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 (_) 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 7044; Business and Professions Code: The Contractors' State License Law does not apply to an owner of conditions and restrictions set forth on 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 is made, each person at whose request and for pursuant to the Contractors' State License Law.). - whose benefit work is performed under or pursuant to any permit. issued as a result of this application, I am_ exempt under Seo.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 , ji CONSTRUCTION LENDING AGENCY permit to cancellation.' information is I to 1 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.). I. certify that I have read this application and state that the above correct. agree comply with all city and county/ordinances and state laws relating to buildi g construction, and hereby authorize representatives of this county to enter upon the above-mentioned grope y or insp tion urposes. Lender's Name: Date: 771� Signature (Applicant or AgentW Lender's Address: - LQPERMIT' Application Number . . . . . 06-00000090 Permit. . . BLDG POOL PERMIT Additional-desc . Permit.Fee 162.00 Plan Check Fee 105.30 Issue Date Valuation . . 15000 Expiration Date 7/09/06' -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 7/09/06 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 11.25 Issue Date Valuation 0 Expiration Date 7/09/06 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 7/09/06.., 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. ALARMS/BARRIERS SHALL LQPERMIT Application Number..'06-00000090 - 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 - LQPERMIT 1 y { y,7•r "r".t .�xr� M��" !s� a$ s{ � ..,� S �.a 's a N, t ' R', ,rt H %f`�t�a r i..r it ^/T^ i ••Iw `�,. 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Dcsisner. ST Zip rE c:c;nunt - Y iis:c Lac, Construction • Type; ' N 1 e, occupancy:.- ._ y \`Mc ui Contact Pcriop: - ProJael type (cl'rcle one): Ncw Chad Meyer Add'n Alar pnonc s of Contact Person: S9' FI': I _ (760 364• q Stories; s. 6555 .. 841IM416d Yalu c ofo) Pf cct: ' t ivonun+l APRLT' Rta d.' RccI AAs.' Pltp;t;,S s PERMIT FEES • I . �irvcfvrsl ('aI ft}?.d�V�kll►11).�j�•y: ,. •. • •'; o• .: � , Ac fres I fr Try cor�5tllgv; :j•:.i, sPlan:Ch ,r Calcs. •,�.�,,• cck Dcpo:if i TiUt 14 Cai.cs, I 'ia + ' _ ;,� r I�rc.... :. � �+,II�iC�rk:Uat� c� '----•-_�--� - ) I icnool Ftts , r� •I a � , ., , ., �I i •R,� i (��,.. y, •tis �i.41i I $uGCU01yC10f Llsl �`A • •1�.A1'�r?�' lf,. �• ' :'•r �, fi , . C'Voirvclor Info. •ti � I I Cu'8vsinrss Uc, � ��• 1�), ,� .i• ;jj uj•'�,,,,z r• '�: ., ". ++or►crs' Comp. f q ;•f faf ) g s . P"",of•lpprorU I. PuD. 1ti � 1 �Ad{isl,�uclprt s . �ppr, ADRroral H. Otpf, Approral AY. APproYal