RPL (08-1749)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Application Number:
08-00001749 --
Property Address:
61755 MESQUITE CT
APN:
764-280-999-63 -300236-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
25000
Applicant:
1
------------
I
hereby affirm under penalty of perjury
Section 7090) of Division 3 of the Busi
Architect or Engineer:
A1
ED CONTRACTOR'S DECLARATION
licensed under provisions of Chapter 9 (commencing with
4ofessionals Code, and my License is in full force and effect.
1 , p License No.: 658996
I 1 OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am xempt 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).:
(_) 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.).
1 _ 1 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: /,A
LQPERMIT
Owner:
ERIC BROWNSON
61755 MESQUITE COURT
LA QUINTA, CA 92253
Contractor: D
FAMILY POOLS CONSTRUCTIO
P O BOX 283
LA QUINTA, CA 92247
(760)564-3655
Lic. No.: 658996
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 10/21/08
bm u
OvT 2 7 2000
CITY OF LA QUINTA
FINANCE DEPT.
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 th's.permit is issued. My workers' compensation
insurance carrier and policy number are,
Carrier STATE FUND yNumber 1344032-8
I certify that, in the perfor of the work for which this permit is issued, I shall not employ any
person in any mann o s to become subject to the workers' compensation laws of California,
and agree that, i shout become subject to the workers' compensation provisions of Section
3700 of the Labor I, shall forthwith comply with those provisions.
WAIRNIgG: IIAILURE TO SECURE WOR RS' 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, 14rEREST, 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 f r any act or omission related to the work being
performed under or following issuance of this pe mit;
2.. Any permit issued as a result of this application ecomes null and void if work is not commenced
within 180 days from date of issuance of such er ' it, or c ssatioh of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that v information is correct. I agree to comply with all
city an cou ty ordinances and state laws relating to u ruction, and hereby authorize representatives
of ttys ountp ko enter uporythe above-mentioned property igr�rposes.
(Applicant or Agent):
Application Number . . . . . 08-00001749
Permit ... .
BLDG POOL PERMIT
Additional desc .
Permit Fee . . . .
252.00 Plan Check Fee
163.80
Issue Date . . . .
Valuation . . .
. 24719
Expiration Date
4/19/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
23.00 9.0000
----------------------------------------------------------------------------
THOU BLDG 2,001-25,000
207.00
Permit
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date . .
4/19/09
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
4/19/09
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 . .
4/19/09
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
Permit . . . . . . WALL/FENCE PERMIT
LQPERMIT
Application Number
Permit . . .
Additional desc . .
Permit Fee . . . .
Issue Date . . . .
Expiration Date . .
Qty Unit Charge
08-00001749
WALL/FENCE PERMIT
15.00 Pi
Va
4/19/09
Per
an Check Fee .00
luation . . . . 281
Extension
BASE FEE 15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, 13 L.F. 416" EQUIPMENT WALL,
CITY STANDARD. ALARMS/BARRIERS SHALL BE
IN PLACE AT PRE -PLASTER INSPECTION.
Fee summary Charged Paid Credited Due
------------------------------------------------=--------
Permit Fee Total 371.00 .00 .00 371.00
Plan Check Total 189.80 .00 .00 189.80
Grand Total 560.80 .00 .00 560.80
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APPROVED
FOR CONSTRUCTION
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Construction
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Lic, #658996
Bin #
Qty ®1 La Quinia
Building 8r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
1�
Project Address: ��5 ��
Owner's Name: (�
A. P. Number:
Address: S�
Legal Description:
City, ST, Zip:
Contractor:
Address:93
Telephone:lp —
Project Description:
City, ST, Zip: Z w
l 1A44X
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Telephone::;:;>s;:>:s»::�;<;.
Vit:. �;r:;f!..';::;:\c::":`:.`•:>%:i:<::k;::::<::?::;%:
State Lic. # :
City Lic. #.:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
State Lic. #:
.
Construction Type: Occupancy:
Project type (circle one): New Add'n Alter Repair
Demo
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:
Estimated Value of Project:IOU
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Ree'd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Cates.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"" Review, ready for corrections/issue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
Jnd Review, ready for corrections/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue
School Fees
Total Permit Fees
Psi_
V