RPL (08-1913)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Ti&t °F 4 Q"
Application Number: 08-00001913
Property Address: 61770 MESQUITE CT
APN: 764-280-999-61 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 26000
Applicant: Architect or Engineer:
cle tyll—, SIA
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
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kss
EN ONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjurym licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Bu nd Professionals Code, and my License is in full force and effect.
License CIa s: C53 License No.: 658996
ate: ontractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 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 1, 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 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: .r /�,
Lender's Address: FV /�(
LQPERMIT
Owner:
CRAIG NELSON
61770 MESQUITE COURT
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/02/08
Contractor:
FAMILY POOLS CONSTRUCTIOFVDEC204
P 0 BOX 283
LA QUINTA, CA 92247
(760) 56 655 Lic. No-.:: 658996 1008TN)
OF
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WORKER'S COMPENSATION 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 1`0
polic romesubject
re: -
Carrier STATE FUNDmber 1344032-8
I certify that, or anork for which this permit is issued, I shall not employ any
person in ae subject to the workers' compensation laws of California,
and agree o ject to the workers' compensation provisions of Section
00 of thith comply with those provisions.
tApplWARNING: FAILURE TO ORKENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PAND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS 1$100,0001: IN ADDITION TO 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, agent4employees ees for any act or o 'erf ated to the work being
performed under or following iss permit.2. Any permit issued as a result of omes null and void if work is not commenced
within 180 days from date of ich permit,or cessation of work for 180 days will subject
permit to cancellation.I certify that I have read thisapplication and above information is correct. I agree to comply with all
city and county ordi antes and state laws rI onstruction, and hereby authorize representatives
ofthis coyfkytb e�t�er upon to above-menty,fpr ' ction purposes.
(Applicant or
Application Number . . . . . 08-00001913
Permit . . . BLDG POOL PERMIT
Additional desc .
Permit Fee . . . . 258.50 Plan Check Fee 168.03
Issue Date . . . . Valuation . . 26000
Expiration Date 5/31/09
Qty Unit Charge Per Extension
BASE FEE 252.00
1.00 6.50.00 THOU BLDG 25,001-50,000 6.50
------------------------------------------------------------------------_---
Permit . . . MECH POOL
Additional desc . .
Permit Fee . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/31/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
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Permit . . . ELEC POOL PERMIT -RES
Additional desc . .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/31/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000 EA ELEC PRIVATE SWIMMING POOL 30.00
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Permit . . . PLUMBING
Additional desc . .
Permit.Fee . . . . 33.00. -Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date 5/31/09
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
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Special Notes and Comments
POOL/SPA, FIREPIT (ANSI 221.58-1995),
LQPERMIT
Application Number
08-00001913
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Special Notes and Comments
INCLUDES 37 L.F. 3/4" GASLINE.
ALARMS/BARRIERS SHALL BE IN PLACE AT
PRE -PLASTER INSPECTION. EQUIPMENT
ENCLOSURE NOT INCLUDED.
Fee summary
-----------------
Permit Fee Total
Plan Check Total
Grand Total
LQPERASIT
Charged Paid
---------- ----------
362.50. .00
194.03 .00
556.53 .00
Credited Due
---------- ----------
.00 362.50
.00 194.03
.00 556.53
GdfGarrx
ed-lbq 18" Garden Wdl ,
V 314" qm for fcdwe
I _
II',5"
Pw-41r4 n' ei0dWdi
m
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CITY OF LA CSU I N'R\
BUILDING & SAFETY DE T.
APPROVED
NELSON nOMiff FOR CONSGT�RUC/TIIO
61770 l" les�quife GOUd DAT Alf 'o Y AHv
Trilogy Country Club
11117108 1/8"tel'
Construction
Fools Fountain
(-760"64 --'5&5!5
Lic, #658996
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Bin #
.Qy of La Quinta
Building &I Safety Division
Box 1504, 78-495 Calle Tampico
La Quanta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit # 0P.O.
Project Address:
-,�—Owner's Name:
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
QU-1 X-44
jj
Contractor:Ckl f
Telephone:
Address: 00
Project Description: 161tL
City, ST, Zip: --
/99S
::,0:'0.
Telephone:
State Lic. # City Lic.
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. 4:
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.:I —T# Units: # St 's:
Name of Contact Person:
Telephone # of Contact Person: (�V06) iQ09 -S3V61
�>
Estimated Value of Project.
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Reqld
Rec!d
TRACEING
PERMff FEES
Plan Sets
Plan Check submitted
X21
Item
Amount'
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance.
Tide 24 Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsrissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.I.
H.O.A. Approval
Plans resubmitted
Grading
IN HOUSE:-
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
57aw4;v"&
CONSTRUCTION
P.O. BOX 283
LA QUINTA, CA 92247
(760) 564-3655
LICENSE NO. 658996