RPL (08-1547)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number: 08-00001547
Property Address: 61775 MESQUITE CT
APN: 764-280-999-64 -300236-
Application description: POOL - RESIDENTIAL
Property Zoning: MEDIUM HIGH DENSITY RES
Application valuation: 20000
Applicant: .
T-iht 4 -4 Q"
Architect or Engineer:
PIA -
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
Owner:
JIM & DONNA MABBOTT
61775 MESQUITE COURT
LA QUINTA, CA 92253
Contractor:
CROCODILE CONSTRUCTION INC
53080 AVENIDA JUAREZ
LA QUINTA, CA 92253
(760)574-6357
LiC. No.: 890415
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
I
Date: 9/_10/08
SEP 17 21000
CITY OF LA QUINTA
-------------------------------------------------
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.
_ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided
License Class: ABC- B License No.: 890415
for by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued.
Dater tractor:y"�
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
OWNER -BUILDER DECLARATION
insurance carrier and policy number are:
I hereby affirm under penalty of perjury that I am exempt from the Contractor's State License Law for the
Carrier EXEMPT Policy Number EXEMPT '
following reason (Sec. 7031.5, Business and Professions Code: Any city or county that requires a permit tocertify
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 -
i� 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 (5500).:
te: g2F/,:/O pplicant:
1 _ 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and
'0'—_"
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 1$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.).
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 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
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 Ouinta, 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 building construction, and hereby authorize representatives
of this �coounmty� ttoo enter upon the above-mentioned pz
inspection purposes.
tB3 e: �'7////USi Signa a (Applicant or Agentl
Application Number . . . 08-00001547
Permit . . .
BLDG POOL PERMIT
Additional desc . .
Permit Fee . . . .
207.00 Plan Check Fee
134.55
Issue Date . . . .
Valuation
20000
Expiration Date
3/09/09
Qty Unit Charge
Per
Extension
BASE FEE
45.00
18.00 9.0000
---------------------------------------------------------
THOU BLDG 2,001-25,000
-------------------
162.00
Permit . . .. MECH POOL
Additional desc . .
Permit Fee . . . .
26.00 Plan Check Fee
6.50
Issue Date . . . .
Valuation
0
Expiration Date
3/09/09
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
3/09/09
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
3/09/09
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
----------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA. ALARMS/BARRIERS SHALL BE IN
LQPERMIT
Application Number . . . . . 08-00001547
----------------------------------------------------------------------------
Special Notes and Comments
PLACE AT'PRE-PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
Paid
Credited
Due
(-------------------------------------
Permit Fee Total 311.00
.00
--------------------
.00
311.00
Plan Check Total 160.55
.00
.00
160.55
Grand Total 471.55
.00
.00
471.55
LQPERMIT
CITY OF LA QUINTA SUB -CONTRACTOR LIST '0'�
JOB ADDRESS L �i E.S.C� IT ,.�_ PERMIT NUMBER OWNER' �p�,� OP cyiOt RrR.P80rlBUILDER.
This form shall be posted on the job with the Building_ Inspection Card. at all times in a conspicuous place. Only persons appearing on this list or their employees are authorized to work
on this job. Any changes to this list must be approved by the Building Division prior to commencement of work. Failure to comply.will result in a stoppage of work and/or the voidance
of building permit. For each applicable trade, all information requested below must be completed by applicant. "On File" is not an acceptable response.
Trade Classi n ..
Classification
, ....
Contractor, .::::
:>'::<:>` :::'?:`=:Stat :; o : ,
e.0 ntractot.s License,..: ;:.::.:.:..:.;:;
.......:...... :.....:
::.::::. .... ..:.
:. W..urkei$.Comper►sation:Irisurante:.::':" . ::• ..::::
City Business L:ibense::.:.
Company Name
Classification
(e.g. A. B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
(e. . State Fund., IComp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp. Date
(xx/xx/xx)
EARTHWORK 1C-121 :;.
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CONCRETE (C-8)'>
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FRAMING :fG-5) .'..:'
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111, 8
STRUCT.:STEEL• (G-51)
e
MASONRY (C-29)
PLUMBING (C-361
LATH; PLASTER (C=35)
/
l (
C L
(
L i
DRYWALL (C-9)
HVAC.
ELECTRICAL. (C=101'
ROO�FING'(C,=39)' ;'
`SHE . METAL (C-43)
FLQOkRINC. 5):.
GLAZING (C-17)
INSULATION' (C72)..:
SEWAGE DISP • (C-421'
PAINTING (C=33) :
CERAMIC TILE (C-54)
CABINETS (C-6)
FENCING (C-13)
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i
u
L
t c`
LANDSCAPING (C=27.)
POOL (C-53)
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� Cndett codger=enwranmmtn oes�9n P� -
"n awerm eg nghtsis etM td tlus undswpe
pun and design. The plan and design an: not to
be fepmdoecd. changed. wPted mtnnstened In
8ny fef7110f lnailllef VYhi150eVelM11H10Ut Tlff: n_
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CITY OF LA OUNTA
BUILDING & SAFETY ®PT.
APPR
FOR COI
OV Iolv
jP4A,'
.0
Chuck Cooper Environmental Planning + Design
81720 Daniel Drive La Quinta CA 92253
LANDSCAPE PLAN + DESIGN
Jim & Donna Mabbott /Lot 64
Mesquite Court /Trilogy
J. 760 889 7009 I D. 760 2771146
Richard Rodriguez Landscape
I
Bin #
City of La Quinta
Building & Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: l _� GMES Z C CDId Q.T
Owner's Name:�l �on1N ��}� 4 OTI-T7VA
A. P. Number:
Address:(0Ke . \TC C-pk-L-IZT
Legal Description:
City, ST, Zip:��
Contractor: C oro DTLENS`i Zric
Telephone:
Address: S Z ' 21 p SQ".
Project Description:
City, ST, Zip: —1 ` Q ZZ
oo �
Telephone -t(o a)&-1 C(
State Lic. # : 93402JO City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic. #:
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: � lAL O - . O _
Sq. Ft.: 10
# Stories:
# Units:
Telephone # of Contact Person: H (o D 7 -jS
Estimated Value of Project: i Qp p
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Cates.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calcs.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2"d 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:-
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