08-1708 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
08-00'001708
Property Address:
81940 EAGLE CLAW DR
APN:
764-2.8.0-999-24
Application description: description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application, valuation:
27000
Tii!t 4 4 Q"
Applicant: Architect or Engineer:
IP`A
UP
------------------
LICENSED CONTRACTOR'S DECLARATION
BUILDING &. SAFETY DEPARTMENT
BUILDING PERMIT
I hereby affirm under penalty of perjury that I,am licensedunder provisions Chapter 9 -.,(commencing with
Section 7000) of Division 3 of the Business and Professionals Code, and my License is in full force and effect.
Licen las/s: ABC -'8 License No.: '890.415
ate: [,ah4nt
ractor:
tr'�i'� Ow&E UILDER DECLARATION
1 hereby affirm under penalty of perjury/.nd'
am exempt from the Contractor's State L cense Law for the
following reasom(Sec. 7031 5, BusinProfessions 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,e signed statement that he or she is licensed pursuant:to the provisions of the Contractor's State
License Law (Chapter 9 (commencing whh 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 _a I, as owner otthe property, or my employees with wages as their sole compensation, will do the work,,end
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.).
(_) l,: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 town 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.)..
(_) I am exemptunder 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:
- LQPERM)T
Owner:
MARIANNE & JIM MELLIN
81940 EAGLE CLAW DRIVE
LA QUINTA, CA 92253
VOICE (760) 777-7012
FAX (760) 777-7011
.INSPECTIONS (760) 777=7153
Date: 10/i4/08
WORKER'S COMPENSATION DECLARATION
I hereby affirm under'penalty of perjury one of, the following declarations:
I have and 'will maintain acertificate ,ofconsent to self -insure for workers' compensation, as provided
for by Section 3700 of the LaborCode, for theperformance of the work for which this permit, is
issued.
1 have and will maintain workers' compensation insurance,. as required by Section 3700 of the Labor
Code, forthe performance of the work for which this, permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
1 certify that,; in the—performance—of the work for whichthispermitis issued,.I.shell notemploy any
person In any manner so asto becomesubject to the workers' compensation laws of California,
and agree that, if I.should become subject to the workers' compensation provisions of'.Section
/3700 of the Labor Code, I'shall forthwith, comply with those provisions.
I/ v// 6k,10 plicam:
WARNI—N6:�FATIL^fREUREWORKERS''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, 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 requestand'for.
whose benefit work is performed under or pursuant to any permit issued as a result of this'applibetion,
the owner, and the applicant, each agrees to, and shall defend,,indemnifyand 'hold harmless the City
of Le Quints, its officers, agents and employees for any act or omission related to the work being
performed,underor following issuance of this',pemiit.
2: Any permit issued as a result of this application becomes null an&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.
1'oertify: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 county to enter upon the above-mentioned propert& indpectlon purposes.
ate:�i nature (Applicant or Agent):,
Contractor:
CROCODILE,CONSTRUCTION
2000
rRYANCEDEPT
5308,0.AVENIDA JUAREZLA
QUINTA, CA 92253
(760) 574-63'57
LAQUINTA
Lie. No.; 890415
WORKER'S COMPENSATION DECLARATION
I hereby affirm under'penalty of perjury one of, the following declarations:
I have and 'will maintain acertificate ,ofconsent to self -insure for workers' compensation, as provided
for by Section 3700 of the LaborCode, for theperformance of the work for which this permit, is
issued.
1 have and will maintain workers' compensation insurance,. as required by Section 3700 of the Labor
Code, forthe performance of the work for which this, permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier EXEMPT Policy Number EXEMPT
1 certify that,; in the—performance—of the work for whichthispermitis issued,.I.shell notemploy any
person In any manner so asto becomesubject to the workers' compensation laws of California,
and agree that, if I.should become subject to the workers' compensation provisions of'.Section
/3700 of the Labor Code, I'shall forthwith, comply with those provisions.
I/ v// 6k,10 plicam:
WARNI—N6:�FATIL^fREUREWORKERS''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, 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 requestand'for.
whose benefit work is performed under or pursuant to any permit issued as a result of this'applibetion,
the owner, and the applicant, each agrees to, and shall defend,,indemnifyand 'hold harmless the City
of Le Quints, its officers, agents and employees for any act or omission related to the work being
performed,underor following issuance of this',pemiit.
2: Any permit issued as a result of this application becomes null an&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.
1'oertify: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 county to enter upon the above-mentioned propert& indpectlon purposes.
ate:�i nature (Applicant or Agent):,
Application Number . . . . . 08-00001.708
Permit . . . BLDG POOL PERMIT
Additional desc . .
Permit Fee . . 26.5.00 Plan Check Fee 172.25
Issue Date . . . . Valuation . . 27000
Expiration Date . . 4/12/09
Qty Unit Charge Per Extension
BASE FEE 252.00
2.00 6.5000 THOU BLDG 25,001-50,000 13.00
Permit . . . MECH POOL
Additional desc*. .
Permit Fee . . . . 26.00 Plan Check Fee 6.50
Issue Date . . . . Valuation 0
Expiration Date . . 4/12/09
Qty Unit Charge. Per Extension
BASE FEE 15.00
1.00 11.0000 EA MECH FURNACE >100K 11.00
--------------------------------------------------------------------------
Permit . . ELEC POOL PER_M_IT-RES
Additional desc .
Permit Fee . . . . 45.00 Plan Check Fee 11.25
Issue Date . . . Valuation . . . . 0
Expiration Date 4/12/09
Qty Unit Charge Per Extension
BASE FEE 15.00
1.00 30.0000'EA ELEC PRIVATE SWIMMING POOL 30.00
Permit, . . . PLUMBING
Additional lest . .
Permit Fee . . . . 33.00 Plan Check Fee 8.25
Issue Date . . . . Valuation . . . . 0
Expiration Date . 4/12/09
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 . . . 08-00001708.
---- - -----
Special Notes and Comments
PLACE AT PRE -PLASTER INSPECTION.
EQUIPMENT ENCLOSURE NOT INCLUDED
Fee summary Charged
Permit Fee Total 369.00
Plan Check Total 198.25
Grand Total 567.25
LQrE Rmff
Paid Credited Due
.00 .00 369.00
.00 .00 198.25
.00 .00 567.25 -
CITY OF LA QUINTA� SUB -CONTRACTOR LIST. `
J f. 1 �COX
JOB ADDRESS_.g I( �� �o��Q I c�v PERMIT NUMBER OWNER�w�r�n►E ; wt p�( �- rJ - BUILDER.S
This form shall be posted on the job with the Build ng 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 commencernent 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 res'pons
Trade Class�fica on
I ti .
Contractor :.:. ::.::..::::
?:' <::<-<:: �<aS a -: ontr cto s Lice se : :':
t t G n r' . A
::. ' ' aaN.Wkeis.Corr1 eK tWn In. �uraeee ::.._. , ..'..:.<:::::':.
::. ' :'...' sa s -=; ::
't'. Busy e s
..r' . C. o .#
Been
:
Company Name
Classiiicatlon
(e.g. A, B, C-8)
License Number
(xxxxxx)
Exp. Date
(xx/xx/xx)
(e- . State Fund, (Comp)
Policy Number
(Format Varies)
Exp. Date
(xx/xx/xx)
License Number
(xxxx)
Exp, Date
(xx/xx/xx)
EARTHWORK (C-12) ....
(,tfAr�f✓u- 0-�
S'
74 7 I
-�Dg
d '7 F ;W
4--1'
c.ONCRETE (C-8) .'
C c.
1.1
(
1 I
� �—
l
`F~�T43
I I
FRAMING :('C-5) ..';` :.
l L
l
'
-
3
$TRUCT :57EEL ((2-5])
VAI! LC '
IL
L
MASONRY: iC•291 -:
PLUMBING (C -36j
-
LATH: PLASITER (P!'..'35)
i t r -�� R-L'u --
< <
L
DRYWALL (C-9) ..;.._
ELECTRICAL (C40P :1.:`•
$HE ETAL 11-43,1
GLAZING (C-17):'.`
INSULATI0N:1C-21. . ,.::.
SEWAGt DISP • (6-42) '.
PAINTING (0=33)'
CERAMIC TILE (C-54) '
CABINETS (C-6)
LANDSCAPING (0-27,)
POOL (C-53)
-
-5'H X 5'W X lo'L
Natural Boulder
_ s ._ — _ - -- --•-�.,- _ „�aT;g---_- ---r-_ _ � , - .:rte -1
_ '11•``��1.'��`eA','! 1/1i�. � e, `r X11 I1\l_- 1� �,1 � �,.�� - ter. �
0
a
Beach
En"
New Colored
Concrete Decking
Existing Concrete
to Remain
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVE®
FOR CONSTRUCTION
DATE 13Y
New Colored
Concrete Decking
•5'HX5'W.X5'L
Stacked stone
Fountain
MELLIN
RESIDENCE
g1_ gqo -4�0619 �Ow nz
PLAN KEY NOTES:
0 Concrete Decking - (1100 sq,. ft)
Color shall be Standard Ore y
with Salt Finish.
(j Uvc pmpo! ccd Cronite. All
landscape areas and sidouards
.,
40
==c
u
MELLIN
RESIDENCE
g1_ gqo -4�0619 �Ow nz
PLAN KEY NOTES:
0 Concrete Decking - (1100 sq,. ft)
Color shall be Standard Ore y
with Salt Finish.
(j Uvc pmpo! ccd Cronite. All
landscape areas and sidouards
Bin # f,
City of La Quinta
Building at Safety Division.
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: _
Owner'sName:
VA$krVN E illwRE (_(,1 l v
P. Number:
Address: I —C1 Y 0 .tC !
Legal Description:
City, ST, Zip:LA TA CA
Contractor: C��� ODj Lj_' ST, -L4-j+��
Telephone;
Address: S 2-1 L j ST
Project Description:
City, Zipl—
C.-
Telephone:
State Lic. # : City Lic. #:�_
Arch:, Engr.,. Designer:
A4Le,
en
Address:
City, ST, Zip:
Telephone:
State Lic. #:
Construction Type: Occupancy:
Project type (circle,one)s • New Add'n Alter Repair Demo
Name of Contact Person: k,p O (L
Sq.:Ft.: 0
# Stories:.
# Units:
Telephone # of Contact. Person. `
Estimated Value of Project: pp
APPLICANT:. DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd. •
Rec'd
TRACIQNG .
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Energy Calc&
Plans ticked up
Construction
Flood plain pian
Plans, resubmitted
Mechanical
Grading plan
2" Review, ready for correctionsfmsue
Electrical
Subcontactor,List
Called Contact. Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILOA. Approval
Plans resubmitted
Grading
IN HOUSE:
'"' Reviewready for correcdons/issue
Developer Impact Fee
Planning Approval
Called Contact Person
A.LP.P.
Pub. Wks. Appr
Date of permit -issue
School Fees
Total'Permit Fees