11-1295 (RPL)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description:
Property Zoning:
Application valuation:
Applicant:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
iii -00001295
81199 LAGUNA CT
764-280-004-19 -35996
POOL - RESIDENTIAL
LOW DENSITY RESIDENTIAL
26500
I hereby affirm under penalty of pe
Section 7000) of Division 3 of the
License la C53
Date: ( ntractor.
Architect or Engineer:
0 I -Pt
1�ICENSED CONTRACTOR'S DECLARATION
ury that I am licensed under provisions of Chapter 9 (commencing with
iusiness nd Professionals Code, and my License is in full force and effect.
Lal. License No.: 954374
�1' • OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perju 1 th t I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business nd Professions Code: Any city or county that requires a permit to
construct, alter, improve, demolish, or r air any structure, prior to its issuance, also requires the applicant for the
permit to file a signed statement that 'Vhe she is licensed pursuant to the provisions of the Contractor's State
License Law (Chapter 9 (commencing ith 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 _ 1 1, 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 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
Owner:
ROLLIN SHADER
81199 LAGUNA COURT
LA QUINTA, CA 92253
110
Contractor:
MELO POOLS INC j
74991 JONI DRIVE 11
PALM DESERT, CA 92lE
(760)834-5885
Lic. No.: 954374
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 12/05/11
p u
1�2Ul1 1
CITY ® ;UiNTA
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 this permit is issued. My workers' compensation
insurance carrier and poli y number are:
Carrier EXEMPT Policy Number EXEMPT
I certify that, in the'Parforman a of the work for which this permit is issued, I shall not employ any
person in any manner so a , become subject to the workers' compensation laws of California,
4 -and agree that, if I s ' J db me subject to the workers' compensation provisions of Section
0 of the Labor; I sjallhwith comply with those provisions.
g9fa:A cant:
WARNING: FAILURE TO SECURE WORKE S. CAMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMIN L PFrNALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, EREST, 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 d fend, indemnify and hold harmless the City
of La Quinta, its officers, agents and employees for any a6t 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 nu I and void if work is not commenced
within 180 days from date of issuance of s permit, or ct sation of work for 180 days will subject
permit to cancellation.
I certify that I have read this application and state that the abo a informati is correct. I agree to comply with all
city and ou ty ordinances and state laws relating to buildi 1 nstruction, nd hereby authorize representatives
of this c nt to enter upon the above-mentioned property f i pection pur oses.
AS 1
1Z
te: `� 1 Signature (Applicant or Agent): r
Application Number . . . . . 11-00001295.
Permit . . .
BLDG POOL PERMIT
Additional desc ...
Permit Fee . . . .
265.00 Plan Check Fee-.
172.25
Issue Date . . . .
Valuation
26500'
Expiration Date
6/02/12
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 - P1an.Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date .
6/02/12
`
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
6/02/12
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 . .
27.00 Plan Check Fee-.
6.75
Issue Date
Valuation . . . .
0
Expiration Date
6/02/12
Qty Unit Charge
Per
Extension
BASE FEE
15.00
1.00 6.0000
EA PLB FIXTURE
6.00
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
SPA, BBQ (NO SINK). ALARMS/BARRIERS
LQPERMIT
Application Number . . . . .
.11-00001295
----------------------------------------------------------------------------
-Special Notes and Comments
SHALL BE IN PLACE AT PRE -PLASTER
INSPECTION. EQUIPMENT ENCLOSURE NOT
INCLUDED. 2010 CODES.
-------------------------------------------------------------'---------------
.Other Fees . . . . . . . .
BLDG STDS ADMIN-(SB1473)
2.00 ,
Fee summary Charged
Paid
Credited
Due
Permit Fee Total 363.00
.00
.00
363.00
Plan Check Total 196.75
..00
.00
196.75
Other'Fee Total, 2.00
.00.
.00
2.00
Grand Total 561:75
.00
.00
561.75
LQPERMIT
!�F
r"
Trilogy®,
November 28, 2011
Rollin Shader
81199 Laguna Ct
La Quinta, CA 92253
Property: 81199 Laguna Ct
Account: 015000021214
CONDITIONAL APPROVAL
Dear Rollin Shaden
We are pleased to inform you that your plans for installation of a spa, deck, bbq, rear yard drainage and a sidewalk
from the driveway towards the side gate, received on 11/22/2011, have been approved by the Architectural
Committee with the following conditions: 7, 8, 9, 11, 12, 13, 14, 19 and 23. In the event that there is no lawn,
pop up drainage must terminate in a a dry creeck bed, at least 6' from the public sidewalk (see attached
copy).
Please note: Any damages caused by contractor due to construction must be repaired; all irrigation and
landscape shall be restored to original condition.
This approval does not constitute consent by the Association for the applicant to encroach, trespass, or build on
any property other than that of the applicant. This approval is related solely to the items reserved for approval by
the CC&R's in accordance with the Architectural Guidelines. The approval does not extend to the quality of work
done by your architect, or contractor, or to any structural engineering, soils engineering, or site grading and drainage
design. You are urged to obtain the services of a state licensed professional for consultation as needed.
The Architectural Committee is composed of volunteers. As such, it does not review applications to ensure
compliance with building codes, or other local or state laws. Please be advised that this approval does not relieve
you from obtaining any necessary building permits from the governmental agencies involved to ensure compliance
with these codes. Any violations of these ordinances will be your responsibility to correct. Thank you for your
patience in this matter and for complying with the Association's policies and standards.
Barry Stetett, CCAM, CMCA, AMS
CommunAty Manager
Enclosures
cc: Board of Directors
Architectural Committee
Trilogy at La Quinta Maintenance Assoc.
Professionally Managed by Action Property Management, Inc.
60-750 Trilogy Parkway, LaQuinta, CA 92253-7717
Phone: 760-777-6059 Fax: (760) 564-2474
www.actionlife.com
_ _ . _ CITY OF LA QUINTA
SUB -CONT CTQR. LIIST
OWNER 1 I1Vyl S btdC ;,BUILDER Ye leo POO) 4+75-
Ispicuous place. Only persons' appearin on this list or th i 1 authorized to work
g e r emp oyees are
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 comDleted by annlicant °Cir, Flip* ic nAt mn +-&,I-
Trade. /.Classificatio".....
_.
Contractor State Conttactgr s License
Company Name Classification License Number
(e.g. A, B, C-8) (xxxxxx)
WOrkerS COirtnensatieri fnauranri.
Exp. Date Carrier Name Policy Number Exp. Date
Ixx/xx/xxl (e.g. State Fund, CalComp) (Format Varies) (xx/xx/xx)
31 �� �Ty4�e Ui+9N((� �ilC bS .3 1o?S I
r`,w F2usines§
License Number
(xxxx)
EARTHWORK (C-12I.Ll3
bo2Sa-rP
qEDate
CONCRETE' (C-8)IA
FRAMING (C-5) ....
A. l� �Q S
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STRUCT.' STl`EL (C S1.}.
PLUMBING (C=36).
C� - C-.
e 10 �Oq S
rl� �D 00 S
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S 3
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7 1 ra` 31
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.31
LAT H,.PLASTER:(C+ 5)
DRYWALL (C-9) .'.
HVAC (C=20)
ELECTRICAL (CAQ) .
RO:OFlNG (C-39).;
:SHE€T METALfC 3)
FLOORING (C-15) �:..
GLAZING (G-17)
INSULATION;(.C.=21
.SEWAGE D)SP. (C 2)
PAINTING IC -33)
CERAMIC TILE;(C-54)
4
CABINETS (C-6)
i
FENCING 7C-13)
LANDSCAPING (C-27)
POOL (C-53) .
�LAGUNA COURT
MID
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DESIGN . REMODEL .DRAFTING . RENDERINGS i i CONSTRUCTION
License Number 638983
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DESIGN . REMODEL .DRAFTING . RENDERINGS i i CONSTRUCTION
License Number 638983
E -Mail: ArgCcmmado@aol.=rn
74.854 Valie Way Ste. 6 Phone: 760) 408-0972
(
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La Quinta, CA 92253
N
Palm Desert, Ca. 92260 Fax (76017794334
Bin #
0t - 'T La QuInta
Building 8z Safety Division
Box 1504, 78-495 Calle Tampico .
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
.-
Permit #P.O.
Project Address: LJ P7 4
Owner's Name: (e r
A. P. Number:
Address:.�-
Legal Description:
City, ST, Zip: T�
Contractor: Q O OO:.z<„;.<,,
Address, er
Telephone: y, }:;ra...,
��'a:G:
Project Description:
—
City, ST, Zip: l C4;
Telephon
State Lic. # : c1533 5"x(37 City Lic. #:
Arch., Engr., Designer:
Address:
City., ST, Zip:
Telephone:<f
State Lic. #:
:� .. �; • : •,
�-�`o;?�;4�^yH: •;;:�.;v:
......j�
�e�:twyw•k.x:i:�?�{(Sv�<•?..'%C.;}yA.. iW
Construction Type: Occupancy:
� type
(circle Project tcircle one1 New Add'n Alter Repair .Demo
'
Name of Contact Person:
Sq. Ft.:
# Stories:
# Units:
Telephone # of Contact Person:W
Estimated Value of Project:
APPLICANT:
DO NOT WRITE BELOW THIS UNE
#
Submittal
Req'd
Recd
TRACKING
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
Title 24 Calcs
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading pian
2"! Review, ready for correctionsfissue
Electrical
Subcontactor List
Called Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.1.
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