BWFE2017-017778-495.CALLE TAMPICO
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LA QUINTA, CALIFORNIA 92253 DESIGN & DEVELOPMENT DEPARTMENT
BUILDING PERMIT
Applicant:
NICOL CONSTRUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL
DESERT HOT SPRINGS, CA 92241
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C20 License No.: 878070
Date: (U2 5% 7 Contractor. /CA ✓d_6 b ngwe-_�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).:
( 11, 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.).
( 11, 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.).
(� 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 7774011
INSPECTIONS (760) 777-7153
Date: 9/25/2017
Permit Type/Subtype:
WALL/FENCE/CITY STANDARD/PRE-APPROVED
Application Number:
BWFE2017-0177
Property Address:
5108.0 MARBELLA CT CT
ON:
777320009
Application Description:
MOUNTAIN VIEW / BELLOTI / WALL AT FRONT YARD
Property Zoning:
w
Application Valuation:
$2,500.00
Applicant:
NICOL CONSTRUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL
DESERT HOT SPRINGS, CA 92241
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my License is in full force and effect.
License Class: B. C20 License No.: 878070
Date: (U2 5% 7 Contractor. /CA ✓d_6 b ngwe-_�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I 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).:
( 11, 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.).
( 11, 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.).
(� 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
Lender's Address:
VOICE (760) 777-7125
FAX (760) 7774011
INSPECTIONS (760) 777-7153
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifiote of consent to self -insure for workers'
compensation, as provided for by Section 3;00 of the Labor Code, for the performance
of the work for which this permit is issued.
g L.. I have and will maintain workers"compensation insurance, as required by
Section 3700 of the.Labor Code, for the perfDrmance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: WESCO INSURANCE COMPANY Policy Number: WWC3242024
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: c%l25 %/ ? Applicant: C2,60,'"
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,°)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNDWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on tris 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 ower, and the applicant, each" agrees to, and
shall defend, indemnify and hold harmless t15e City of La Quinta, its.officers, agents, and
employees for any act or omission related tc 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 orJinances and state laws relating to building
construction, and hereby authorize represertatives of this city to enter upon the
above-mentioned property for inspection pirposes.
Date: Q 25 / 7 • Signature (Applica it or Agent):,Cav�O Lingrc�
Date: 9/25/2017
Owner:
MIKE AND COLLEN BELLOTI
51080 MARBELLA COURT
LA QUINTA, CA.92253
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Contractor:
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NICOL CONSTRUCTION INC DBA
NICO CL MMMAT g o
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67851 OCOTILLO TRAIL
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DESERT HOT SPRINGS, CA 9224 [�1� LU 0 �
(760)567-2811
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Llc. No.: 878070
C =t__ ___
WORKER'S COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
I have and will maintain a certifiote of consent to self -insure for workers'
compensation, as provided for by Section 3;00 of the Labor Code, for the performance
of the work for which this permit is issued.
g L.. I have and will maintain workers"compensation insurance, as required by
Section 3700 of the.Labor Code, for the perfDrmance of the work for which this permit
is issued. My workers' compensation insurance carrier and policy number are:
Carrier: WESCO INSURANCE COMPANY Policy Number: WWC3242024
I certify that in the performance of the work for which this permit is issued, I
shall not employ any person in any manner so as to become subject to the workers'
compensation laws of California, and agree that, if I should become subject to the
workers' compensation provisions of Sectior 3700 of the Labor Code, I shall forthwith
comply with those provisions.
Date: c%l25 %/ ? Applicant: C2,60,'"
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO
ONE HUNDRED THOUSAND DOLLARS ($100,°)00). IN ADDITION TO THE COST OF
COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE,
INTEREST, AND ATTORNEY'S FEES.
APPLICANT ACKNDWLEDGEMENT
IMPORTANT: Application is hereby made to the Building Official for a permit subject to
the conditions and restrictions set forth on tris 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 ower, and the applicant, each" agrees to, and
shall defend, indemnify and hold harmless t15e City of La Quinta, its.officers, agents, and
employees for any act or omission related tc 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 orJinances and state laws relating to building
construction, and hereby authorize represertatives of this city to enter upon the
above-mentioned property for inspection pirposes.
Date: Q 25 / 7 • Signature (Applica it or Agent):,Cav�O Lingrc�
r
Date: 9/25/2017
Application.Number: BWFE2017-0177
Owner:
Property Address: 51080 MARBELLA CT CT
MIKE AND CCLLEN BELLOTI
APN: 777320009
51080 MARBELLA COURT
Application Description: MOUNTAIN VIEW / BELLOTI / WALL AT FRONT YARD
LA QUINTA, CA 92253
Property Zoning:
Application Valuation: $2,500.00
Applicant:
Contractor:
NICOL CONSTRUCTION INC DBA NICOL CLIMATE
NICOL CONSTIUCTION INC DBA NICOL CLIMATE
67851 OCOTILLO TRAIL
67851 OCOTIbLO TRAIL
DESERT HOT SPRINGS, CA 92241
DESERT HOT SPRINGS, CA 92241
(760)567-2813.
---------------------------------------------------------------------------------------------
Uc. No.: 8780:0
De4ail: 44LF OF 6'. WALL WITH (2) PILASTERS [ANGELUS SPECIFICATIONS] PRECISION CONCRETE
BLOCK SHALL13E COVERED WITH STUCCO, PAINT,*OR
TEXTURED COATING WHERE VISIBLE FROM OUTSIDE THE PROPERTY. THE AREA BETWEEN THE BACK OF CURB AND AI9Y FENCING SHALL BE LANDSCAPED,
HAVE A SUITABLE PERMANENT IRRIGATION SYSTEM, AND BE CONTINUOUSLY MAINTAINED BY THE PROPERTY OWNER. 2016 CALIFORNIA BUILDING CODES.
Ii
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FINANCIAL INFORMATION .
DESCRIPTION ACCOUNT CITY AMOUNT
WALL/FENCE - FIRST 100 LF
101-0000-42404
0 $50.67
DESCRIPTION
ACCOUNT
CITY AMOUNT
WALL/FENCE'- FIRST 100 LF PC
101-0000-42600
0 $63.33
Total Paid for BOCK WALL: $114.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
BSAS SB1473 FEE
101-0000-20306
0
$1.00
Total Paid for BUILDING STANDARDS ADMINISTRATION BSA: $1.00
DESCRIPTION
ACCOUNT
CITY
AMOUNT
TECHNOLOGY ENHANCEMENT FEE
502-0000-43611
0
$5.00
1 . Total Paid for TECHNOLOGY ENHANCEMENT FEE: $S.00
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City of La Quinta
Building & Safety Division
78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit# .
Project Address:
l— Dao Mdcbe 04-41
Owner's Name:
Mike Cp11cY, C3ek16Ti
A.P. Number
Address: 5 1 — Cfso_ '1--4Q4 b-e 1)Q coo
Legal Description:
'
City, ST, Zip:
L A
LA gLZ53
Contractor:
►J Col CznSA(,J0 ion
Telephone:
i qs3 _ Z3.5
Address:
Project Description:
City, ST, Zip:
Der,�c4- o
in"rsQ4 /
Gq 4e AOC.1L
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WRI/ �n
Telephone:
'7foo- 21_bRo
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or louse 40 CrecJe CO,s/i' Ygt(d
State Lica#: `7 g® ?o
f oX h
Arch, Engr., Designer:
J
Address:
City, ST, Zip:
Telephone:
Construction Type:
Occupancy:
State Lic. #:
Proj. Type
New
Add'n
Alter
Repair
Demo
Name of Contact:
SgFt:
#Stories
# Units:
Telephone of Contact:
Estimated Value of Project:
(yp� b0
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Rec'd
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 Plan
2nd Rev, Ready for cortections /
Electricah
Subcontractor List
Called Contact Person
Plumbing:
Grant Deed
Plans Picked Up
S.M.I.
HOA Approval
Plans Resubmitted
Grading
IN-HOUSE
3rd Rev, Ready for corrections /
Developer Impact Fee
Planning Approval
Called Contact•Person
A.I.P.P.
.Pub. Wks. Apps
Date of permit issue
School Fees
Total Permit Fees
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CITY OF LA QUINTA
BUILDING &SAFETY DEPT.
APPROVED
•OVED
FOR CONSTRUCTION
10 a
(E) LAN5GAPE
BEDROOM
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BEDROOM
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LIVING AREA
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VERIFY
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MATCH RSRPGE-,
42' W METAL GATE —
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DINING AREA
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NDIGATED IN D I )ONLY THIS DE51GN AND DRAWINGS A 5U9MITTED AS RESTRICTIVE AND CONFIDENTIAL DISCLOSURE THAT MAY NOT BE U5ED OR REPRODUCED WITHOUT THE WRITTEN CON5ENT OF 6L5 ARCHITECTURE. TH15 DRAWING REPRE5ENT5 A P�IMIIDEVON UNTIL E
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