POOL / SPA / WATER FEATURE PERMIT APPLICATION Street Address of Job Site
APN#
Owner
Phone Number (
)
Owner’s Address Permit Covers
Pool
Spa
Water Feature
Subdivision/Project USE
Lot #
Commercial
Private
PLANS
STEEL/STRUCTURAL CALCULATIONS
Submitted with Application
Submitted with Application
Standard
Plans on File
Standard
Description of Work Permittee is to build according to above description and to the approved plans and specifications of the Building Code and to submit to the Building Department for any changes and inspections at each building phase.
Phone Number (
GENERAL CONTRACTOR
)
Q.P. License Holder
Q.P. License Holder Date (Print Full Name) (Signature) I hereby certify that the information provided on this application form, and any plans submitted, are complete and correct and request the issuance of a permit with the City of Mesquite. I also certify that all Subcontractors working on this permit are licensed within the City of Mesquite and the State of Nevada.
SUBCONTRACTORS INFORMATION PLUMBING Contractor Co
Date
Q.P. License Holder
Q.P. License Holder (Print Full Name)
(Signature) Date
ELECTRICAL Contractor Co Q.P. License Holder
Q.P. License Holder (Print Full Name) This permit is being issued subject to the following Area Sq. Footage
(Signature)
Structure Calculation Description
Unit Value
Decking Area per Square Footage
$4.50
Pool/Spa Area per Square Footage
$32.50
Electrical/Plumbing Pool Area Sq. Footage
$6.00
Valuation
Gallons
Internal Use Area Bin No.
Permit No.
Date Received
Submittal Amount
Check No.
Total ERU’s
BUILDING DEPARTMENT 10 E. Mesquite Blvd., Mesquite, NV 89027 702-346-2835, FAX 702-346-5382, www.mesquitenv.gov Revised 5/9/2016
POOL PLAN REVIEW SUBMITTAL
2 detailed site plans with barriers, pool location, grading and drainage, and other required information. Soils test in pool location, 5 feet below bottom, or designed to worst case scenario Manufacturer’s installation guide on fiberglass pools ICC or ICBO approval on fiberglass pools engineered structural on concrete pools Permit Application, with submittal fee of $40.00 for residential pool or $75.00 for commercial pool Health District Approval prior to submittal for all commercial pools
SIGNATURE
DATE Contractor/Applicant
BUILDING DEPARTMENT 10 E. Mesquite Blvd., Mesquite, NV 89027 702-346-2835, FAX 702-346-5382, www.mesquitenv.gov Revised 5/9/2016
Permit Covers â¡ Pool â¡ Spa â¡ Water Feature ... USE â¡ Commercial â¡ Private ... I also certify that all Subcontractors working on this permit are licensed.
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