06-2471 (RPL)P.O. BOX 1504*'
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
06-00002471
Property Address:
81319 ULRICH DR
APN:
764-270-999-52 -300234-
Application description:
POOL - RESIDENTIAL
Property Zoning:
MEDIUM HIGH DENSITY RES
Application valuation:
32000
Applicant: Architect or Engineer:
LICENSED CONTRACTOR'S DECLARATION
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
t
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 o�he Busi ss �Frofovals Code, and my License is in full force and effect.
Licensee,Class: B C29 C5License No.: 455121
,/Date: & ��O�Contra
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of pert tha I am exempt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Busines d 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 mare than five hundred dollars 155001.:
(_ 1 I, 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.).
(_ I 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
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 6/21/06
Owner:
CHAZEN
81-319 ULRICH
LA QUINTA, CA 92253.
Contractor:
TOPMAN BUI15121
S
P.O. BOX 12
PALM DESERCA 92255
(760)772-7 III 6 2006
Lic. No.: JUN
CITY OF LA
--------------------------------------------
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.
X4 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 policy number are:
Carrier CLARENDON Policy Number OIKR-0030-842
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 s uld become subject to the workers' com tion provisions of Section
�f� 3700 of the Labor , I shall f hwith comply with t provisions.
VOate 'GJm 1ppli ant. .
WARNING: FAILURE TO SE E WO ERS'COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CR AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS (51 00,000). 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 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 Quinta, its officers, agents and employees for any act or omission related to the work being
a. 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 ove information is correct. I agree to comply with all
city and county ordinances and state laws relating to build g onstru n, and hereby authorize representatives
�of thils county to enter u on the above-mentioned property for 'nspec i purposes.
r Date�+'ature (Applicant
Application Number 06-00002471
Permit . . ..
BLDG POOL PERMIT
,
Additional desc .
Permit Fee.
297.50 Plan Check
Fee
193.38
Issue Date . . . .
Valuation
.
. 32000
Expiration Date
12/18/06
Qty Unit Charge
Per
Extension
BASE FEE
252.00
7.00 6.5000
- -----------------------------------------------------------------------------
THOU BLDG 25,001-50,000
45.50
Permit. . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00 Plan Check
Fee
6.50
Issue Date . . . .
Valuation
. . .
. 0
Expiration Date
12/18/06
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 ..
.12/18/06
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
39.00 Plan Check.Fee
9.75
Issue Date . . . .
Valuation
0
Expiration Date
12/18/06
Qty Unit Charge
Per
Extension
BASE FEE
15.00
3.00 6.0000
EA PLB FIXTURE
18.00
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 WITH FOUNTAIN
TO INCLUDE 2
LQPERMIT
0
Application Number
. . . . .
06-00002471
Special Notes and
Comments
GUNITE FIRE PITS.
PER APPROVED
PLANS
Fee summary
Charged
Paid
Credited
----------
Due
Permit,'Fee Total
407.50
.00
.00
407.50
Plan Check Total
220.88
.00
00
220.88
' Grand Total
628.38
.00
.00
628.38
\
LQPERMIT
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 # ®� o
Project Address: C t> ,Z7k 2 C
Owner's Name: C�
A. P. Number:
Address:
Legal Description:
Contractor: �p p<-q t
City, ST, Zip:
Telephone:-7(.p—'-, -21 �,� �
Address: 0_Ut1Zgh 1 uil1r2_ T
Project Description:
City, ST, Zip: 1' AL s, 1 f'+7221
.� t�ri�A 1,.12 - /0-0"(ss
Telephone:' .2--t
s`".s Y .�
r � I-
_ �:.-
Z .c LCJQ
5 V n
State Lic. # : .4 JS1z k
City Lic. #:--
Arch., Engr., Designer: i
Address:
City, ST, Zip:
Telephone:
`a
Construction Type: Occupancy:
State Lic. #:"_
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person
Sq. Ft.:
# Stories:
F Units:
Telephone # of Contact Person: (-ot:> • Z-7�j'
Estimated Value of Project:
APPLICANT:.DO NOT WRITE BELOW THIS LINE
# '
Submittal
Req'd
Rec'd
TRACKING \
PERMIT FEES
2,
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 Calcs.
Plans bicked up
Construction '�
~
Flood plain plan
Plans resubmitted
Mechanical
L
Grading plan
2n' Review, ready for corrections/issue
Electrical
SCK.
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
Datepermit'' sue
School Fees
4dA d
SAFETY ►
EP a .
I
.-,p ROVE
B
Total Permit Fees
RAISED SPA AT +30" WITt
VENEER FACE, FLAT STOr
AND SOLDIER PATTERN P,
CONCRETE PAVER DECKINt
SOLDIER PATTEN EDGE AN
PATTERN TO BE DETERMINI
FIREPIT AT +12" WITH SOLDIER
PATTERN PAVER CAP AND FLA'
STONE FACE
FOUNTAIN AT -18" DEEP WITH RA
WALL AND COLUMNS. TWO 5HEE
DESCENTS AND 3 AQUA ACCENT
WATERFALLS. WALL TO BE
VENEERED IN STACKED ROX STS
COLUMNS TO BE VENEERED IN F.
ROX STONE. ALL CAPS TO BE
SOLDIER PATTERN PAVERS.
CONCRETE PAVER DECKIN6 W
SOLDIER PATTEN EDGE AND F
PATTERN TO BE DETERMINED
CIC CCI- A- ./1 SII IA1I r" CA%/i!M i Act
STUB GAS AND ELECTRIC
FOR FUTURE BARBECUE AREA
Ll
0 0 0 _ �I II�J
II
III III—III—III—III—III—II I=III=III=III=1I I=III—III—II E
I-
-III—I
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d �� d
d a. .
- a
d a e 4 -
I
"'—I 11=1 11=1 I I—III—I 11=1 I I—III—�-III--
_III—� i _III I II ; ,III -I I �_�
FOOL ELEVATION-
NOT
TO SOALE
STN ELEVATION
HOT TO SGALE
L
I �
SPECIFICATIONS
TYPE GUNITE SIZE 331 X 131
SURFACE AREA OF POOL 3�IT B.F.
PERIMETER QJQI DEPTHS MIN. 4' MAX. 5'
SPA 5PEC1 F ICAiTII ON5
ELECTRICAL
5I7Ey1 X SQ. FT. 38 PER. 22'
'WALL
BY LENGTH ft.
SPA DAM WIDTH
" .TIME CLOCK SUB PANEL
# OF JETS
# OF L16HT5 IN POOL
LIGHT BOOSTER PUMP
.,61JT5IDE G.P.I. LIGHTS G.F.I. OUTLET
GA. AQUA AIR -BAR # BLOWER
EXTRA 5WITCH FOR SPA L16HT
BLOWER ONLY
BLANK FLU65
RAISED SPA SPILLWAYS
MOTOR BOOSTER
SPECIAL NOTES
BLOWER GLEANER
Misr'.
EXCAVATION
TYPE
ACCESS FROM
COPING 4 TILE
ELEVATION
COPING WHITE
DEEP END RAMP
COPING SPECIAL
FENCE REMOVED' BY
TILE TYPE
FENCE TYPE
TILE TRIM MASTIC
TRASH REMOVAL LOADS
6" R.B.B. ft. 12" R.B.B. ft. I8" R.B.B. Ft.
CONCRETE REMOVAL LOADS
MISG.
TREE REMOVAL BY
STUMP REMOVAL BY
DECKING
DIRT PAD
6" R.B.B. ft. 12" R.B.B. ft. 18" R.B.B. ft.
BY UP TO ft.
WALKOUT/M15C.
FINISH COLOR
ROCK PACK
EXPANSION JOINTS
MASTIC FOOTING
STEEL
STEPS TYPE
EXPANSIVE 501L
CANTILEVER
6" R.B.B. ft • 12" R.B.B. ft • IB" R.B.B. ft.
DECK DRAIN5 CURB GORE
5URCHARGE DEEP END RAMP
DECGO DRAIN DIVING BOARD JIG
LOVESEAT IN51DE ft. OUTSIDE ft.
SLIDE IN5TALLTION
SPA WALL WIDTH in. OTHER In.
MASONRY
WALL DOWEL/ 15C.
COPING TYPE
PLANTER WALL
PLUMBING
FILTER 51ZE
TYPE ft. X
POOL PUMP SIZE
GAP BACK UP WALL at
HEATER SIZE
FOOTINGS R.B.B. FACINb
BOOSTER PUMP SIZE
FIREPIT TYPE 51ZE
SKIMMER TYPE
EQUIP. WALL TYPE ft. X
CARETAKER # OF HEADS
FENCING t+
OTHER GLEANER STUB ONLY
MISS.
FILL LINE SLIDE LINE
PEBBLE
P -TRAP BACK WASH TO
GA5 LINE 5TU85
116HT5 POOL SPA
FOUNTAINS/SPRAYHEADS
ROPE RINGS EYEBALLS REWIRED
LIGHTS IN POOL IN SPA
COLOR NAME TILE
STUB SET EQUIPMENT
SPECIAL EQUIPMENT
5AWCUT AUGER
DIVING BOARD SIZE
MISG.
MODEL COLOR
SLIDE SIZE
V �`l
GUNI TE
MODEL COLOR
&UNITE INSPECTION REOUIRED YES No
POOL COVER SOLAR HEATING YES NO
ROPE RIN&5 &RAB RAILS
FENGINIS
DEEP END RAMP
TO MEET ALL LOCAL CODE REQUIREMENTS BY BUYER PRIOR TO
6" R.B.B. ft. 12" R.B.B. ft. IB" R.B.B.
PREPLA5TER INSPECTION
O'T'HER
LOVE5EAT EXTENDED 2nd 5TEP
NOTCHED BOND BEAM
COPING CANTILEVER ft.
SAP DAM WALL WIDTH
OWNER RESPONSIBILITIES
OWNER TO: (1) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATION 15 SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME
OF ISSUANCE OF PERMIT
(2) TAKE NOTICE THAT PLATINUM POOLS 15 NOT RESPONSIBLE FOR: UNDER6ROUND CONDITIONS OR OBJEGT5, AND ANY DAMAGE
TO CURBS, SIDEWALKS, DRIVEWAYS, LAWN5, OR OTHER ITEMS IN THE ACCESS AREA
(3) SEE THAT ALL FENGIN6, GATE5, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTER INSPECTION
(4) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTION5,DO NOT USE RUBBER HOSE)
(5) TAKE NOTICE THAT THIS DRAWING 15 THE SOLE PROPERTY OF PLATINUM POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION
OF PLATINUM POOLS 15 PROHIBITED BY LAW.
OWNER APPROVE5 PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE.
516NATURE(5) DATE
516NATURE(S) DATE
REVISIONS
Delta Date By Desedpdon of Cbmp
MATERIAL 5ELECTION5
MATERIAL CHOICE
A—
A—
A—
A—
A—
-
SVnNIl m G POOL PLAN FOR
att��.�o v G
NAME(5) CHAZEN REVVENCE
STREET 81-31a ULRIOH I7R. CITY LA GUINTA, OA.
JOB ADDRESS
PHONE #'5 OFFICE HOME
LOT# TRACT# PAGE BOOK
MAP BOOK PAGE #
MAIL ADPRE55 CITY
GONSTRUCTION OFFICE PHONE #
SCALE: DATE: DRAWN BY: SOLD BY: CHECKED BY:
1/18"=1'-0"
5-21-06 JOHN CHARLENE
CITY OF LA QUINTA
BUILDING & SAFETY DEPT.
APPROVED
m