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06-3823 (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: 06-00003823 81590 ULRICH DR 764-270-999-95 -300234- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 15000 Tdy/ 4 4 Q" Architect or Engineer: WF� BUILDING & SAFETY DEPARTMENT BUILDING PERMIT 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 Professionals Code, and my License is in full force and effect. License Class: C53 License No.:(�878g4000 C Date/ Contractor:. �7k —4?OU F1 02-47 �J 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).: 1 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.). 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 contractors) 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: MIKE DETERVILLE 81590 ULRICH DR. LA QUINTA, CA 92253 (818)674-1299 Contractor: J-SKEEN POOLS'SPA P.O. BOX 11349 INDIO, CA 92203 (760)766-5554 Lic. No.: 878400 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 10/25/06 c �1 UREOrT 2006 i CITY AF LA QUINTA '- -- 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 policy number are: Carrier EXEMPT- Policy Number EXEMPT 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 Section q 3700 of the Labor Code, I shall forthwith _comply �with � those provisions. Date!` Applicant: 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 ($100,000). 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 Ouinta, its officers, agents and employees for any act 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 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 thea ove information is correct. I agree to comply with all city and county ordinances and state laws relating to buildi cons coon, nd hereby authorize representatives of this county to enter upon the above-mentioned propeAyr inspon Dat d.O �► Signature (Applicant or Agent): Application Number . . . . . 06-00003823 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee 162.00 Plan Check Fee 105.30 Issue Date . . . Valuation . . . . 15000• Expiration Date 4/23/07 Qty Unit Charge Per. Extension BASE FEE 45.00 13.00 9.0000 --------------- ------------------------------------------------------------ THOU BLDG 2,001725,000 117.00 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date 4/23/07 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 4/23/07 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 . . . . 33.00 Plan Check Fee 8.25 .Issue Date . . . . Valuation . . . . 0 Expiration Date 4/23/07 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 LQPERMTT Application Number . . . . . 06-00003823 Special.Notes and Comments PLACE AT PRE -PLASTER INSPECTION. FUTURE FIREPIT & BBQ GAS LINE PER APPROVED PLAN. EQUIPMENT ENCLOSURE NOT INCLUDED. Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 266.00 .00 .00 266.00 Plan Check Total 131.30 .00 .00 131.30 Grand Total 397.30 .00 .00 397.30 LQPERRIT FEE OF $30 THE APPROVED 'D ARE NOT ON SCHEDULED ONS! UK Val o LI i TRILOGY KT.LA QUINTA C� i r CONDITIONS'OF APPROVALt. b b Property Address .1? I S —50 �� V (�� Date Reviewed Q 2 �'i 'v Conditions of Your plans have been approved.- provided that you meet the items checked below and all work is consiste Approval with the Design Guidelines dated April 20, 2005, contained in the TLQMA Handbook: 1. The patio cover material must be Alumawood or other similar wood like construction. Roofing materials shall match the roof material of the dwelling or be open wood lattice.. ff .The color of the patio cover matches the home's. stucco, trim, accent, fascia or white. . Any patio cover or awning to be installed and attached to the home must be installed in such a manner that it does not compromise the integrity of the water permeability of the home. 4. Due to.. the patio cover'.s size it must be constructed with variable heights or must be constructed in two sections with a separation in between. 5. The size of the patio cover is limited to the size of the proposed patio stab. 6.. The proposed retractable awning may not be a striped awning. It must be a neutral color that blends with the home. Please submit a sample of the fabric. 7. Obtain services of a state licensed professional for consultation. 8. Obtain necessary building permits froth the city of La Quinta, meeting setback requirements per city code and maintain the existing drainage. 9.. Maintain positive drainage in accordance with the Trilogy Design Guidelines (Section 3.8). 10. The screen door must be the color of the house stucco or be black. 11. If underground drainage is installed, the drain needs to terminate in the grass swale and be flush with i Bin # City of La Quinta Building U Safety Division Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Petmit.#P.O. ' Project Address: - 536 O 0 k Ric- il r Owner's Name: A. P. Number. Address: - � (� j, 1 C. 1 Legal Description: Contractor:—S �� t t* C SPA City, ST, Zip: V Telephone: qL Project Description: P550 IDA Address: y g (� l� 5 �� City, ST, Zip: Telephone: �_ _ S- Lu a, 6 $ 1 leeQ State Lie. # qtjn City Lic. #: Arch., Engr., Designer: Address: City, ST, Zip: Telephone: Construction Type: Cdr t Occupancy: Project type (circle one): New Add'n Alta Repair Demo State Lic. #: Name of Contact Person: Akti p_s S keC,v Sq. Ft:ApV i # Stories: # Units: Telephone # of Contact Person: %o� - 7 'sss Estimated Value of Project /'57 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 Calca. Called Contact Person Plan Check Balance Energy Cales. Plans picked up Construction Flood plain plan Pians resubmitted Mechanical Grading plan 2-' Review, ready for eorrectionemue Electrical Subcontactor List Called Contact Person Plumbing Grant Deed Plans picked up S.M.L H.O.A. Approval Plans resubmitted Grading IN HOUSE:- '^' Review, ready for corrections/issue Developer Impact Fee Planning Approval Called Contact Person A.LP.P; Pub. Wks. ApprDate of permit issue School Fees Total Permit Fees 'fir/�. %'Ako . k MR, 1 rn CITY OF LA QUINTA SUB -CONTRACTOR ;LIST JOB ADDRESS &_ 51: (1 �- 21e' K Q,r. PERMIT NUMBER OWNER ,�Yt"r k� •,Oe_� e{y�� BUILDER -= g �cee�J � � s.�- This formh 11 o b e Bu' d' c 'o r i o 'cos ac .Only persons appearing on this list or their employees are authorized to work n 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 app . licable trade, all information requested below must be completed by applicant. "On File' is not an acceptable response q Trade / Classrfica wn. • � Contractor.. � �:• • • � :;;' '��'>��•� tti • ...... .. • Stat�::Contr cto . ' ••.:. �• � � • � `" • ''' '� • �� `•��' '�:.W4ikeis�.C.o'm rsatlon�;jnsuran