12-0067 (RPL)aA&
P.O. BOX 1'504 VOICE (760) 777-7012
78-495 CALLE TAMPICO FAX.(760) 777-7011
LA QUINTA, CALIFORNIA 92253 BUILDING & SAFETY DEPARTMENT INSPECTIONS (760) 777-7153
BUILDING PERMIT
Date: 1/24/12
Application Number: 1200000067 Owner:
Property Address:' 81612 ULRICH DR MATTHEWS
APN: 7647270-999-94 -300234-*81612 ULRICH DRIVE
Application description: POOL - RESIDENTIAL LA QUINTA, CA 92253
Property Zoning: MEDIUM HIGH DENSITY 'RES
Application valuation: 37700
,Ij0I .4--�---
Contractor: 1 17
Applicant: Architect or Engineer: DESERT OUTDOORS . INC
79405 HIGHWAY 111, PMB I�'24 JiAjq. i
LA QUINTA, CA 92253 V 201�
(760)399-9600
Lic. No.. 964474
------------------
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: C27-053 LicenseNo.: 964474
ate: \ \� , ontractor:
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 forthe
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 0500).:
(_ ) 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 bpply 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, 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 Name:
Lender's Address `
LQPERMIT
-------------------------------------------
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 .NORGUARD INS Policy Number DEWC229889
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
3700 of the Labor Code,
I shall forthwith comply with those provisions.
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, indemnity and hold harmless the City
of La Quinta, 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 the above information is correct. I agree to comply with all
city and county ordinances and state laws relatingtobuilding construction, and hereby authorize representatives
of If ounty to enter upon the above-mentioned propertfor inspection pu s
ate: Signature (Applicant or Agent):
I
Application Number . . . . .12-00000067
Permit
. . BLDG POOL PERMIT •
Additional
desc .
Permit Fee
336.50 Plan Check Fee
218.73
Issue Date
. . . . Valuation
37700
Expiration
Date 7/22/12
Qty. Unit Charge Per
Extension
BASE FEE
252.00
13.00
-----------------------------------------
6.5000 THOU BLDG 25,001-50,000
-------------------=------=--------
84.50'
Permit
MECH POOL
Additional
desc .
Permit Fee
. . . : 26.00 Plan Check Fee
6.50
Issue Date
Valuation
0
Expiration
Date 7/22/12
Qty Unit Charge Per
Extension
BASE FEE
15.00
1.00
11.000"0 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 7/22/12
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
33.00 Plan Check Fee
8.25
Issue Date
. . . . Valuation . . .
. 0
Expiration
Date 7/22/12
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 174 OUTLETS
-----------------------------------------
3.00
Permit . .
. . . . WALL/FENCE PERMIT
LQPERMIT
LQPEENIIT
Application Number . . . . . i2700000067
Permit.. WALL/FENCE PERMIT
Additional desc .
Permit Fee 15.00 Plan Check Fee
.00
Issue Date Valuation
390
Expiration Date 7/22/12
-
Qty. Unit Charge Per
Extension
BASE FEE
15.00
---------------------------------------------------------------------------
Special Notes and Comments
POOL/SPA, BBQ (NO SINK).FIRE PIT, 18
L.F. 5'. EQUIPMENT ENCLOSURE, CITY -
'STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2010
CODES.
--
---
-------------------------------------------------------------
Other Fees . . . . . . . . BLDG STDS'ADMIN (SB1473)
-----------
2.00 -
'STRONG MOTION (SMI) - RES
3:77
Fee summary Charged Paid Credited
Due
Permit Fee Total 455.50 00 .00
455.50
Plan Check Total 244.73 .00 -.00
244.73
Other Fee Total .5:77 .00 .00
5.77
Grand.Total 706.00 .00 .00
706.00
LQPEENIIT
NEWEr' ......�..� ......_ ..... .
TO MA
EXTEND EXISTIN
WALL TO THIS I
BLOCK VIEW FRi
GOLF CARTS
EXISTING POINT AT WHICH
WALL BEGINS TO DROP DOWI
TO LOWER HEIGHT. DESERT
OUTDOORS TO EXTEND 5'
HIGH WALL TO REAR
PROPERTY UNE (SEE PHOTO
ATTACHED)
NEW BUILT—IN BARBECUE
WITH SIT UP SEATING AR
GRILL AND DOORS TO BE
FIRE MAGIC. STONE
COUNTERTOP TO MATCH
COPING AND STUCCO FAC
TO MATCH HOUSE
NEW PAVER I
TRASH AREA
TO ENTRY DA
TO MATCH RE
ULRICH DRI\/r-
SITE
PLAN
SCALE: X8" =1'-0"
+12• WITH
FACE TO
"ING. LAVA
WD LA
D BURNER.
1
COPING
--TOP OF GUNITE
W WATERLINE
<
Q HIGH
: M .
00 `� F JET
DECKING N E MIDDLE
JET
E LOW
JET
:.. CALF
GUNITE' JET _1
TYPICAL JET DETAIL
NOT TO SCALE
ALL DRAINAGE BY
DRAINLINE TO FRONT
ALL GRADING DIRECTED
TO DRAIN GRATES
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100L DIMS: 30'-6"X 12'-0"
Q. FT: 306 S.F. PER. 78
)EPTH MIN. 3'-6" DEPTH MAX
;PA DIMS: 7' X T S0. FT. 38 PER. 22'
APING MAIL: STONE PER.
IECK MArL PAVERS
IECK S.F. 1273 S.F. PAVERS
1EM0 S.F. 443 S.F.
UIPM M' LIST:
IEATER: PENTAIR - 400,000 BTU
FILTER' 420 S.F. CARTRIDGE - PENTAIR
'UMP: PENTAIR - VARIABLE SPEED
'UMP: PENTAIR - 2 HP. JET BOOSTER
ONTROLS: PENTAIR - EASY TOUCH
IISC.--------- — -- --
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DEEP ROOT
BUBBLER SYSTEM
I
LEGEND 1
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FINISH GRADE
y: l : 1; " ;1: a:(J I 10 1: I.II Y4.1i�i sl
BUBBLER HEAD I
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3.
12" PVC SCHEDULE 80 RISER i
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PVC SCHEDULE 40 STREET ELL
4' 4:1;'1'/ H4 : ' ..�1;1 l'/ � , (I i� !�, • ,II
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PVC SCHEDULE 40 TEE AND ELL
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DRAIN GRATE
c
el
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=11; H ,C.j 1 ��!: •j;/l�ty • , _)• �j1 y 4 • �
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•Ll�
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ALL DRAINAGE BY
DRAINLINE TO FRONT
ALL GRADING DIRECTED
TO DRAIN GRATES
a. g000
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w
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��o�cz
LL oS� Q_ o - _—_
oz(Lp'-
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11,
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100L DIMS: 30'-6"X 12'-0"
Q. FT: 306 S.F. PER. 78
)EPTH MIN. 3'-6" DEPTH MAX
;PA DIMS: 7' X T S0. FT. 38 PER. 22'
APING MAIL: STONE PER.
IECK MArL PAVERS
IECK S.F. 1273 S.F. PAVERS
1EM0 S.F. 443 S.F.
UIPM M' LIST:
IEATER: PENTAIR - 400,000 BTU
FILTER' 420 S.F. CARTRIDGE - PENTAIR
'UMP: PENTAIR - VARIABLE SPEED
'UMP: PENTAIR - 2 HP. JET BOOSTER
ONTROLS: PENTAIR - EASY TOUCH
IISC.--------- — -- --
W
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z CDN
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W
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oLIJ U
� D Q a
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3:Z
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rn _ C'1 a
U
DEEP ROOT
BUBBLER SYSTEM
I
LEGEND 1
1.
1
FINISH GRADE
2.
BUBBLER HEAD I
t
3.
12" PVC SCHEDULE 80 RISER i
c
4.
PVC SCHEDULE 40 STREET ELL
c
5.
PVC SCHEDULE 40 TEE AND ELL
c
t
6.
CLASS 200 PVC LATERAL
t
7.
4" A.D.S. PERFORATED PIPE
42" LONG W/ ONE BUBBLER f
f
8.
3/4" PEA GRAVEL c
9.
L
DRAIN GRATE
c
el
Bill #
CI�j/ Of La Quin: to
Building at 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: a ` �'L U LAI,
Owner'sName:. AT'r>rGth/
A. P. Number.
Address: 'L ULRICH D .
Legal Description:
City, ST, Zip: tip oWnA. C
Contractor. Desert Outdoors
Telephone-."kO • %5
Address: 78-065 Main St. Ste. 205
Project Description: p`1L S
city, sT zip: La Quinta, Ca. 92253
.� LL
V t7 L0104 1 -rl 114 N
Telephone: 760-399-9600
State Lia # : 'C-53 964474 City Lic. #
Arch., Engr., Designer: Flying Buttress
Address: - 77725,Enfield Ln. Ste. 130
city, ST, zip: Palm Desert, CA. 92211
Telephone: 760-772-4411
State Lic. #: 33446 r .' : '
Name of Contact Person: 00 H
Construction Type:. Occupancy: '
Project type (circle one): New Add'n Alter Repair Demo
Sq. Ft.: # Stories: # Univ:
Telephone # of Contact Person: -7(A ' 5•
Estimated Value of Project:
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKNG
PERMiTFEES-
Pian Sets
Plan Check submitted
Item Amount
Structural Calks.
Reviewed, ready for corrections
Plan Check Deposit_ .
'Muss Cates.
Called Contact Person
Plan Check Balance
Title 24 Calcs
Plans picked up
Construction
Flood plain plan
Plans resubmitted '
Mechanical
Grading plan
2'i Review, ready for correctionshssue
Electrical
Subcontactor List
Casted Contact Person
Plumbing
Grant Deed
Plans picked up
S.M.L
ILOAL Approval
Plans resubmitted
Grading
IM HOUSE:-
1i° Review, ready for correctionsfissue
Developer Impact Fee
Planning Approval
Called Contact Person
A.I.P.P.
Pub. Wks. Appr
Date of permit issue .
School Fees
Total Permit Fees