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05-5205 (RPL)P.O. BOX. 1504 78-495 CALLE TAMPICO LA QUINTA, CALIFORNIA 92253 Application Number: [05�-00005205_rj Property Address: 81653—ULRICH-DR APN: 764-270-999-72' -300234- Application description: POOL - RESIDENTIAL Property Zoning: MEDIUM HIGH DENSITY RES Application valuation: 26000 Applicant: (f4 4 a aQ" - Architect or Engineer: 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: C8 C27 C29 License No.: 656128 / 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.l. (_ 1 1, 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: Iy A LQPERMIT Owner: ZIMMERMAN 81653 ULRICH DRIVE LA QUINTA, CA 92253 Contractor: CALIFORNIA POOLS & SPAS P.O. BOX 1280 COACHELLA, CA 92236 (760)398-9222 Lic. No.: 656128 VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 11/29/05 D Q DEC 012005 CITY OF LA QUINTA FINANCE DEPT. 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. r 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 SEABRIGHT INS Policy Number BB1050510 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 hall forthwith comply with those provisions. ate: pplicant: WARNING: FAILURE TO SECURE WORK S' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000). 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 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 relating to'buildi g construction, and hereby authorize representatives of this/county to enter upon the above-mentioned pro a spection purposes. te: ` r �0 ature (Applicant or Age Application Number s 05-00005205 Permit . . . BLDG POOL PERMIT Additional desc . Permit Fee . . . . 258.50 P1an.Check Fee 168.03 Issue Date . . . Valuation 25459 Expiration Date -5/28/06 Qty Unit Charge Per Extension BASE FEE 252.00 - 1.00 6.5000 -------------=-------------------------------------------------------------- THOU BLDG 25,001-50,000 6.50 Permit . . . MECH POOL Additional desc . Permit Fee . . . . 24.00 Plan Check Fee 6.00 Issue Date . . . . Valuation 0 Expiration Date 5/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 9.0000 ---------------------------------------------------------------------------- EA MECH FURNACE <=100K 9.00 Permit . . . ELEC POOL PERMIT -RES Additional desc . Permit Fee . . . . 45.00 Plan Check Fee 11.25 Issue Date . . . . Valuation . . . . 0 Expiration Date 5/28/06 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 33.00 Plan Check Fee 8.25 Issue Date Valuation 0 Expiration Date 5/28/06 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 Permit . . . . . . WALL/FENCE PERMIT h LQPERMIT i.Jo'rE- Pool, AhJD SPA WI'M STOt•!E/TILE I�iA1"Et<'.LI�,IE' Ooi-p_0. PALMS por_ ILLLj6TK.A'`I00 01JL--( 1Ge_ I"1~ P SPS• b�M �t,L ; N �h r.). I'xl'I PErJQN 1 i LE AAD + JeTS AT F NEIG,N7'.5 ItEtJLN A -r -F j8'' Wj-rH CC) rIGr__ETE. C F>- AIS D 570tJ�_ vI-rJEE1=- POOL �QL11 PH E.tJT 1,� L -L ,6,'r C MAIC -N ESC 15T1 til C� P�.D p E �N I ,'D1_&-eD t>U)01 ot-J I s�4 Gotik k�l CAH t� PiaE COL,olz-EP C.UQaE`f c1">cL_P ` t�,o r -p E p- C,CbL 0r_.ED ��ppM FII Gor�G�ET E bEG�IC:trJ'vl W, S EPE r`I'f I ISI E 1�>D►,(> r5IE H ELWI<0 D t -J �.JoT To S(�•LE LIGHT I RAISED SPA AT "� QUARTER ROLINO B. R.B.it'Y SPECIFICATIONS C��iKll�+t✓1 c� 0403Ui�dli C4 LJ (VITG SIZE 'C2_X SPECIAL NOTES DECKING So. FT SE C::FTI- FINISH EXPANSION JOINTS CANTILEVER DECK DRAINS r'� F DE(X0 GRAIN TYPE SURFACE AREA OF POOL I z-1 5-72-71' 4' I_ (PI I 5 CSI EXCAVATION / EL.. TYPE ACCESS FROM _ ELEVATION _ DEEP END RAMP LOVE SEAT PERIMETER :o DEPTHS MIN. MAX. CURB CORE SOD REMOVAL LOADS STEPS .: SPA §P�CIFICIATIONS SZE I �-j�o c SO. FT. 63 TILE TILE TYPE 06iC�+"��L: k' D I�I'i� I��`✓ E > _ �. ' ' SPA DAM WALL WIDTH 1 �I NO. OF JETS t fi' R.B.B. ft WATER LINE -' TILE TRIM S EPE r`I'f I ISI E 1�>D►,(> r5IE H ELWI<0 D t -J �.JoT To S(�•LE SELECTIONS CONSTRUCTION AUTHORIZATION STONE IINc,(•� SALES FIELD � TILE �S 'fCi,�M CvQ1sc�.�+►•.n� BOULDERS Tam ^W��.. sPA Bic. DIG PRE-GUNITE DECK COLOR UNDERGROUND JANDY MASONRY PEBB./PLAs duP+;1%J � � TIVR��I�'p vee DECK SIGNATURE Drainae andg�Q1bf� V �fJL1� a, owe a _ . PRE -PEBBLE _ , DRAINAGE NOTE: othersg unless) otherlw 5e onopednters and pots, by w CJ Z. U) L aC z w LIGHT I RAISED SPA AT "� QUARTER ROLINO B. R.B.it'Y SPILLWAY TYPE " c� 0403Ui�dli SPECIAL NOTES DECKING So. FT SE C::FTI- FINISH EXPANSION JOINTS CANTILEVER DECK DRAINS r'� F DE(X0 GRAIN �rIC:I�ETE t:�p5 EXCAVATION / EL.. TYPE ACCESS FROM _ ELEVATION _ DEEP END RAMP LOVE SEAT CONCRETE REMOVAL LOADS CURB CORE SOD REMOVAL LOADS STEPS TREE REMOVAL BY STEP FACE IRRIGATION REMOVAL IRRIGATION REPAIR TILE BASE SAND AND VISQUEEN S fi' R.B.B. ft RIBBONS 12' R.B.B. ` MOW STRIP 18' R.B.B. ft 24' R.B.B. • 30' R.B.B. TAN SHELF DEPTH "- SIB" ROCK Po `-" CENTERS MASONRY COPING TYPE R.B.B. FACING SPILLWAY TYPE SIZE �'' ourS PROP. EXT. WALLS RETAIPLANTER NGWALL WALLS � EQUIP. WADS FIREPIT V i PLUMBING,).STEPS SZE POOL PUMP IXE SIZE dS � BOOSTER PUMP SZE ADD'L PUMP 31ZE ADD'L PUMP =SIZE HEATER (-4 LA r- SIZE U)) TIME CLOCK CP24I "_(b SUB PANEL ---- ADD'L OU SKIMMER TYPE • "�0"� I d u FILL LINE MP P"e"ed GAS UNE �rz t STUBS PEBBLE PLAST LIGHTS POOL fly LIGHTS SPA FOUNTAINS/SPRAYMEADS SHEER DES I" 3 fo 1 2- l r 1- LIGHTS IN POOL IN SPA ROLLED BOND BEAM ' BEHIND SPA EYEBALLS M - Fm.J S F G FENCE TYPE HEIGHT GATE STUB ,S,�=�,,T,,E,,,,,Q��U��,,---IP,.,,,,��hM,,ENT - � MISC G:, . T SC -1 P�+.1 PLUMBING SZE I t I . GU N I TE GATE REVERSAL DEEP END RAMP REMOVE & REH EXTENDED 2nd STEP LOVESEAT SPILLWAY 1YP EST. START EST. COMPLETION _ CANTILEVER = """ • COPNc R.B.B. -SEE STEEL OTHER A �J A t' S/.�c-' f" �' SIV -A OWNER RESPONSIBILITIES— ESPO S ITI SOWNER OWNERTO: (1) DETERMINE THE APPROXIMATE ELEVATION OF POOL OR SPA AT LAYOUT ON DAY OF EXCAVATION (2) TAKE NOTICE THAT POOL AND EQUIPMENT LOCATIONS ARE SUBJECT TO ACCEPTANCE OF LOCAL BUILDING DEPARTMENT AT TIME OF ISSUANCE OF PERMIT (3) WET DOWN CONCRETE SHELL AT LEAST TWICE DAILY FOR SEVEN DAYS AFTER SHELL IS INSTALLED (4) AGREE THAT CALIFORNIA POOLS IS NOT RESPONSIBLE FOR UNDERGROUND CONDITIONS OR OBJECTS, AND ANY DAMAGE TO CURBS, SIDEWALKS, DRIVEWAYS, LAWNS, OR OTHER ITEMS IN THE ACCESS AREA (5) SEE THAT ALL FENCING, GATES, AND GARAGE DOORS MEET LOCAL CODES FOR A POOL ENCLOSURE PRIOR TO PREPLASTFR INSPECTION (B) FILL POOL IMMEDIATELY AFTER PLASTER. (FOLLOW INSTRUCTIONS -- DO NOT USE RUBBER HOSE) (7) TAKE NOTICE THAT THIS DRAWING IS THE SOLE PROPERTY OF CALIFORNIA POOLS AND THAT ANY USE WITHOUT WRITTEN PERMISSION OF CALIFORNIA POOLS, INC. IS PROHIBITED BY LAW. OWNER APPROVES PLAN, POOL, AND EQUIPMENT LOCATIONS AND HAS READ THE RESPONSIBILITIES AND NOTICES ABOVE. SIGNATURE(S) DATE - SWIMMING POQL PLAN FOR: nn NAME II ',M E 1 �F�M'AS [l) ✓ STREET JOB ADDRESS `T'R\L. G CITY L_N QU1� A PHONE OFFICE'516^; 2;� RES -t? 7 I G 7 LOT W 'n TRACT 1-$--`F' PAGE BOOK MAP BOOK PAGE NO. CITY MAIL ADDRESS CONSTRUCTION OFFICE PHONE NO. SCALE DATE DRAWN BY SOLD BY CHECKED BY JOB# REVISIONS DATE o -oLyT 2 ,e- 4 5 SELECTIONS CONSTRUCTION AUTHORIZATION STONE IINc,(•� SALES FIELD � TILE �S 'fCi,�M CvQ1sc�.�+►•.n� BOULDERS Tam ^W��.. sPA Bic. DIG PRE-GUNITE DECK COLOR UNDERGROUND JANDY MASONRY PEBB./PLAs duP+;1%J � � TIVR��I�'p vee DECK SIGNATURE Drainae andg�Q1bf� V �fJL1� a, owe a _ . PRE -PEBBLE _ , DRAINAGE NOTE: othersg unless) otherlw 5e onopednters and pots, by w CJ Z. U) L aC z w Application Number . . . 05-00005205 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee . . . . 17.00 Plan Check Fee .00 Issue Date . . Valuation . . . . 541 Expiration Date 5/28/06 Qty Unit Charge Per Extension BASE FEE 15.00 1.00 2.0000 HND BLDG 501-2,000 2.00 ---------------------------=------------------------------------------------ Special Notes and Comments POOL/SPA, 25 L.F. 5' EQUIPMENT WALL, CITY STANDARD, ELECTRICAL & GAS STUB OUTS FOR FUTURE APPROVED APPLIANCES. APPLLIANCES NOT INCLUDED IN THIS PERMIT ALARMS/BARRIERS SHALL BE IN PLACE AT PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited ------------------------------ ---------- Due ----------------- Permit Fee Total 377.50 .00 .00 377.50 Plan Check Total 193.53 .00 .00 193.53 Grand Total 571.03 .00 .00 571.03 LQPERMTP 0