09-0966 (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:
09-00000966
81689 ULRICH DR
764-270-999-75 -300234-
POOL - RESIDENTIAL
MEDIUM HIGH DENSITY RES
16000
Architect or Engineer:
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
--------------------------------------------------
CENSED CONTRACT 'S DECLARATION
I hereby affirm under penalty of perjury th 1 1 am licensed under r visions of Chapter 9 (commencing with
Section 70001. of Division 3 of the Bu 'rte and Professionals od , and my License is in full force and effect.
LicenseC ss - C13-053 Li nseNo.: 935936
ate: ontractor-.
ILDER DECLARATION
I hereby affirm under penalty of perjury that Iam xe pt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Pr a ,ons 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, 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, 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 _ 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:
HARDIE.
81689 ULRICH
LA QUINTA, CA
922
Contractor:
CLASSIC POOLS & S
79461 AVENUE 40TH
BERMUDA DUNES, CA
(760)413-4867
Lic. No.: 935936
VOICE (760) 777-7012
FAX (760) 777-7011
INSPECTIONS (760) 777-7153
Date: 9/11/09
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 insuranc , as required by Section 3700 of the Labor
Code, for the performance of the work for which this' ermit is issued.. My workers' compensation
insurance carrier and polic number are:
Carrier NATIONAL INS Policy Number '00090117388 _
_ 1 certify that, in the perf me ce of the work for ich this permit is issued, I shall not employ any
erson in any manne o s to become subjec to he workers' compensation laws of California,
nd agree that, if I s o Id � ecome subject t he orkers' compensation provisions of Section
,{31700 of the Labor C e I hall forthwith mpl with those provisions.
. licant:
WARN G: AILURE T CURE WORKERS' PENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO 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 equest and for
whose benefit work is performed under or pursuant to any permit issued as a.r sult of this application,
the owner, and the applicant, each agrees to, and shall defend, indemnify an hold harmless the City
of La Quinta, its officers, agents and employees for any act or omission rela d 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 rk is not commenced
Within 180 days from date of issuance of such'permit, or cessation of w rk for 180 days will subject
permit to cancellation. /I
I certify that I h ve read this application and state that�¢he pove information i torr ct. I agree to comply with all
city and countordinances and state laws relating to ild g construction, d her by authorize representatives
of this.couity enter upoD4e above-mentioned pro rt for inspection p rposes
(Applicanor Agent):
Application Number . . . . . 09-00000966
Permit . .
BLDG POOL PERMIT
Additional desc
Permit Fee
171.00
Plan Check Fee
111.15
Issue Date
Valuation . . .
. 16000
Expiration Date
3/10/10
Qty Unit Charge
Per
Extension
BASE
FEE
45.00
14.00 9.0000
----------------------------------------------------------------------------
THOU BLDG
2,001-25,000
126.00
Permit . . .
MECH POOL
Additional desc .
Permit Fee . . . .
26.00
Plan Check Fee
6.50
Issue Date . . . .
Valuation . . .
. 0
Expiration Date
3/10/10
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'.
3/10/10
Qty• Unit Charge
Per
Extension
BASE
FEE
15.00
1.00 30.0000
------------------------7---------------------------------------------------
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
3/10/10
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
LQPERMIT
Application Number . . . . . 09-00000966
Permit . . . WALL/FENCE PERMIT
Additional desc .
Permit Fee . . . . 15.00
Plan Check Fee
.00
Issue Date . . . .
Valuation . . .
. 64
Expiration.Date.. 3/10/10
Qty Unit Charge Per
Extension
BASE FEE
15.00
----------------------------------------------------------------------------
Special Notes and Comments
POOL, BBQ, FIREPIT.(10 L.F. 3/4" GAS
LINE), 6 L.F. 4' EQUIPMENT WALL, CITY
STANDARD. ALARMS/BARRIERS SHALL BE IN
PLACE AT PRE -PLASTER INSPECTION. 2007
CODES.
------------------ --------------- - -----------
Other Fees . . . . .. BLDG STDS ADMIN (SB1473)
1.00
Fee summary Charged Paid
--------------------"-----------------
Credited
--------------------
Due
Permit Fee Total 290.00
00 00
290.00
Plan Check Total 137.15
.00 .00.
.137.15'
Other Fee Total 1.00
.00 .00
1.00
Grand Total 428.15
.00 .00
428.15
LQPERMIT
Bin #
Qty ®f LA Quinta
Building &r Safety Division
P.O. Box 1504, 78-495 Calle Tampico
La Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Permit #
Project Address: _
Owner's Name: eS ,� .0
A. P. Number:
Address: If,7&Y °
Legal Description:
City, ST, Zip:
ZA
Contractor: 7
U
/
Tel
Telephone:
Address:- z Cp l v�
Project Description:
City, ST, Zip: ii !� 1 Z 2-0 f
e lei OK ZD OO L
ele h
Telephone:
Po .
r.
� w � L
to
State Lie. # :
City Lie. #•:
^`PTt V k 3 . "6 _ Q
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction ton TY e: Occupancy:
P P cY:
State Lie. #:::
Project type (circle one): New Add'n Alter Repair Demo
Name of Contact Person: ie;,
Sq. Ft.:
# Stories:
#Units:
Telephone # of Contact Person: ~ 7 r��p
Estimated Value of Project
APPLICANT: DO NOT WRITE BELOW THIS LINE
#
Submittal
Req'd
Recd
TRACKING
PERMIT FEES
Plan Sets
Plan Check submitted
Item
Amount
Structural Calcs.if
Reviewed, ready for corrections
Plan Check Deposit
Truss Calcs.
Called Contact Person
Plan Check Balance
Title 24 Cales.
Plans picked up
Construction
Flood plain plan
Plans resubmitted
Mechanical
Grading plan
2°" Review, ready for corrections/issue
Electrical
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
Date of permit issue
School Fees
Total Permit Fees
1-29M
FH
r
Fire Pit
Jet:
i
V
NOTE:
10,
0
20'
New Colored
Concrete Decking
1 0690
Dick and Theresa Hardie
Residence
1. Low voltage Landscape lighting.
All trees shall receive (1) one low
voltage landscape up light. Lighting
Fbdures to be selected at later
date and approved by homeowner
before installation.
LA QUI NTA
BUILDING & SAFETY DEPT.
FOR CONSTRUCTION
DATE—9 _/ l — U 1 BY----
SYMBOL
y—
SYMBOL BOTANICAL NAME
PLAN KEY NOTES:
® Concrete Decking -(1105 sq.ft.)
Color shall be Standard gray
with Salt Finish.
Q Decomposed Granite. All
landscape areas and side yard -.c
shall receive 2' min. depth of --
31W minus Omaha DG or' —
approved equal.
r,
BWashingtonia
,,x�eooc
Filifera
Washington Fan Palm
VINM
.�;
-DMcts Laxiflora
Trumpet Vine
Calliandra Inaequilatera Powder Puff
J
Bwws microphylla japonica Japanese Boxwood
LA QUI NTA
BUILDING & SAFETY DEPT.
FOR CONSTRUCTION
DATE—9 _/ l — U 1 BY----
SYMBOL
y—
SYMBOL BOTANICAL NAME
PLAN KEY NOTES:
® Concrete Decking -(1105 sq.ft.)
Color shall be Standard gray
with Salt Finish.
Q Decomposed Granite. All
landscape areas and side yard -.c
shall receive 2' min. depth of --
31W minus Omaha DG or' —
approved equal.
r,
BWashingtonia
,,x�eooc
Filifera
Washington Fan Palm
VINM
.�;
-DMcts Laxiflora
Trumpet Vine
Calliandra Inaequilatera Powder Puff
Bwws microphylla japonica Japanese Boxwood
Q
Salvia Greggii
Autumn Sage
®
Lantana 'New Gold'
New Gold Lantana
Jasminum Sambac
Arabian Jasmine
O
Drain
Drain
8
3 8'-10' trunk foot height
24" BOX
11 5 GAL
10 5 GAL
:-M
•t, P ,
O
O
a
O
a
o�
o �-
o o
E3
O
O
ED
O
8 5 GAL
7 5 GAL
16 5 GAL
Scale 1'=1/8'
5 5 GAL Dick and Theresa Hardie
3 3" 81-689 VIrich trilogy La Quinta
Classic Pools/Spa & Landscaping