06-0230 (BLCK)P.O. BOX 1504
78-495 CALLE TAMPICO
LA QUINTA, CALIFORNIA 92253
Application Number:
Property Address:
APN:
Application description
Property Zoning:
Application valuation:
Applicant:
06-00000230
81737 ULRICH DR
764-270-999-79 -300234-
WALL/FENCE
MEDIUM HIGH DENSITY RES
80
Architect or
BUILDING & SAFETY DEPARTMENT
BUILDING PERMIT
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am 'censed under provisions of Chapter 9 (commencing with
Section 7000) of Division 3 of the Business and fessionals Code, and my License is in full force and effect.
License Class: C8 C27 C29 LicenseNo.: 656128
Date: —1 Contractor
ONER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am a mpt from the Contractor's State License Law for the
following reason (Sec. 7031.5, Business and Profess ns 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 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 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ISec.
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 ISec. 3097, Civ. C.). -
Lender's Name: _
Lender's Address:
LQPERMIT
Owner:
ENDERSON
81-737 ULRICH DR
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) 777-701 L
INSPECTIONS (760) 777-7153
Date: 1/13/06
-----------------------------------------------
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.
T
ft 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 HRH INS Policy Number BB1060510
_ 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 t ecome subject to the workers' compensation laws of California,
and agree that, if I should be a subject to the workers' compensation provisions of Section
3700 of the Labor/ e, I hwith comply with those provisions.
��(Applicapr
WARNING: FAILURE TO SECURE WORKER ' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL
SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
DOLLARS ($100,000). IN ADDITION TO T E COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN
SECTION 3706 OF THE LABOR CODE, INT REST, 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 1 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 building nstruction, and hereby authorize representatives
of this c/ount%to enter upon the above-mentioned pro tion purposes.
Dater1 11 Signature (Applicant or Agent):
Application Number . . . . . 06-00000230
Permit WALL/FENCE PERMIT
Additional desc . .
Permit Fee . . . . 15.00
Plan Check
Fee
.00
Issue Date . . . .
Valuation
. . .
. 80
Expiration Date 7/12/06
Qty Unit Charge Per
Extension
BASE FEE
15.00
-------------------7--------------------------------------------------------
Special Notes and Comments
5 L.F. 4' BLOCK WALL, CITY STANDARD.
Fee summary Charged Paid
Credited
Due
-----------------------
Permit Fee Total 15.00
--------
.00
.00
-------
15.00
Plan Check Total .00
.00
.00
.00
Grand Total 15.00
.00
.00
15.00
LQPERMIT
Bin #
C-Ity of La Quinta
- _--
Building 8i Safety Division j
Permit #
P.O. Box 1504, 78-495 Calle Tampico I
z0La
Quinta, CA 92253 - (760) 777-7012
Building Permit Application and Tracking Sheet
Project Addres-131` LA;CI
1•• Owner's Name: l �-
`
A. P. Number:
Address:
Legal Description:
City, ST, Zip:
Contractor, `
uts�s
Telephone:
Address: 2-go
Project Description.:
City, ST, Zip: C
t�� Z /_
\ d—r AAN
Telephone:7��j'�2�.
eg :s3
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State Lie. #
City Lic. #:
Arch., Engr., Designer:
Address:
City, ST, Zip:
Telephone:
Construction Type: Occupancy:
State Lic.
MME omProject type(circle one): New Add'n Alter Repair Demo
Name of Contact Person: G�� Je S Ft:.
Q• #Stories: #Units:
Telephone of ContactPerson:���•-�7�5�7�$-t��y Estimated Value of Project: (:7-0 en, C'
APPLICANT: DO NOT WRITE BELOW THIS LINE
# Submittal Req'd Rec'd TRACIQNG PERMIT FEES
Plan Sets
Plan Check submitted [tem Amount
Structural Calcs.
Reviewed, ready for corrections Plan Check Deposit
Truss Calcs.
Called Contact Person Plan Check Balance
Plans picked up Construction
Energy Cates.
Flood plain plan
Plans resubmitted Mechanical
2"' Review, ready for corrections/issue Electrical
Grading plan
Subcontactor List
Called Contact Person �g8m
OEJ
Grant Deed
t
Plans picked up
WILD NG & 3AFEFY.13911n,
Plans resubmitted F' A;' .
di g
Jrd Review, ready for correction /issue Developer Impact Fee
Called Contact Person $
H.O.A. Approval
IN HOUSE:-
Planning Approval
s. Appr
Pschool
Date of permit issue `
JFJ
ees .
Total Permit Fees
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30VINTAGE GRILL,FLEXLIGHT, GRADE
COVER,STAINLESS STEEL ACCESS DOORS,
QUARTZITE TOP,STUCCO&PAINT SIDES TO
MATCH HOUSE, GFI.
REVISION,
PORTION OF BBQ AT +42"
HAS 12" CANTILEVER
OVER CONCRETE WRH
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LEGEND
1. FINISH GRADE
2. BUBBLER MEAD
3. 12" PVC SCHEDULE 80 RISER
4. PVC SCHEDULE 40 STREET ELL
5. PVC SCHEDULE 40 TEE AND ELL
6. CLASS 200 PVC LATERAL
7. f" A.D.S. PERFORATED PIPE
42" LONG W/ ONE BUBBLER
8. 3/4" PEA GRAVEL
9. DRAIN GRATE
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CALIFORNIA POOLS & SPAS
LANDSCAPE ` .. E DI oN
VISI ... ..:. •.` �:.
I
•
86-100 AV's. 54 Coachella CA.92236
Bus: (760) 398-9222 FaX:760 98-925
( ) 8 5 License# 656128 C27 i
PLANT KEY TREE PALM
/ SHRUB
GROUND COVERS
�.. - LIGHTING
F;E TREE/PALM
E QTY_g TREE 0 SPECIMEN PALM A VINE, FLOOD -LIGHT
MEY VINE ANNUAL COLORPATH-
17"0 PHOENIX ROEBELENIISOD All
LIGHT
MULTI TREE
(PORTOBELLO)^ _ _.._.. _ V�/
SEE JOE MONDO L OF L-A SALE
_. _BUILDING & SS
—PpR Q.
LANDSCAPE DIREC OR
LPL_AN_R_EV1SED_0N _12.2 -2 -2005 -
FIELD SUPERVISOR
RESIDENTIAL LANDSCAPE PLAN FOR:
ENDERSON RESIDENCE
ULRICH DRIVE
LA QUINTA, CA, 92253
SOLD BY: DEVELOPMENT
JOE M. PARCEL N0. JOB No. S�•L�� i
DESIGN 6Y: TRILOGY LOT No. 4079 DATE: 09/01 /Q5SCALE;1 /8
JOE M.
DRAWN BY: SHEET NAME SHEET NO
GREGORY I. PLANTING PLANLml_
REVIEWED BY: - .. _
- GREG H. _
i''