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05-5410 (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: 05-00005410 81749 ULRICH DR 764-270-999-80 -300234- POOL - RESIDENTIAL MEDIUM HIGH DENSITY RES 22000 c&t!t 4 4 a" 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. LLiicceense Class: C8 C27 C29 License No.: 656128 yate"�� r Contractor: ell 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 05001.: (_ 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 (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 contractorls) 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: LQPERN11T VOICE (760) 777-7012 FAX (760) 777-7011 INSPECTIONS (760) 777-7153 Date: 12/12/05 Owner: STEPHENS- 81-749 ULRICH DRIVE LA QUINTA, CA 92253 0 O Contractor: DEC �- 2 2005 CALIFORNIA POOLS & SPAS P.O. BOX 1280 CITY OF LA QUIUTA COACHELLA, CA 92236 FINANCE (760)398-9222 Lic. No.: 656128 • 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 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 Ishout become subject to the workers' compensation provisions of Section 3700ofof the Labor Co,I shall forthwith comply with those provisions. a�- D11 all 1' C Applica - WARNING: FAILURE TO SECURE W RKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$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 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 building cons ruction, and hereby authorize representatives of this un/ty to enter upon the above-mentioned property for in ection purposes. Date: I'�! Z"tlK 'Signature (Applicant or Agent): Application Number . . . . . 05-00005410 Permit BLDG POOL PERMIT Additional desc . Permit Fee . . . . 225.00 Plan Check Fee 146.25 Issue Date Valuation . . . . 21920 Expiration Date 6/10/06 Qty Unit Charge Per Extension BASE FEE 45.00 20.00 9.0000 ----------------------------------------------------------------------------- THOU BLDG 2,001-25,000 180.00 Permit MECH POOL Additional desc . Permit Fee . . . . 26.00 Plan Check Fee 6.50 Issue Date . . . . Valuation 0 Expiration Date . 6/10/06 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 6/10/06 Qty. Unit Charge Per Extension BASE FEE 15.00 1.00 30.0000 ----------------- ---------------------- EA ELEC PRIVATE SWIMMING 7 -------------------- POOL ----------------- 30.00 Permit. . . PLUMBING Additional desc . Permit Fee . . . . 33.00 Plan Check Fee 8.25 Issue Date Valuation . . . . - 0 Expiration Date 6/10106 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. LQFtRMIT Application Number . . . . . 05-00005410 Permit . . . WALL/FENCE PERMIT Additional desc . Permit Fee 15.00 Plan Check Fee .00 Issue Date . . . . Valuation 80 Expiration Date 6/10/06 Qty Unit Charge Per Extension BASE FEE 15.00 --------------------------------------------- -Special Notes and ------------------------------ Comments POOL &•SPA. 5 L.F.4' EQUIPMENT WALL, CITY STANDARD. ALARMS/BARRIERS SHALL BE IN PLACE PRIOR TO PRE -PLASTER INSPECTION. Fee summary Charged Paid Credited -------------------- Due ------------------ Permit Fee Total -------------------- 344.00 .00 .00 344.00 Plan Check Total 172.25 .00 .00 172.25 Grand Total 516.25 .00 .00 516.25 LQPERMIT Bin # City of La Quinta Building U, Safety Division Permit # P.O. Box 1504, 78-495 Calle Tampico La Quinta, CA 92253 - (760) 777-7012 Building Permit Application and Tracking Sheet Project Address -9 A. P. Number: Owner's Name: eQ Address: City, ST, Zip: TMN Telephone: NO! M-1-1oftilft Project Description: Legal Description: Contractone- Address: City, ST, Zip Tele phone: 769)',299'5(-17,222— State Lie. # : (0-5'(0- City Lic 9 - Arch., Engr., Designer: Address: • City, ST, Zip: Telephone: 5 State Lie. #: Name of Contact Person: Construction Type: Occupancy: Project type (circle one): New Add'n Alter Repair Demo Sq. Ft.: ries: # Units: Telephone # of Contact Person:2g0-7"I-22 Estimated Value of Project: Z Z O O C) APPLICANT: DO NOT WRITE BELOW THIS LINE # Submittal Req'd -Rec'd TRACIKING. PERMIT FEES 7 Plan Sets Plan Check submitted Item Amount Structural Calcs. Reviewed, ready for corrections Plan Check Deposit Truss Calcs. Called Contact Person Plan Check Balance Energy Calcs. Plans picked up Construction Flood plain plan Plans Plans resubmitted c E2"Revicw, Mechanical Grading plan i w, ready for corrections/issue ct Electrical Subcontactor List Called Contact Person Plumbing S.M.I. Grant Deed Plans picked up H.O.A. Approval Plans resubmitted Grading IN HOUSE:- "d 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 ko A -b CITY OF LA QUINTA BUILDING AND SAFETY DEPARTMENT GARDEN WALL STANDARD 6',C_M.U. 1'm= 1350psi, Fy= 40000psi /4 O 24' Vert O CL #4 O 327 Horiz m . I c 1 6 1/4' e `v ALTERNATE 3' CLEAR #4 HORIZ. AS SHOWN T 1 ` BENDS o 6 ` GARDEN WALL Scolex 3/8' i 1'-0' ��- 6' rm- 1350psi. Fy- 400001?si %4 O 24' Vert O CL /4 O 32' Horiz 6' C.M.U. rm= 1350psi. Fy= 40000psi /4 O 24' Vert O CL r4 O 32' Horiz 10-11/16. 3' CLEAR 14 HORIZ. AS SHOWN T I 3' CLEAR 1 d4 HORIZ. AS SHOWN T ' J S' GARDEN = WALL -o 6' C.M.U. 1'mt 135 _ Y4 ® 24' Vert O CL / d4 @ 32" Horiz ' 1 GARDEN WALL Scale: 3/8'- 6' C.M.U. _-- --�— 'i'm= 1350psi, Fy= 40000psi #4 ® 24' Vert O CL #4 0.32 .. Horiz I O � I b OPTIONAL 10-11/16' 30'LAP a 3' CLEARALTERNATE /4 HORIZ. AS SHOWN T BENDS o ` GARDEN WALL Scale: 3/8' 3' CLEAR /4 HORIZ. AS SHOWN T (P GARDEN WALL Scolex. 3/8' - V -o' RAI 6Ep 5PA At +.115" t-rl-J.. CAM f5jZ, ca GjM ca p ACIPE vJA -L- i,TUCCOEC) A"C> p,RlNTEO TO MA -CC" HOUSE